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All Journal Dentino: Jurnal Kedokteran Gigi
Anggara, Sekti
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Dentistry

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INTERDENTAL TENSION BAND WIRING AS A REDUCTION ADJUNCT IN OPEN COMMINUTED MANDIBULAR PARASYMPHYSEAL FRACTURE WITH DENTAL MALALIGNMENT: A CASE REPORT Anggara, Sekti; Nafisah, Riznasyarielia Nikmatun; Baydowi, Gatot; Danudiningrat, Coen Pramono
Dentino: Jurnal Kedokteran Gigi Vol 11, No 1 (2026)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v11i1.26066

Abstract

Background: Open comminuted mandibular parasymphyseal fractures present significant challenges due to fragment instability, disrupted occlusion, and increased risk of complications, particularly in cases with dental malalignment where conventional stabilization methods are limited. Objective: To report the application of interdental tension band wiring as a pre-ORIF reduction adjunct in an open comminuted mandibular parasymphyseal fracture.Case: A 41-year-old male presented with anterior open bite and intraoral bleeding following a motor vehicle accident. Clinical and radiographic findings confirmed an open OCSS CMF Type II left mandibular parasymphyseal fracture with dental malalignment. Conventional adjuncts such as arch bars were considered suboptimal due to the risk of further displacement and periodontal injury. Case Management: Interdental tension band wiring using a 0.4-mm multiple loop configuration was applied as a pre-ORIF reduction aid, followed by definitive fixation with a 2.4-mm reconstruction plate. The technique enabled controlled fragment approximation through dental–periodontal anchorage. At one-month follow-up, satisfactory wound healing, stable occlusion, and normal mandibular function were achieved without complications. Conclusion: Interdental tension band wiring may serve as a practical and cost-effective reduction adjunct in selected cases of open comminuted mandibular parasymphyseal fracture with dental malalignment, offering a clinically adaptable approach when conventional techniques are limited. Keywords: Bone plates, fracture fixation, malocclusion, mandibular fractures
MANAGEMENT FOR RECURRENT FIBROUS DYSPLASIA OF THE MAXILLA: A CASE REPORT Nafisah, Riznasyarielia Nikmatun; Anggara, Sekti; Lolo Allo, Jeni Seprianti; Danudiningrat, Coen Pramono
Dentino: Jurnal Kedokteran Gigi Vol 11, No 1 (2026)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v11i1.26115

Abstract

Background: Fibrous dysplasia is a developmental disorder of the bone, characterized as a benign pathological condition, and its etiology is not yet known. Fibrous dysplasia can occur in the entire body frame, but is most often found in the skull, maxilla, and mandible. Management of fibrous dysplasia is observation and conservative surgery. Objective: To report the management of recurrent fibrous dysplasia of the maxilla. Case: A 33-year-old female patient came to Universitas Airlangga Dental Hospital with a chief complaint of a lump on her right cheekbone, asymmetrical face, painless, and had a history of maxillectomy in the right region in 2013. CT radiography was performed with a result of polyostotic fibrous dysplasia involving the maxillary bone, nasal, zygoma, skull base, sphenoid, and right frontal bones. Case Management: Ostectomy and surgical recontouring were performed under general anesthesia, along with the extraction of teeth 11, 12, 21, and 22. Postoperative recovery was uneventful. Conclusion: Immediate surgical treatment for recurrent FD of the maxilla is necessary, and regular radiographic follow-up is important to see its progression. Keywords: Fibrous dysplasia, Maxilla, Non-communicable disease, Recurrent, Surgical recontouring
Co-Authors Baydowi, Gatot Lolo Allo, Jeni Seprianti Nafisah, Riznasyarielia Nikmatun RM Coen Pramono D