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All Journal Majalah Kedokteran Gigi Indonesia ODONTO Dental Journal Dental Journal (Majalah Kedokteran Gigi) Padjadjaran Journal of Dentistry Journal of Case Reports in Dental Medicine Jurnal Health Sains Odonto dental journal Poltekita: Jurnal Ilmu Kesehatan
Melita Sylvyana, Melita
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Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1030.647 KB) | DOI: 10.24198/pjd.vol28no1.13520

Abstract

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.
Management of Drug Induced Gingival Overgrowth (Digo) in a Patient with Cerebral Palsy Type Spastic Quadriplegia: A Case Report Sari, Anggun Tri; Sylvyana, Melita; Yazid Yusuf, Harmas
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i1.3912

Abstract

Drug Induced Gingival Overgrowth (DIGO) can be defined as local or general enlargement of the gingival tissue that occurs as a side effect of certain drugs such as immunosuppressive drugs, anticonvulsants and calcium channel blockers. Epilepsy is known to be closely related to cerebral palsy; 15-60% of children with cerebral palsy report having epilepsy requiring anticonvulsant drugs as routine therapy. When gingival enlargement occurs, it interferes with normal oral hygiene practices and can interfere with masticatory function. Gingival hyperplasia can be treated by stopping or changing drugs. In more severe cases, surgical treatment is required. A 6 year old boy patient with a history of epilepsy and cerebral palsy came with complaints of lumps in the gums of the right and left lower jaw. The patient started taking epilepsy medication about 3 years after being diagnosed with epilepsy. After about 1.5 years of taking epilepsy drugs, the patient experienced enlargement of all of his maxillary and mandibular gingiva. The patient was consulted to the Oral and Maxillofacial Surgery Department of Hasan Sadikin General Hospital, on intra-oral examination we found there was gingival enlargement that covered almost the entire tooth surface, the treatment plan was carried out by a surgical procedure in stages under general anesthesia. The results obtained after surgery showed that the shape of the gingiva was normal and the patient's masticatory function had improved. In cases where there is overgrowth of the gingiva to cover the entire tooth surface, surgical procedure is a standard procedure to restore the normal shape of the gingiva.
Complex management of multiple facial traumas using a bottom-up approach Wijaya, Wilson; Sjamsudin, Endang; Sylvyana, Melita
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.94436

Abstract

Blunt trauma, particularly from traffic accidents, is a leading cause of multiple facial fractures. Managing such injuries can be extremely challenging for surgeons, especially when multiple facial regions are involved. Inadequate stabilization of fractured bones may result in permanent deformities. This case report outlines the principles and techniques of managing complex facial trauma, focusing on achieving harmonious bone alignment and balanced occlusion through proper segmental reduction. We present the case of a 28-year-old male with multiple facial fractures sustained in a traffic accident. Clinical and radiological examinations revealed fractures of the left orbital rim, Le Fort I level, left zygomaticomaxillary complex, mandibular symphysis, and right parasymphysis, accompanied by tooth avulsion. The patient underwent open reduction and internal fixation (ORIF) under general anesthesia using a bottom-up approach, followed by four weeks of intermaxillary fixation. This resulted in improved facial contour and satisfactory intermaxillary relationship. Effective management of multiple facial fractures requires comprehensive planning and meticulous technique to restore facial aesthetics, mastication, and anatomical landmarks. This can be achieved through either a top-down or bottom-up approach, depending on the stability of the fractured segments. In this case, ORIF was initiated with mandibular fixation due to the relative stability of the mandibular fragments, supporting the use of a bottom-up strategy. Thorough planning and precise execution are crucial to achieving optimal anatomical and functional outcomes and preserving the patient’s quality of life.
Characteristics of Oral Hemangioma and Vascular Malformation Cases: A Study at Hasan Sadikin General Hospital, 2019-2023 Rachmavita, Yashinta; Yusuf, Harmas Yazid; Sylvyana, Melita
Jurnal Health Sains Vol. 5 No. 4 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i4.1255

Abstract

This observational retrospective study conducted at Hasan Sadikin General Hospital (RSHS) in Bandung from January 2019 to February 2023 aimed to characterise oral hemangiomas and vascular malformations. Out of 52 medical records analysed, infantile hemangioma was the most common type (17%), typically presenting between ages 13 to 24 years. Predominantly located around the lip, tongue, and buccal mucosa, it seldom caused bleeding or pain, with women being more affected. Treatment often involved sclerotic agent injections. Venous malformations accounted for 58% of vascular malformations, showing similar age of presentation and distribution as hemangiomas, and were also treated with sclerotic agents. Accurate diagnosis and tailored treatment are crucial due to the diverse nature of these anomalies. Early detection using imaging techniques like ultrasound and CT angiography is imperative, given the potential impact on patients, including pain, swelling, and cosmetic concerns, particularly in the head and neck area. However, treatment approaches vary based on factors such as type and size, necessitating further research to refine diagnostic and therapeutic strategies and optimise patient outcomes.
Co-Authors Abel Tasman Ariestiana, Yossi Y. Aris Munandar Dian Maifara Putri, Dian Maifara Endang Sjamsudin Endang Syamsudin Harmas Yazid Yusuf Indra Hadikrishna Kiki Akhmad Rizki, Kiki Akhmad Lucky Riawan Nurwahida N., Nurwahida Pebrian Diki Prestya, Pebrian Diki R. Agus Nurwiadh Rachmavita, Yashinta Rarasati, Swarantika Aulia Retno Widayanti, Retno Rizki Diposarosa Rizki, Kiki Achmad Sari, Anggun Tri Seto Adiantoro, Seto Wijaya, Wilson Yazid Yusuf, Harmas Yudianto, Cahyono