Winny Suwindere
Universitas Medika Suherman, Indonesia

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Mandibular third molar odontectomy and drug of choice: a case report Leonardo Jaya Setiadi Tanumiharja; Yohanes Yoppy Purnomo; Tio Pradana; Winny Suwindere; Marvin Jaya Setiadi Tanumiharja; Sharon Angelica Caroline
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 Leonardo Jaya Setiadi Tanumiharja; Anie Apriani; Marvin Jaya Setiadi Tanumiharja; Winny Suwindere
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.
Prosthodontic rehabilitation of a complete edentulous patient with mandibular prognathism: A case report Leonardo Jaya Setiadi Tanumiharja; Marvin Jaya Setiadi Tanumiharja; Winny Suwindere; Imanuella Stevanie Jovanca Situmorang; Metta Sari Sutanto; Joni Putra Nasution
Science Midwifery Vol 14 No 3 (2026): 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.v14i3.2415

Abstract

Background: Rehabilitation of completely edentulous patients with mandibular prognathism remains a clinical challenge because abnormal maxillomandibular relationships compromise denture retention, stability, occlusion, and function. Evidence describing prosthodontic management of this condition is still limited. Objective: To describe the prosthodontic rehabilitation of a completely edentulous patient with mandibular prognathism using complete dentures with an edge-to-edge tooth arrangement. Case Presentation: A 57-year-old male presented with complete edentulism for approximately ten years and complained of impaired mastication and speech. Clinical examination revealed a prognathic mandibular relationship with a 2-mm mandibular deviation to the right and severe alveolar ridge resorption. Treatment: The patient underwent conventional complete denture fabrication including preliminary and final impressions, jaw relation recording, semi-adjustable articulator mounting, and edge-to-edge anterior tooth arrangement to accommodate the skeletal discrepancy. Results: One month after denture insertion, clinical evaluation demonstrated satisfactory denture retention and stability without mucosal ulceration or occlusal interference. The patient reported improved chewing ability, speech, aesthetics, and overall satisfaction with the prosthesis. Clinical Significance: Edge-to-edge tooth arrangement can be considered a practical treatment option for complete denture rehabilitation in selected patients with mandibular prognathism, providing acceptable retention, stability, and functional outcomes despite unfavorable jaw relationships.
Guided biofilm therapy before recession type 2 coverage: Case report Leonardo Jaya Setiadi Tanumiharja; Winny Suwindere; Edria Benita Tampubolon; Tasya Virania Adristi; Michella Wynne Wijaya
International Journal on Health and Medical Sciences Vol. 4 No. 3 (2026): August: Medical and Health Science
Publisher : Institute of Accounting Research and Novation (IARN)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/healmed.v4i3.764

Abstract

Recession Type 2 defects are challenging because interproximal attachment loss reduces the predictability of complete root coverage. This case report describes the integration of a structured Guided Biofilm Therapy protocol into presurgical and supportive care for a 26-year-old male smoker with a Recession Type 2 defect at tooth 41 after unsuccessful orthodontic treatment. At baseline, the plaque index was 93% and bleeding on probing was 36%. Tobacco-cessation counselling, individualised oral-hygiene instruction, biofilm disclosure, air polishing, and site-specific instrumentation were provided over three preparatory visits. Before surgery, the plaque index and bleeding on probing had decreased to 7% and 4%, respectively. The defect was then treated with a laterally closed tunnel and a palatal subepithelial connective tissue graft. At 6 months, the plaque index was 11% and bleeding on probing was 5%; at 12 months, the corresponding values were 7% and 5%. Complete clinical root coverage was maintained at both follow-ups, and serial radiographs showed changes suggestive of increased interproximal bone fill. The favourable outcome followed a combined program of risk-factor control, professional biofilm management, surgery, and maintenance; the independent effect of Guided Biofilm Therapy cannot be determined from a single case. Standardised controlled studies are required to clarify its adjunctive value in periodontal plastic surgery.