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Journal of Case Reports in Dental Medicine
Published by Universitas Hasanuddin
ISSN : 26563045     EISSN : 27218538     DOI : https://doi.org/10.20956/jcrdm
Core Subject : Health,
Dentistry Health Professions
Journal of Case Reports in Dental Medicine is a peer-reviewed, Open Access journal that publishes case reports and case series in all areas of dentistry, medical, including periodontal diseases, dental implants, oral pathology, as well as oral and maxillofacial surgery, pedodontics, conservative dentistry, periodontics, prosthodontics, orthodontics, oral medicine.
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Articles 8 Documents
 1 
Search results for , issue "Vol 7, No 1 (2025)" : 8 Documents clear
Patient response and recurrence rate following adjunctive ascorbic acid to surgical gingival depigmentation technique: A case report with one year follow up Hashem, Eman O.; Ezzatt, Ola M.; Fathi, Rehab F.; Abd-El-Gaber, Hala K.
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.204

Abstract

Objective: Ascorbic acid has an inhibitory effect on tyrosinase enzyme which is the key enzyme in melanogenesis. This case reported the effect of two application techniques of ascorbic acid following surgical gingival depigmentation on the recurrence rate of pigments. Methods:  A 24-year-old healthy non-smoker girl was seeking non-expensive cosmetic treatment for unesthetic dark appearance of her gums for the last 5 years, but the possible recurrence of those pigments was her main concern. On examination, diffuse brown hyperpigmented patches was observed in the maxillary and mandibular anterior attached gingiva and diagnosed as physiological gingival moderate pigmentation with score 2. The surgical scalpel scraping procedure using number 15 blade was performed to remove all visible pigments followed by intra mucosal field injection of 1ml ascorbic acid using insulin syringe weekly for 1 month, then monthly for 5 months in maxillary labial gingiva. While, ascorbic acid gel was applied topically twice weekly for 6 months on mandibular labial gingiva in split mouth design. The long-term effect of the two application techniques was followed for one year. Results: No pigment recurrence was observed at 6 months but mild pigmentations were seen at 12 months for both techniques. The patient was more compliant to topical than injectable vitamin C treatment protocol, however she reported perception of slight recurring pigment after one year with topical vitamin C. Conclusion: Both adjunctive intramucosal injected or topical vitamin C were effective in delaying recurrence following surgical depigmentation up to 1 year.
Interdisciplinary Treatment of Endo-Perio Lesion of Mandibular Molar Accompanied with Vertucci Type II: A Case Report Radita, Andi R.; Nugroho, Juni J.
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.263

Abstract

Introduction: Endo-periodontal lesions are characterized as bacterial infection conditions that cause widespread periodontal tissue destruction and inflammation or pulp necrosis conditions. These lesions occur simultaneously in the periodontal and periapical tissues of a single tooth. Treatment of these lesions requires a multidisciplinary approach that integrates endodontic and periodontal therapy. Knowledge of the pulp and periodontal relationship, the complexity of the root canal system is essential in the management of these cases. The use of periapical radiographs and CBCT are crucial for the success of this treatment.Case:  A second mandibular right molar was diagnosed as a primary endodontic with secondary periodontal lesion, and treated with a combination of endodontic and periodontal therapy. Tooth 47 with Vertucci type II root canal configuration was subjected to multi-visit endodontic treatment, beginning with placement of root canal dressings between visits and final composite resin restoration. Subsequent procedure with scaling, root planning and curettage from Periodontics department. A post-treatment control showed good results.Discussion: Endo-perio lesions are clinical conditions that involve inflammatory conditions in the pulp and periodontal tissues simultaneously. This relationship can occur through anatomical pathways such as the apical foramen and lateral canals, as well as non-physiological pathways due to trauma or improper procedures. Treatment of these lesions requires a multidisciplinary approach to achieve optimal results.Conclusion: The treatment of endo-perio lesions accompanied by Vertucci type II in molar teeth can be completed well, because the dentist is able to perform the examination appropriately and involve multidisciplinary treatment.
Non-surgical endodontic management of extensive periapical lesion with combination of calcium hydroxide and bioceramic dressing: A case report Hajwan, Ismawan; Rachmudin, Afniati
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.268

Abstract

Introduction:Endodontic management of extensive periapical lesions requires special consideration to achieve optimal clinical outcome. Calcium hydroxide dressing has been widely used in root canal treatment. In some cases of extensive periapical lesions, the use of other materials may be considered. When Calcium hydroxide combined with bioceramic dressings, the effectiveness of endodontic treatment can be improved.Case Report:A 21-year-old female came to RSGM Hasanuddin University with complaints of left maxillary front tooth pain accompanied by palatal swelling since 4 days ago. Intra oral examination of tooth 22 revealed composite filling, vitality test (-), percussion test (+), palpation test (+). Periapical radiographic examination showed radiolucency in the middle third of the root to the apical third with size 10.74 mm x 14.92 mm. Diagnosis was pulp necrosis with acute apical abscess. Differential diagnosis was periapical cyst. The treatment plan was multi-visit root canal treatment with a combination of calcium hydroxide and bioceramic as root canal medicament and obturation using thermoplastic obturation technique with bioceramic sealer. Radiographic findings showed that the periapical lesions were healed following therapy.Discussion:The combination of calcium hydroxide and bioceramic materials in root canal treatment of extensive periapical lesion offers the better disinfection, enhanced tissue healing. Calcium hydroxide provides antimicrobial properties and promotes healing, while bioceramic materials offer bioactivity and biocompatibility.Conclusion:The combined use of calcium hydroxide and bioceramic as dressings in root canal treatment of teeth with extensive periapical lesions showed significant results with enhanced healing of periapical lesions.
Sport-related accident as etiology of maxillofacial injuries : A serial case report Putra, I-Gd-Pt WA.; Gazali, Mohammad; Basyar, Husnul
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.264

Abstract

Introduction: Sports-related maxillofacial injuries contribute a significant proportion of the workload in a maxillofacial unit. The aim of this study was to identify the incidence of maxillofacial sports-related injuries, treatments required, and assess the impact of the injury on future sport participation and highlights management dental procedures and jaw stabilization techniques such as IDW Erich Arch Bar.Case Report: A 21-year-old male playing futsal fell, loose teeth. A 13-year-old male playing football collided with another player, sustaining loose teeth and lip lacerations. Treatment involved wound debridement, laceration suturing, and referral to the Dental Conservation Department for further dental trauma management. Wound debridement and laceration suture were followed by repositioning of teeth, fixation teeth. Maxilla and Mandibular trauma was fixated using an interdental wire (IDW) Erich Arch-Bar.Discussion: Athletes frequently suffer maxillofacial injuries due to the physical nature of sports. The mechanism of injury was reported in relation to collision with opponent, impact with equipment or ground/environment.. The most common cause of injury was collision with another player. Differences in the prevalence of various sports, and indeed sporting cultures and traditions may account for the wide range of incidence and etiologies of sports injuries in different countries Conclusion: These cases demonstrate sports-related facial injuries and the importance of proper management, including wound care, dental procedures, and jaw stabilization. The findings emphasize preventive measures in sports to minimize such injuries.
A severe effect of anterior chest wall infection from odontogenic cause: Case Report Karlin, Christiadi; Ariestiana, Yossi Y.; Ghazali, Mohammad
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.272

Abstract

Objective: Odontogenic infections can be life-threatening if left untreated, those can spread multi- directional to superior, inferior, anterior, and posterior regions. It can travel down the neck to the supraclavicular fossa, axilla, and chest wall, potentially reaching the deltopectoral triangle. Immediate treatment is essential to prevent the infection from reaching the mediastinum. Methods: A 20 years old male presented to the ER at Hasanuddin University Hospital with swelling on the right cheek extended to chin, neck, and upper part of chest since 4 days before admission. He experienced diculty breathing and had a fever. Examination found tachypnea, tachycardia, fever 37.4°C, neck move limitation, mouth opening limitation, classical sign of inammation, and leukocytosis. Patient suspected as abscess of submandible extended to neck, and chest. Incision and drainage accompanied with tooth extraction was performed and support therapy such as antibiotic treatment, nutritional support, extraoral massage, and chest compressive gauze. Results: The pleurovertebral and costopleural ligaments are key factors in determining whether infection in the deep neck fascial planes will spread to the mediastinum or the anterior chest wall. Strong ligaments direct the infection to the supercial chest wall, while weak ligaments allow the infection to spread deeper into the mediastinum. Conclusion: Comprehensive and rapid management of extraoral and intraoral drainage incisions and extraction of the causative tooth, chest compressive splinting and adequate medication and optimal nutritional therapy can prevent further spread of infection and provide a good prognosis.
Intra uterine device on the severity of recurrent aphthous stomatitis: A case report Anitasari, Merry; Usman, Nur A.; Marlina, Erni; Putri, Andi AM.; Israyani, Israyani; Yusran, Ali; Rahmi, Rahmi
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.265

Abstract

Background: Recurrent aphthous stomatitis (RAS) is one of the most common oral mucosal diseases characterized by recalcitrant and painful ulcerations in the oral cavity. The pathogenesis remains uncovered, but several factors are thought to contribute, such as a hormonal imbalance due to puberty, a disease, contraceptive devices including Intra Uterine Device (IUD) for birth control, and un-coping stress.Objectives:  This article aimed to report RAS with severe clinical form due to hormonal fluctuant triggered by Intra Uterine Device.Case report: A 26-year-old female patient came to Hasanuddin University Dental Hospital with complaints of continuous mouth ulcers since 1 year ago. Deep anamnesis revealed that the initial trigger of the unhealed ulcers incidentally happened at the same time after the patient installed an Intra Uterine Device (IUD) which also led to continuous menstruation in the past month leading to self-decision to have her IUD removed. Due to her clinically anemic condition, the patient was referred for routine blood examination with the result of lower red blood cells and hemoglobin which also contributed to the ulcer severity. Since the main cause of hormonal imbalance has been removed, supportive treatment uses vitamins to support the patient’s systemic condition which gives a good response.Conclusion: Recalcitrant and severe intraoral ulceration may be triggered by hormonal imbalance caused by IUD. Removal of these devices can help reduce oral complaints if the patient is on optimum health, otherwise, the background systemic needs to be improved.
Root Coverage in Multiple Gingival Recessions Treated with The Tunneling Technique with Cellular Dermal Matrix vs Connective Tissue Graft: Case Reports Peláez, Rodrigo; Rios, Yuliana; García, Viviana; Ocampo, Natalia; Zuluaga-López, Oscar H.; Chacón, Tatiana
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.206

Abstract

Objective: Compare the results of root coverage procedures in RT I and II gingival recessions using Acellular Dermal Matrix (ADM) vs autologous connective tissue graft (CTG).Methods: In this case series, the split-mouth technique was employed to compare the treatment outcomes of multiple bilateral RT1 gingival recessions. Tunneling surgical technique was utilized in all cases, with CTG placed in one hemi-arch and ADM used in the other.  Periodontal clinical parameters were evaluated at baseline, three, and 12 months after the surgical procedure.Results: At the 12-month follow-up, an average of 85% root coverage was achieved with CTG and 78.83% with ADM.   Complete root coverage of 60% was found with CTG and 57.90% of recessions with ADM, without statistically significant differences (p=0.394) between techniques. CTG exhibited greater clinical attachment level and probing depth with statistically significant differences (p<0.05).Conclusion: Based on the similar outcomes of both techniques, ADM can be considered as an alternative material for patients with limitations in obtaining autologous grafts.
Manifestation of Multiple Oral Ulcerations and Facial Palsy in Patient with History of Typhoid Fever Nasrul, Adenia A.; Putri, Anggun Mauliana; Usman, Nur Asmi; Yusran, Ali; Israyani, Israyani; Indirayani, Indirayani
Journal of Case Reports in Dental Medicine Vol 7, No 1 (2025)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v7i1.249

Abstract

Objective: Typhoid fever is infectious disease caused by Salmonella typhi. Patients with typhoid fever might have several clinical manifestations, in addition, post-infection, patients are still at risk of experiencing posttreatment complications. The aim of this article is to report a case of multiple oral ulcerations in a post-typhoid fever patient to improve the knowledge and awareness of dentists in handling ulcer lesions cases in the oral mucosa, especially in patients with history of infectious diseases. Methods: An-54-year-old female came with the chief complaint of multiple painful ulcers on the oral mucosa since 3 days ago after following hospitalization for typhoid fever for 8 days. The patient typically experiences only 2 ulcers and healed without medication. Extral oral examination revealed the facial asymmetry on sinistra. The patient was prescribed dexame dexamethasone gargle and referred to neurologist. The hematology examination revealed the decreased hemoglobin and erythrocyte levels. The patient has also been diagnosed with Bell’s Palsy and treated with methylprednisolone. Therefore, the working diagnosis is Aphthous-like ulcers related to typhoid fever Result: Oral ulcers can occur in typhoid patients due to anemic condition that triggers malnutrition deficiency of vitamin B12, folic acid, and iron which causing damage to the oral mucosa, playing a role in triggering and worsening oral ulcers. Anemia in typhoid is caused by decrease of erythrocyte production in bone marrow due to infection leading to anemia. Conclusion: Multiple oral ulcers can be triggered by systemic condition, such as typhoid fever.

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