Andri Hardianto
Department Of Oral And Maxillofacial Surgery, Faculty Of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia

Published : 23 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 23 Documents
Search

Treatment of relapse Ameloblastoma after Hemimandibulectomy and Mandibular Reconstruction Putri, Dian Maifara; Hardianto, Andri; Syamsudin, Endang; Rizki, Kiki Akhmad
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (815.144 KB) | DOI: 10.24198/pjd.vol27no3.13560

Abstract

Background. Ameloblastoma is a benign odontogenic tumor with an aggressive biological behaviour, and the surgical treatment frequently results in failure for the post operative recurrence. Purpose. The aim of this study was to evaluate the clinical result of the patient with aggressive recurrent ameloblastoma who underwent two times radical surgery to get recurrence free. Case. We report a patient who was diagnosed with ameloblastoma of the mandible 13 years ago and had undertaken operation hemimandibulectomy and mandibular reconstruction. However, recurrence occured and secondary surgical treatment (particularly radical) offers the best chance to the patient. The recurrence of an ameloblastoma mainly displays the ineffectiveness or perhaps lack of success of the main surgical treatment. Conclusion. The method has to be intense as well as radical in order to steer clear of reccurence. For ameloblastoma an ineffectiveness of initial surgical treatment indicates that more radical strategy led to minimum recurrence rate.
Prevalence of dentigerous cysts due to impaction of mandibular third molar teeth Nuraini, Hanifah; Yusuf, Harmas Yazid; Hardianto, Andri
Padjadjaran Journal of Dentistry Vol 25, No 1 (2013): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.49 KB) | DOI: 10.24198/pjd.vol25no1.15425

Abstract

Dentigerous cyst is an odontogenic cyst that surrounds the crown of an impacted tooth, caused by fluid accumulation between the reduced enamel epithelium and the enamel surface, usually associated with mandibular third molars. The purpose of this study was to find out the prevalence of dentigerous cyst caused by impaction of mandibular third molar at the oral and maxillofacial surgery department of Hasan Sadikin hospital Bandung. This study was a descriptive survey study. Samples were taken from the data of patient’s medical record from July 2006 until June 2011. The result of this study showed the number of oromaxillofacial cyst cases in the period was as much as 316 (0.78%). Dentigerous cyst was the most common odontogenic cyst (48,64%). Dentigerous cyst most commonly caused by impaction of the mandibular third molar (13,89%). The amount of male and female patients with dentigerous cyst was the same (50% each). The most age group that suffered dentigerous cyst due to impaction of the mandibular third molars was the age group of 41-50 years (40%). The most chosen therapy was enucleation (100%). From the results of this study can be concluded that dentigerous cyst due to impaction of mandibular third molars was the most common case, with the same frequency found in both male and female, the most age group of impacted was the age group of 41-50 years old, and the most chosen therapy was enucleation.
Perbedaan fungsi oral dan ekspresi interleukin-10 pasca odontektomi dengan menggunakan mikromotor dan piezosurgeryDifferences in oral function and interleukin-10 expression post odontectomy using micromotors and piezosurgery Jihad Harun Sandiah; Andri Hardianto; Abel Tasman Yuza; Indra Hadikrishna
Padjadjaran Journal of Dental Researchers and Students Vol 4, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v4i1.25683

Abstract

Pendahuluan: Salah satu langkah paling kritis dan krusial dalam odontektomi adalah osteotomi menggunakan instrumen putar. Instrumen putar piezosurgery (Mectron) ultrasound adalah alat bedah baru pada bedah oral dan kraniomaksilofasial. Inflamasi selalu berkaitan dengan odentektomi dan interleukin-10 (IL-10) adalah salah satu sitokin anti inflamasi yang berfungsi menghambat produksi beberapa jenis sitokin lain sebagai indikator anti inflamasi pasca operasi. Tujuan penelitian menganalisis efektivitas unit mikromotor dibandingkan dengan unit piezosurgery saat melakukan odontektomi molar ketiga bawah melalui penilaian keterbatasan fungsi oral dan tingkat ekspresi interleukin-10. Metode: Penelitian dilakukan pada 20 pasien di Instalasi Bedah Minor Rumah Sakit Gigi dan Mulut Unpad yang akan dilakukan odontektomi. Kelompok pertama yaitu pasien odontektomi dengan menggunakan mikromotor. Kelompok dua yaitu pasien odontektomi dengan menggunakan piezosurgery. Masing-masing kelompok mengisi kuisioner keterbatasan fungsi oral pada hari ketiga dan hari ketujuh setelah dilakukan odontektomi dan dilakukan pengambilan sampel darah dari vena brakialis setelah odontektomi pada hari ketiga dan tindakan odontektomi dilakukan dengan anastesi lokal. Hasil: Perbandingan antara kelompok I dan kelompok II, menunjukkan tidak terdapat perbedaan yang signifikan pada penilaian keterbatasan fungsi oral untuk setiap waktu evaluasi, dan ekspresi interleukin-10 (IL-10) menunjukkan terdapat perbedaan yang signifikan, rata-rata IL-10 mikromotor lebih rendah dibandingkan dengan IL-10 piezosurgery. Simpulan: Tidak terdapat perbedaan pada keterbatasan fungsi oral, namun terdapat perbedaan ekspresi IL-10 pasca odontektomi dengan menggunakan mikromotor dibandingkan dengan menggunakan piezosurgery.Kata Kunci: Odontektomi, mikromotor, piezosurgery, keterbatasan fungsi oral, interleukin-10. ABSTRACTIntroduction: One of the most critical and crucial steps in odontectomy is osteotomy using a rotary instrument. The ultrasound piezosurgery (Mectron) rotary instrument is a new surgical tool in oral and craniomaxillofacial surgery. Inflammation is always associated with odentectomy and interleukin-10 (IL-10) is one of the anti-inflammatory cytokines which functions to inhibit the production of several other types of cytokines as indicators of postoperative anti-inflammatory. This study was aimed to analyse the effectiveness of micromotor units compared to piezosurgery units when performing odontectomy of lower third molars through an assessment of limited oral function and the level of expression of interleukin-10. Methods: The study was conducted on 20 patients in Universitas Padjadjaran Dental Hospital Oral and Maxillofacial Installation who will undergo odontectomy. The first group was odontectomy patients using micromotor. The second group was odontectomy patients using piezosurgery. Each group filled out a questionnaire of limited oral function on the third day and the seventh day after an odontectomy and a blood sample was taken from the brachial vein after odontectomy on the third day, and the odontectomy was performed under local anaesthesia. Results: Comparison between group I and group II, showed no significant difference in the evaluation of oral function limitations for each evaluation time, and the expression of interleukin-10 (IL-10) showed that there were significant differences, the average IL-10 micromotor was more low compared to IL-10 piezosurgery. Conclusion: There is no difference in the limitation of oral function, but there are differences in the expression of IL-10 after odontectomy using micromotor compared to using piezosurgery.Keywords: Odontectomy, micromotor, piezosurgery, limited oral function, interleukin-10.
KARAKTERISTIK KARSINOMA SEL SKUAMOSA RONGGA MULUT DI RSUP DR. HASAN SADIKIN BANDUNG PERIODE JANUARI-DESEMBER 2019 Ickman Setoaji Wibowo; Winarno Priyanto; Andri Hardianto
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I1.15119

Abstract

Kanker rongga mulut merupakan salah satu penyakit saat ini yang menyebabkan kematian di berbagai negara. Skuamous sel karsinoma merupakan jenis kanker yang sering terjadi pada rongga mulut. Hingga saat ini belum ada penelitian mengenai karakteristik Skuamous sel karsinoma rongga mulut di rumah sakit Hasan Sadikin Bandung pada tahun 2019. Penelitian ini bersifat studi deskriptif dengan rancangan retrospektif menggunakan data rekam medis. Penelitian ini bersifat total sampling yang dilakukan pada bulan Januari hingga Desember 2019. Variabel yang diteliti berdasarkan usia, jenis kelamin, lokasi, jenis histopatologi dari skuamous sel karsinoma serta terapi yang dilakukan pada pasien tersebut. Hasil Penelitian menunjukkan jumlah sampel yang didapatkan pada bulan Januari-Desember 2019 sebanyak 28 pasien terdiri dari 13 laki-laki (46%) dan 15 perempuan (54%). Penderita mayoritas berusia 18-65 tahun sebanyak 23 orang (82%) dengan lokasi paling banyak terjadi pada daerah glossus sebanyak 16 orang (57%). Well differentiated merupakan jenis yang paling banyak ditemukan berdasarkan pemeriksaan histopatologis sebanyak 17 orang (61 %). Berdasarkan tindakan yang dilakukan bahwa 24 orang (86 %) dilakukan tindakan terapi definitif dan hanya 4 orang (14 %) hanya dilakukan tindakan diagnostik. Gambaran karakteristik karsinoma sel periode Januari-Desember pada tahun 2019 adalah Perempuan memiliki prevalensi yang lebih tinggi dibandingkan laki-laki dengan rentang usia 18-65 tahun. Berdasarkan lokasi dan pemeriksaan histopatologi mayoritas daerah yang terkena karsinoma sel skuamosa terjadi pada glossus dengan jenis histopatologi well differentiation. Penderita mayoritas dilakukan tindakan terapi definitif meliputi kombinasi terapi pembedahan, kemoterapi maupun radioterapi. l Karsinoma 
Hemiglosectomy with selective neck dissection in squamous cell carcinoma at tongue Abul Fauzi; Andri Hardianto; Rahmat Wariz
Journal of Dentomaxillofacial Science Vol. 1 No. 2 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v1i2.13

Abstract

Squamous Cell Carcinoma (SCC) is common is a malignant neoplasma originated from epithelial cells. It is usually involving the oral mucosa and underlying tissue of the tongue, hypopharynx, and also larynx. This report discussed about the management of SCC at tongue with hemiglosectomy and selective neck dissection managed in a male, 57 years old who referred with chief complaints of a mass on the tongue measuring 0.5cm that did not heal, Incision biopsy result confirms a squamous cell carcinoma with well differentiated on his tongue with enlarged lymph nodes level I ipsilateral. The patient was hospitalized and hemiglosectomy surgery with selective neck dissection was conducted, with the entire edge of the excision boundary has been free of tumor mass. Hemiglosectomy with selective neck dissection is selected depending on the size of the lesion, location of lesion and metastases occurrence.
Surgical management of necrotizing fasciitis due to odontogenic infection with sepsis: a case report Saka S. Nugroho; Endang Syamsudin; Andri Hardianto; Lucky Riawan
Journal of Dentomaxillofacial Science Vol. 2 No. 1 (2017): (Available online: 1 April 2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i1.455

Abstract

Objective:To perform surgical operation on necrotizing fasciitis due to odontegenic infection with sepsis.Methods: In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis. Patient was hospitalized in the Dr.HasanSadikin General Hospital. Management of this patient in the emergency room were administration of appropriate broad-spectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation. Surgical debridement was then performed.Results:After being treated for 12 days the patient’s condition improved. We planned closure of defects of the facial area, but the patient refused.Conclusion: Necrotizing fasciitis is an uncommon but potentially lethal condition associated with high rates of morbidity and mortality. Early diagnosis coupled with emergent surgical debridement, appropriate broad-spectrum empiric antibiotic treatment, and a multidisciplinary team approach is essential for successful treatment.
Hemimandibulectomy of an extensive complex odontoma in the mandible: a case report retno widayanti; Winarno Priyanto; Kiki A. Rizki; Andri Hardianto
Journal of Dentomaxillofacial Science Vol. 2 No. 3 (2017): (Available online: 1 December 2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i3.518

Abstract

Objective: Odontomas are the most common form of odontogenic tumors of the jaw, represent a benign hamartoma rather than a true neoplasm. They constitute 22% of all odontogenic tumors. Odontomas are consist of two types, compound and complex. The compound odontomas contain recognizable enalmel, dentin and sometimes cementum, shaped in toothlike structures; whereas complex odontomas are composed of irregular masses of dentin and enamel and have no anatomic resemblance to a tooth.Methods: A17-year-old female patient came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left mandible. The panoramic radiograph showed a radioopacity and radiolucent lesion, with well-corticated limits. The radioopaque area was amorphous, circumscribed by a thin and irregular radiolucent halo. An inscisional biopsy confirmed the lesion as a complex odontoma. The surgery performed was hemimandibulectomy followed by a reconstruction using a plate under general anaesthesia.Results: Complex odontomas are most likely to be found in the posterior region of the maxilla or the mandible and can be treated with a simple enucleation and curettage. In this case report the hemimandibulectomy was performed due to the extensiveness of the mass.Conclusion: Surgical removal of large complex odontoma with hemimandibulectomy is a rare clinical scenario. The extensiveness of the lesion contributed to its removal technique.
Multiple sialolithiasis of submandibular gland: a case report Nurwahida Nurwahida; Andri Hardianto; Kiki A. Rizki
Journal of Dentomaxillofacial Science Vol. 2 No. 2 (2017): (Available online: 1 August 2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i2.530

Abstract

Objective: Sialolithiasis is a common disease of the salivary glands. Sialolithiasis occurs mainly in the submandibular gland (80–90%) and to a lesser extent in the parotid gland (5–20%). Sialoliths may be single or multiple. Multiple sialolith in the submandibular gland are rare. Seventy to 80% of cases feature solitary stones; only about 5% of patients have three or more stones.  Patients commonly experience pain and/or swelling.Methods: A 51-year-old male came to Department of Oral and Maxillofacial Surgery with a swelling and pain at the right submandibular. The panoramic radiograph showed a radiopacity mass with well-defined in right submandibular. The Ultrasonographic interpretation showed hypoechoic inhomogeneous mass with multiple calcification.The submandibular gland removal was performed by extraoral approach.Result:Multiple sialolith in the submandibular gland are rare. A surgical approach for removal of sialolith in the submandibular gland could be intraoral or extraoral. In this case report, we described five stones in the submandibular gland. which were removed by extraoral approach.Conclusion: There are various methods available for the management of salivary stones. In this case report, removal of the submandibular gland with the stone should still be preferred as the gold standard of treatment and could avoid recurrence of this medical condition.
Squamous cell carcinoma of the tongue Verawaty Mohan; Andri Hardianto; Kiki Akhmad Rizki
Makassar Dental Journal Vol. 1 No. 6 (2012): Vol 1 No 6, Desember 2012
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.698 KB) | DOI: 10.35856/mdj.v1i6.79

Abstract

Neoplasma rongga mulut merupakan keganasan yang jarang ditemukan di negara Barat, namun cukup banyak ditemukan di Asia. Di USA, angka insidensinya berkisar antara 3-4% dari seluruh keganasan, sedangkan di India, dapat mencapai 50% dan menjadi tumor ganas yang terbanyak. Sekitar 90% keganasan rongga mulut ini sangat berhubungan dengan konsumsi tembakau dan alkohol, sedangkan di Asia, berhubungan dengan kebiasaan mengunyah tembakau dan sirih. Predileksi terbanyak yaitu pada lidah 35%, bibir 30%, dasar mulut 15%, gingiva mandibula 12,1%, mukosa bukal 9,7%, palatum dan gingiva maksila 4,7%. Di Indonesia, insiden neoplasma rongga mulut adalah 1,5-5%, terbanyak ditemukan pada usia 55-65 tahun dan dapat bervariasi antara 40-70 tahun. Berdasarkan jenis kelamin, perbandingan laki-laki dan perempuan adalah 1:1 yang sangat berbeda dengan data dari negara Barat yaitu 4:1. Dilaporkan seorang pasien dengan keluhan benjolan pada ujung lidah bagian bawah kanan, mudah berdarah, dapat digerakkan dan teraba kenyal, tanpa disertai rasa nyeri. Penurunan berat badan disangkal dan pasien tidak merasakan adanya pembesaran KGB di lehernya. Kebersihan mulut pada pasien ini sangat buruk dengan banyaknya lubang gigi. Pasien juga mengeluh gangguan berbicara, mengunyah maupun menelan. Pasien lalu menjalani operasi pengangkatan massa tumor disertai tindakan radikal diseksi leher sebagai tindakan profilaksis. Jaringan yang diangkat diperiksakan ke laboratorium dengan hasil PA yaitu well differentiated squamous cell carcinoma.
Segmental Resection of Mandible for Treatment Unicystic Ameloblastoma: a Case Report Fadli Ashar; Eka Marwansyah; Andri Hardianto
Malahayati Nursing Journal Vol 4, No 10 (2022): Volume 4 Nomor 10 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v4i10.7124

Abstract

 ABSTRACT Ameloblastoma is the most common odontogenic tumour as it usually does not form metastasis, it is considered as benign tumour with a locally invasive growth pattern and destruction of the jaw and the surrounding tissue. Ameloblastoma annual incidence is 0.5 per 1.000.000 people, higher incidences are found in Africa, China and India in comparison with the western countries. About 80% of ameloblastomas are located in mandible, mainly in the third molar region, and 20% in the maxilla, particularly in the posterior region. Unicystic ameloblastoma is associated with a smaller relapse risk and is the only type that is susceptible for conservative surgery. Standar treatment for ameloblastoma today is radical resection with 1 cm resection margins. Recurrence range from 0 to 15% conservative surgery including enucleation and curettage recurrence rets as high as 55%. Recurrence ameloblastoma problem are associated with development of metastasis and transformation into ameloblastic carcinoma. Segmental resection with adequate margins followed by reconstruction with AO Plat the most ideal form of treatment available. Dentoalveolar rehabilitation is recommended in all such patients to improve final outcome. Keywords: Ameloblastoma, Segmental Resection, Reconstruction