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MANAGEMENT OF BENIGN FIBROUS HISTIOCYTOMA AT SULTAN FATAH DEMAK HOSPITAL Syarifah Nova Amiza Zam; Aisyah Nafa Agustin; Annisa Husna Faadhila; Resty Annsya; Thania Olivia Fahrie; Ovie Luksita Lathifa
Indonesian Journal of Dentistry Vol 4, No 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/ijd.v4i2.14368

Abstract

Benign Fibrous Histiocytoma (BFH) is a benign soft tissue tumor consisting of fibroblastic and histiocytic cells. The most often affected locations by BFH lesions are the buccal mucosa, mandibular bones, gingiva, lower and upper lips, soft palate, and floor of the mouth. The etiology of BFH is unknown, but the etiology is thought to be reactive changes from previous infections such as insect bites or thorn pricks. Signs and symptoms of BFH include round-shaped swelling, appearing reddish at first, and turning brown. Case: A 40 year old male patient came to the Sultan Fatah Regional Hospital Demak with complaints of swelling of the left cheek below the eye, dizziness and fever for the last 7 days. Patients eat and drink with bread mixed in water or tea. The patient came in a compos mentis state, but the patient was less cooperative. Case management: The patient underwent incision and drainage. Tissue was taken for biopsy examination measuring 1 x 0.4 x 0.3 cm. The patient follow-up was carried out 7 days after the procedure. Results: Follow-up at 7 days after the procedure showed the patient's mouth opening was 1 cm. Conclusion: In this case, from subjective, objective, and supporting examinations, cause of infection has not been found. The treatment carried out is incision and drainage of the infection.
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.