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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.