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Identifikasi Pola Sidik Bibir Pada Identitas Manusia Menggunakan Metode Singular Value Decomposition (svd) Dan Klasifikasi Learning Vector Quantization (lvq) Untuk Aplikasi Bidang Biometrik Forensik Citra Fairuz Ghina; Rita Purnamasari; Dewi Zakiawati
eProceedings of Engineering Vol 6, No 2 (2019): Agustus 2019
Publisher : eProceedings of Engineering

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Abstract

Abstrak Kasus tindakan kriminal dan kasus musibah bencana alam sangat sering terjadi di Indonesia. Seringkali korban atau pelaku tidak diketahui identitasnya. Untuk mengetahui identitas manusia bisa menggunakan sistem forensik biometrik. Sistem ini akan secara otomatis menetapkan identitas seseorang melalui perangkat lunak. Data masukan pada sistem ini menggunakan berbagai ciri khusus, salah satunya sidik bibir karena pola sidik bibir mempunyai sifat individu. Sama seperti sidik jari, setiap orang juga memiliki sidik bibir berbeda. Pada bibir terdapat pola unik yang berbeda pada setiap orang, yaitu gambaran sulci pada mukosa bibir atas dan bibir bawah. Sidik bibir juga memiliki sifat permanen, dari umur 6 bulan sampai dengan meninggal nanti, sidik bibir seseorang tidak akan berubah. Pada penelitian ini, penulis membuat sebuah sistem aplikasi pengolahan citra digital untuk mengidentifikasi pola sidik bibir dengan menggunakan metode Singular Value Decomposition(SVD) dan klasifikasi Learning Vector Quantization (LVQ). Hasil yang didapat dari penelitian ini menghasilkan akurasi 87,103%. Maka disimpulkan bahwa sistem pada penelitian ini sudah dapat mengidentifikasi pola sidik bibir dengan baik. Kata kunci : sidik bibir, singular value decomposition, learning vector quantization. Abstract Cases of crime and natural disasters are very common in Indonesia. Often the victim or perpetrator is not identified. To find out the identity can use biometric forensic system. This system will automatically establish a person's identity through software. Input data on this system uses various special features, such as lip prints because lip print patterns have individual nature. Just like fingerprints, everyone also has different lip prints. On the lips there is a unique pattern that is different in each person, namely the picture of sulci in the mucosa of the upper lip and lower lip. Lip prints also have a permanent nature, from the age of 6 months to death, a person's lip prints will not change. In this study, the author created a digital image processing application system to identify lip print patterns using the Singular Value Decomposition (SVD) method and the Learning Vector Quantization (LVQ) classification. The results obtained from this study produced accuracy rate of 87,103%. So it was concluded that the system in this study had been able to identify lip print patterns properly Keywords: lip prints, singular value decomposition, learning vector quantization.
Morsicatio buccarum dan labiorum kronis terkait kondisi depresi, kecemasan, dan stres: sebuah laporan kasus Inesh Zuria Artika; Nanan Nur'aeny; Dewi Zakiawati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 35, No 1 (2023): April 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v35i1.41858

Abstract

ABSTRAK         Pedahuluan: Morsicatio buccarum adalah kondisi pada mukosa bukal berupa fragmen putih kasar diakibatkan oleh traumatik mekanik kronis. Kondisi ini dapat juga ditemukan pada mukosa labial disebut morsicatio labiorum. Gejala klinis morsicatio berupa plak putih disertai adanya daerah erosi. Lesi dapat ditemukan pada kondisi yang berkaitan dengan depresi, kecemasan, dan stres. Tujuan penulisan adalah memaparkan temuan klinis morsicatio terkait dengan depresi, kecemasan, dan stress serta manajemen lesi. Laporan kasus: seorang pasien perempuan berusia 24 tahun datang mengeluhkan sariawan disertai area putih-putih pada pipi bagian dalam sejak 1 tahun. Keluhan terasa perih apabila tergigit dan makan pedas. Pasien memiliki kebiasaan buruk menggigit pipi dan bibir, serta mengalami kesulitan tidur. Pemeriksaan ektraoral terdapat deskuamasi pada bibir. Pemeriksaan intraoral terdapat lesi ulser dan terdapat plak putih bentuk tidak beraturan pada mukosa bibir dan pipi. Diagnosis kasus adalah morsicatio buccarum dan labiorum kronis dengan diagnosis banding leukoplakia, oral candidiasis, dan friksional keratosis. Hasil pemeriksaan pada pasien menggunakan kuesioner Depression Anxiety and Stress Scale (DASS-21) menunjukan depresi dan kecemasan sangat berat, serta stres sedang. Pendekatan modifikasi perilaku telah diberikan, dibantu dengan antiiflamasi triamcinolone acetonide gel 0,1% dan antiseptik povidone iodine 1%, serta merujuk ke psikolog. Satu minggu setelah terapi keluhan berangsur sembuh, ukuran lesi berkurang dan warna mukosa mulai normal. Kunjungan ke-2 pasien merasa lebih baik dan keluhan tidak terasa perih. Simpulan: Perilaku menggigit pipi atau bibir yang kronis merupakan manifestasi kondisi stress dan salah satu faktor predisposisi morsicatio, sehingga terapi yang dilakukan adalah manajemen perilaku dikombinasikan dengan terapi farmakologis untuk membantu proses penyembuhan lesi.Kata kunci: DASS-21, modifikasi perilaku, morsicatio buccarum, morsicatio labiorum Chronic morsicatio buccarum and labiorum related to depression, anxiety, and stress: a case reportABSTRACT Introduction: Morsicatio buccarum is a condition of the buccal mucosa in the form of rough white fragments caused by chronic mechanical trauma. This condition can also be found on the labial mucosa called morsicatio labiorum. The clinical symptoms of morsicatio are white plaques accompanied by areas of erosion. Lesions can be found in conditions related to depression, anxiety, and stress. The purpose of writing is to describe the clinical findings of morsicatio related to depression, anxiety, and stress as well as the management of the lesions. Case report: a 24 year old female patient came complaining of canker sores accompanied by a white area on the inner cheek since 1 year. Complaints feel sore when bitten and eat spicy. The patient has a bad habit of biting her cheeks and lips and has difficulty sleeping. Extraoral examination revealed desquamation of the lips. Intraoral examination revealed ulcerous lesions and white plaques of irregular shape on the lips and cheek mucosa. Case diagnosis was morsicatio buccarum and chronic labiorum with differential diagnosis of leukoplakia, oral candidiasis, and frictional keratosis. The results of examination of the patients using the Depression Anxiety and Stress Scale (DASS-21) questionnaire showed very severe depression and anxiety, as well as moderate stress. A behavior modification approach has been given, assisted by anti-inflammatory triamcinolone acetonide gel 0.1% and 1% povidone iodine antiseptic, and referred to a psychologist. One week after treatment, the complaints gradually resolved, the size of the lesions decreased and the color of the mucosa began to return to normal. The 2nd visit the patient felt better and the complaint was not painful. Conclusion: Chronic biting of the cheek or lip is a manifestation of stressful conditions and one of the predisposing factors for morsication, the therapy used is behavioral management combined with pharmacological therapy to help the lesion healing process.Keywords: Behaviour change, DASS-21, morsicatio buccarum, morsicatio labiorum 
Peran kepatuhan pasien pada penatalaksanaan kasus ulser traumatik yang menyerupai Oral Squamous Cell Carcinoma: Laporan kasus Sekar Safitri; Nanan Nur'aeny; Dewi Zakiawati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 35, No 2 (2023): Agustus 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v35i2.47481

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ABSTRAKPendahuluan: Ulser traumatik adalah lesi ulserasi akibat paparan trauma baik mekanis, termal, dan kimia pada mukosa oral. Gambaran klinis ulser traumatik dapat menyerupai gambaran klinis Oral Squamous Cell Carcinoma (OSCC) yang merupakan epithelial cancer. Ulser traumatik dapat bersifat kronis, sehingga diperlukan kepatuhan pasien untuk keberhasilan perawatan. Laporan kasus ini bertujuan untuk menguraikan keberhasilan penatalaksanaan kasus ulser traumatik yang menyerupai OSCC melalui kepatuhan pasien. Laporan Kasus: Seorang perempuan berusia 24 tahun datang untuk kunjungan kontrol pasca satu minggu lesi ulserasi traumatik pada mukosa labial bawah. Pada kunjungan tersebut ditemukan lesi ulserasi baru pada lateral lidah kanan, berjumlah satu buah, berbentuk oval, berukuran ±5 mm, berwarna kekuningan, dikelilingi halo eritema, dangkal, serta berbatas jelas dan tegas. Setelah dua minggu lesi semakin membesar dari ukuran 5 mm menjadi 1 cm disertai indurasi, seperti pada kasus OSCC. Hasil pemeriksaan penunjang hematologi rutin dan hitung jenis leukosit menunjukkan parameter normal, kecuali kadar neutrofil batang di bawah normal. Pasien diberikan edukasi untuk mencegah trauma berulang. Menimbang kondisi pandemi serta kendala jarak, evaluasi dilakukan dengan kontrol berkala secara langsung dan melalui metode teledentistry. Penyembuhan lesi terjadi dalam waktu lama akibat kepatuhan pasien yang kurang terhadap instruksi yang diberikan. Setelah dilakukan edukasi ulang pada pasien, terdapat perbaikan lesi setelah dua bulan pemberian terapi medikasi dan edukasi kepada pasien. Temuan klinis lesi ulserasi traumatik pada rongga mulut yang bersifat kronis perlu ditindaklanjuti terutama apabila menyerupai tanda klinis keganasan. Simpulan: Kepatuhan pasien sangat mendukung keberhasilan dalam penatalaksanaan kasus ulser traumatik kronis yang menyerupai OSCC.Kata kunciulser traumatik, OSCC, kepatuhan pasien, medikasi, edukasi. The role of patient compliance in management of traumatic ulcer mimicking Oral Squamous Cell CarcinomaABSTRACTIntroduction: Traumatic ulcers arise from exposure to mechanical, thermal, and chemical trauma to the oral mucosa. The clinical appearance of traumatic ulcers in the oral cavity may resemble Oral Squamous Cell Carcinoma (OSCC), a type of epithelial cancer. Traumatic ulcers can sometimes become chronic, necessitating patient compliance for effective treatment. This case report aims to depict the successful management of traumatic ulcer cases that mimic OSCC, underscoring the pivotal role of patient compliance in the process. Case Report: A 24-year-old female returned for a follow-up visit one week after developing a traumatic ulcerated lesion on the lower labial mucosa. During the visit, a new solitary ulcerated lesion was discovered on the lateral right side of the tongue. The lesion was oval-shaped, approximately 5 mm in diameter, and exhibited a yellowish hue. It was encompassed by an erythematous halo, appeared shallow, had distinct borders, and displayed firmness. Over two weeks, the lesion had expanded from 5 mm to 1 cm, exhibiting induration. Remarkably, the lesion was painless, which raised concerns about its resemblance to Oral Squamous Cell Carcinoma (OSCC). Haematological investigations and leukocyte count outcomes returned within normal ranges, except for a below-normal count of stem neutrophils. The patient received guidance on measures to prevent re-trauma. Given the prevailing pandemic conditions and limitations in proximity, evaluations were conducted through periodic direct examination and teledentistry. Due to inadequate patient adherence to the provided instructions, the healing process of the lesion was prolonged. Upon patient re-education, a positive response to treatment was observed after two months of medical therapy and education. The clinical improvement underscored the significance of following up on chronic traumatic ulcerated lesions in the oral cavity, remarkably when their clinical presentation resembles signs of malignancy. Conclusion: Patient compliance significantly contributes to the successful management of chronic traumatic ulcer cases resembling OSCC, alongside eliminating underlying etiological factors.Keywordstraumatic ulcer, OSCC, patient compliance, medication, education.
Potential of palatal rugae patterns and index fingerprint as forensic identification tools in the Deutro-Malay Subrace: cross-sectional study Kancana, Sildha Pura; Shalihah, Desyani; Malinda, Yuti; Zakiawati, Dewi; Supian, Sudradjat; Oscandar, Fahmi
Padjadjaran Journal of Dental Researchers and Students Vol 7, No 2 (2023): June 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v7i2.41920

Abstract

ABSTRACTIntroduction: Palatine rugae and fingerprints have unique pattern for each individual and have been proven to be used to support forensic identification. The fingerprint identification process can be difficult if the postmortem data is damaged. Palatine rugae have stable and accurate postmortem data but antemortem data are not yet available. This study aimed to analyze the potential of palatine rugae pattern and fingerprints as a means of forensic identification. Methods: This research was conducted in a correlational analysis on 191 Deutro-malay sub races aged 18-25 years. Samples of index and Index finger fingerprints were taken using an FM200 sensor and Zsoft Attendance software. Palatine rugae prints were obtained using occlusal photographs from a 70D DSLR camera. The pattern of both shapes was analyzed using the ImageJ application. Results: The most common pattern of rugae and fingerprints is a combination of the pattern of the rugae palatine curve and the pattern of the loop fingerprint (C-L). Both have a distinctive characteristic of recurving ridges. The pattern of the palatine rugae curve (C) was (25.5%) and the pattern of the Loop print (L) was (51%) on the index finger. Based on statistical analysis, with an error rate of 5%, there was a significant relationship between the 1st right rugae and right index finger (p=0.0004), and right index finger (p=0.005), 2nd left rugae with right index finger (p=0.0092) and 1st right rugae with left index finger (p=0.033). Conclusion: There is a relationship between the pattern of the index and index finger fingerprints with the shape pattern of palatine rugae. These findings can be used as a reference for the development of forensic odontology identification techniques.Keywords: ImageJ, forensic odontology, fingerprints, palatine rugae.Potensi pola bentuk rugae palatina dan sidik jari telunjuk sebagai sarana identifikasi forensik pada sub ras Deutro Melayu: studi cross-sectionalABSTRAKPendahuluan: Rugae palatina dan sidik jari memiliki pola khas setiap individu dan terbukti bisa digunakan sebagai penunjang identifikasi forensik. Proses identifikasi sidik jari bisa sulit dilakukan apabila data postmortem rusak. Rugae palatina memiliki data postmortem yang stabil dan akurat namun belum tersedia data antemortem. Tujuan penelitian ini untuk menganalisis potensi pola bentuk rugae palatina dan sidik jari sebagai sarana identifikasi forensik. Metode: Jenis penelitian dilakukan secara analitis korelasional pada 191 orang subras Deutero Melayu berusia 18-25 tahun. Sampel sidik jari telunjuk diambil menggunakan alat sensor FM200 dan software Zsoft Attendance. Sidik rugae palatina diperoleh menggunakan foto oklusal dengan kamera DSLR 70D. Pola bentuk keduanya dianalisis menggunakan aplikasi ImageJ. Hasil: Pola bentuk rugae dan sidik jari terbanyak adalah kombinasi pola bentuk rugae palatina. Curve dan pola sidik jari Loop (C-L). Keduanya memiliki karakteristik khas berupa recurving ridge.  Pola bentuk rugae palatina Curve (C) (25,5%) dan pola bentuk sidik Loop (L) (47,5%) pada telunjuk (51%). Berdasarkan analisis statistik, dengan taraf kesalahan 5% terdapat hubungan yang signifikan antara rugae ke-1 kanan dan telunjuk kanan (p=0,0004), rugae ke-1 kiri dengan telunjuk kanan (p=0,005), rugae ke-2 kiri dengan telunjuk kanan (p=0,0092) serta rugae ke-1 kanan dengan telunjuk kiri (p=0,033). Simpulan: Terdapat hubungan antara pola bentuk sidik jari telunjuk dengan pola bentuk rugae palatina. Temuan ini dapat menjadi acuan pada pengembangan teknik identifikasi forensik odontologKata kunci: ImageJ, forensik odontologi, rugae palatina, sidik jari.
Effectiveness of Steroid and Non-Steroid Mouthwashes for Oral Lichen Planus: A Systematic Review Purnomo, Luthfiyyah Andini; Zakiawati, Dewi; Nur'aeny, Nanan
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 12, No 1 (2025): Vol 12 No 1 (Juni 2025)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v12i1.1862

Abstract

Definitive management of Oral lichen planus (OLP) remains challenging due to its intractable nature and unclear cause. Steroid and non-steroid mouthwash preparations are recommended for OLP, especially for diffuse or difficult-to-access lesions. This review aims to evaluate the efficacy of available steroid and non-steroid anti-inflammatory mouthwashes in managing OLP focusing on pain reduction, lesion size reduction, and possible side effects. A systematic literature search from 2012- 2022 was conducted using Scopus, PubMed, and ScienceDirect, following PRISMA guidelines. Nine RCTs included with steroid mouthwashes (dexamethasone, triamcinolone) show promise as effective treatment options for reducing pain and lesion size in OLP, while non-steroid mouthwash (cyclosporine) demonstrates better long-term remission. Natural adjuvant therapies, like nanocurcumin gel, quercetin capsules, and SE-ACE tablets can support the use of steroid mouthwashes. Additionally, fluconazole capsule, itraconazole capsule, and nystatin suspension can be used as adjuvant therapy to prevent secondary candidiasis infection caused by steroid mouthwashes. The risk assessment of bias using the Joanna Briggs Institute (JBI) Critical Appraisal Tools showed seven articles with a low risk of bias and two with a moderate risk. However, heterogeneity in the type, dose, trial duration, and outcome measures limit direct comparisons of treatment effectiveness.
Acquaintance of bite mark identification procedures in Forensic Odontology Malinda, Yuti; Zakiawati, Dewi
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (959.733 KB) | DOI: 10.24198/pjd.vol27no3.13557

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Introduction: Bite mark analysis casework strives to connect a biter to the teeth pattern present on the object linked in some way to crime or event. This analysis requiring an immediate response by the forensic odontologist since the marks fade rapidly in the living and the dead in a matter of hours. The aim of this article is to help the dentist to know and understand the procedures of bite mark identification in forensic odontology field. Literature review: Bite marks may be present the following situations, a fight between adults or children, a part of sexual or physical assault by adult on children, a rape, and homosexual activities. The marks can be single or multiple, varying degrees of severity from mild marking of the tissue to deep perforation, varying location may be found on breast, face/ head, abdomen, shoulder, upper extremity, buttocks, female genitalia, male genitalia, legs, ear, nose and neck. Discussion: Dentist should master the bite mark analysis procedures. When the suspect has been recognized, the first thing to do is swabbing the oral mucosa, and then taking photographs. The next steps are preparing to take impression, and always taking notes about the procedure and the result. A soon as all the documents are completed, do the matching procedures. Delay examination will cause the lost of valuable evidence. Conclution: Dentist should carefully determine the conclusion among these possibilities , the mark is “possible biter”, “probable biter”, or “with a high level of confidence, is the biter”
Profile of oral manifestations, oral hygiene, and nutritional status in pregnant women Hidayat, Wahyu; Pribadi, Indra Mustika Setia; Zakiawati, Dewi; Suwargiani, Anne Agustina
Padjadjaran Journal of Dentistry Vol 31, No 3 (2019): November 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol31no3.23792

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Introduction: The pregnancy condition leads to few changes in women’s bodies, such as hormonal, physiological, and diet. These changes also manifest in dental and oral health. Hormonal changes affect the susceptibility of oral mucosal tissue, whereas emotional and dietary changes alter the pattern of dietary intake, dental cleaning, oral hygiene, and nutritional status. The purpose of this study was to discover the profile of oral manifestations, oral hygiene, and nutritional status in pregnant women. Methods: The population of the study was the pregnant women who visited the Garuda Community Health Centre in Bandung. Subjects were pregnant women aged 17-43 years old. The samples must meet the inclusion criteria of good health status, and the exclusion criteria were no systemic abnormalities, and not currently under long-term antibiotic therapy. The research design was a cross-sectional observation. Indicators measured in this survey were the profiles of oral manifestations, oral hygiene status which assessed using OHI-S, and nutritional status of pregnant women using haemoglobin (Hb) and Body Mass Index (BMI) level. Results: Oral manifestations found in pregnant women were tongue disorders and ulceration, with the coated tongue as the most frequently detected manifestation, and the least found was recurrent aphthous stomatitis, whereas the oral hygiene of pregnant women was categorised as good in the 1st and 2nd-trimester of pregnancy. However, it was found to be moderate in the 3rd trimester. In respect of the Hb level, the nutritional status of the pregnant women was averagely good. By contrast, the BMI score revealed that pregnant women was found of having overweight during the 2nd and 3rd trimester. Conclusion: The most frequently found oral manifestation in pregnant women is coated tongue, while the oral hygiene is categorised as good on the first two trimesters, and the nutritional status in the last two trimesters is considered as overweight.Keywords: Oral manifestation, oral hygiene, nutritional status.
Distribution of oral ulceration cases in Oral Medicine Integrated Installation of Universitas Padjadjaran Dental Hospital Zakiawati, Dewi; Nur'aeny, Nanan; Setiadhi, Riani
Padjadjaran Journal of Dentistry Vol 32, No 3 (2020): November 2020
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no3.23664

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Introduction: Oral ulceration defines as discontinuity of the oral mucosa caused by the damage of both epithelium and lamina propria. Among other types of lesions, ulceration is the most commonly found lesion in the oral mucosa, especially in the outpatient unit. Oral Medicine Integrated Installation (OMII) Department in Universitas Padjadjaran Dental Hospital serves as the centre of oral health and education services, particularly in handling outpatient oral medicine cases. This research was the first study done in the Department which aimed to observe the distribution of oral ulceration in OMII Department university Dental Hospital. The data is essential in studying the epidemiology of the diseases. Methods: The research was a descriptive study using the patient’s medical data between 2010 and 2012. The data were recorded with Microsoft® Excel, then analysed and presented in the table and diagram using GraphPad Prism® Results: During the study, the distribution of oral ulceration cases found in OMII Department was 664 which comprises of traumatic ulcers, recurrent aphthous stomatitis, angular cheilitis, herpes simplex, herpes labialis, and herpes zoster. Additionally, more than 50% of the total case was recurrent aphthous stomatitis, with a precise number of 364. Conclusion: It can be concluded that the OMII Department in university Dental Hospital had been managing various oral ulceration cases, with the most abundant cases being recurrent aphthous stomatitis.
General Dentist's knowledge in determining radiodiagnosis of lucent lesions through panoramic radiography: Study descriptive Rahmadona, Suci; Epsilawati, Lusi; Damayanti, Merry Annisa; Jasrin, Tadeus Arufan; Susilawati, Sri; Zakiawati, Dewi
Padjadjaran Journal of Dental Researchers and Students Vol 9, No 2 (2025): June 2025
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v9i2.62976

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ABSTRACT Introduction: Radiology in dentistry plays an important role in diagnosis and treatment planning through radiographic examinations, such as panoramic radiography which provides a broad view of the bone and tooth structure. Mistakes in radiographic interpretation can lead to misdiagnosis, as shown by previous study which found a high percentage of misdiagnosis by practitioners. The aim of this study was to determine whether general dentists were able to interpret properly and correctly. Methods: This type of research was descriptive with a convenience sampling technique. The study was conducted on 96 general dentists using an instrument in the form of a questionnaire with 15 questions. Results: Based on the distribution of respondents, the majority were women domiciled outside the city of Bandung, most of whom worked in independent clinics (24,8%) and hospitals (21,4%). A total of 57 respondents (59,4%) were at the level of knowledge with a good category, then 36 people (37,5%) were in the sufficient category, and 3 people (3,1%) were in the less category; (4) Conclusions: The level of knowledge of general dentists in identifying the characteristics of lucent lesions is classified as good, but the ability to determine radiodiagnosis and differential radiodiagnosis is still lacking. Overall, the results of the study showed that the level of general dentists’ knowledge is categorized as adequate, with an average score of 10,8.KEY WORDS: Knowledge, radiodiagnosis, general dentist, lucent lesions, panoramic radiography Pengetahuan dokter gigi umum dalam menentukan radiodiagnosis lesi lusen melalui radiografi panoramik: deskriptif kualitatifABSTRAK Pendahuluan: Ilmu radiologi dalam kedokteran gigi berperan penting dalam diagnosis dan perencanaan perawatan melalui pemeriksaan radiografi, seperti radiografi panoramik yang memberikan gambaran luas struktur tulang dan gigi. Kesalahan dalam interpretasi radiografi dapat menyebabkan diagnosis yang keliru, sebagaimana ditunjukkan oleh peneliti sebelumnya yang menemukan persentase kesalahan diagnosis oleh praktisi cukup tinggi. Tujuan penelitian ini untuk mengetahui apakah dokter gigi umum sudah dapat melakukan interpretasi dengan baik dan benar. Metode: Jenis penelitian deskriptif dengan teknik pengambilan sampel convenience sampling. Penelitian dilakukan pada 96 dokter gigi umum menggunakan instrumen berupa kuesioner dengan 15 butir pertanyaan. Hasil: Berdasarkan distribusi responden, mayoritasnya merupakan perempuan dengan domisili di luar Kota Bandung yang sebagian besarnya bekerja pada klinik mandiri (24,8%) dan rumah sakit (21,4%). Sebanyak 57 responden (59,4%) berada pada tingkat pengetahuan dengan kategori baik lalu sebanyak 36 orang (37,5%) dengan kategori cukup, serta 3 orang (3,1%) dengan kategori kurang. Simpulan: Tingkat pengetahuan dokter gigi umum dalam mengidentifikasi karakteristik lesi lusen tergolong baik, tetapi kemampuan dalam menentukan radiodiagnosis dan radiagnosis banding masih kurang. Secara keseluruhan, hasil penelitian menunjukkan bahwa tingkat pengetahuan dokter gigi umum dikategorikan cukup dengan rerata perolehan nilai berada pada 10,8. KATA KUNCI: Pengetahuan, radiodiagnosis, dokter gigi umum, lesi lusen, radiografi panoramik
VIRTUAL REALITY HYPNOSIS PADA TATALAKSANA PASIEN LANJUT USIA DENGAN ORAL FRAILTY: LAPORAN KASUS Bakti, Fitrah Utari; Zakiawati, Dewi; Shafuria, Amira; Yubiliana, Gilang; Nur’aeny, Nanan
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 10, No 2 (2023): Vol 10 No 2, Desember 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v10i2.1505

Abstract

Introduction: Oral frailty is a geriatric syndrome characterised by a decline in oral function associated with a decline in cognitive and physical function. Virtual reality hypnosis (VRH) is a current method that combines the benefits of virtual reality (VR) technology and hypnosis. Aim: This case report aims to describe the role of VRH in the management of elderly patients with oral frailty. Case and Management: A 65-year-old male patient came to the Oral Medicine Department with a chief complaint of dry mouth for the past three months. The patient often felt stressed because of his health problems. Intraoral examination showed frothy saliva, white plaque on the buccal and lateral mucosa of the tongue, missing teeth, and poor oral hygiene. Some additional examinations performed included the Indonesian Version of Summated Xerostomia Inventory (SXI-ID), Clinical Oral Dryness Score (CODS), sialometry, Depression Anxiety Stress Scale (DASS-21), and D-E-N-T-A-L oral frailty questionnaire. The test results showed that the patient had oral frailty. Case Management: Pharmacological therapy consisted of chlorine dioxide mouthwash, sucralfate syrup, and probiotic caplets. Non-pharmacological therapy consisted of instructions to maintain good oral hygiene, adopt a healthy lifestyle, and VRH. The relaxing effect of VRH was evidenced by the recording of increased alpha waves on quantitative electroencephalography (qEEG) during the procedure, and the results of SXI-ID, CODS, and DASS-21 at the last visit were normal. Oral frailty resolved after two weeks of treatment. The patient was also referred for oral care from the Departments of Periodontia, Prosthodontia, and Oral Surgery. Conclusion: VRH has an important role especially in the management of stress-induced xerostomia and pain in elderly patients with oral frailty.