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Management of Oral Mucosal Red Lesions with Pathogenesis Considerations: Two Case Reports
Get PDFIntroduction: Red lesions on the oral mucosa occur due to various reasons related to the patient's condition, such as allergic reactions, autoimmune disorders, or systemic diseases. Red lesions cause pain, paresthesia, or are accompanied by erosion, thus disrupting the function and comfort of the mouth. Management of red lesions varies depending on the pathogenesis of the diagnosis and systemic conditions. This case report aims to describe the management of red lesions of the oral mucosa by considering the pathogenesis of both cases.Case: The first case is a 31 years old woman with a history of hyperthyroidism and is being treated thyrozole with a dose of 1x5 mg/day, while the second case is a 23 years old woman with a history of atopy. Both complained that the oral mucosa felt numb ,thick, and stiff, accompanied by red spots. Extraoral examination revealed dry lips in both cases and the second case was accompanied by erosion. Intraoral examination showed erythematous erosions on the upper and lower labial mucosa in both cases.Case management: the first case was given 0.025% hyaluronic acid mouthwash (3x10 ml/day), while the second case was given compound topical medication containing: lanolin, petroleum jelly, and dexamethasone (3-5x/day), as well as cetirizine tablet (1x10 mg/ day).Result: After treatment for 1 week, both patients experienced significant improvement, and after 3 weeks the lesions in both patients had healed.Conclusion Management of oral mucosal red lesions that takes into considered pathogenesis factors and systemic conditions in both cases shows satisfactory results
The Impact of Different Types of Polishing Bur on the Nanofiller Composite's Surface Roughness
No full textBackground: Composite resin is a filling material that is similar in color to tooth enamel and can be used widely for various cases, especially for the restoration of anterior teeth. Composite resins have been modified and improved to obtain maximum restoration results, one of which is nanofiller. Nanofiller composite is known to have a high level of smoothness, but polishing remains the key to success in the final filling process. There are many types of polishing on the market, this indicates that not all dentists use the same type of tools. This study aimed to determine the effect of various types of polishing bur on the surface roughness of nanofiller.Method: The type of research conducted was an experimental laboratory. Cylindrical samples with a total of 40 samples measuring 10 mm x 2 mm were divided into 4 groups. Samples were soaked in distilled water and stored in an incubator for 24 hours at 37oC. The samples were polished using different types of bur except for the control group. Samples were tested for surface roughness using a surface roughness tester and scanning electron microscopy (SEM). Result: This study shows differences in the surface roughness of the nanofiller composite after being polished using different types of polishing burs. The results of the one-way ANOVA test indicated that there was a significant difference from the average of the four sample groups.Conclusion: Polishing burs can produce different surface roughness of nanofiller composite
the effect of ozonated olive oil on the number of neutrophil cells in the gingiva of male Wistar rats experiencing periodontitis (in vivo)
No full textBackground: Periodontal tissue, comprising gingiva, periodontal ligament, cementum, and alveolar bone, supports and surrounds teeth. Periodontitis, an inflammation affecting these tissues, manifests through gingival inflammation, pocket formation, and loss of attachment and bone.Purpose: This research aims to investigate whether ozonated olive oil influences neutrophil cell levels in the gingiva of male Wistar rats with periodontitis.Method: Employing a posttest-only control group design, this laboratory study included 24 male Wistar rats with concentrated periodontitis divided into six groups based on the day of observation. Histological analysis was conducted on days 1, 3, and 5, with three control groups and treatment groups.Result: The hypothesis test revealed a significant difference in neutrophil cell count between the ozonated olive oil treatment group and the control group (p < 0.05). The treatment group exhibited superior outcomes compared to control and other treatment groups, as confirmed by the LSD Post Hoc Test (p < 0.05).Conclusion: Administration of ozonated olive oil can influence neutrophil cell involvement in periodontitis healing among male Wistar rats, suggesting its potential therapeutic efficac
Characteristics of Mandibular Oral Squamous Cell Carcinoma at Oral and Maxillofacial Surgery Department Hasan Sadikin General Hospital, January 2017 – 2023
No full textBackground: Oral cancer is a highly prevalent cancer with a high incidence rate around the globe. Squamous cell carcinoma accounts for 90–95% of cases of oral cancer. With a tendency to spread rapidly, it primarily affects the palate, mandible, lower lip, tongue, and floor of the mouth The elevated frequency of occurrences emphasizes the necessity for a study to investigate the attributes of mandibular squamous cell carcinoma, particularly within the Oral and Maxillofacial Surgery Department at Hasan Sadikin General Hospital in Bandung.Method: This study adopts a retrospective descriptive approach, utilizing secondary data from medical records from patients diagnosed with mandible squamous cell carcinoma from January 2017 to 2023, based on histopathological examination results.Result: Over 48-year-olds are the most common age group affected by mandible squamous cell carcinoma, accounting for 69% of cases. Males account for 51% of cases. Bandung, West Java, has the highest incidence, with 16 cases. Treatment mainly consists of surgery and chemotherapy/radiotherapy, with the mandibular corpus being the most frequent site, affecting 84% of cases.Conclusion: There were 45 patients diagnosed with mandibular squamous cell carcinoma at Hasan Sadikin General Hospital in Bandung between January 2017 - January 2023. The data was analyzed based on the age, gender, domicile, therapy, and specific location within the mandible in order to determine the distribution of these cases
Surgical Management of Mucocele of The Lower Lip : Case Report and Literature Review
No full textBackground: Surgery for mucocele cases in daily practice is still a challenge. Mucocele is a lumpy lesion in the oral cavity that can interfere with the patient's comfortable speaking and chewing process. A mucocele is a lump in the oral cavity due to rupture of the minor salivary glands due to trauma or obstruction of the minor salivary glands. The prevalence of mucocele is 2.4 cases out of 1000 people, and it often occurs at a young age. This paper aims to describe and report mucocele management with simple surgery. Case: A 20-year-old patient was reported to have a mucocele in the left inferior labial region. The lump has been there for two months and is slowly getting bigger. The lump is painless and very annoying when talking and chewing. Conclusion: Dental practitioners can carry out mucocele management with correct diagnosis and simple surgical methods with minimal equipment to ensure better treatment results
Characteristics of Fibrous Dysplasia at Oral and Maxillofacial Surgery Department RSUP Dr. Hasan Sadikin: A 6-year Retrospective Study
No full textIntroduction: Oral and Maxillofacial surgeon encounter challenges diagnose fibrous dysplasia due to wide variety of investigations required, such as radiographic, histological, and clinical examinations. Fibrous dysplasia typically manifests at first or second decade of life; these lesions tend to form at young age and cease when somatic growth completed. Aim: The aim of this study understanding the characteristics of fibrous dysplasia in patients treated from 2017 to 2023 at Department of Oral and Maxillofacial Surgery Hasan Sadikin Hospital. Research Method: Design of this study is a qualitative descriptive study with retrospective using medical record data of patients diagnosed as fibrous dysplasia at Department of Oral and Maxillofacial Surgery of Hasan Sadikin General Hospital in January 2017 — March 2023. Variables in this study include age, gender, anatomical location at craniofacial area, histopathological diagnosis, and treatment provided. Results: This study showed Characteristics of fibrous dysplasia patients results by sex being highest in Women as many as 6 patients (54.54%), by age indicating the most age at 17-25 years old as 5 patients (45.45%). In addition, the highest prevalence based on histopathological diagnosis is monostotic type, which is 8 patients (72.72%) and three patients (27.27%) with polyostotic type. Based on the anatomical location the most at maxilla region, which is 7 patients, which is 5 (45,45%) patients at left maxilla region and 2 (18,18%) patients at right maxilla region. In addition, based on treatment the most was reshaping with 7 patients (63.63%).Conclusion: The most prevalent characteristic of patients with fibrous dysplasia is woman and by age indicating the most age at 17-25 years old. According to anatomical location the most is maxilla region. Monostotic fibrous dysplasia the most diagnose and the most prevalent treatmet is reshaping, which is the best therapy for of fibrous dysplasia
DIFFERENCES IN PREVALENCE OF EARLY CHILDHOOD CARIES (ECC) IN STUNTING AND NON-STUNTING CHILDREN IN BANDUNG
Get PDFBackground: ECC (early childhood caries) has become a significant oral health problem in children. ECC in children can cause pain that could interferes nutritional intake. Meanwhile, malnutrition conditions can roughen the enamel surface, affect the salivary glands, reduced salivary flow rate, affect the salivary composition and pH to a lower level thereby increased the risk of ECC. This study aims to determine differences in prevalence of ECC on stunted and non-stunted children.
Method: This research was conducted using an observational analytic method with a cross-sectional study design. The ICC value (intraclass correlation coefficient) was obtained at 0.93. The collection of ECC prevalence data was carried out in April-May 2023 in Antapani Tengah and Antapani Kidul, Bandung. Data collection was carried out by examining the teeth and oral cavity in stunted and non-stunted children. The results of the research data were tested by using the Chi-Square test.
Result: The average value of the def-t index for stunted children was 6.43 and 5.23 for non-stunted children. Both sample groups are included in the high category according to WHO (World Health Organization). The prevalence of ECC in stunted children was found to be 93.3% while the prevalence of ECC in non-stunted children was 73.3%. Chi-square test results show a p-value of 0.006 which indicates a p-valu
FLOWABILITY OF NANOPARTICLES OF CALCIUM HYDROXIDE PALIMANAN IN DENTINAL TUBULE
No full textBackground: Intracanal medicaments Ca(OH)₂ must have the ability to contact directly with bacteria adhering to the dentinal tubules. However, the narrow and complex shape of the root canal makes it difficult for Ca(OH)2 to penetrate the root canal apically. This research aimed to assess the flowability of nanoparticle Ca(OH)₂ Palimanan by quantifying the penetration of the coronal, middle, and apical thirds of the root canal.Methods: This research comprised two distinct groups: one group included nanoparticles of Ca(OH)₂ Palimanan, while the other consisted of conventional Ca(OH)₂. The paste was then applied to standardized root canals (n=3 per group) with 5 times measurements for each sample. All samples were then incubated at 37oC, 100% humidity. The flowability of the root canals was measured using scanning electron microscopy (SEM) on day 14. The data was analyzed using ANOVA and a post-hoc t-test, with a significance level of p<0.05.Results: The use of Ca(OH)₂ Palimanan has been found to be more effective in reaching deeper into the dentinal tubules of the root canal, particularly in the coronal, middle, and apical areas, compared to traditional Ca(OH)₂. This occurs because the particle size of Ca(OH)₂ Palimanan is smaller with a more rounded shape than conventional Ca(OH)₂ so that it to flow into narrow and complex areas, especially in the apical root canals.Conclusion: Nanoparticle Ca(OH)₂ Palimanan flow deeper than conventional Ca(OH)
Analysis of Changes in Oral Microbiota for Interval of Post-Mortem Estimation: Review Article
No full textBackground: The microbiota change caused by the decomposition process after death can be used to determine the post-mortem interval. This condition is associated with changes in the oral microbiota. Oral microbiota can be used as an appropriate source for analysis without interfering with the corpse or breaking Indonesian law. This review will examine the changes in the oral microbiota to determine the time of death. Method: The literature search was carried out using PubMed, ScienceDirect, and Google Scholar, and the results were screened based on the inclusion and exclusion criteria. Result: The discussion was based on six literature reviews that met the criteria and subject matter of this review. Conclusion: The microbiota in the body contributes to the decomposition process after death. This condition allows it to be used as a reference for determining the postmortem interval. These changes, however, cannot be distinguished from the presence of factors such as temperature, pH, humidity, and an anaerobic environment. Consider these factors when analyzing post-mortem intervals using oral microbiota changes
Surgical Intervention Of Z-Plasty Frenulum Technique In The Fixed Orthodontic Treatment Of Patients With Oligodontia
Get PDFBackground: Oligodontia is a genetic disorder in which the individual does not have more than six teeth either permanent, deciduous, or both teeth. This condition causes multiple diastemas and requires orthodontic treatment. Abnormal attachment of the superior labial frenulum also causes midline diastema, and recurrence of diastema after orthodontic treatment. Z-plasty frenectomy is commonly used for patients with thick frenulum and shallow vestibule. The presence of two transposed flaps in this technique can provide stress distribution in the tissue to minimize the occurrence of scar tissue formation. Case Report: A female patient, 20 years old and systemically healthy, came to RSGM Prof. Soedomo with complaints of a maxillary front tooth gap that disturbed her self-confidence. The patient was referred by an orthodontist colleague.Result: Clinical examination in the form of a blanch test and vestibule depth. From the examination, it was found that the patient had frenulum attachment to the anterior interdental papilla (Kotlow class III) and a shallow vestibule. In this situation, the Z-plasty technique was chosen. Satisfactory results were obtained with no scarring and no residual connective tissue that could cause diastema recurrence. Conclusion: Frenectomy using the Z-plasty technique was succeessful in removing the thick frenulum without the formation of scar tissue, and proved to be more aesthetically pleasing than other conventional methods