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PENATALAKSANAAN EMERGENSI PASIEN PERDARAHAN RONGGA MULUT Fuad Fatkhurrohman; Syarifah Nova Amiza Zam; Briliana Ikhrimazahra; Dea Hardyana Putri; Isnadia Rachmah Ika; Nabela Intania Sekarini
Jurnal Ilmiah dan Teknologi Kedokteran Gigi Vol 19, No 2 (2023)
Publisher : Fakultas Kedokteran Gigi Universitas Prof. Dr. Moestopo (Beragama)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32509/jitekgi.v19i2.3028

Abstract

Latar Belakang: Tekanan darah tinggi merupakan suatu keadaan dimana terjadi peningkatan tekanan darah di atas ambang batas normal. Manifestasi rongga mulut pada pasien hipertensi dapat berupa gingivitis, periodontitis, reaksi lichenoid, hiposalivasi serta kelumpuhan saraf wajah. Tujuan dari penulisan studi kasus untuk memberikan informasi penatalaksanaan emergensi pada kasus perdarahan yang keluar dari rongga mulut pasien disertai hipertensi urgensi. Laporan Kasus: Pasien laki-laki berusia 68 tahun datang ke Instalasi Gawat Darurat RSUD Sultan Fatah Demak dengan keluhan air liur keluar darah sejak jam 7 pagi. Pasien datang ke Instalasi Gawat Darurat RSUD Sultan Fatah Demak sekitar jam 9 malam. Kondisi sistemik pasien dengan kondisi muntah darah (-) batuk darah (-) demam (-) mimisan (-) trauma (-). Pasien memiliki riwayat hipertensi yang tidak terkontrol. Pasien mengatakan sudah pernah mengkonsumsi obat penurun tekanan darah namun tidak teratur. Hasil pemeriksaan klinis terdapat oral bleeding et causa hipertensi urgensi, periodontitis generalisata, dan nekrosis pulpa gigi 46. Gambaran klinis yang dapat ditemukan pada pasien hipertensi adalah perdarahan gingiva karena diperkuat dengan adanya penyakit periodontal seperti gingivitis maupun periodontitis. Kesimpulan: Kasus emergensi yang berkaitan dengan adanya riwayat hipertensi yang memiliki resiko perdarahan dapat ditangani dengan pemberian obat penghenti perdarahan kemudian sebelum dilakukan prosedur perawatan dental. Terdapat hubungan yang kuat antara riwayat hipertensi dengan kasus penyakit jaringan periodontal, sehingga perlu dilakukan rujukan kepada spesialis penyakit dalam dan spesialis bedah mulut untuk mengetahui penyebab perdarahan yang terjadi. Prognosa pasien akan baik jika dilakukan perawatan medis kolaboratif antar spesialis tersebut
DESCRIPTION OF PATIENTS WITH ODONTECTOMY IN RSUD SULTAN FATAH DEMAK Fuad Fatkhurrohman; Syarifah Nova Amiza Zam; Dea Hardyana Putri; Khairunnisa Pulungan; Isnadia Rachmah Ika
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 19 No. 2 (2023): 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.v19i2.6637

Abstract

Introduction: Odontectomy is the surgical removal of teeth. The choice of anesthesia is also one of the considerations in the odontectomy surgical technique. Information regarding gender, age and comorbidities in patients can also be considered in the selection of anesthetics for odontectomy procedures. Purpose: to provide information regarding impacted teeth and to determine the frequency distribution of odontectomy patient profiles at the Oral Surgery Polyclinic of Sultan Fatah General Hospital, Demak Regency. Methods: descriptive study by collecting secondary data using a retrospective approach from medical records from visits to the Oral Surgery Polyclinic, Sultan Fatah Demak Regional General Hospital from 8-12 May 2023. Results and Discussions:  a total of 36 patients were obtained on 8-12 May 2023, with 32 patients who met the inclusion criteria. The majority of patients were male with a percentage of 55.6%. Based on the age of the most patients in the age range of 21-30 years (15 patients), while the least age group is the age group <20 years (4 patients). Based on the type of teeth, the most odontectomy performed was tooth 48 with a total of 14 teeth. Conclusion: The distribution of the frequency of odontectomy patients at Sultan Fatah General Hospital is most commonly found in the male sex, age group 21-30 years, the type of tooth that was odontectomy was tooth 48.
Penatalaksanaan Abses Submandibula Sinistra Et Causa Gangren Radix Pada Pasien Hepatitis Di RSUD Sultan Fatah Demak Syarifah Nova Amiza Zam; Fuad Fatkhurrohman -; Briliana Ikrimazahra; Dea Hardyana Putri; Nabela Intania Sekarini; Khairunnisa Pulungan
Cakradonya Dental Journal Vol 16, No 1 (2024): Februari 2024
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v16i1.32194

Abstract

Submandibula abscess is a mixture of pus that collects in one area in a network, namely the submandibula area caused by bacterial infection, parasites, or other foreign bodies. The cause of submandibula infection generally originates from the mandibular first and second molar teeth from the spread of infection from the sublingual and submental spaces. Symptoms of a submandibula abscess are characterized by pain and swelling of the cheeks to the inner neck where infection occurs. Infection that occurs in the submandibula space originates from infection of the floor of the mouth, teeth, pharynx, and submandibula lymph nodes. A 49-year-old female patient came to the Sultan Fatah Hospital in Demak with clinical symptoms leading to a submandibula abscess, where there were complaints of swelling on the left cheek up to the neck, the remaining root teeth were often sore and loose, and shortness of breath. Radiological examination performed on the patient showed the impression of a left submandibula abscess. Laboratory tests obtained positive HbsAg indicating that the patient is infected with Hepatitis B. Hepatitis B is a disease that can worsen the condition of the immune system. Proper infection control and sterilization protocols must be followed to reduce the risk of infection.
Efektivitas Ekstrak Daun Pucuk Merah pada Penyembuhan Luka Pasca Pencabutan Gigi Tikus Nikmaturrizqi, Nada; Anwar, Risyandi; Amiza Zam, Syarifah Nova
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 20 No 1 (2025): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v20i1.2804

Abstract

Background: Tooth extraction is a procedure that involves removing the tooth from the tooth socket. The wound healing process after tooth extraction ranges from 3 to 14 days. Wound healing can be treated with povidone iodine, but excessive use has side effects. Another alternative is red shoot leaves Methods: Experimental research with posttest only control group design. The sample was 30 male wistar rats, divided into 5 groups, namely positive control given povidone iodine, negative control base, 2% of Syzygium myrtifolium walp leaves extract, 4% of Syzygium myrtifolium walp leaves extract, and 6% of Syzygium myrtifolium walp leaves extract.. Results: Obtained a p value of 0.048 (p <0.05), indicating that there is a significant difference in the amount of epithelial thickness of all groups and the administration of Syzygium myrtifolium walp extract gel with a concentration of 6% on day 14 is thicker. Conclusion: Giving Syzygium myrtifolium walp leaves extract effect on wound healing after tooth extraction in male wistar rats.
Strategi Pengadaan Obat-Obatan dan Bahan Medis Habis Pakai (BMHP) untuk Meningkatkan Efektivitas di Instalasi Farmasi Ardi, Arief Prasetya; Muslimah, Muslimah; Zam, Syarifah Nova Amiza
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 04 (2025): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v14i04.3920

Abstract

Belum adanya indikator penilaian efektivitas pengadaan obat dan bahan medis habis pakai (BMHP) di RSU Fastabiq Sehat PKU Muhammadiyah diduga menyebabkan kekosongan beberapa obat penting, seperti obat jantung, akibat keterlambatan pembayaran dan kekosongan stok distributor. Kondisi ini berdampak pada terganggunya pelayanan pasien. Diperlukan strategi pengadaan yang lebih efektif untuk meningkatkan mutu pelayanan kefarmasian dan menjamin ketersediaan obat. Penelitian ini bertujuan menilai efektivitas pengelolaan obat pada tahap pengadaan serta menyusun strategi pengadaan yang tepat di Instalasi Farmasi rumah sakit tersebut. Metode yang digunakan adalah campuran (mixed method) dengan desain Sequential Explanatory, diawali dengan analisis laporan pengadaan tahun 2024, lalu dilanjutkan wawancara mendalam terhadap tujuh informan. Hasil menunjukkan dana tersedia telah 100%, namun alokasi untuk obat hanya 15%, dengan tingkat kesesuaian pengadaan 89%, frekuensi pengadaan 42 kali, tanpa kesalahan faktur, serta keterlambatan pembayaran 21 kali. Disimpulkan bahwa efektivitas pengelolaan pengadaan masih perlu ditingkatkan melalui penetapan jadwal pembayaran, penentuan prioritas, penguatan basis data, pengaturan frekuensi pengadaan, dan digitalisasi sistem administrasi.
Management of Soft Tissue Upper Jaw Tumor in a 51 Year Old Female Patient at Sultan Fatah Hospital, Demak Regency: Case Report Zam, Syarifah Nova Amiza; Reza, Faizal
Journal of Syiah Kuala Dentistry Society Vol 9, No 1 (2024): June 2024
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v9i1.35203

Abstract

Background: Benign tumors are collections of cells, tissues or organs that grow slowly and usually enlarge with peripheral expansion, pushing on surrounding structures. Squamous odontogenic tumor (SOT) is a very rare benign epithelial intraosseous tumor, which can cause arising from the neoplastic transformation of Malassez epithelial cells on the lateral surface of the periodontal ligament. Objective : To discuss the management of odontogenic squamous tumors using conservative surgical excision. The goal of treatment for oral myxoma was surgical excision. Case management : A 51 year old female patient came to the SULTAN FATAH Hospital Polyclinic, Demak Regency on May 26 2023 with complaints of a lump on the upper left gum of the jaw. The patient felt the lump about 1 year ago. The patient does not feel pain in the lump. Clinical examination showed a lump in the upper jaw on the front of the patient's left side.Conclusion : Management of the patient undergoing surgical excision of the tumor with general anesthesia and infiltration in the case of odontogenic squamous tumor, based on subjective examination the patient complained of a lump with a tumor mass measuring 10 x 8 cm, redder than the surrounding tissue, round, not moving, attached to the gums of the upper jaw.
Emergency Management For Palate Fractures Accompanied By Dentoalveolar Fractures In Maxillofacial Trauma Patients Syarifah Nova Amiza Zam; Fuad Fatkhurrohman; Noor Dyah Permatasari; Rasyida Reika Dewinta; Izzaz Zayyan Listy Putri; Fidela Matta Nydia; Isnaini Lailatul Adha Mujiningtyas
SONDE (Sound of Dentistry) Vol. 9 No. 2 (2024): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

 Introduction: Maxillofacial trauma is an injury related to the face or jaw caused by physical force, foreign objects, or burns, including injury to any of the bone structures, skin, and soft tissue of the face. Every part of the face may be affected, the eyes and their muscles, nerves and blood vessels may be injured which can cause visual disturbances, diplopia, dislocation of the eyeball and the orbital bones can be fractured due to being hit by something strong. Case report: Initial examination carried out pain screening using the Numeric Rating Scale (NRS) method showing a score of 4. Assessment of the level of consciousness using the Glasgow Coma Scale (GCS) method showed a GCS result of 15 (E4 M6 V5). Vital signs examination showed blood pressure 134/78 mmHg, pulse 112x/minute, height 160 cm, weight 90 kg, respiration 22x/minute, temperature 36.4 C, oxygen saturation 98%. Physical examination of the patient found that the head was within normal limits, the lip mucosa was wet (+). In the oral and nasal cavities, sources of bleeding and loose teeth are visible. On eye examination, the skin was normal. Thorax examination was normal. The management carried out was administration of intravenous fluids (inf RL 20 tpm), then injection of 1 ampoule of ranitidine, 1 ampoule of ketorolac injection, 500 mg tranexamic acid injection. The patient was also referred to a dentist who specializes in oral surgery for further examination and treatment. Conclusion: The classification of the dentoalveolar fracture in this patient is based on the Ellis and Davey classification, as a class 7 fracture, namely a fracture of the tooth that causes a change in position or displacement of the tooth. This fracture causes loose teeth and injury to the gingival soft tissue. The ideal dentoalveolar fracture treatment in this patient uses interdental wiring so that the teeth can be maintained properly. The patient was also referred to a dentist who specializes in oral surgery for further examination and treatment.    
Dental Health Education and Recognition of Radiation Risk among Children of Foreign Workers in Malaysia Ika Rachmawati; Dimar Pangestikasari; Syarifah Nova Amiza Zam
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 6 (2026): Volume 9 Nomor 6 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i6.25854

Abstract

ABSTRACT Introduction: Education and healthcare are two areas where foreign workers in Malaysia frequently encounter obstacles, particularly when it comes to their children. Health issues that can be avoided can result from a lack of awareness about mouth hygiene and the dangers of radiation exposure from dental imaging procedures. Children of migrant workers in Malaysia are being educated about radiation safety and the significance of good dental hygiene through community-based oral health education initiatives that have been applied worldwide. Purpose: The community of migrant workers' children was the target of this program, which sought to promote preventative measures and address oral health inequities. Research Methods: The program comprised interactive lectures, demonstrations of correct toothbrushing techniques, and educational sessions on the safe application of dental radiography. Participant comprehension was assessed via a written survey employing a pre- and post-intervention design, lacking a control group, to evaluate the educational program's influence on participants' understanding of dental health and the hazards associated with radiation exposure. Results: Illustrated a greater comprehension of radiation hazards and good behavioral modifications pertaining to maintaining tooth health. Conclusion: For vulnerable populations, interactive dental health education programs can be a useful strategy for enhancing both general and dental health outcomes. Keywords: Oral Health Education, Radiation Safety Awareness, Children Of Migrant Laborers
PEDERSEN DIFFICULTY INDEX ACCURATELY PREDICTS OPERATIVE DURATION IN MANDIBULAR THIRD MOLAR REMOVAL: A CROSS-SECTIONAL CLINICAL STUDY Prestya, Pebrian Diki; Yuza, Abel Tasman; Zam, Syarifah Nova Amiza
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 10 No. 3 (2026): Volume 10, Nomor 3, June 2026
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jiituj.v10i3.56795

Abstract

Mandibular third molar removal is one of the most performed procedures in oral surgery. Surgical intervention is indicated for both preventive and therapeutic purposes. Preoperative evaluation of surgical difficulty is a critical determinant in the management of impacted mandibular third molars. There are methods for predicting extraction complexity, including the widely recognized Pedersen Difficulty Index, which provides a systematic approach to assessing surgical risk and procedural. The aim of this study understanding the correlation between Pedersen Difficulty Index as a predictor of operative duration in Mandibular Third Molar Removal at Department of OMFS Unimus Dental Teaching Hospital. Design of this study is analytics observational with a cross-sectional study at Department of Oral and Maxillofacial Surgery in January 2026 — March 2026. Minimum sample size was estimated for correlation analysis using a 95% confidence level. Data obtained from 29 patients undergo third molar removal. Variables in this study was Pedersen Difficulty Index and duration in Mandibular third molar removal. Sampling was conducted using consecutive sampling. Data analysis using Spearman rank correlation test. Results: Statistically highly significant difference in duration was observed among three levels of difficulty index (p=0.000; p<0.05). A Spearman’s Rank correlation coefficient of 0.733 indicates a strong positive correlation between the Pedersen difficulty score and operative duration. There is a strong and statistically significant positive correlation between the Pedersen difficulty index and duration in impacted mandibular third molar removal. Higher difficulty scores associated with longer surgical times, indicating that the Pedersen Difficulty Index is a reliable predictor of complexity.