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All Journal Dentika Dental Journal Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah Padjadjaran Journal of Dental Researchers and Students Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) JOURNAL LA MEDIHEALTICO
Abel Tasman Yuza, Abel Tasman
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Biochemistry, Genetics & Molecular Biology Dentistry Energy Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health Veterinary

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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.
Unique benign soft tissue tumor suspected pyogenic granuloma in a young female hard palate: a case report Epsilawati, Lusi; Azhari, Azhari; Yuza, Abel Tasman; Romdlon, Mahindra Awwaludin
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 7 No 3 (2023): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v7i3.1074

Abstract

Objectives: This case aims to report the finding of a unique lesion in the maxilla in a young female patient. Case Report: The patient, a 21-year-old female, presented with a painless swelling on the left palate for the past 3 months, causing discomfort during eating. On intra-oral examination, there was visible swelling in the left hard palate area, extending from teeth 23 to 26 and extending to the middle of the palate. The patient was referred for a CBCT examination. The aim of writing this article is to assess the findings of a unique case of benign tumor of the palate. The results of the CBCT examination showed radiolucent lesions in the palatal mucosal area without bone resorption. The density of the lesion was higher than that of the surrounding mucosa. The lesion does not damage the tissue of the surrounding area. This is unique because swelling of this size is usually accompanied by extensive bone resorption. Based on its nature, this lesion was diagnosed as a benign soft tissue tumor with differential diagnoses of pyogenic granuloma, pleomorphic adenoma, leiomyoma, and desmoplastic fibroma. Conclusion: The lesion found was a soft tissue tumor lesion at the time; it was found to have a non-aggressive and non-expansive nature, making it difficult to determine a specific radiodiagnosis. The differential diagnosis of this case has been established as follows: Pleomorphic adenoma, pyogenic granuloma and leiomyoma, and pyogenic granuloma, were the options for establishing a provisional radiodiagnosis.
THE MANAGEMENT OF NECROTIZING FASCIITIS IN PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT Israr, Muftihat; Yuza, Abel Tasman; Priyanto, Winarno
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 11, No 1 (2024): Vol 11 No 1, Juni 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v11i1.1554

Abstract

Introduction: Necrotizing fasciitis due to odontogenic infection is a serious, rapidly progressive infection that infects the skin and soft tissue and has a high mortality rate, requiring early diagnosis and aggressive treatment. Systemic lupus erythematosus is an autoimmune disease that can predispose to severe odontogenic infections, especially necrotizing fasciitis, and worsens immune response to surgical debridement. Case and Management: A 46 years old female patient with a history of systemic lupus erythematosus was referred to the Emergency Department at Hasan Sadikin General Hospital, Bandung with complaints of swelling accompanied by pain at the chin extended to the right lower jaw region. Clinical examination revealed necrosis of the skin, fluctuations, spontaneous drainage, and crepitations. The patient was diagnosed with necrotizing fasciitis and was underwent necrotizing debridement at submental region and tooth extraction under local anesthesia and administration of broad-spectrum empiric antibiotics, followed by wound care with modern dressings. Immunosuppressant drugs were stopped for three days post treatment. Conclusion: Management of necrotizing fasciitis with necrotizing debridement, extraction of teeth, discontinuation of immunosuppressant, and empiric administration of broad-spectrum antibiotics in patients with Systemic Lupus Erythematosus was necessary to prevent further infection to other fascia.
Distribution frequency of Post Odontectomy Complications under General Anesthesia in Universitas Padjadjaran Dental and Oral Hospital (RSGM Unpad) Bandung Khaq, Arina Al; Sjamsudin, Endang; Yuza, Abel Tasman
Padjadjaran Journal of Dentistry Vol 34, No 3 (2022): November 2022
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no3.43255

Abstract

ABSTRACTIntroduction: Odontectomy is a surgical procedure to remove an impacted tooth. Some cases of odontectomy are performed under general anesthesia because it has risks and complications that need to be considered, such as a patient with mental or physical disorder, difficulty level of the impacted tooth, number of impacted teeth extracted, and operative duration. This study aimed to determine the distribution frequency of post-odontectomy complications under general anesthesia in Universitas Padjadjaran Dental and Oral Hospital (RSGM Unpad), Bandung. Methods: This study was a cross-sectional descriptive study using retrospective data of medical records of a patient who underwent odontectomy under general anesthesia from 2017 until 2018 in RSGM Unpad. Samples were taken using a purposive non-probability sampling technique by setting inclusion criteria such as undamaged medical records and providing patient data on the first and a week control visit. The variables, including age, gender, classification of impacted teeth, number of teeth, and complications, were assessed in this study. The minimum sample size was determined by using the Slovin formula. The minimum sample required is 94%- 95% confidence level and 5% margin of error. Results: The data that had been collected shows that the number of female patients (67%), male patients (37%), the most common age was 21-30 years (52%), and odontectomy in 4 third molars (73%). Odontectomy that performed on four third molars (73%) with the ordinary post odontectocmy complications found in the female patient, such as trismus (2%), prolonged pain (7%), edema (3%), paraesthesia (3%). Conclusion: Distribution frequency of post-odontectomy complications under general anesthesia in RSGM Universitas Padjadjaran Banding is relatively low.Keywords: frequency; odontectomy; general anesthesia; complications; impacted tooth
Tatalaksana impaksi gigi molar ketiga mandibula dengan prosedur coronectomy: rapid review Septiani, Tiara Ika; Yuza, Abel Tasman; Hadikrishna, Indra
Padjadjaran Journal of Dental Researchers and Students Vol 8, No 3 (2024): October 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v8i3.56773

Abstract

ABSTRAK Pendahuluan: Pencabutan impaksi gigi molar ketiga sering kali mengalami komplikasi. Komplikasi pasca pencabutan gigi molar ketiga diantaranya rasa nyeri, dry socket, dan cedera saraf alveolaris inferior. Cedera saraf alveolaris inferior adalah komplikasi khas dari pencabutan gigi molar ketiga rahang bawah. Coronectomy merupakan salah satu tindakan yang digunakan untuk perawatan impaksi gigi molar ketiga. Coronectomy dianggap sebagai prosedur yang baik dalam mengurangi terjadi cedera pada inferior alveolar nerve (IAN). Tujuan penelitian ini untuk mengetahui keuntungan dan kerugian dari perawatan impaksi gigi molar tiga rahang bawah dengan prosedur coronectomy. Metode: Dalam penelitian ini peneliti menggunakan metode rapid review yang mengacu pada panduan Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Pencarian artikel secara elektronik dilakukan pada tiga basis data elektronik yaitu National Library of Medicine (Medline/Pubmed), Cochrane Library, dan Sciencedirect. Hasil: Dari enam artikel yang ditinjau, dua artikel menilai perbandingan antara odontectomy dan coronectomy menunjukan bahwa coronectomy lebih baik dalam mengurangi terjadinya komplikasi pasca operasi. Empat artikel lainnya menunjukan tidak ada atau sedikit laporan kasus terjadinya cedera saraf. Hasil lain dari coronectomy seperti nyeri, infeksi, osteitis alveolar sama atau lebih rendah dibandingkan dengan odontectomy. Hasil terjadinya migrasi akar setelah tindakan coronectomy cukup tinggi dan hasil dari gigi yang memerlukan operasi ulang lebih rendah, untuk jangka waktu follow-up bervariasi setiap artikelnya. Simpulan: Coronectomy diindikasikan jika gigi molar ketiga mandibula dekat dengan saraf alveolaris inferior dan coronectomy terbukti mengurangi cedera IAN dan dry socket.KATA KUNCI: coronectomy, impaksi gigi molar ketiga, cedera saraf alveolar inferior, rapid review.The management of impacted mandibular third molars with coronectomy procedure: rapid reviewABSTRACT Introduction: The extraction of impacted third molar teeth often experiences complications. Post-extraction complications of third molar teeth include pain, dry socket, and inferior alveolar nerve injury. Inferior alveolar nerve injury is a typical complication of extraction of mandibular third molars. Coronectomy is an alternative procedure used to treat impacted third molars. Coronectomy is considered a good procedure in reducing the injury to the inferior alveolar nerve (IAN). The purpose of this study was to determine the advantages and disadvantages of treating impacted mandibular third molars with coronectomy procedures. Methods: In this study, the researchers used a rapid review method that refers to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Electronic search of articles was carried out on three electronic databases, namely the National Library of Medicine (Medline / PubMed), Cochrane Library, and Sciencedirect. Results: Of the 6 articles reviewed, 2 articles assessing the comparison between extraction and coronectomy showed that coronectomy was better in reducing the occurrence of complications. The other 4 articles have no or few case reports of neurological disorders. Other outcomes of coronectomy such as pain, infection, alveolar osteitis was equal or lower than those of complete extraction. The results of root migration after coronectomy were quite high and the results of teeth requiring reoperation were lower, with follow-up periods varying between articles. Conclusion: Coronectomy is indicated if the mandibular third molars are close to the inferior alveolar nerve and coronectomy has been shown to reduce the incidence of IAN and dry socket injuries.KEY WORDS: Coronectomy, impacted third molars, injury inferior alveolar nerve, rapid review.
Hydroxyapatite as bone graft materials to support dental implant treatment: systematic review Djaswandini, Fairuz Zahira; Hardianto, Andri; Yuza, Abel Tasman
Padjadjaran Journal of Dentistry Vol 36, No 3 (2024): November 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no3.55524

Abstract

Introduction: Implant placement after tooth loss can prevent an alveolar bone resorption. Bone grafting is used to obtain adequate quantity and quality of alveolar bone to support dental implants. Hydroxyapatite is the primary synthetic bone graft biomaterial, with a composition and structure similar to natural bone. Hydroxyapatite biomaterials have been widely researched and developed. This study aims to summarize the modified HA materials that have been successfully used in supporting dental implant treatment. Methods: This review was conducted using a systematic review method that refers to systematic literature review simplification with PICO framework, based on PRISMA guidelines. Literature searches were performed through Science Direct, PubMed, Google Scholar, SAGE Journals, and Cochrane Library, for articles published between 2016 – 2021. Inclusion criteria for this review consisted of research articles on the use of hydroxyapatite bone graft in dental implant treatment. Results: Analysis was carried out on 11 articles on the use of hydroxyapatite bone graft in dental implant treatment with various material modifications: sintered, carbonated, eggshell-derived, 3D printed, obtained by sponge replica method, and in combination with rhBMP-2, PRF membrane, collagen membrane, and amniotic membrane. Additionally, hydroxyapatite also comes in several forms: porous block, granular, and nano-sized. Treatment success was observed through histology and histomorphometry analysis; SEM, XRD, FTIR, CBCT, and CT-Scan imaging; and ISQ value. Conclusion: This review demonstrates the modified hydroxyapatite, in combination with other materials or in various form, successfully supports dental implant treatment. This success is attributed to good osseointegration between bone and implant, bone growth, and increase in bone thickness, which are influences by the materials composition and morphology.
Distribution of maxillofacial fracture treatment using a titanium plate Arviana, Nicky; Sjamsudin, Endang; Yuza, Abel Tasman
Padjadjaran Journal of Dentistry Vol 27, No 2 (2015): July 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol27no2.26654

Abstract

Introduction: Maxillofacial fracture is a condition of the facial bones discontinuity in the mandible, maxilla, nasal, zygoma, palate, frontal and orbital. Treatment method of maxillofacial fractures is a close reduction or open reduction by internal fixation using titanium plates. This study was aimed to describe the fixation of maxillofacial fractures using titanium plates and also, to determine the further use of titanium plates as a fixation device at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Universitas Padjadjaran and Hasan Sadikin Hospital. Methods: The research was a descriptive retrospective study with accidental sampling technique on the maxillofacial fracture fixation cases using titanium plates at the Department of Oral and Maxillofacial Surgery Hasan Sadikin Hospital. The samples were 135 medical records diagnosed with maxillofacial fractures. Results: The result shows that the use of titanium plates were 82.24% of the total maxillofacial fracture cases. Conclusion: There are 135 patients with a diagnosis of maxillofacial fractures treated at the Oral and Maxillofacial Surgery, Faculty of Dentistry Universitas Padjadjaran and Hasan Sadikin Hospital in 2006-2010. Most cases were treated with open reduction (108 cases) and fixed by using a titanium plate (88 cases) as well as the combination of a titanium plate with a wire (12 cases).
The accuracy value of the dentist’s clinical diagnosis in oral lesions performed on biopsy Anadza, Galih Fata; Syamsudin, Endang; Yuza, Abel Tasman
Padjadjaran Journal of Dentistry Vol 25, No 2 (2013): July 2013
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol25no2.26799

Abstract

Introduction: The diagnosis of a pathological disorder can be made in various stages, namely history taking, clinical examination and supporting examination. Clinical diagnosis is a diagnosis obtained from anamnesis and the results of clinical examination. Histopathological diagnosis is a diagnosis obtained from a microscopic examination of tissue. Clinical diagnosis and histopathological examination results may differ. The aim of the study was to obtain the accuracy value of the dentist’s clinical diagnosis by calculating the number of differences between the clinical diagnosis and the results of the histopathological examination of patients who were biopsied in the Department of Oral Surgery of General Hospital Dr. Hasan Sadikin Bandung. Methods: A retrospective descriptive study of cases of pathological abnormalities biopsied in the Department of Oral and Maxillofacial Surgery of General Hospital Dr Hasan Sadikin Bandung. The total number of study samples was 109 medical records of patients with biopsy. Results: The accuracy value of the clinical diagnosis of dentists was 76%, where the difference between the clinical diagnosis and the histopathological examination was 24%. The most common type of disorder with the greatest difference in diagnosis is ameloblastoma followed by papilloma and mucocele. Conclusion: The accuracy value of the clinical diagnosis of dentists in oral lesions performed biopsy is 76%.
Co-Authors Alwin Kasim Anadza, Galih Fata Andri Hardianto Arviana, Nicky Azhari Azhari Bernadi, Willy Busra, Dicca Neldi Dani Ginanjar Djaswandini, Fairuz Zahira Endang Sjamsudin Endang Syamsudin Eva Harlina Fathurrahman Fathurrahman Fitri, Amalia Meisya Hidayah, Meta Tria Indra Hadikrishna Israr, Muftihat Khaq, Arina Al Kirana Lina Gunawan Lusi Epsilawati Mahindra Awwaludin Romdlon Priyanto , Winarno R. Agus Nurwiadh Septiani, Tiara Ika Tis Karasutisna, Tis Uthophia, Natrisa Winarno Priyanto, Winarno Yudi Wijaya, Yudi