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All Journal Padjadjaran Journal of Dentistry Jurnal Kedokteran Gigi Terpadu
Andreas, Rama
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Correction of extreme premaxilla malposition in an infant with BCLP using PNAM: a case report Andreas, Rama; Viandini, Dewi; Damayanti, Lisda
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.vol37no1.59300

Abstract

Introduction: Cleft lip and palate are the most common congenital abnormalities occurring in the orofacial region. Infants with this condition need to be treated as early as possible to achieve satisfactory treatment outcomes. Presurgical Nasoalveolar Molding (PNAM) is a non-surgical treatment used to reshape and realign the gingiva, lips, and nasal openings to reduce the severity of the cleft and reposition the premaxilla before labioplasty is performed. This case report aims to explain the use of PNAM to correct an extreme premaxilla malposisition that accompany complete bilateral cleft lip and palate in infants. Case Report: A month old infant came to Hasan Sadikin General Hospital with his parents with clinical conditions of complete bilateral cleft lip palate (CBCLP) and a protrusive and rotated premaxilla. PNAM was fabricated for the infant and periodic follow-ups were conducted to correct the lip and palate cleft as well as the premaxilla abnormalities to normal anatomical conditions. At the start of the treatment, the infant weighed 4.3kg, and the cleft gap measured 9mm. At the end of the treatment, the infant weight was 6.1kg, and the cleft gap was reduced to 6mm. Then the infant was referred to the Department of Oral Surgery for a labioplasty. Discussion: Managing complete bilateral cleft lip and palate (CBCLP) is challenging due to severe anatomical deformities. In this case, PNAM effectively aligned the premaxilla, reduced the alveolar cleft width from 9 mm to 6 mm, and optimized nasal cartilage molding through techniques such as lip taping and nasal stenting. Early initiation of PNAM at one month of age and a multidisciplinary approach involving paediatricians, prosthodontists, and oral surgeons ensured personalized care and improved surgical readiness. Conclusion: BCLP requires a multidisciplinary approach. This case shows PNAM's success as a standard for improved surgical outcomes, function, and aesthetics.
Perilaku pembersihan gigi tiruan lengkap pada Lansia panti werdha hana Falatehan, Niko; Andreas, Rama
Jurnal Kedokteran Gigi Terpadu Vol. 5 No. 2 (2023): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v5i2.18855

Abstract

Background: Behavior in cleaning full denture in the elderly has an important role in the success of complete denture treatment. This behaviour is an important thing so that patients can maintain the cleanliness of full denture and the health of their oral cavity. This study aims to determine the full denture cleaning behavior in the elderly. Methods: This type of research was descriptive observational with a cross-sectional design conducted on 32 elderly people in Hana Nursing Home, Pamulang, South Tangerang. The behavior of the elderly is measured through a questionnaire that has been provided previously. Results:The results of the descriptive statistical test showed that in general the behavior of cleaning of the elderly at the Hana Nursing Home had good results (46.9%). This good behavior is obtained based on good knowledge (59.4%), fairly good attitude (56.3%), and fairly good actions (53.1%). Based on gender grouping, it was obtained by the elderly group of men having full denture cleaning behavior which entered into a fairly good category (50%). Whereas the elderly woman in the Hannah Nursing Home has cleaning behavior that is included in the good category (50%). Based on age grouping, it can be seen that full denture cleaning behavior is good for the eldery age group (60-74 years), whereas in the old age group (75-90 years) and very old age group (> 90 years) has a cleaning behavior is in fairly good category. Conclusion:The behavior of cleaning the full denture influenced by the knowledge, attitudes and actions taken by the elderly full denture users.
Co-Authors Lisda Damayanti Niko Falatehan Viandini, Dewi