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All Journal Dentika Dental Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Journal of Dentomaxillofacial Science B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah Journal of Case Reports in Dental Medicine Jurnal of Syiah Kuala Dentistry Society
Winarno Priyanto
Department Of Oral And Maxillofacial Surgery, Padjadjaran University Bandung Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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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.
KARAKTERISTIK KARSINOMA SEL SKUAMOSA RONGGA MULUT DI RSUP DR. HASAN SADIKIN BANDUNG PERIODE JANUARI-DESEMBER 2019 Ickman Setoaji Wibowo; Winarno Priyanto; Andri Hardianto
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I1.15119

Abstract

Kanker rongga mulut merupakan salah satu penyakit saat ini yang menyebabkan kematian di berbagai negara. Skuamous sel karsinoma merupakan jenis kanker yang sering terjadi pada rongga mulut. Hingga saat ini belum ada penelitian mengenai karakteristik Skuamous sel karsinoma rongga mulut di rumah sakit Hasan Sadikin Bandung pada tahun 2019. Penelitian ini bersifat studi deskriptif dengan rancangan retrospektif menggunakan data rekam medis. Penelitian ini bersifat total sampling yang dilakukan pada bulan Januari hingga Desember 2019. Variabel yang diteliti berdasarkan usia, jenis kelamin, lokasi, jenis histopatologi dari skuamous sel karsinoma serta terapi yang dilakukan pada pasien tersebut. Hasil Penelitian menunjukkan jumlah sampel yang didapatkan pada bulan Januari-Desember 2019 sebanyak 28 pasien terdiri dari 13 laki-laki (46%) dan 15 perempuan (54%). Penderita mayoritas berusia 18-65 tahun sebanyak 23 orang (82%) dengan lokasi paling banyak terjadi pada daerah glossus sebanyak 16 orang (57%). Well differentiated merupakan jenis yang paling banyak ditemukan berdasarkan pemeriksaan histopatologis sebanyak 17 orang (61 %). Berdasarkan tindakan yang dilakukan bahwa 24 orang (86 %) dilakukan tindakan terapi definitif dan hanya 4 orang (14 %) hanya dilakukan tindakan diagnostik. Gambaran karakteristik karsinoma sel periode Januari-Desember pada tahun 2019 adalah Perempuan memiliki prevalensi yang lebih tinggi dibandingkan laki-laki dengan rentang usia 18-65 tahun. Berdasarkan lokasi dan pemeriksaan histopatologi mayoritas daerah yang terkena karsinoma sel skuamosa terjadi pada glossus dengan jenis histopatologi well differentiation. Penderita mayoritas dilakukan tindakan terapi definitif meliputi kombinasi terapi pembedahan, kemoterapi maupun radioterapi. l Karsinoma 
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.
Serial kasus berbagai metode perawatan dislokasi sendi temporomandibula berdasarkan jenis dislokasinyaCase series of various temporomandibular joint dislocation treatment methods based on the dislocation type Dina Novianti; Endang Syamsudin; Winarno Priyanto
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 2 (2021): Agustus 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i2.29712

Abstract

Pendahuluan: Dislokasi sendi temporomandibula (TMJ) merupakan suatu keadaan dimana kondilus keluar dari fosa glenoidalis ke arah superior, posterior atau anterior melewati eminentia artikularis dan seringkali disertai dengan spasme otot-otot pengunyahan. Penanganan yang terlambat dapat menimbulkan komplikasi berupa asimetri wajah dan menggangu pengunyahan. Tujuan penulisan kasus ini adalah menyampaikan serial kasus perawatan dislokasi sendi temporomandibular berdasarkan jenis dislokasinya. Laporan kasus: Empat tipe kasus dislokasi TMJ datang ke IGD dan Poli Bedah Mulut dan Maksilofasial Rumah Sakit Hasan Sadikin Bandung dengan riwayat dislokasi yang berbeda. Pasien berjenis kelamin dua laki-laki dan dua perempuan, berusia 33 hingga 66 tahun dengan faktor predisposisi menguap. Klasifikasi dislokasi yaitu akut dan kronis. Perawatan keempat kasus berupa reduksi manual, menggunakan metode Hippocrates dan wrist pivot, hingga pembedahan dengan miotomi. Simpulan: Keadaan dislokasi yang berbeda memerlukan perawatan yang berbeda. Kasus akut dapat segera dilakukan reduksi manual, sedangkan kasus kronis memerlukan pembedahan. Keterlambatan penanganan yang tepat dapat membuat keadaan menjadi lebih berat sehingga memerlukan penanganan yang lebih kompleks dan biaya yang lebih besar. ABSTRACTIntroduction: Temporomandibular joint (TMJ) dislocation is a condition in which the condyle exits the glenoid fossa superiorly, posteriorly, or anteriorly through the articular eminence and is often accompanied by mastication muscle spasm. Delayed treatment can cause complications in the form of facial asymmetry, thus interfere with mastication. The purpose of the case series was to present a case series of temporomandibular joint dislocations treatment based on the dislocation type. Case reports: Four different patients with four types of TMJ dislocation cases came to the ER and the Oral and Maxillofacial Surgery Clinic of Hasan Sadikin Hospital Bandung, with different dislocation histories. The patients were two males and two females, aged 33 to 66 years, with predisposing factors of yawning. Classifications of dislocations were acute and chronic. The four cases’ treatments were manual reduction, each using the Hippocrates method and wrist pivot, up to surgery with myotomy. Conclusions: Different dislocation conditions require different treatments. Acute cases can be directly reduced manually, while chronic cases require surgery. Delay in proper handling will severe the situation, requiring more complex treatment with higher costs.
Early treatment of symphysis mandibular fracture in 12 years old children using erich arch bar: a case report Syahril Samad; Winarno Priyanto
Journal of Dentomaxillofacial Science Vol. 2 No. 1 (2017): (Available online: 1 April 2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i1.456

Abstract

Objective: To explain the management of symphysis mandibular fracture in pediatric using erich arch bar.Methods: A 12 years old boy has fracture in mandible due to the accident occurred when his chin hit the touching motorcycle tank. Clinically a deformity at the anterior of mandible and malocclusion has occurred. Patient also complained a pain with swelling and bleeding at the region of fracture and lip. Suturing had been done in wound area for both intra and extra oral area followed by the application of arch bar in maxilla and mandible. Doing evaluation at the third day, a vague fracture line was found in panoramic radiograph.Results: The following treatment done was the application of erich arch bar for mobility reducing the fracture of mandibular symphysis. A good healing act management to symphysis mandibular fracture of 12 years old children with full eruption of teeth has been given to the teeth to develop retention and to stabilize the erich arch bar.Conclusion: Management of pediatric symphysis mandibular fracture for 12 years old children with full eruption of teeth using erich bar revealed a healed fracture. 
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.
TATALAKSANA BEDAH MIXOMA ODONTOGENIK PADA MANDIBULA : LAPORAN KASUS LANGKA Sulakso, Tito; Hardianto, Andri; 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.v11i1.1555

Abstract

Introduction: Odontogenic myxoma is a rare benign odontogenic tumour. Although it grows slowly, odontogenic myxoma is aggressive and has a high recurrence rate after surgical intervention. The tumour is most commonly found in the posterior mandible and is more common in females than in males. Radiographically, odontogenic myxoma presents as a unilocular or multilocular radiolucency with irregular or scalloped borders, frequently accompanied by displacement of teeth in the vicinity of the tumour. The treatment of odontogenic myxoma may be either conservative or radical surgery. Case and Management: A 57-year-old female patient presented with a palpable mass on the lower jaw that had been growing for a period of two years, accompanied by pain and displacement of the lower teeth. A clinical examination revealed the presence of a hard, non-painful, non-bleeding lump with approximate dimensions of 6x5x4 cm on the mandible, accompanied by displacement of the anterior lower teeth. An incisional biopsy led to the diagnosis of an odontogenic myxoma in the left mandibular region. The patient subsequently underwent surgery comprising segmental resection and plate reconstruction. Conclusion: Odontogenic myxoma is a rare odontogenic tumour with a high recurrence rate. In such cases, segmental resection with a margin of ≥ 1 cm and mandibular reconstruction with a plate is considered the treatment of choice.
Management of Ankyloglossia with different severity: a case series in dental surgery Christianto, Stephanus; Priyanto, Winarno; Sjamsudin, Endang
Padjadjaran Journal of Dentistry Vol 36, No 1 (2024): March 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no1.53574

Abstract

Introduction: The lingual frenulum is an important oral structure that plays an important role in the act of suction, speech, and feeding. Ankyloglossia (tongue tie) is a congenital anomaly that results when lingual frenulum is too short and adhere to tip of tongue, limiting the tongue movement. This case report aimed to explain management of Ankyloglossia with different severity. Case Report: This case report reported three cases of ankyloglossia with different ages and complaints of difficulty in feeding and speech. The patients were treated for lingual frenectomy procedure under general anesthesia using one haemostats method. The haemostats were used to clamp the upper aspect of frenulum which might have been helpful to guide the incision close to ventral surface of tongue. Care had to be taken not to injure the submandibular ducts when making incision at lower part of tongue. The result after 1 week of surgery: the wound was completely healed. Conclusion: Ankyloglossia will impair the function of suction, speech and feeding that affecting a considerable number of infants and children. It is important that accurate information and guidance are given to parents with regard to the indications and potential benefit of tongue tie revision. These case series offer guidelines which can be used by general and pediatric dentist for examination, diagnosis and treatment of ankyloglossia in different severity.KeywordAnkyloglossia, congenital, lingual frenulum
Modern Wound Dressings as Wound Care After Necrotomy Debridement at Right Submadible extended to Submentale region due to Necrotizing Fasciitis: A Case Report Laksmitarani, Niken; Priyanto, Winarno; Sjamsudin, Endang
Journal of Case Reports in Dental Medicine Vol 3, No 2 (2021)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v3i2.150

Abstract

AbstractIntroduction: Necrotizing fasciitis is a fast-paced infection, severely damaging tissue. Surgical removal of tissue must be performed promptly, and aggressively to remove all involved soft tissue. The wound left after debridement necrotomy is wide enough to close primarily and should be treated by suitable dressings to accelerate wound healing. Objective: This case report aims to understand the concept of moist wound healing, the choice of dressing material, and the principles of optimal wound intervention for the wound healing process. Case: A 58 years old female patient presented with a complaint of swelling of the right lower jaw extended to the chin region. About a month earlier the patient complained of a lower right toothache, the patient went to the public health center, the lower right tooth was extracted but there was a residual root left behind. Then the patient still felt pain in the area of the extraction and the swelling in the lower jaw got bigger, the fragility of the superficial fascia, and the absence of pus. Then the patient was referred to the emergency room at Hasan Sadikin Hospital in Bandung. Case management: The patient was performed necrotomy debridement and tooth extraction causing the infection in local anesthesia, then the wound was treated with modern dressings. After 1 month of the procedure, the wound was closed properly. Conclusion: Modern dressings are wound care using the principle of balanced moisture (moisture balance). Choosing the right dressing material is a key concept to support the wound healing process.
The management of oroantral communication post dentral extraction M1: a case report Sulfiana, Sulfiana; Riawan, Lucky; Priyanto, Winarno
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1562.967 KB) | DOI: 10.20956/jcrdm.v1i3.98

Abstract

Objective : The purpose of this to report the management of oronatral communication case after extraction of first upper molar. Method : A 45 y.o male patient came with discharge from the nose after tooth extraction, 3 hours prior to admission when he was extraction right upper tooth. Ginggival hyperemis of tooth 16 region. The therapy we performed was upper right molar buccal flap and analgesics and rhinoceros.Results : At the time of discharge the hospital was given rhinos caps 3x125 mg and medication from the previous hospital continued. Patient had no complaints when control back. Healing wounds in the flap shows good healing. And the patient no longer complains that there is fluid leakage while garglingConclussion : In this case, OAC cosure was treated with buccal flap and was given medication. The improvement was noted
Co-Authors Abel Tasman Yuza Andri Hardianto Ariyanto Suryo Karyono Christianto, Stephanus Dani Ginanjar Dina Novianti Endang Sjamsudin Endang Syamsudin Fathurachman Fathurachman Herman Hambali Ickman Setoaji Wibowo Israr, Muftihat Kiki A Riski Kiki A. Rizki Laksmitarani, Niken Lucky Riawan Melva Novi Yanti R. Agus Nurwiadh Retno Widayanti, Retno Sandiah, Jihad H. Seto Adiantoro, Seto Sulakso, Tito SULFIANA, SULFIANA Syahril Samad