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All Journal JITEKGI Jurnal Ilmiah dan Teknologi Kedokteran Gigi Interdental Jurnal Kedokteran Gigi (IJKG) Sonde (Sound of Dentistry)
Syarifah Nova Amiza Zam
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Public Health

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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.
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

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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.    
Co-Authors Briliana Ikhrimazahra Dea Hardyana Putri Fidela Matta Nydia Fuad Fatkhurrohman Fuad Fatkhurrohman Isnadia Rachmah Ika Isnaini Lailatul Adha Mujiningtyas Izzaz Zayyan Listy Putri Khairunnisa Pulungan Nabela Intania Sekarini Noor Dyah Permatasari Rasyida Reika Dewinta