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All Journal MDJ (Makassar Dental Journal)
Ita Purnama Alwi, Ita Purnama
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Dentistry

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Benefits and challenges of presurgical nasoalveolar molding placement for a unilateral cleft lip and palate a case series: Manfaat dan tantangan pemasangan presurgical nasoalveolar molding pada celah bibir lelangit unilateral serangkaian kasus Nurahma, Rifaat; Rahmah, Nur; Permatasari, Andi Sri; Sudarman, Ian Afifah; Alwi, Ita Purnama
Makassar Dental Journal Vol. 14 No. 3 (2025): Volume 14 Issue 3 December 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i3.1428

Abstract

Pre-surgical nasoalveolar moulding (PNAM) has been applied to reshape the divided nasal structure, facilitate surgical interven-tion, and reduce the severity and tension of the cleft. This article presents three cases of patients with unilateral cleft lip and pa-late (UCLP) who underwent PNAM prior to surgery, highlighting the diverse cases of cleft and patient characteristics, which aid in the management of nasal clefts and yield more robust evidence-based outcomes. The main challenge in PNAM therapy is en-suring patient and family caregiver compliance with treatment, given that young patients must adapt to the device fitting and activation. Monitoring also requires regular and repeated visits, which can be time-consuming and cause psychological stress due to witnessing the patient's adaptation to the device. It is concluded that PNAM treatment reduces the width of the alveolar cleft. This treatment improves nasal symmetry by altering the columella angle, maintaining alar width, extending the height of the nos-trils on the affected side, and increasing columella length. Cooperation between patients, family caregivers, and the medical team is essential for better outcomes.
Management of intruded primary teeth using computer-controlled local anesthetic delivery systems: Tatalaksana gigi susu yang intrusi menggunakan sistem anestesi lokal yang dikendalikan komputer Permatasari, Andi Sri; Syahrir, Syakriani; Inayah, Yayah; Wijaya, Wiwik Elnangti; Hamudeng, Adam Malik; Nurrahma, Rifaat; Alwi, Ita Purnama
Makassar Dental Journal Vol. 14 No. 3 (2025): Volume 14 Issue 3 December 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i3.1429

Abstract

Intrusion is the most common trauma in children. Management of intruded deciduous teeth includes spontaneous re-eruption or ex-traction. Pain management during extraction is performed with local anaesthesia, but this can cause fear and pain in patients. This case report describes the management of an intruded primary tooth using a computer-controlled local anaesthesia system (CCLAD). A 6-year-old boy presented with an intruded maxillary primary incisor following a fall from stairs the previous day. Clinical findings included swelling and ulceration of the lip and chin, haematoma, and gingival ulceration. Ellis Class IX fractures were no-ted in teeth 51, 61, and 62 with severe intrusion (grade III), slight mobility, and fusion of 61-62. Panoramic imaging revealed age-nesis of teeth 22. After one week of observation for spontaneous re-eruption, extraction of teeth 51, 61, and 62 was performed due to the risk to the permanent replacement teeth. Anaesthesia was administered using the P-ASA (palatal-alveolar superior anterior) technique with SleeperOne5 (CCLAD), improving patient comfort and reducing fear. Monitoring over 12 months showed no com-plications. It was concluded that SleeperOne5 as a CCLAD with the P-ASA anaesthesia approach is a useful alternative for ma-naging multiple impacted anterior deciduous teeth.
Co-Authors Adam Malik Inayah, Yayah Nur Rahmah Nurahma, Rifaat Permatasari, Andi Sri Rifaat Nurrahma, Rifaat Sudarman, Ian Afifah Syahrir, Syakriani Wijaya, Wiwik Elnangti