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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 2015
Publisher : Universitas Padjadjaran

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.
Successful percentage of action in mandibular block injection training using Fischer’s technique Uthophia, Natrisa; Gunawan, Kirana Lina; Yuza, Abel Tasman
Padjadjaran Journal of Dentistry Vol 27, No 2 (2015): July 2015
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol27no2.26528

Abstract

Introduction: Injecting a local anaesthetic amongst students is part of the dentistry education in many countries. Mandibular block injection technique used in the Faculty of Dentistry Universitas Padjadjaran is Fischer’s technique. The purpose of this study was to determine the success rate based on the average onset and duration of action in mandibular block injection training using Fischer’s technique conducted by the 8th-semester students of the Faculty of Dentistry Universitas Padjadjaran batch 2008. Methods: The method of this study was a descriptive survey—sampling method used was the purposive sampling technique. Data was obtained through the questionnaires distributed to 100 students who practice injection using Fischer’s technique. Anaesthetics used on these injection training was 2% lidocaine HCl with epinephrine 1:80,000. Results: The success rate of mandibular block injection using Fischer’s technique was 88% (88 from 100 injections), with an average onset of action was 2.33 minutes and the average duration of action was 194.07 minutes. Conclusion: The percentage of success in injection training with Fischer’s technique was high, with appropriate average onset and duration of action by the existing standards.
Efficacy differences of Queen’s crepe-myrtle (Lagerstroemia speciosa) and aloe vera extract on the interleukin-6 and osteoblast levels in the healing process of alveolar osteitis Bernadi, Willy; Hardianto, Andri; Yuza, Abel Tasman; Harlina, Eva
Padjadjaran Journal of Dentistry Vol 33, No 2 (2021): July 2021
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no2.21310

Abstract

Introduction: Alveolar osteitis is the most common complication after tooth extraction, which occurs 2 to 4 days after and causes disruption of wound healing. Pucuk Bungur/Queen’s crepe myrtle  (Lagerstroemia speciosa) and aloe vera have biological and pharmacological benefits in experimental animals: antimicrobial, anti-inflammatory, and antioxidant. They also affect the wound healing process.  These benefits are a good combination as an alternative remedy for alveolar osteitis treatment. This study was aimed to analyse the effect of Lagerstroemia speciosa compared to aloe vera extracts gel on the wound healing process after tooth extraction in Sprague-Dawley mice with alveolar osteitis. Methods:  This research was an experimental laboratory. Twenty-seven Sprague-Dawley mice were randomly divided into three groups. The first group was the osteitis (control) group treated with 1:1000 adrenaline insertion for 1 minute on the left maxillary first molars socket; the second group was the osteitis group administered with the application of Lagerstroemia speciosa, and the third group was the osteitis group administered with the application of aloe vera gel. Normal mice in the control group were not given any treatment, only osteitis mice. The interleukin-6 level was examined after, and the number of osteoblasts was also calculated on the 3rd, 5th and 14th day after the necropsy was performed. Data were analysed with one-way ANOVA to compare the effectiveness of wound healing of alveolar osteitis in each group. Results: From the data analysis, the osteitis group applied with  Lagerstroemia speciosa gel had good activity in the inflammation phase of the healing process of alveolar osteitis compared to other groups. Conclusion: Lagerstroemia speciosa can be a potential alternative treatment to reduce inflammation and accelerate the healing of osteitis because it shortens the inflammatory phase and accelerates collagen production in wound healing.
Complication occurs after odontectomy of mandibular third molar Busra, Dicca Neldi; Karasutisna, Tis; Yuza, Abel Tasman
Padjadjaran Journal of Dentistry Vol 24, No 2 (2012): July 2012
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol24no2.26829

Abstract

Introduction: The average age for completely eruption of the mandibular third molar is age 20-25. The eruption of mandibular third molar sometimes prevented by several factors, caused this tooth becomes impacted. All impacted third molar should be removed with minor surgery, which called odontectomy. Several complications and complaint are accompanied with extraction of impacted third molar. The purpose of this study was to determine the prevalence rate of complications post-odontectomy of mandibular third molar, based on genders, age of the patients, the classification of impactions, and the day of postoperative control. Methods: The characteristics of this study was a descriptive survey that collected the secondary data from the medical records, which used the research papers to collect the data. Results: The results of this study show that there are 545 medical records of the patient included to the study, 62.7% complications occur in women. Complications often occur in age groups over 30 years (56.3%). Conclusion: Most of complications occur in C position in class I, II, and III of Pell and Gregory classification. The most complications is oedem on the first day after surgery (43.1%) and on the day of sutures opened (12.3%).
Characteristics of Maxillofacial Trauma Cases Before and During the Pandemic: A Rapid Review Hidayah, Meta Tria; Sjamsudin, Endang; Yuza, Abel Tasman
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2462

Abstract

Maxillofacial trauma refers to injuries affecting the facial region and its surrounding tissues, involving both hard and soft tissue structures. When accompanied by head trauma, such injuries can be life-threatening, highlighting the critical need for prompt medical intervention. The emergence of SARS-CoV-2 in December 2019 prompted the World Health Organization (WHO) to recommend widespread social restrictions, significantly altering various aspects of life, including the patterns of maxillofacial trauma. This study aims to provide an overview of the characteristics of maxillofacial trauma before and during the COVID-19 pandemic. This study employs a rapid review methodology following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Data were retrieved from Scopus, ScienceDirect, and PubMed databases using specific keywords: for the pre-pandemic period — (maxillofacial trauma* OR maxillofacial injuries) AND (incidence OR etiology OR type); and for the pandemic period — (maxillofacial trauma* OR maxillofacial injuries) AND (incidence OR etiology OR type) AND (COVID-19 OR COVID 19 OR coronavirus OR SARS-CoV-2). A total of 15 articles met the inclusion criteria and were analyzed qualitatively. Prior to the pandemic, 15 etiological factors were identified, with road traffic accidents, falls, and interpersonal violence being the most common. The most prevalent types of trauma were orbital, mandibular, and zygomaticomaxillary complex (ZMC) injuries. During the pandemic, a decrease in reported cases was observed, along with fewer recorded etiological factors. Mandibular trauma emerged as the most frequently reported type, followed by orbital and ZMC trauma.