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

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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.
Penatalaksanaan ameloblastoma acanthomatous mixed with follicular seukuran bola basket - 15 tahun tanpa perawatan : Laporan kasus Reiner Avelino Simarmata; Seto Adiantoro; Abel Tasman Yuza; Kiki Achmad
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.v35i1.41675

Abstract

ABSTRAK         Pendahuluan: Ameloblastoma merupakan tumor odontogenik jinak berasal dari epitel yang menunjukkan karakter agresif lokal dengan tingkat kekambuhan yang tinggi. Lesi dengan ukuran yang cukup besar maupun lesi agresif memerlukan adanya pendekatan bedah yang radikal. Tujuan dari laporan kasus ini adalah untuk membahas penatalaksanaan komprehensif ameloblastoma acanthomatous mixed with follicular. Laporan kasus: Seorang pasien laki-laki berusia 58 tahun dengan keluhan utama benjolan sebesar bola basket pada rahang bawah kanan dengan gambaran klinis kenyal, tidak nyeri, berwarna merah muda sama dengan jaringan sekitarnya dan tidak mudah berdarah. CT (Computed tomography) Scan kepala menunjukkan massa solid dengan gambaran mixed radiolusen dan radiopak yang besar diantara matriks jaringan lunak disertai destruksi tulang mandibula. Pasien dilakukan tindakan hemimandibulektomi dan eksisi luas diikuti dengan penutupan primer. Hasil pemeriksaan patologi anatomi baik sebelum dan sesudah operasi menunjukkan gambaran yang sama yaitu ameloblastoma acanthomatous mixed with follicular. Tatalaksana post operatif diobservasi pada Unit Perawatan Intensif karena perdarahan massive selama operasi. Dengan mempertimbangkan patensi airway, diputuskan juga untuk melakukan percutaneous dilatational tracheostomy untuk mencegah ventilator acquired pneumonia pada pasien, serta follow up berkala dilakukan hingga saat ini. Simpulan: Ameloblastoma acanthomatous mixed with follicular tanpa adanya perawatan selama beberapa tahun menunjukkan potensi pertumbuhan yang tidak terbatas mengakibatkan deformitas wajah yang signifikan. Penatalaksanaan dengan intervensi bedah dan follow up pasca operasi diperlukan untuk mencegah ekspansi lebih lanjut dan meningkatkan kualitas hidup pasien. Kata kunci: ameloblastoma acanthomatous, hemimandibulektomi, eksisi, kualitas hidup Management of a acanthomatous mixed with follicular ameloblastomaABSTRACT Introduction: Ameloblastoma is a benign odontogenic tumor of epithelial origin that exhibits a locally aggressive behavior with a high level of recurrence. Especially larger, aggressive lesions require a more radical surgical approach. The aim of this case report is to discuss the comprehensive management of an extremely large acanthomatous mixed with follicular ameloblastoma. Case report: In this case report, a 58 years old male patient with chief complain of a basketball size lump on his right lower jaw, with painless, same color with the surrounding tissue, firm, and non- bleeding characteristic on the clinical findings. Head CT Scan showed a large solid mass with radiolucent and radiopaque among soft tissue matrix with destruction of the mandible bone. The patient went for wide excision with hemimandibulectomy followed by primary closure of the lesion. Both prior and after the surgery showed the same pathological result which was acanthomatous mixed with follicular ameloblastoma. The post operative management was monitored in Intensive Care Unit due to an excessive bleeding during the surgery. Considering the airway patency it was also decided to perform percutaneous dilatational tracheostomy to prevent ventilator acquired pneumonia in this patient, and we have continued follow-up observation since then. Conclusion: A few years untreated acanthomatous mixed with follicular ameloblastoma showed a potency for unlimited growth with significant face deformation. Management with surgical intervention and post operative follow-up were necessarily needed to stop further expansion and ensure the life quality of the patient.Keywords : behaviour change, DASS-21, morsicatio buccarum, morsicatio labiorum
Evaluation of Temporomandibular Joint After Orthognathic Surgery with First Orthognathic Surgery Method: Scoping Review Azra Zhafirah Faizah; Abel Tasman Yuza; Indra Hadikrishna
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 2 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i2.6936

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Introduction: Dentoskeletal anomalies are defined as aberrations of the maxillofacial complex that negatively impact the dental and skeletal relation. Orthognathic surgery is a treatment option to rehabilitate dentoskeletal anomalies. Surgery first orthognathic is one of the orthognathic surgeries conducted prior to the orthodontic treatment. One of the problems that might occur following the surgery first orthognathic is related to temporomandibular joint disorder (TMD). This study aimed to map the published articles about the clinical evaluation of temporomandibular joint post-surgery first orthognathic. This study used the scoping review method, following the PRISMA-ScR guideline. The search engines utilized in this study were PubMed, ScienceDirect, and Scopus, using keywords as follows, ((surgery first orthognathic) OR (surgery first orthognathic approach)) AND (temporomandibular joint). Review: A total of eight articles suit the inclusion criteria. 119 patients underwent orthognathic surgery using the surgery first orthognathic method. Post-surgery, 25.2% of patients experienced TMD improvement, 70.6% experienced no change in the normal temporomandibular joint, and 4.2% experienced TMD impairment worse than before the surgery. Conclusion: Based on the analysis results of the studies, it can be concluded that surgery first orthognathic inclines to preserve the normal condition of the patient’s temporomandibular joint before the surgery. In some cases, surgery first orthognathic yielded opportunities to relieve the TMD symptoms. However, there is a slight risk following the surgery first orthognathic, i.e., worsening of the TMD and generating new onset of TMD.
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
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 Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | 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.
The management of impacted mandibular third molars with coronectomy procedure: 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

ABSTRACT 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.Tatalaksana impaksi gigi molar ketiga mandibula dengan prosedur coronectomy: rapid reviewABSTRAK 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.
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.