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All Journal Majalah Kedokteran Gigi Indonesia
Pingky Krisna Arindra
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
Dentistry

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Enucleation of radicular cyst in the maxillary area Tresy Charlotte Marito; Erdananda Haryosuwandito; Pingky Krisna Arindra; Bramasto Purbo Sejati
Majalah Kedokteran Gigi Indonesia Vol 11, No 3 (2025): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91486

Abstract

Radicular cyst is a true cyst that develops in association with a root of non-vital teeth. Radicular cyst is the most common cyst in the oral cavity with a percentage of 50% of all cysts in the oral cavity. Radicular cysts are usually asymptomatic and may cause swelling, tenderness, or tooth mobility. Another problem is due to the neoplastic transformation of the epithelial lining; however, this case is very uncommon. Management of radicular cysts consists of endodontic treatment, apicectomy on the root of non-vital teeth or decompression by enucleation, and extraction of the related teeth.A 63-year-old female patient came to RSGM Prof. Soedomo with a complaint of swollen gums in the area of upper front teeth that had been present for approximately a year with no associated pain. The patient previously had a panoramic X-ray examination, and the result revealed a radicular cyst. Biopsy aspiration results showed that there were cholesterol crystal-filled cysts. There was no history of systemic disease. The patient was treated by enucleation of the radicular cyst followed by extraction of the related teeth using general anesthesia. The patient was periodically evaluated postoperatively. The wound healing process was evaluated as expected, and the patient's complaints reduced. Clinical examination accompanied by radiographic examination and biopsy aspiration showed the presence of a radicular cyst. Treatment options, including cyst enucleation, depended on several factors, such as an expansion of the lesion, size and association of the cyst with surrounding tissue, as well as the patient’s systemic condition. Irrigation and drainage of the bone cavity and curettage of the remaining tissue should be done to ensure the lesion has been removed completely. The remaining bone spicules were shaped and smoothed, and primary wound closure was performed in order to minimize recurrency and complication.
Effect of chicken bone hydroxyapatite on inflammation, angiogenesis, and re-epithelialization of post-extraction socket wound healing: an in vivo study Rafidah Kemala Dewi; Brilla Ayu Kurniawati; Umi Hayyu Nur Saadah; Vincensia Maria Karina; Pingky Krisna Arindra; Tetiana Haniastuti
Majalah Kedokteran Gigi Indonesia Vol 12, No 1 (2026): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.99392

Abstract

Tooth extraction causes tissue discontinuity and triggers wound-healing process. This process begins with inflammatory response, followed by angiogenesis, and re-epithelialization. Hydroxyapatite can accelerate wound healing by increasing growth factors and cytokine secretion by macrophages. Chicken bones are a natural source of hydroxyapatite, containing 85% calcium phosphate. This study aims to determine the effect of chicken-bone hydroxyapatite on inflammatory response, angiogenesis, and re-epithelialization in wound-healing process of post-extraction socket in Wistar rats. Thirty Wistar rats were divided into treatment and control groups, with implantation of chicken bone hydroxyapatite in the treatment group. Extraction was done on left mandibular incisor using excavator and hemostat. The sockets in both groups were then treated with povidone-iodine and sutured. Three rats from each group were killed after 1, 3, 5, 7, 10, and 14 days for histological specimen with hematoxylin-eosin staining. The specimens were observed with light microscope. Data results were then analyzed using a two-way ANOVA and post hoc LSD test (p < 0.05). The results showed significant differences in inflammatory cells, higher blood vessel number, and epithelial thickness among groups and days of observation (p < 0.05). LSD results revealed a significantly lower number of inflammatory cells, different blood vessel numbers, and increased epithelial thickness in treatment group compared to control group. To conclude, the application of chicken bone hydroxyapatite accelerates the inflammatory response, angiogenesis, and re-epithelialization in post-extraction socket healing in Wistar rats.
Do different flap designs have negligible impacts on the removal of mandibular third molars? Astrodita Adya Seta; Pingky Krisna Arindra; Erdananda Haryosuwandito
Majalah Kedokteran Gigi Indonesia Vol 11, No 3 (2025): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.111285

Abstract

This study aims to evaluate various flap incision techniques utilized in the mandibular third molar removal surgery. A systematic review with a qualitative approach was conducted. Data were obtained from published journals through manual database searches via Scopus, ScienceDirect, and PubMed covering the period from 2000 to 2024, using predetermined keywords related to the topic. The PRISMA statement guidelines were followed, including the use of the official flow chart. Twenty-one journals were identified and analyzed to compare different flap designs in mandibular third molar extraction procedures, focusing on their relationship with wound healing processes and complication rates. Comparative analysis of flap incision techniques was performed through systematic evaluation of multiple journal data. Both envelope and triangular flaps demonstrated comparable healing times in third molar extraction procedures. The envelope flap, while minimally invasive, showed association with dry socket occurrence. The triangular flap provided superior surgical access and demonstrated pain reduction following mandibular third molar surgery. The pedicle flap showed effectiveness in preventing dry socket and alveolar osteitis. In addition, the Lingual-based triangular flap proved superior to buccal-based triangular flap in controlling postoperative pain, swelling, and trismus while reducing overall complications. This analysis demonstrates that flap design selection significantly influences postoperative outcomes in mandibular third molar surgical procedures. Both triangular and envelope flap can be considered for the procedure of mandibular wisdom teeth removal.
Infected ossifying fibroma of the mandible mimicking osteomyelitis Gilang Jati Pamungkas; Cahya Yustisia Hasan; Pingky Krisna Arindra; Bramasto Purbo Sejati; Bakhrul Lutfianto
Majalah Kedokteran Gigi Indonesia Vol 12, No 1 (2026): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91477

Abstract

Ossifying fibroma is a benign fibro-osseous tumor originating from undifferentiated periodontal ligament cells. This report aims to present a case of infected ossifying fibroma mimicking chronic osteomyelitis. A sixty-year-old female presented with a history of continuously growing mass on her right jaw from four years ago with purulent discharge since last year. The extraoral examination revealed an oro-cutaneous fistula with ongoing purulent discharge in the right submandibular region. The intraoral examination revealed exposed bone with pus on the right mandibular edentulous ridge. The panoramic radiograph and MSCT imaging showed sequestrum and involucrum formation with the impression of chronic osteomyelitis on the right mandible. However, the subsequent histopathological examination showed a diagnosis of ossifying fibroma. Tumor excision and fistulectomy under general anesthesia were performed to treat this tumor. The post-operative histopathological examination showed the proliferation of fibroblasts accompanied by woven bone and osteoblastic rimming, confirming the diagnosis of ossifying fibroma. The evaluation and follow-up in the first, second, 6th, and 12th months after surgery demonstrated no recurrence and infection. Infected ossifying fibroma can mimic the clinical features of chronic osteomyelitis. The diagnosis of ossifying fibroma should be supported with histopathological data to determine the accurate management.
An association between impacted maxillary canine and odontoma followed by dentigerous cyst formation Annis Syarifah; Pingky Krisna Arindra; Erdananda Haryosuwandito; Fransiscus Xaverius Indra Kariadi
Majalah Kedokteran Gigi Indonesia Vol 12, No 1 (2026): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91830

Abstract

A dentigerous cyst is a cyst that originates from the development of a tooth. It is typically associated with the tissues surrounding an impacted tooth's crown. Odontoma is a benign tumor resulting from the proliferation of tooth-forming tissues. Odontomas are classified into two categories: compound and complex. This article aimed to report a case related to the treatment of an impacted canine tooth with a dentigerous cyst and odontoma. A 17-year-old female presented to the Oral Surgery Department of UGM Academic Hospital, referred from the Orthodontics Department for the removal of an impacted canine tooth. Radiological findings from the panoramic X-ray revealed a well-defined radiolucent image around the crown area of tooth #23, with a radiopaque image measuring 2mm in the incisal region of the tooth. The patient had no complaints in that area and had history of neither allergies nor systemic diseases. The treatment involved the surgical removal of tooth #23, curettage of the dentigerous cyst, and excision of the odontoma under local anesthesia with an infraorbital nerve block and incisive nerve block. The surgical approach used a trapezium-shaped marginal flap in the operative area. Postoperative healing in the patient progressed well, with no signs of infection, swelling, or pain. On the 7th day postoperative, the sutures were removed. Impacted maxillary canine occurs due to obstruction in the eruption path. Extracting impacted teeth with pathological lesions is necessary for orthodontic treatment. A multidisciplinary approach involving dental specialists is essential for determining an optimal treatment plan.
Co-Authors Annis Syarifah Astrodita Adya Seta Bakhrul Lutfianto Bramasto Purbo Sejati Brilla Ayu Kurniawati Cahya Yustisia Hasan, Cahya Yustisia Erdananda Haryosuwandito Fransiscus Xaverius Indra Kariadi Gilang Jati Pamungkas Rafidah Kemala Dewi Tetiana Haniastuti Tresy Charlotte Marito Umi Hayyu Nur Saadah Vincensia Maria Karina