Abel Tasman Yuza
Bagian Bedah Mulut Fakultas Kedokteran Gigi Universitas Padjajaran/Perjan RS. Dr. Hasan Sadikin Bandung, Indonesia

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Minimally invasive approach of panfacial fractures Wijaya, Yudi; Nurwiadh, R. Agus; Yuza, Abel Tasman; Fathurrahman, Fathurrahman
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 (881.033 KB) | DOI: 10.24198/pjd.vol27no3.13562

Abstract

Background. Panfacial fractures involves fractures of several bones of face. They are associated with malocclusion, dish face deformity, enopthalmos, diplopia, cerebrospinal fluid leak and soft tissue injuries. Purpose. The purpose of this paper is to present a case of minimizing surgical wound and morbidity. Case. A 40 year old female presented with severe maxillofacial injuries caused by motor vehicle collisions about 5 days prior to admission. The assessment of the patient is mild head injury, panfacial fractures, lacerated wound at face,  rupture of globe of occular sinistra. An open reduction and internal fixation  (ORIF) and enucleation of globe occular sinistra was performed.  Intraoral vestibular incision is made in the upper and lower vestibular region. Mucoperiosteal flap elevation of vestibular will exposure of the anterior maxilla and mandibular fractures. Intermaksilary fixation within 3 week and restore aesthetic with prosthesis fitting eyeball and denture. Discusion. The goal of  treatment of  panfacial fracture is to restore both the functions and pre-injury 3-dimensional facial contours. To achieve this goal two common  sequences of management of Panfacial fractures are proposed, “Bottom up and inside out” or “Top down and outside in”. Other sequences exist but there are variations of these two major approaches. Conclusion. A minimally invasive approach to  the fracture site is an alternative method  to manage panfacial fracture with a simple, effective and lower complication rate.
Impaksi gigi molar tiga rahang bawah dan sefalgiaMandibular third molar impaction and cephalgia Fitri, Amalia Meisya; Kasim, Alwin; Yuza, Abel Tasman
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 28, No 3 (2016): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.092 KB) | DOI: 10.24198/jkg.v28i3.18691

Abstract

Pendahuluan: Impaksi yang sering terjadi adalah pada gigi molar tiga pada rahang bawah. Penderita biasanya mengeluhkan sefalgia yang dirasakan bersamaan dengan erupsi molar tiga tersebut. Tujuan penelitian adalah untuk mengetahui besar prevalensi impaksi molar tiga rahang bawah yang disertai sefalgia dan seberapa besar frekuensi sefalgia yang terjadi berdasarkan posisi impaksi klasifikasi Pell dan Gregory serta klasifikasi Winter. Metode: Penelitian menggunakan metode deskriptif terhadap mahasiswa FKG Univesitas Padjadjaran angkatan 2010 yang masuk dalam kriteria inklusi akan dilakukan foto panoramik untuk melihat klasifikasi impaksi. Sampel kemudian diminta untuk mengisi kuesioner penelitian. Hasil: Hasil penelitian menunjukan dari 100 orang sampel yang mengeluhkan impaksi sebanyak 58 orang, tetapi hanya 15 orang mahasiswa saja yang memasuki kriteria inklusi yaitu murni mengalami sefalgia yang berasal dari gigi impaksi. Simpulan: Kesimpulan penelitian ini adalah prevalensi impaksi molar tiga rahang bawah yang disertai sefalgia sebanyak 25,86%. Posisi A merupakan posisi pada klasifikasi Pell dan Gregory yang paling banyak mengakibatkan sefalgia. Berdasarkan klasifikasi Winter, impaksi horizontal merupakan yang paling banyak mengakibatkan sefalgia. ABSTRACTIntroduction: Frequent impaction is in the lower third molars. Patients usually complain of cephalgia which is felt along with the eruption of the third molar. The purpose of this study was to determine the prevalence of lower third molar impaction accompanied by cephalgia and how much the frequency of cephalgia occurred based on Pell and Gregory classification impaction position and Winter classification. Methods: The study used descriptive method for FKG students of Padjadjaran University 2010 class which included in the inclusion criteria, panoramic photos were taken to see the classification of impactions. The sample was then asked to fill out the research questionnaire. Results: The results showed that out of 100 samples who complained of impaction as many as 58 people, but only 15 students who entered the inclusion criteria were purely experiencing cephalgia from impacted teeth. Conclusion: The conclusion of this study is the prevalence of lower third molar impaction accompanied by cephalgia as much as 25.86%. Position A is the position in the classification of Pell and Gregory which most often results in cephalgia. Based on Winters classification, horizontal impaction is the most common cause of cephalgia.Keywords: Impaction, cephalgia.
The Prevalence of Surgical Wound Infection in Post-Mandibular Resection of Ameloblastoma Patients: Prevalensi Infeksi Luka Operasi Pasca Reseksi Mandibula Pada Pasien Ameloblastoma Ginanjar, Dani; Yuza, Abel Tasman; Priyanto , Winarno
Dentika: Dental Journal Vol. 24 No. 2 (2021): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v24i2.6545

Abstract

Ameloblastoma, a common form of odontogenic tumor, is usually treated by surgery. However, wound infections remain a significant source of postoperative morbidity, accounting for about a quarter of the total number of nosocomial conditions. Surgical wound infection (SWI) is common after surgery, and in particular, wound infection has been linked with an intraoral surgical opening in 20–40-year-old patients. Common incisional closure complications in oral and maxillofacial surgery include postoperative wound infection, dehiscence, formation of hematomas, and skin flap necrosis, which lead to delayed healing of the incision. The data relating to the incidence of post-mandible resection SWI in Dr. Hasan Sadikin Bandung Hospital are not yet known. Therefore, the objective of this research was to assess the incidence of SWI in ameloblastoma patients after mandible resection treatment. This research adopted an observational and descriptive approach. Based on the inclusion and exclusion criteria, the research subjects were recruited between January 2018 and December 2019. This study showed the occurrence of SWI in 7 patients (2 men and five women) who had mandibular resection treatment for ameloblastoma and whose age range was 30–40 years. The results also revealed that the surgical openings in these patients were intraoral. In conclusion, findings demonstrated a higher prevalence of SWI in women after mandibular resection treatment than in men.
Penatalaksanaan kasus kegawatdaruratan fraktur dentoalveolar pada pasien usia lanjut dengan penyakit sistemikManagement of emergency case of dentoalveolar fractures in elderly patients with systemic disease Ariyanto Suryo Karyono; Winarno Priyanto; Abel Tasman Yuza; Fathurachman Fathurachman
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 30, No 3 (2018): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (516.889 KB) | DOI: 10.24198/jkg.v30i3.20017

Abstract

Pendahuluan: Fraktur dentoalveolar adalah kerusakan atau putusnya kontinuitas jaringan keras pada stuktur gigi dan alveolarnya disebabkan trauma. Cedera yang terjadi dapat hanya mengenai gigi dan struktur pendukungnya saja seperti pada usia lanjut yang terjatuh, ataupun dapat juga berhubungan dengan cedera multisistem. Penanganan kegawatdaruratan fraktur dentoalveolar pada usia lanjut dengan penyakit sistemik membutuhkan tindakan yang cepat dan tepat serta membutuhkan tindakan kooperatif pasien. Tujuan laporan kasus ini adalah memaparkan dan mendiskusikan penatalaksanaan kegawatdaruratan yang cepat dan tepat serta penutupan luka pada pasien usia lanjut dengan fraktur dentoalveolar disertai penyakit sistemik. Laporan Kasus: Seorang perempuan usia 72 tahun datang dengan keluhan perdarahan pada mulut. Riwayat trauma pasien sedang berjalan di dalam rumahnya, tiba-tiba ptergelincir dan terjatuh dengan mekanisme mulut membentur lantai terlebih dahulu. Riwayat penyakit sistemik penyakit jantung, hipertensi dan diabetes mellitus sejak 10 tahun yang lalu. Pasien mengonsumsi obat aspilet, metformin, allopurinol, spironolactone, rosuvastatin calcium. Pemeriksaan klinis terdapat fraktur dentoalveolar. Pasien terlebih dahulu di konsul ke Dokter Spesialis Ilmu Penyakit Dalam karena pasien menderita penyakit sistemik dan mengonsumsi obat antikoagulan. Pengobatan selanjutnya melakukan ekstraksi gigi, irigasi luka dan penjahitan luka dengan menggunakan anastesi lokal Lidokain murni. Medikasi dengan pemberian Amoxicillin tablet 500 mg, Ranitidin tablet 150 mg, Ibuprofen tablet 400 mg dan penyuntikan Serum Anti-Tetanus. Simpulan: Penatalaksanaan kasus kegawatdaruratan fraktur dentoalveolar pada pasien usia lanjut dengan penyakit sistemik dengan segera dan cepat disertai dengan konsul ke Dokter Spesialis Ilmu Penyakit Dalam untuk meminimalisir risiko kegawatdaruratan. Pengobatan fraktur dentoalveolar berupa ekstraksi gigi, irigasi luka dan  penjahitan luka menggunakan anastesi lokal serta medikasi antibiotik, anti nyeri dan penyuntikan serum anti tetanus disertai pendekatan psikologis dapat menyembuhkan kondisi pasien dalam 7 hari.Kata kunci: Fraktur dentoalveolar, usia lanjut, penyakit sistemik. ABSTRACT            Introduction: Dentoalveolar fractures are damage or rupture of the hard tissue continuity in the dental structure and alveoli caused by trauma. Injuries can be occurred only in the teeth and their supporting structures as in older adults with trauma from falls, or associated with multisystem injuries. Management of emergency cases of dentoalveolar fractures in elderly patients with systemic diseases requires prompt and precise action and requires the patient’s cooperative effort. The purpose of this case report was to describe and discuss the prompt and precise management of emergency case and wound closure of dentoalveolar fractures in elderly patients with systemic disease. Case report: A 72-years-old woman presented with the chief complaint of mouth-bleeding. The patient's trauma history was walking inside her house, suddenly slipping and falling with the mechanism of her mouth hitting the floor first — history of systemic diseases were heart disease, hypertension, and diabetes mellitus since 10 years before. The patient was under the treatment of Aspilets™, metformin, allopurinol, spironolactone, and rosuvastatin calcium. Clinical examination result was a dentoalveolar fracture. The patient was being consulted first by an internist due to her systemic disease and was administered with anticoagulant medication. Treatments performed afterwards were tooth extraction, wound irrigation, and wound suturing using a pure lidocaine local anaesthesia. Medications administered were 500 mg of amoxicillin tablets, 150 mg of ranitidine tablets, 400 mg of ibuprofen tablets, and an anti-tetanus serum injection. Conclusion: The prompt and precise management of emergency cases of dentoalveolar fractures in elderly patients with systemic diseases was performed with a consulting to an internist to minimise the emerging risks. Treatment of dentoalveolar fractures was consisted of tooth extraction, wound irrigation, and suturing using a local anaesthetics and administration of antibiotics, analgesics, and anti-tetanus serum injection, along with psychological approaches was proven to be able to heal the patient's condition in 7 days.Keywords: Dentoalveolar fractures, elderly patients, systemic disease.
Impaksi gigi molar tiga rahang bawah dan sefalgiaMandibular third molar impaction and cephalgia Amalia Meisya Fitri; Alwin Kasim; Abel Tasman Yuza
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 28, No 3 (2016): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.092 KB) | DOI: 10.24198/jkg.v28i3.18691

Abstract

Pendahuluan: Impaksi yang sering terjadi adalah pada gigi molar tiga pada rahang bawah. Penderita biasanya mengeluhkan sefalgia yang dirasakan bersamaan dengan erupsi molar tiga tersebut. Tujuan penelitian adalah untuk mengetahui besar prevalensi impaksi molar tiga rahang bawah yang disertai sefalgia dan seberapa besar frekuensi sefalgia yang terjadi berdasarkan posisi impaksi klasifikasi Pell dan Gregory serta klasifikasi Winter. Metode: Penelitian menggunakan metode deskriptif terhadap mahasiswa Fakultas Kedokteran Gigi Univesitas Padjadjaran angkatan 2010 yang masuk dalam kriteria inklusi akan dilakukan foto panoramik untuk melihat klasifikasi impaksi. Sampel kemudian diminta untuk mengisi kuesioner penelitian. Hasil: Hasil penelitian menunjukan dari 100 orang sampel yang mengeluhkan impaksi sebanyak 58 orang, tetapi hanya 15 orang mahasiswa saja yang memasuki kriteria inklusi yaitu murni mengalami sefalgia yang berasal dari gigi impaksi. Simpulan: Kesimpulan penelitian ini adalah prevalensi impaksi molar tiga rahang bawah yang disertai sefalgia sebanyak 25,86%. Posisi A merupakan posisi pada klasifikasi Pell dan Gregory yang paling banyak mengakibatkan sefalgia. Berdasarkan klasifikasi Winter, impaksi horizontal merupakan yang paling banyak mengakibatkan sefalgia.Kata kunci: Impaksi, sefalgia. ABSTRACTIntroduction: Frequent impaction is in the lower third molars. Patients usually complain of cephalgia which is felt along with the eruption of the third molar. The purpose of this study was to determine the prevalence of lower third molar impaction accompanied by cephalgia and how much the frequency of cephalgia occurred based on Pell and Gregory classification impaction position and Winter classification. Methods: The study used descriptive method for FKG students of Padjadjaran University 2010 class which included in the inclusion criteria, panoramic photos were taken to see the classification of impactions. The sample was then asked to fill out the research questionnaire. Results: The results showed that out of 100 samples who complained of impaction as many as 58 people, but only 15 students who entered the inclusion criteria were purely experiencing cephalgia from impacted teeth. Conclusion: The conclusion of this study is the prevalence of lower third molar impaction accompanied by cephalgia as much as 25.86%. Position A is the position in the classification of Pell and Gregory which most often results in cephalgia. Based on Winter’s classification, horizontal impaction is the most common cause of cephalgia.Keywords: Impaction, cephalgia.
Penatalaksanaan kegawatdaruratan evakuasi benda asing pada regio oral maksilofasialEmergency management of corpus alienum evacuation in the oral maxillofacial region Ickman Setoaji Wibowo; Abel Tasman Yuza; Asri Arumsari; Renaldi Prasetia
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 2 (2020): November 2020 (Suplemen 1)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i2.29819

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ABSTRAKPendahuluan: Benda asing yang menusuk pada daerah oral maksilofasial dapat disebabkan oleh trauma ataupun faktor iatrogenik. Kecelakaan olahraga merupakan salah satu etiologi terjadinya luka penetrasi. Setiap benda asing yang berpenetrasi pada jaringan lunak di daerah oral maksilofasial harus segera dilakukan evakuasi untuk mencegah terjadinya infeksi. Tujuan laporan kasus ini menyampaikan penatalaksanaan kegawatdaruratan evakuasi benda asing pada regio oral maksilofasial. Laporan kasus: Kasus ini terjadi pada seorang atlet anggar laki-laki dengan usia 16 tahun dibawa ke instalasi gawat darurat Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung dengan kondisi pedang anggar tertancap di dalam mulutnya. Kecelakaan terjadi 2 jam sebelum masuk rumah sakit ketika latihan bersama dengan lawan tanding di daerah Antapani tanpa menggunakan pelindung wajah. Pedang lawan tanding menusuk dan menancap pada mulut pasien. Pemeriksaan klinis dan penunjang berupa foto rontgen dilakukan sebelum tindakan evakuasi pada pasien. Pedang kemudian di evakuasi secara anestesi lokal dan dilakukan penutupan luka. Kontrol dilakukan pada hari ke-7 pasca tindakan. Simpulan: Penatalaksanaan kegawatdaruratan evakuasi benda asing pada regio oral maksilofasial yang cepat dan tepat dibutuhkan untuk keberhasilan penyembuhan pasien seperti tampak pada saat kontrol hari ketujuh yang menunjukkan perbaikan tanpa komplikasi.Kata kunci: Evakuasi, gawat darurat, benda asing, oral maksilofasial.  ABSTRACTIntroduction: Corpus alienum (foreign object) which stabbing the oral maxillofacial area can be caused by the trauma or iatrogenic factors. Sports accidents are one of the aetiologies of the penetration wound. Any foreign objects that penetrate the soft tissue in the oral maxillofacial area should be evacuated immediately to prevent infection. This case report was aimed to address the emergency management of corpus alienum evacuation in the oral maxillofacial region. Case report: This case occurred when a male fencing athlete aged 16-years-old was taken to the emergency department of Dr Hasan Sadikin Hospital Bandung, with a fencing sword stuck in his mouth. The accident occurred 2 hours before being admitted to the hospital while training together with opponents in the Antapani area without wearing face shields. The opponent's sword stabbed and penetrated the patient's mouth. Clinical and supporting examinations in the form of X-rays were performed prior to the patients’ evacuation. The sword was then evacuated under local anaesthesia, and the wound closure was performed. Control was carried out on the 7th-day post-treatment. Conclusion: Fast and precise emergency management of corpus alienum evacuation in the oral maxillofacial region is needed for the successful healing of the patient as seen on the seventh day of control which showed improvement without complications.Keywords: Evacuation, emergency department, corpus alienum, oral maxillofacial.
Penatalaksanaan ludwig’s angina pada anak Management of ludwig’s angina at child Eddy Hermanto; Abel Tasman Yuza; Hendro Sudjono Yuwono
Journal of Dentomaxillofacial Science Vol. 10 No. 1 (2011): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v10i1.255

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Ludwig’s angina is an acute progressive cellulitis that involves the submental and submandibular spaces, bilateralsublingual space, which is caused by the Streptococci bacteria. Characteristics of this disease are swelling of thebilateral soft tissue submandibular, submental region and floor of the mouth, and elevation of the tongue. Earlydiagnosis and management of infection in children is important because a child has tendency for a progressiveworsening and lead to systemic infection. Infections involving the facial regions in children are rare cases wherebyonly one case is found in the last two years at the oral surgery department. This report shows a case of a seven-yearold girl with Ludwig’s angina that came to the emergency division of the oral surgery department with a chiefcomplaint of swelling at the chin and both cheeks. The complaint was first known as caries at 36, 74, and 75.Treatment includes antibiotic administration, incision and drainage, and extraction of the causative tooth. Patientwas hospitalized and returned home when was in good condition.
Penatalaksanaan fraktur mandibula pada anak menggunakan teknik circumferential wiring dengan Gunning splint Management of mandibular fracture in children using circumferential technique with Gunning splint S. Haryoseno; Abel Tasman Yuza; Bambang A. Sulthana
Journal of Dentomaxillofacial Science Vol. 11 No. 2 (2012): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v11i2.326

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Fractures of the mandible in children most commonly occur in the condyle and angulus. Circumferential wiring andGunning splint as a supporting tool to strengthen the fixation of the lower jaw. This case reported a 7 year-old-boywho had fracture of his right mandibular corpus. At the time of surgery, it was applied mini plate 5 holes and 4screws on the right mandibular corpus with the using of circumferential wiring on the right and left mandibularcorpus and symphysis, with Gunning splints. The patient was in good condition after surgery without complications
Tingkat pengetahuan dan pengalaman dokter gigi di Kota Bandung dalam penanganan darurat fraktur dentoalveolarKnowledge and experience level of dentists in the emergency management of dentoalveolar fractures Refiga Andistiara; Endang Sjamsudin; Abel Tasman Yuza
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 34, No 3 (2022): Desember 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v34i3.39360

Abstract

ABSTRAKPendahuluan: Fraktur dentoalveolar merupakan trauma yang paling umum terjadi pada wajah dibandingkan dengan semua trauma yang terjadi pada wajah. Fraktur dentoalveolar memiliki dampak buruk bagi pasien jika tidak diberikan perawatan yang memadai. Perawatan fraktur dentoalveolar merupakan prosedur kompleks yang butuh pengetahuan, diagnosis, dan rencana perawatan yang akurat dari seorang dokter gigi. Tujuan penelitian ini untuk mengetahui pengetahuan dan pengalaman dokter gigi dalam penanganan darurat fraktur dentoalveolar. Metode: Jenis penelitian cross-sectional  dengan teknik pengambilan sampel proportionate stratified random sampling. Penelitian dilakukan terhadap 306 responden yaitu dokter gigi umum, dokter gigi residen, dan dokter gigi spesialis di Kota Bandung. Instrumen penelitian menggunakan kuesioner dengan 15 pertanyaan untuk mengukur pengetahuan dan 3 pertanyaan untuk mengetahui pengalaman dokter gigi. Analisis data menggunakan Microsoft excel dan disajikan dalam bentuk tabel, tingkat pengetahuan menggunakan kategori Arikunto. Hasil: Untuk tingkat pengetahuan, sebanyak 3 responden (1%) memiliki tingkat pengetahuan kurang, 78 responden (25%) pada kategori cukup, dan 225 responden (75%) pada kategori baik. Pengalaman dokter gigi dalam menemukan kasus fraktur dentoalveolar 1-5 kali selama praktik, pengalaman tindakan yang dilakukan adalah perdarahan dihentikan lalu segera dirujuk, dan mayoritas dokter gigi tidak pernah mengikuti pelatihan darurat fraktur dentoalveolar. Simpulan: Tingkat pengetahuan dokter gigi di Kota Bandung dalam penanganan darurat fraktur dentoalveolar secara keseluruhan berada dalam kategori baik. Pengalaman dokter gigi dalam menjumpai kasus fraktur dentoalveolar cukup sedikit selama praktik dengan kasus terbanyak menghentikan perdarahan dan segera dirujuk serta tanpa adanya pengalaman dalam mengikuti pelatihan perawatan fraktur dentoalveolar.Kata kunci: fraktur dentoalveolar; pengetahuan dokter gigi; pengalaman dokter gigi; cedera gigi traumatis ABSTRACTIntroduction: Dentoalveolar fractures are the most common trauma compared to all traumas to the face. It harms the patient if they do not have adequate treatment. Dentoalveolar fractures are a complex procedure requiring a dentist knowledge, diagnosis, and an accurate treatment plan. This study aimed to determine dentist knowledge and experience level in emergency management of dentoalveolar fractures. Methods: Cross-sectional using a proportionate stratified random sampling technique. The study was conducted on 306 respondents, namely general dentists, resident dentists, and specialist dentists in Bandung. The research used a questionnaire with 15 questions to measure knowledge and 3 questions to determine the experience of dentists. Data analysis was performed using Microsoft Excel and presented as a frequency distribution table. the level knowledge categorized using arikunto. Results: For the level of knowledge, as many as 3 respondents (1%) had a low level of knowledge, 78 respondents (25%) in the good category, and 225 respondents (75%) in the good category. When dentist found cases of dentoalveolar fracture 1-5 times during practice, dentists stopped bleeding and referred immediately, but most dentists never participated in emergency dentoalveolar fracture training. Conclusion: Bandung Dentists’ knowledge in handling dentoalveolar fractures is good. The experience of dentists in cases of dentoalveolar fractures is relatively small during practice, with most cases stopping bleeding and referred immediately without any experience participating in dentoalveolar fracture treatment training.Keywords: Dentoalveolar fracture; dentist knowledge; dentist experience; traumatic dental injury
PENGELOLAAN MALOKLUSI OPEN BITE ANTERIOR AKIBAT FRAKTUR NEGLECTED MAKSILA LE FORT I DENGAN TEKNIK OSTEOTOMI LE FORT I DAN FIKSASI TRANSOSSEOUS (Laporan Kasus) Harfindo Nismal; Abel Tasman Yuza; Fathurachman Fathurachman
Cakradonya Dental Journal Vol 12, No 2 (2020): Agustus 2020
Publisher : FKG Unsyiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (644.434 KB) | DOI: 10.24815/cdj.v12i2.18446

Abstract

Maloklusi open bite adalah suatu gigitan terbuka merupakan komplikasi paling signifikan suatu fraktur maksila yang tidak memperoleh perawatan dengan segera dirawat, atau terlantar terlalu lama, dalam waktu beberapa hari hingga beberapa minggu dan disebut dengan neglected fracture. Salah satu cara untuk memperbaiki keadaan ini adalah melakukan osteotomi pada maksila. Tujuan laporan kasus ini untuk memberikan tambahan pengetahuan tentang kelainan yang muncul akibat ditundanya perawatan pada fraktur maksila Le Fort I beserta cara pengelolaannya. Dilaporkan seorang pasien laki-laki, 32 tahun datang ke Poliklinik Bedah Mulut dan Maksilofasial dengan keluhan tidak dapat mengatupkan kedua rahang dan mengunyah makanan dengan baik. Satu bulan sebelum datang ke RS. Dr. Hasan Sadikin pasien memiliki riwayat jatuh dari atap rumah dengan posisi menelungkup dan wajah terlebih dahulu membentur lantai rumah, selanjutnya pasien dibawa ke Unit Gawat Darurat salah satu rumah sakit swasta terdekat, dinyatakan tidak ada kelainan dan diperbolehkan pulang ke rumah setelah dilakukan pemeriksaaan dan perawatan luka di dalam mulut. Terapi Le Fort I osteotomy dilakukan, reposisi rahang atas untuk mencapai oklusi yang baik, dan maksila difiksasi dengan empat osteosynthesis miniplate.