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All Journal Dental Journal (Majalah Kedokteran Gigi)
Swe, Thet Thet
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Dentistry

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Odontogenic maxillary sinusitis and oroantral communication: A case report Dipankara, Jackson; Hadrian, Gary; Eddy; Putri, Tansza Setiana; Rinanti, Astri; Swe, Thet Thet; Poedjiastoeti, Wiwiek
Dental Journal (Majalah Kedokteran Gigi) Vol. 58 No. 2 (2025): June
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v58.i2.p194-197

Abstract

Background: Odontogenic maxillary sinusitis (OMS) and oroantral communication (OAC) have been well recognized in oral and maxillofacial surgery. The treatment ranges from non-surgical treatment to surgical treatment. Purpose: This case report discusses the management of OMS and OAC through a non-surgical approach. Case: A female patient presented to our department after being referred from a different department. After informed consent was obtained, her tooth was extracted. Unfortunately, the maxillary sinus was exposed, and OMS was suspected after pus leakage occurred into the oral cavity prior to tooth extraction. The communication was found at the mesiobuccal region with a 3 mm diameter and distobuccal region with a 2 mm diameter. Case management: Due to the small size of the OAC, it was decided to close the communication using the figure-of-eight suture technique, and an absorbable gelatin sponge was placed inside the socket. Odontogenic maxillary sinusitis was treated with a combination of pharmacological therapy and dental therapy, including the removal of the source of infection and a prescription of antibiotics and nasal decongestant due to the OAC. Finally, the patient was educated about the sinus precaution step. Conclusion: Good healing of the lesion was noted in this report. Non-surgical treatment such as dental therapy and pharmacological therapy can, therefore, be considered to treat OMS. Closure of the OAC using a suture technique and a gelatin sponge can treat small-sized communication.
Fabrication of composite block from beta-tricalcium phosphate and polyacrylic acid via freeze-drying method Tjandrawinata, Rosalina; Eddy; Halim, Rafhaela Johanna; Swe, Thet Thet; Putri, Tansza Setiana
Dental Journal (Majalah Kedokteran Gigi) Vol. 59 No. 1 (2026)
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v59.i1.p63-67

Abstract

Background: Beta-tricalcium phosphate (β-TCP) is widely used in bone grafting due to its biocompatibility and bioresorbability. Recently, there has been growing interest in using sustainable materials, such as green mussel shells, as an alternative source for β-TCP. These shells, rich in calcium carbonate, provide a cost-effective and environmentally friendly alternative for β-TCP synthesis. Purpose: To fabricate composite blocks from β-TCP derived from green mussel shells, mixed with polyacrylic acid (PAA), using a setting reaction and freeze-drying method. Methods: Beta-tricalcium phosphate powder was obtained via wet precipitation, starting with calcium carbonate from green mussel shells, converting it to calcium oxide, and then to β-TCP. The resulting powder was mixed with PAA, set, and freeze-dried to form composite blocks. Results: Characterization of the composite blocks for porosity and diametral tensile strength (DTS) showed that blocks made with green mussel shell-derived β-TCP had rougher surfaces due to larger particles than control blocks made with commercial β-TCP. Composite blocks with 70% green mussel shell-derived β-TCP and 30% PAA exhibited significantly higher porosity (26.97% ± 2.64%) and DTS (11.76 ± 1.59 MPa) than those made with commercial β-TCP (porosity: 13.40% ± 1.56%; DTS: 7.79 ± 1.29 MPa). Reducing β-TCP content to 60% resulted in increased porosity (34.22% ± 1.84%) and lower DTS (6.41 ± 0.78 MPa). Conclusion: Composite blocks made from green mussel shell-derived β-TCP and PAA showed higher porosity and significantly higher DTS than blocks made from commercial β-TCP. Decreasing β-TCP content increased porosity but decreased DTS.
Co-Authors Dipankara, Jackson Eddy Hadrian, Gary Halim, Rafhaela Johanna Rosalina Tjandrawinata Tansza Setiana Putri Wiwiek Poedjiastoeti, Wiwiek