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A rare case of massif Adenomatoid Odontogenic Tumor in the anterior region of mandible: Mimicking as dentigerous cyst Munandar, Aris; Syamsudin, Endang; Sylvyana, Melita; Rizki, Kiki Akhmad
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Background. Adenomatoid Odontogenic Tumor (AOT) is a rare tumor of epithelial origin. AOT appears in three clinico-topographic variants: follicular, extrafollicular and peripheral. The AOT was predominantly found in the upper jaw, and rarely found in mandible, especially at anterior mandible. AOT is a tumor of odontogenic epithelium having duct like structures, which may be partly cystic, and in some cases the solid lesion may be present only as masses in the wall of a large cyst. The surgical management of this lesion would be enucleation along with removal of associated impacted tooth. The prognosis for both of them is good and recurrences are very rare after complete removal of the lesion. Purpose. It is important to define final diagnose for AOT due to mimicking with DC in clinically and radiographically finding. Biopsy is still obviously necessary to the final diagnosis. Case. 15-year-old female patients reported with chief complain of swelling in anterior mandible. The swelling beginning 4 years ago, gradually progressed, with no history pain, discharge and patient is complaint about loss of sensation around anterior mandible. Aspiration revealed straw colored fluid thinking in the way of DC. The provisional diagnosis of DC was given due to clinical presentation and radiographic imaging. But the biopsy examination showed AOT due to duct-like epithelial cells was being found. Discussion.Â The case report illustrates characteristic clinical and radiographic features of follicular variant of AOT mimicking a DC at unusual site that is anterior mandible. AOT is thought to arise from odontogenic epithelium and associated with the impacted tooth. Rightfully AOT is a perfect imitator of DC radiographically as well as histopathologically. It usually clinically misdiagnosed as DC as both have a unilocular, well-defined radiolucency surrounding the crown of an impacted tooth. The mass was enucleated, involved teeth were extracted, and titanium plates are used to avoid pathologist fracture. The patient had uneventful postoperative recovery. Follow up of a year has not shown any evidence of recurrence. Conclusion.Â Follicular type of OAT could confuse us with DC if the support examination just only clinicaly finding and radiographic examination. This case could not be definitively diagnosed on clinical and radiographic features alone. Biopsy was obviously necessary to the final diagnosis.

Congenital double lip pits Widayanti, Retno; Sylvyana, Melita; Syamsudin, Endang; Diposarosa, Rizki
Padjadjaran Journal of Dentistry Vol 28, No 1 (2016): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Introduction : Lip pits are unusual congenital anomalies affecting the lip, first described by DeMurquay in 1845. Lip pits can encounter aesthetic problem thus the patient ask for surgical overcome. Case Report : A 4-year-old girl patient came with double lower lip pits that present since birth with bilateral cleft lip and palate. The pits made a mucous accumulation occurs during mealtimes and crying, and felt aesthethic discomfort. The surgery was performed by simple excision combined with split-lip advancement technique under general anaesthesia and the excised pits was then analized for histopatological structures. The patient has no aesthetic defect after surgery. Discussion : Congenital lip pits are developmental anomalies that occur as an isolated defect or either in association with other developmental disturbances. It happens due to notching of lip at an early stage of development with fixation of tissues of the base of the notch or from a failure of complete union of embryonic lateral sulci of the lip. Lip pits can be shallow or deep, and may be associated with accessory salivary glands. The treatment is usually surgical excision with removal of entire fistulous tract. Conclusion : Surgical removal of lip pits is commonly for cosmetic purpose. It must be treated wisely because lips are essential part of someones face.

Compound Odontoma in young girl N., Nurwahida; Sylvyana, Melita; Nurwiadh, R. Agus; Diposarosa, Rizki
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Introduction. Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. These tumors are formed from enamel and dentin, and can have variable amounts of cement and pulp tissues. According to radiographic, microscopic, and clinical features, two types of odontomas are recognized: Complex and compound odontomas. Complex odontomas occur mostly in the posterior part of the mandible and compound odontomas in the anterior maxilla. Case Report. A young girl patient, 9 years old came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left posterior mandible for 5 years in his history taking. The panoramic radiograph showÂ a radioopacity and radiolucent lesion at the lower second molar region, with well-corticated limits. An insisional biopsiÂ Â confirmedÂ as compound odontoma. The surgeryÂ performed with simple enucleation and curettage under general anaesthesia. Discussion. Compound odontomas are usually located in the anterior maxilla, over the crowns of unerupted teeth, or between the roots of erupted teeth. In this case report, Compound odontomas are found in the posterior mandible. Conclusion. Compound odontomas in the posterior mandible is a rare. The treatment of odontomas depends on the size of the lesion. The early diagnosis, the treatment of choice is conservative surgical enucleation and curettage and prognosis is excellent.

Pediatric facial trauma management: Emergency case in a toddler Rarasati, Swarantika Aulia; Sylvyana, Melita; Putri, Dian Maifara
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 4 (2024): December
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v57.i4.p310-316

Background: Facial soft tissue trauma cases are often encountered in the emergency room. Soft tissue trauma, especially to the face, is rarely life threatening. It varies in shape, size, and depth and can also affect surrounding organs. The treatment of soft tissue trauma can be complicated and may have a significant impact on facial function and, especially, facial aesthetics. Children are easily injured due to their active nature. Soft tissue trauma to the faces of toddlers is challenging even for experienced surgeons; however, wound debridement and suture management under general anesthesia should be considered. Purpose: The aim of this article is to deliver a thorough overview of the evaluation and treatment of soft tissue injuries in children, covering initial assessments, physical examinations, the application of antimicrobial therapies, and preparation for surgical procedures. Case: An 11-month-old girl went to the emergency department of Hasan Sadikin General Hospital, Bandung, with injuries to her left cheek and upper left lip sustained when she fell, and her face hit the edge of a cement pot at home. There was no history of unconsciousness, nausea and vomiting. The injury was diagnosed as vulnus laceratum of the left face and upper lip region. Case management: Emergency management was carried out by triage, Tetagam injection, and early wound debridement and suture under general anesthesia because the patient was uncooperative. Wounds on the face and lips were primary sutured layer by layer, returning the wound edges to their normal anatomical position. Conclusion: The management of facial soft tissue injuries in toddlers requires general anesthesia for adequate and accurate wound debridement and suture, so that functional and aesthetic effects can be satisfactorily obtained.

Characteristics and management of oro-maxillofacial trauma in the emergency room during the COVID-19 pandemic: a retrospective cross-sectional Study Yudianto, Cahyono; Sjamsudin, Endang; Sylvyana, Melita; Riawan, Lucky
Padjadjaran Journal of Dentistry Vol 35, No 2 (2023): July 2023
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no2.47077

AbstractIntroduction: Oro-maxillofacial traumas comprise injuries to the face, jaws, or both; they include injury to any of the bony structures, skin, and soft tissues around the face. During the COVID-19 pandemic, human activity was mostly at home, with movement restrictions. The purpose of this study is to find out the types of characteristics and management of oro-maxillofacial traumas during the COVID-19 pandemic at the emergency room. Methods: A cross-sectional study was conducted to evaluate every maxillofacial trauma in patients treated by the oral surgeon in the emergency room at RSUP Dr. Hasan Sadikin Bandung Hospital. Incidence records were taken directly from case reports from January 2020 to December 2021. The variables considered were patient age, gender, etiologies, sites, classifications, and management of the trauma. Then integrated into a table to be analyzed epidemiologically. Results: There were 177 maxillofacial trauma patients registered in the Department of Oral and Maxillofacial Surgery. It was found that the gender ratio, female to male, is equal to 2.3:7.6. The 18-36 age group accounted for the largest subgroup in both sexes. Motorcycle accidents accounted for as much as 80.22% of the etiology of the most common traumas. While dentoalveolar (28.22%) was the most common site of the fracture, followed by the mandible (23.31%). Injuries around the mouth made up the largest portion (62.15%) of the areas that were directly impacted by the injuries, followed by injuries to the face (18.64%) and injuries to the mouth and nose (6.21%). Among the 177 patients mentioned above, 10.17% were hospitalized. Conclusion: Male’s are more likely to be involved in traffic accidents, mainly motorcycle crashes, which are the primary cause of traumas. Dentoalveolar fractures were the most common type of fracture, and the management of the oro-maxillofacial trauma is done according to the standard procedure.

Characteristics of Fibrous Dysplasia at Oral and Maxillofacial Surgery Department RSUP Dr. Hasan Sadikin: A 6-year Retrospective Study Prestya, Pebrian Diki; Hadikrishna, Indra; Sylvyana, Melita; Adiantoro, Seto; Rizki, Kiki Achmad
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.188-193

Introduction: Oral and Maxillofacial surgeon encounter challenges diagnose fibrous dysplasia due to wide variety of investigations required, such as radiographic, histological, and clinical examinations. Fibrous dysplasia typically manifests at first or second decade of life; these lesions tend to form at young age and cease when somatic growth completed. Aim: The aim of this study understanding the characteristics of fibrous dysplasia in patients treated from 2017 to 2023 at Department of Oral and Maxillofacial Surgery Hasan Sadikin Hospital. Research Method: Design of this study is a qualitative descriptive study with retrospective using medical record data of patients diagnosed as fibrous dysplasia at Department of Oral and Maxillofacial Surgery of Hasan Sadikin General Hospital in January 2017 — March 2023. Variables in this study include age, gender, anatomical location at craniofacial area, histopathological diagnosis, and treatment provided. Results: This study showed Characteristics of fibrous dysplasia patients results by sex being highest in Women as many as 6 patients (54.54%), by age indicating the most age at 17-25 years old as 5 patients (45.45%). In addition, the highest prevalence based on histopathological diagnosis is monostotic type, which is 8 patients (72.72%) and three patients (27.27%) with polyostotic type. Based on the anatomical location the most at maxilla region, which is 7 patients, which is 5 (45,45%) patients at left maxilla region and 2 (18,18%) patients at right maxilla region. In addition, based on treatment the most was reshaping with 7 patients (63.63%).Conclusion: The most prevalent characteristic of patients with fibrous dysplasia is woman and by age indicating the most age at 17-25 years old. According to anatomical location the most is maxilla region. Monostotic fibrous dysplasia the most diagnose and the most prevalent treatmet is reshaping, which is the best therapy for of fibrous dysplasia.

Characteristics of Fibrous Dysplasia at Oral and Maxillofacial Surgery Department RSUP Dr. Hasan Sadikin: A 6-year Retrospective Study Prestya, Pebrian Diki; Hadikrishna, Indra; Sylvyana, Melita; Adiantoro, Seto; Rizki, Kiki Achmad
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.188-193

Introduction: Oral and Maxillofacial surgeon encounter challenges diagnose fibrous dysplasia due to wide variety of investigations required, such as radiographic, histological, and clinical examinations. Fibrous dysplasia typically manifests at first or second decade of life; these lesions tend to form at young age and cease when somatic growth completed. Aim: The aim of this study understanding the characteristics of fibrous dysplasia in patients treated from 2017 to 2023 at Department of Oral and Maxillofacial Surgery Hasan Sadikin Hospital. Research Method: Design of this study is a qualitative descriptive study with retrospective using medical record data of patients diagnosed as fibrous dysplasia at Department of Oral and Maxillofacial Surgery of Hasan Sadikin General Hospital in January 2017 — March 2023. Variables in this study include age, gender, anatomical location at craniofacial area, histopathological diagnosis, and treatment provided. Results: This study showed Characteristics of fibrous dysplasia patients results by sex being highest in Women as many as 6 patients (54.54%), by age indicating the most age at 17-25 years old as 5 patients (45.45%). In addition, the highest prevalence based on histopathological diagnosis is monostotic type, which is 8 patients (72.72%) and three patients (27.27%) with polyostotic type. Based on the anatomical location the most at maxilla region, which is 7 patients, which is 5 (45,45%) patients at left maxilla region and 2 (18,18%) patients at right maxilla region. In addition, based on treatment the most was reshaping with 7 patients (63.63%).Conclusion: The most prevalent characteristic of patients with fibrous dysplasia is woman and by age indicating the most age at 17-25 years old. According to anatomical location the most is maxilla region. Monostotic fibrous dysplasia the most diagnose and the most prevalent treatmet is reshaping, which is the best therapy for of fibrous dysplasia.

Management of Severe Spreading Odontogenic Infection in Third Trimester of Pregnancy: A Case Report Ariestiana, Yossi Y.; Sylvyana, Melita; Tasman, Abel
Journal of Case Reports in Dental Medicine Vol 2, No 3 (2020)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v2i3.136

Objective: Odontogenic infections are the most prevalent disease worldwide that presenting initially as localized and could spread causing facial cellulitis and if not treated will develop into more serious facial spaces infections. Infections are common in pregnancy due to hormonal changes and altered immunological activity aggravating response to dental infection resulting in serious life threatening condition to the mother and to the foetus. The present paper reviews the emergency treatment in the third semester of pregnancy patient with spreading odontogenic infections.Method: A case report of 23-year old female with 28 weeks gestation admitted with toothache, right submandibular swelling, and severe trismus consistent with spreading of odontogenic infection into mandibular space. Her treatment included emergent incision and drainage of associated space, extraction of the offending teeth, and intravenous antibiotic coverage was explained. Mother and foetus were also assessed by the Obstetric and Gynaecology Unit.Result: Severe infection was successfully resolved. The patient condition improved and proceeded to a normal delivery with a healthy child.Conclusion: A third semester pregnancy patient with severe spreading odontogenic infection need a holistic and accurate emergency treatment by considering the foetal and maternal health and safety while following well established clinical guidelines in managing odontogenic infection

Compound Odontoma in young girl N., Nurwahida; Sylvyana, Melita; Nurwiadh, R. Agus; Diposarosa, Rizki
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Universitas Padjadjaran

Introduction. Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. These tumors are formed from enamel and dentin, and can have variable amounts of cement and pulp tissues. According to radiographic, microscopic, and clinical features, two types of odontomas are recognized: Complex and compound odontomas. Complex odontomas occur mostly in the posterior part of the mandible and compound odontomas in the anterior maxilla. Case Report. A young girl patient, 9 years old came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left posterior mandible for 5 years in his history taking. The panoramic radiograph show a radioopacity and radiolucent lesion at the lower second molar region, with well-corticated limits. An insisional biopsi confirmed as compound odontoma. The surgery performed with simple enucleation and curettage under general anaesthesia. Discussion. Compound odontomas are usually located in the anterior maxilla, over the crowns of unerupted teeth, or between the roots of erupted teeth. In this case report, Compound odontomas are found in the posterior mandible. Conclusion. Compound odontomas in the posterior mandible is a rare. The treatment of odontomas depends on the size of the lesion. The early diagnosis, the treatment of choice is conservative surgical enucleation and curettage and prognosis is excellent.

A rare case of massif Adenomatoid Odontogenic Tumor in the anterior region of mandible: Mimicking as dentigerous cyst Munandar, Aris; Syamsudin, Endang; Sylvyana, Melita; Rizki, Kiki Akhmad
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Universitas Padjadjaran

Background. Adenomatoid Odontogenic Tumor (AOT) is a rare tumor of epithelial origin. AOT appears in three clinico-topographic variants: follicular, extrafollicular and peripheral. The AOT was predominantly found in the upper jaw, and rarely found in mandible, especially at anterior mandible. AOT is a tumor of odontogenic epithelium having duct like structures, which may be partly cystic, and in some cases the solid lesion may be present only as masses in the wall of a large cyst. The surgical management of this lesion would be enucleation along with removal of associated impacted tooth. The prognosis for both of them is good and recurrences are very rare after complete removal of the lesion. Purpose. It is important to define final diagnose for AOT due to mimicking with DC in clinically and radiographically finding. Biopsy is still obviously necessary to the final diagnosis. Case. 15-year-old female patients reported with chief complain of swelling in anterior mandible. The swelling beginning 4 years ago, gradually progressed, with no history pain, discharge and patient is complaint about loss of sensation around anterior mandible. Aspiration revealed straw colored fluid thinking in the way of DC. The provisional diagnosis of DC was given due to clinical presentation and radiographic imaging. But the biopsy examination showed AOT due to duct-like epithelial cells was being found. Discussion. The case report illustrates characteristic clinical and radiographic features of follicular variant of AOT mimicking a DC at unusual site that is anterior mandible. AOT is thought to arise from odontogenic epithelium and associated with the impacted tooth. Rightfully AOT is a perfect imitator of DC radiographically as well as histopathologically. It usually clinically misdiagnosed as DC as both have a unilocular, well-defined radiolucency surrounding the crown of an impacted tooth. The mass was enucleated, involved teeth were extracted, and titanium plates are used to avoid pathologist fracture. The patient had uneventful postoperative recovery. Follow up of a year has not shown any evidence of recurrence. Conclusion. Follicular type of OAT could confuse us with DC if the support examination just only clinicaly finding and radiographic examination. This case could not be definitively diagnosed on clinical and radiographic features alone. Biopsy was obviously necessary to the final diagnosis.

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