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All Journal e-GIGI Majalah Kedokteran Gigi Indonesia Insisiva Dental Journal : Majalah Kedokteran Gigi Insisiva
Istadi, Didit
Department Of Oral And Maxillofacial Surgery, Faculty Of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
Dentistry

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Ektopik Gigi 18 Simtomatik pada Sinus Maksilaris: Laporan Kasus Istadi, Didit; Trihandoko, Feri
e-GiGi Vol. 13 No. 1 (2025): e-GiGi
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/eg.v13i1.53703

Abstract

Abstract: Ectopic tooth locations outside the normal jaw arch such as on the maxillary sinus are rare. The presence of ectopic signs is often found accidentally by dentists during oral cavity examinations. This is due to the absence of symptoms or complaints in the early days. An understanding of the complications that may occur due to ectopic teeth is very necessary for dentists in providing oral health education. We reported a 26-year-old woman complaining of swelling in her right cheek which had become increasingly painful one week before the examination. Orthopantomograph (OPG) x-ray showed that the right upper third molar was positioned on the right maxillary sinus. A CT scan was carried out to determine the position and boundaries of the third molar teeth. Surgery was performed to remove the upper right third molar tooth under general anesthesia using the Caldwell-Luc approach. The final control results showed significantly reduced pain and swelling. In conclusion, surgical excision using the Caldwell-Luc approach for an ectopic tooth into the maxillary anthrum with symptoms shows good results without significant complaints after the procedure. Good wound healing is observed in the 2nd and 3rd months after surgery. Keywords: ectopic tooth; complications; upper third molar; maxillary sinus    Abstrak: Lokasi gigi ektopik di luar lengkung rahang normal seperti pada sinus maksilaris merupakan kasus jarang. Adanya tanda-tanda ektopik sering kali ditemukan tidak sengaja oleh dokter gigi saat pemeriksaan rongga mulut. Hal ini disebabkan tidak adanya gejala ataupun keluhan pada masa-masa awal. Pemahaman tentang komplikasi yang mungkin terjadi akibat gigi ektopik sangat perlu bagi dokter gigi dalam memberi edukasi kesehatan mulut. Kami melaporkan seorang perempuan berusia 26 tahun, dengan keluhan bengkak di pipi kanan yang bertambah nyeri sejak satu minggu sebelum diperiksa. Rontgen ortopantomograf (OPG) menunjukkan gigi molar ketiga atas kanan posisi berada pada sinus maksilaris kanan. Selanjutnya dilakukan CT-scan untuk menentukan posisi dan batas-batas gigi molar ketiga tersebut. Pembedahan dilakukan untuk mengambil gigi molar ketiga kanan atas, di bawah pengaruh bius total, dengan pendekatan Caldwell-Luc. Hasil kontrol akhir menunjukkan nyeri dan bengkak berkurang secara signifikan. Simpulan laporan kasus ini ialah tindakan eksisi bedah dengan pendekatan Caldwell-Luc pada kondisi gigi ektopik ke dalam antrum maksilaris dengan gejala menunjukkan hasil yang baik dan tidak disertai keluhan berarti setelah tindakan, dengan hasil penyembuhan luka yang baik pada bulan ke-2 dan 3 pasca operasi. Kata kunci: gigi ektopik; komplikasi; molar ketiga atas; sinus maksilaris
Cherubism with peripheral reparative giant cell granuloma in the mandible and maxilla Sukawijaksa, Hendra; Arindra, Pingky Krisna; istadi, Didit; Haryosuwandito, Erdananda; Lutfianto, Muhammad Bakhrul
Majalah Kedokteran Gigi Indonesia Vol 10, No 3 (2024): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91469

Abstract

Cherubism is an autosomal dominant disease that causes abnormal osteoblast-osteoclast function, resulting in progressive enlargement around the maxillofacial area due to replacement of normal bone with fibrous tissue and immature bone. The clinical and radiographic signs of cherubism include bilateral radiolucent multi-ocular lesions of the mandible and maxilla, causing bilateral cheek swelling. A 9-year-old boy came to the Oral Surgery of Sardjito Hospital, Yogyakarta, with a complaint of enlargement of both cheeks nine months ago. The patient complained that the swelling on the maxilla enlarged and felt disturbing for his appearance. The enlargement was painless, not easy to bleed, hard, and disturbing when eating and sleeping. Radiograph examination demonstrated bilateral maxillary and mandibular multi-ocular-radiolucent lesions. Three stages of surgery were performed: biopsy-incision with the histopathological result being benign fibrous histiocytoma, curettage-reshaping of the mandible 1 month after biopsy, and curettage-reshaping of the maxilla 9 months after the mandible surgery. The histopathological test of the lesions in the maxilla and mandible showed the same result: peripheral reparative giant cell granuloma. Twelve months postoperatively, the patient had no complaints, showed no disturbances in eating and sleeping, and regained a symmetrical face. The patient's initial curettage and reshaping resolved the masticatory complaints, improved facial aesthetics, and reduced lesions' expansion at the bilateral mandibular and maxillary bones.
Combined techniques of buccal fat pad and buccal advancement flap for revision of failed oroantral fistula closure treatment Setjadiningrat, Raden Sonny Aditya Santosa; Istadi, Didit; Arindra, Pingky Krisna; Rosanto, Yosaphat Bayu
Majalah Kedokteran Gigi Indonesia Vol 10, No 3 (2024): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.91493

Abstract

Oroantral fistula (OAF) is a complication of dental extraction that is defined as open pathological communication between oral cavity and sinus of the maxillary with the involvement of epithelization of a canal. Oroantral fistula will cause infection, impaired healing, and chronic sinusitis. This article reports a case of OAF in tooth 16 which occurred after 11 months following unsuccessful sinus closure treatment. Many approaches are widely used for the closure of OAF, such as using a buccal fat pad (BFP), buccal advancement flap (BAF), or a combination. This study aims to describe the combined techniques of BFP and BAF in OAF closure of large defects with a history of previous closure failure. A 31-year-old male patient came to our hospital for the presence of OAF for 2-3 weeks. The patient underwent OAC closure at another hospital 11 months prior, but the complaint recurred. Diagnosis of OAF was carried out using the Valsalva test. A combination of BFP and BAF techniques was done to close the OAF after the removal of the epithelial. Evaluation of the treatment after 30 days showed adequate healing and full closure of OAF. OAF closure with the combined techniques of BFP and BAF displays promising results for the revision of failed OAF closure treatment.
Procalcitonin in Odontogenic Infection: An Emerging Tool for Clinical Decision-Making Pahlevi, Muhammad Reza; Anggoro, Hamzah Sukma; Istadi, Didit; Arindra, Pingky Krisna
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 15 No. 1 (2026): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v15i1.29622

Abstract

Odontogenic infection is the most common infection of the orofacial area. It can cause sepsis, activate host inflammatory response, and progress to organ failure and death. Patients presenting critical symptoms of sepsis need prompt diagnosis, monitoring, and risk stratification. Therefore, a biomarker specific to bacterial infection is essential for rapid diagnosis, immediate treatment, and saving lives. Procalcitonin is an elevated biomarker in response to bacterial infection; however, its use in oral and maxillofacial surgery is still limited. This review aimed to evaluate the role of procalcitonin as a biomarker in odontogenic infection. Procalcitonin was useful in managing odontogenic maxillofacial infections leading to sepsis, odontogenic deep neck infections, and abscesses. Procalcitonin can also direct antibiotic therapy initiation, escalation, and cessation, reflecting its usefulness in antibiotic stewardship. Future studies should elucidate the optimum cut-off value of procalcitonin in odontogenic infection management and its potential to be combined with other markers.
Torus palatinus: management of symptomatic benign bone tumor on the palate Ibnu Rusdiarto; Didit Istadi; Maria Goreti Widiastuti; Erdananda Haryosuwandito
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.91831

Abstract

Torus palatinus are benign bone tumors which occur alongside the midline of the hard palate. They have a slow and progressive growth. They are often asymptomatic, but occasionally cause pain and discomfort due to their size and the sensitivity of their covering mucosa. This article aimed to report the management of symptomatic torus palatinus. A 46-year-old female patient complained about discomfort and pain on her palate when touched by her tongue or consuming hard foods. The patient reported that the mass appeared since she was a kid, but lately, the mass became larger and caused the complaints. Clinical examination showed a mass which measured about 5x3x1cm on the middle of her palate; had well-defined borders, the same color and temperature as the surrounding tissues, a hard consistency, no tendency to bleed, and pain in palpation. Radiological findings (head MSCT) showed tendency to be torus palatinus. Surgical excision was performed with general anesthesia. The double Y incision was performed. The cleavage of the bony torus was performed using low-speed burs followed by saline irrigation, then cut using chisel and mallet. After the mass was removed, a simple interrupted suture was performed alongside the line of incision. No complaints and complications were reported in the following month. The healing process progressed well. Histopathological examination confirmed the mass was torus palatinus without signs of malignancy. This case describes the surgical excision of torus palatinus that caused discomfort and irritation on its covering mucosa which has a good prognosis to eliminate patient complaints.
Co-Authors Anggoro, Hamzah Sukma Erdananda Haryosuwandito Haryosuwandito, Erdananda Ibnu Rusdiarto Lutfianto, Muhammad Bakhrul Muhammad Reza Pahlevi Pingky Krisna Arindra Setjadiningrat, Raden Sonny Aditya Santosa Sukawijaksa, Hendra Trihandoko, Feri Widiastuti, Maria Goreti Yosaphat Bayu Rosanto