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Oral health management in hypertensive patients addressing coated tongue caused by antihypertensive medication use: a case report Tanumiharja, Marvin Jaya Setiadi; Tanumiharja, Leonardo Jaya Setiadi; Lelyana, Shelly; Kamil, Seno Muhammad
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): April 2025 (Supplements 1)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59318

Abstract

Introduction: Hypertension is a chronic condition characterized by elevated blood pressure, often accompanied by symptoms such as headaches, epistaxis, and palpitations. Coated tongue is a clinical condition in which the tongue's surface develops a pseudomembrane due to accumulated debris, non-desquamated keratin cells, and microorganisms, such as bacteria and fungi.  This study aims to explore the potential relationship between hypertension and coated tongue, emphasizing the importance of oral hygiene in hypertensive patients. By examining a clinical case, the research highlights the role of tongue cleaning in managing coated tongue and improving oral health. Additionally, it underscores the need for patient education and adherence to proper oral hygiene practices to achieve better treatment outcomes.Case Report: A 49-year-old female patient presented to Sartika Asih Bhayangkara Hospital with complaints of persistent bad breath for one month. She reported white spots on her tongue causing discomfort but no pain. The patient reported brushing her teeth one to two times daily but had never cleaned her tongue. She had a history of hypertension and was one amlodipine therapy.Conclusion: Coated tongue in hypertensive patients can be managed through regular tongue cleaning after brushing. Effective communication, education, and patient cooperation are crucial for optimal treatment outcomes.
Public knowledge about smoking as a triggering factor for oral cavity cancer Taufan, Arief Siddik; Lelyana, Shelly; Yuliadewi, Dicha; Tanumiharja, Leonardo Jaya Setiadi
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2221

Abstract

Smoking habits in Indonesia are still very high. Approximately 80-90% of oral cancers are caused by smoking, cigars, pipes, and chewing gum. Ignorance of the negative impacts of smoking is considered to be the root of this contradictory situation. The purpose of this study was to determine how the knowledge of rural communities about smoking as a cause of oral cancer has changed. This study aimed to determine how the knowledge of rural communities about smoking as a triggering factor for oral cancer. This study was descriptive and observational with a cross-sectional design. Respondents totaling 171 residents of Margaluyu Village, Pangalengan District, Bandung Regency were selected based on inclusion and exclusion criteria. Data were collected using questionnaires completed during the study and processed using SPSS. The study showed that the majority of residents had low knowledge about smoking as a triggering factor for oral cancer. This can be seen from 92.4% of respondents having a score below 55%, 6.4% of respondents having a sufficient score of 56% - 74%, and 1.2% of respondents having a score above 75%. This study concludes that in Margaluyu Village, Pangalengan District, Bandung Regency, public knowledge about cigarettes as a cause of oral cancer is generally still low.
Fissure tongue condition in a patient with down syndrome: A case report Tanumiharja, Leonardo Jaya Setiadi; Azizah, Anna Nur; Tampubolon, Edria Benita; Patoni, Patoni; Tanumiharja, Marvin Jaya Setiadi
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2222

Abstract

Fissured tongue is a normal variation of the tongue in which the surface of the dorsum of the tongue has fissures, with varying depths. This condition is commonly found in patients with Down's syndrome. The patient comes with complaints of increasing tongue sensitivity to spicy and sour tastes. In general, patients do not feel any complaints or pain if the fissures are not too deep but there is a risk of food ingesting in these cracks. Fissured tongue will become a pathological condition if the depth reaches >5mm, causing the patient to seek treatment. The purpose of this case report is to provide an overview of patients who have Down's syndrome accompanied by fissured tongue. The patient in this case report was not given any medication and was only given oral health education and oral hygiene instructions both directly and to the patient's guardian.
Treatment of Angle Class I Malocclusion Type I and III Using Removable Orthodontic Appliances: Case Report Tanumiharja, Leonardo Jaya Setiadi; Edinata, Ken; Purnomo, Yohanes Yoppy; Tanumiharja, Marvin Jaya Setiadi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23421

Abstract

ABSTRACT Malocclusion is a dental and oral health problem that adolescents often experience. According to the World Health Organization (WHO), malocclusion is the third most common dental health problem after dental caries and periodontal disease. Malocclusion can cause several problems related to the face, including impaired facial aesthetics and dental issues such as difficulty moving the jaw, temporomandibular disorders, and problems with mastication, swallowing, and speaking. Malocclusion can appear in various forms, the most common being anterior teeth crowding, a condition reported by many patients seeking orthodontic treatment. Removable orthodontic appliances are a safe, easy, and aesthetically acceptable treatment alternative for mild crowding cases. This case report discusses the management of orthodontic treatment in the late mixed dentition period in a male patient with class I type I and type III malocclusion using a removable orthodontic appliance. A 13-year-old male patient came to RSGM Maranatha with complaints of crooked and crowded upper and lower front teeth, which made him insecure when smiling. The patient had never used a fixed or removable orthodontic appliance before. The patient reported no problems with chewing or speaking. There have been changes in the arrangement of the patient's maxillary teeth, but the resulting changes in the mandibular teeth have not been significant. Keywords: Class I Malocclusion, Anterior Crowding, Anterior Crossbite
Effect of Postoperative Methylprednisolone on Swelling and Pain After Mandibular Third Molar Surgery: A Randomized Controlled Trial Tanumiharja, Leonardo Jaya Setiadi; Situmorang, Gabriella Debora Alvionita; Sumaji, Borman; Lesmana, Dian
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.483

Abstract

Background: Pain and swelling are common inflammatory complications following mandibular third molar surgery. Corticosteroids are widely used to control postoperative inflammation and improve patient comfort. However, evidence regarding the effectiveness of low-dose postoperative methylprednisolone, particularly at an 8 mg dose, remains limited, especially in low- and middle-income countries (LMICs). This study aimed to evaluate the effectiveness of an 8 mg dose of methylprednisolone on postoperative pain intensity and facial swelling following surgery. Methods: This study employed a parallel-group, two-arm randomized controlled trial design conducted in accordance with the CONSORT guidelines. A total of 30 patients who met the inclusion criteria were randomly assigned to either the intervention group (8 mg methylprednisolone) or the control group (standard care), with 15 participants in each group. The independent variable was methylprednisolone administration, while the dependent variables included pain intensity measured using the Visual Analog Scale (VAS) and facial swelling. Outcome assessments were performed on postoperative days 1, 3, and 7. Statistical analyses were used for independent t-tests. Results: Pain intensity was lower in the methylprednisolone group than in the control group at all postoperative time points, with large between-group effect sizes observed on day 1 (p = 0.003; Cohen’s d = 1.42), day 3 (p = 0.020; Cohen’s d = 1.36), and day 7 (p = 0.007; Cohen’s d = 1.18). Facial swelling also differed between groups, showing a lower degree of swelling in the methylprednisolone group during postoperative days 1–3 (p = 0.029; Cohen’s d = 0.98) and days 3–7 (p = 0.002; Cohen’s d = 0.87), indicating consistently large effects across outcomes. Conclusion: Low-dose methylprednisolone is statistically and clinically effective in reducing postoperative pain and swelling following surgery and may be integrated as a safe and cost-effective adjuvant therapy in postoperative dental care.
Mandibular third molar odontectomy and drug of choice: a case report Tanumiharja, Leonardo Jaya Setiadi; Purnomo, Yohanes Yoppy; Pradana, Tio; Suwindere, Winny; Tanumiharja, Marvin Jaya Setiadi; Caroline, Sharon Angelica
Science Midwifery Vol 14 No 1 (2026): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i1.2322

Abstract

Impacted tooth is an abnormal tooth eruption, usually caused by adjacent tooth near it or pathologic tissue. Impacted tooth is partially erupted or cannot be erupted entirely because it is blocked by bone or surrounding soft tissue or even both. The odontectomy procedure performed was the same as in other odontectomy cases. Initially, a flap was made to get a field of view, and division of the tooth structure was carried out in the lower third molar teeth into several parts. The results shown one week after the odontectomy procedure, no abnormalities were found and healing in the bones and soft tissue were seen after the procedure. From this case report, it can be concluded that in post-operative impacted tooth management, a minimum traumatic technique should be applied and the correct drug of choice and time of administration can give a high effective effect of managing patient's discomfort and high yield of infection prevention.
Primary tooth extraction with distraction behavior management techniques: A case report Tanumiharja, Leonardo Jaya Setiadi; Apriani, Anie; Tanumiharja, Marvin Jaya Setiadi; Suwindere, Winny
Science Midwifery Vol 14 No 1 (2026): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i1.2323

Abstract

Treatment of primary teeth requires careful extraction and appropriate management to achieve optimal results and reduce the risk of complications. Distraction behavior management has been introduced as an important approach to address anxiety and improve patient cooperation during dental procedures, especially in pediatric patients. This case report describes an 8-year-old girl who underwent an extraction procedure using non-pharmacological distraction behavior management techniques. The results of extraction treatment with distraction behavior management proved to be appropriate, involving diverting the patient's focus from the instruments, the operator, and the procedure during the procedure. The extraction procedure proceeded smoothly from start to finish, despite the difficulty of primary tooth extraction. Primary tooth extraction is one of the most feared dental treatments for children. However, with appropriate behavior management techniques according to the child's behavioral classification, the tooth extraction procedure can proceed smoothly and without problems.