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    538 research outputs found

    Differences in Panoramic Mandibular Index value between male and female hypertension patients using panoramic radiography: A review in hypertensive patients consuming Amlodipine at Ulin General Hospital Banjarmasin

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    Objectives: This study is aimed to analyze the panoramic mandibular index value in male and female hypertensive patients using panoramic radiography. Materials and Methods: This research is a comparative analytic research with a purposive sampling technique. The study sample was hypertensive patients at Ulin Hospital, Banjarmasin from March to May 2023. Results: The results showed that there was no statistically significant difference through statistical data on the panoramic mandibular index value between men (0.27 ± 0.07) and women (0.26 ± 0.09), The age group that experienced a decrease in mandibular cortical thickness was most in the age group ≥ 65 years (0.22 ± 0.06). Conclusion: It is known that there is no significant difference in the panoramic mandibular index value between women and men

    A large radiolucent lesion with impacted teeth: was it an ameloblastoma or a dentigerous cyst? a case report

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    Objectives: This case report aims to describe a large radiolucent lesion associated with an impacted tooth from CBCT radiographs. Case Report: A 19-year-old woman was referred to have a CBCT examination in the dentomaxillofacial radiology unit in Dental Hospital Universitas Padjadjaran with swelling on the palatal side of the face and a lump on the gum at the upper right unerupted canine and premolar. The CBCT examination results showed impacted teeth 13 and 14 with a large radiolucent lesion with a well-defined and corticated border surrounding teeth 13 and 14, expanding into the maxillary sinus and nasal cavity.  Oral hygiene was in good condition. The facial profile looked asymmetrical. Conclusion: Based on the CBCT result in terms of location and radiographic feature, this extensive radiolucent lesion led to a suspect radiodiagnosis of the ameloblastoma. Histology examinations are required to establish a definitive diagnosis. A cyst wall lined with odontogenic squamous epithelium was confirmed in the histology result examination

    Age-related mandibular condyle morphological variations: a panoramic radiography study at RSGMP Universitas Airlangga

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    Objectives: This research aims to find out the variations of the mandibular condyle shape based on age on panoramic radiography. Materials and Methods: This study uses secondary data from 200 digital panoramic radiographs of patients at the dental hospital (RSGM) of Universitas Airlangga aged 20-65 years in 2019, 2020, and 2021, which have met the inclusion and exclusion criteria. Data is presented in the form of tables and graphs with simple statistical calculations, and reliability tests were carried out with intraclass correlation (ICC) methods using SPSS. Results: There are variations of the condyle shape in five age groups, the age I (20-25 Years), age II (26-35 years), age III (36-45 years), age IV (46-55 years), age V (56-65 years). Conclusion: There are condyle shape variabilities in several age groups. In age I (20-25 years), age II (26-35 years), age III (36-45 years), and age IV (46-55 years) the most variation of the condyle shape is rounded, at age V (56-65 years) the most variation of the condyle shape is rounded and pointed. Furthermore, the morphology of the condylar structures may exhibit variances and are not consistently uniform. &nbsp

    Primary Herpetic Gingivostomatitis: A Therapeutic Approach to Primary Health Care

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    Background Primary herpetic gingivostomatitis (PHGS) is the most common manifestation of herpes simplex virus type 1 (HSV-1) infection with characteristics of oral and/or perioral vesicular ulcerative lesions, inflamed gingival margins, and characteristic prodromal symptoms. This disease is common in children. It is a self-limiting disease and no need for a laboratory test to confirm the diagnosis. Treatments include causative, symptomatic, and supportive therapies. The drug of choice for causative agent elimination used in this case was acyclovir. Case Report. This paper reported and discussed a case of PHGS diagnosed based on the patient's anamnesis and typical clinical picture. It was in the form of ulcerated lesions on the oral and perioral mucosa and generalized inflammation of the gingiva. The treatment result was the patient recovered with routine Acyclovir therapy, Benzidamine HCl mouthwash, antipyretic and supportive therapy i.e multivitamins, hydration, liquid diet of High Calories High Protein (HCHP), and adequate rest. The patient was then followed up closely each third day to record the disease’s progress. Although antiviral acyclovir was only indicated for immunocompromised children, in this case, it helps the patient to prevent further exacerbation and shorten the duration of illness. Conclusion PHGS therapy includes causative, symptomatic, and supportive therapy. Administration of the antiviral drug acyclovir was still effective and if the patient arrives after the 72-hour phase acyclovir is still needed to prevent further spread of the virus

    Oral Allergy Syndrome: Two Case Reports in Dental Practices

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    Background: Oral Allergy Syndrome (OAS) is a food allergic reaction towards fruit, vegetable and nut causing clinical symptoms in the form of itching, pain, vascular edema, and a narrow throat. In this case report, we reported management two cases of oral allergy syndrome due to banana and longan. Cases: The first case reported a 20-year-old man complaining of both upper and lower swollen lips after eating longan fruit.  The second case was a 54-year-old woman complaining of pain and discomfort in the upper lip, mouth corners, left and right inner cheeks, palate and especially on the tongue. She had had an Ambon Banana the day before. Case Management: Both patients were given antihistamine treatment and informed to avoid the suspected fruits which caused the allergic reaction. The diagnosis is established using the oral food challenge method.  Conclusion:  The principle of management of OAS cases is to identify and avoid allergens. Antihistamines are the drug of choice for this case

    Dental Materials and Bisphenol-A Exposures

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      The utility of dental materials to posing oral diseases have impact in the risk of Bisphenol A (BPA) exposure which can be harmful to human organs. BPA used in dentistry is related to the production of polycarbonate plastics and epoxy resins. For instance, composite filling materials and dental sealant are containing BPA that can promote risk to endocrine-disrupting, estrogenic effect, and renal exposure. The current study is reviewing the BPA exposures of dental materials and it impact risk to the systemic health. This systematic review critically evaluates, and the information gathered form several literatures. The source of these articles was Pub Med and Web of Science, search done with the following terms: BPA of dental materials, BPA exposure, BPA and health risks, BPA, and oral health. BPA exposure found in oral mucosa and saliva after the application of BPA-containing dental materials. BPA derivatives used in dental products have not been evaluated for the endocrine disruptor, estrogenicity. BPA exposures can be absorbed through the oral mucosa and may lead to internal exposures the absorption of BPA from the gastrointestinal tract. Manufacturers should be required to report complete information on the chemical composition of dental materials and strict precaution application techniques must be considered by the practitioner

    Impacted Lower Third Molar Profile at Dental Hospital of Padjadjaran University

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      Introduction: Impacted teeth are teeth that erupt incompletely in the normal eruption period. This situation can be caused by hard or soft tissue obstructions or a lack of arch jaw. Objectives: This study aimed to determine the impacted lower third molar teeth profile by age, sex, class, angulation, treatment, and anesthesia at RSGM UNPAD in 2017-2019. Methods: The study was conducted from February 8, 2020, to March 8, 2020. The study represents the impacted lower third molar teeth profile of patients referred to Outpatient Installation, Central Surgical Installation, and the Radiology Installation. Classification of tooth impaction was based on Pell & Gregory and Winter classifications using ImageJ application, while Intraclass Correlation Coefficient (ICC) was used to confirm data validity. Results: There were 146 impacted dental cases, with a total case of 62 (42.5%) for males and 84 (57.5%) for females. Most impacted teeth occurred in the 12-25 years age group up to 72 (49.3%). A total of 177 impacted teeth mostly occurred in 48 teeth, as many as 91 (51.4%). Impaction class Pell & Gregory class B with 110 (62.1%) cases were found the most. Based on the anterior border of ramus, class II with 164 (91.1%) cases was found the most. Horizontal (79 cases, 44.6%) became the most frequent angulation. The procedures taken were all odontectomy 177 (100%) with more use of local anesthesia 136 (93.2%) compared to general anesthesia 10 (6.8%). Conclusion: Cases of impacted lower third molar teeth at RSGM UNPAD in 2017-2019, were most common in females and mostly in the 12-25 years age group, with Pell & Gregory class IIB classification and Winter horizontal angulation classification, all procedures performed were odontectomy, majority using local anesthesia

    Acute Pericoronitis of Lower Third Molar: A Case Report

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      Introduction: Pericoronitis is defined as an inflammation of the soft tissue around the crown of impacted tooth or partially erupted tooth. The main cause of pericoronitis is the limited space around third mandibular tooth and the overlying gingival flap. Case report: A 23-year-old patient came to RSGM UMY of operator’s motivation to treat her lower left tooth. Initially patient felt her gums were swollen and painful in the past 3-year. Objective examination showed an operculum covering distolingual and distobuccal side of 38 teeth with operculum probing depth 3,5 mm, Bleeding on Probing (-), palpation (-), Oral health Index 0.83 and Plaque index 11.3%. Treatment planning for this patient was initial therapy on the first visit. The second visit was operculectomy. The third visit was weekly control. Results: Two weeks after operculectomy procedure showed a post operculectomy area with a wound that had entered the healing phase (remodelling) with operculum probing depth 3,5 mm, Bleeding on Probing (-), palpation (-), Oral health Index 0.83 and Plaque index 10.3%. Conclusion: Surgical approach such as operculectomy is done and known as the golden standard to treat pericoronitis.  Operculectomy is known as the most favourable treatment as it is simple, easy to perform, less time consuming, and believed as the most effective method for treating pericoronitis. The goal of operculectomy is to enforce a minimal or no post-operative complications and proper wound healing

    Comparison of Facial Aesthetics Perception in Preclinical and Clinical Students of the Faculty of Dentistry, Lambung Mangkurat University

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      Introduction: Facial aesthetics consist of facial symmetry, soft tissue profile, and vertical proportions of the face. Perception is subjective which means different things for each person. Aesthetic perception in dental students is very important because later in the future they will act as dentists and must understand about functional and aesthetics in the oral and facial cavities, and must be able to meet the needs and expectations of patients. Objective: To compare the perception of facial aesthetics with preclinical and clinical students of the Faculty of Dentistry, Lambung Mangkurat University. Methods: This study used analytical observational method with cross sectional approach. The sample size was calculated using an unpaired numerical comparative analytical formula, obtained by 128 respondents using the simple random sampling technique. Research respondents were given questionnaires totaling 15 photos, namely 5 photos of facial symmetry, 5 soft tissue profile photos, and 5 photos of vertical proportions of faces. The research questionnaire has been tested for validity and reliability. Results: The results of the Mann Whitney Test obtained an overall significance of 0.047 (p <0.05), facial symmetry 0.039 (p <0.05), soft tissue profile 0.385 (p >0.05), and vertical proportion of the face 0.612 (p >0.05). Conclusion: In three components of the assessment, there are differences in perception in facial symmetry, and there are no differences in perception in soft tissue profiles and facial vertical proportions. Overall, there are differences in the perception of facial aesthetics between preclinical students and clinical students of the Faculty of Dentistry, Lambung Mangkurat University

    Third molar impaction prevalence and pattern: a panoramic radiography investigation

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    Objectives: The most commonly encountered impacted tooth is the third molar, and potential problems include oral cysts and tumors as well as caries, periapical lesions, periodontal disease, TMJ disorders, and root resorption of adjacent teeth. The aim of this investigation was to determine the third molar impaction prevalence and pattern. Materials and Methods: 530 panoramic radiographs of patients who visited Hasanuddin University Dental Hospital from January to December 2020 were collected. Data were recorded based on third molars region, eruption level, angulation, and impaction class from radiographs that met the criteria on Excel sheets and analyzed using SPSS 26. Chi square test was performed to assess relationship between impaction patterns with age and gender. The level of significance was fixed at p<0.05. Results: 115 radiographs were included and analyzed (45.2% male and 54.8% female). Third molar impaction prevalence was higher in females, in the age group 21-30 years, with level A eruption and vertical angulation. Most #38 and #48 demonstrated class 2 impaction. Apart from angulation and impaction class on #38, there was no significant difference between impaction patterns by age and gender group (p>0.05). Conclusion: Third molar impaction was more common in women aged 21-30 years with a dominant impaction pattern at level A with vertical angulation. In the mandible, class 2 of the Pell and Gregory classification are known to be dominant in third molar impaction

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