Jurnal Kedokteran Gigi Universitas Padjadjaran最新文献

{"title":"Penatalaksanaan fraktur kondilus bilateral dan korpus mandibula dengan reduksi tertutup pada pasien remajaManagement of bilateral condyle fracture and mandibular corpus with the closed reduction in adolescent patients","authors":"Deny Rakhman, Farah Asnely Putri, Fathurachman Fathurachman, E. Syamsudin","doi":"10.24198/jkg.v33i3.31027","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.31027","url":null,"abstract":"ABSTRAKPendahuluan: Fraktur kondilus dan Korpus mandibula merupakan fraktur pada mandibula yang cukup sering terjadi pasca trauma, Komplikasi yang sering terjadi akibat fraktur akibat fraktur kondilus dan korpus mandibula pada anak adalah ankilosis dan gangguan sendi sendi temporomandibula. Perawatan fraktur mandibula dapat dengan reduksi terbuka atau reduksi tertutup. Penanganan fraktur secara sederhana dan teknik yang tepat dapat mencegah komplikasi lebih lanjut. Tujuan laporan kasus ini memaparkan dan membahas penatalaksanaan kegawatdaruratan pada pasien remaja yang menderita fraktur kondilus dan korpus mandibula dengan reduksi tertutup. Laporan kasus: Pasien perempuan usia 16 tahun datang Rumah Sakit Hasan Sadikin dengan keluhan perdarahan dari mulut dan sulit membuka mulut akibat kecelakaan lalu-lintas. Pemeriksaan klinis dan radiografis menunjukan adanya fraktur kondilus bilateral dan fraktur korpus mandibula. Pasien dilakukan pembersihan dan penjahitan luka , perawatan fraktur kondilus dengan reduksi  tertutup dan fiksasi maksilomandibular dengan arch bar. kontrol  pada minggu ke 12 menunjukkan hasil perbaikan. Simpulan: Penatalaksanaan fraktur kondilus dan Korpus mandibula dengan reduksi tertutup yang tepat menunjukkan hasil yang memuaskan secara anantomi dan fungsin pada saat penatalaksaan kedaruratan trauma. Kata kunci: fraktur kondilus bilateral; fraktur korpus mandibula; reduksi tertutup; fiksasi maksilomandibular ABSTRACT Introduction: Condyle and mandibular corpus fractures are quite common post-trauma mandibular fractures. Complications that often occur due to condyle and mandibular corpus fractures in children are ankylosis and temporomandibular joint disorders. Mandibular fractures can be treated with open reduction or closed reduction. Simple fracture management and proper technique can prevent further complications. This case report aimed to present and analyse the emergency management of condyle and mandibular corpus fractures in an adolescent patient with closed reduction. Case report: A 16-year-old female patient came to Hasan Sadikin Hospital with complaints of oral bleeding and mouth-opening difficulty due to a traffic accident. Clinical and radiographic examination revealed bilateral condylar and mandibular corpus fractures. The patient was cleaned and sutured, treated for condylar fractures with closed reduction and maxillomandibular fixation with arch bars. The improvement showed at the control visit after 12 weeks. Conclusion: Management of condylar and mandibular corpus fractures with properly closed reduction showed satisfactory anatomical and functional results. Keywords: bilateral condyle fracture; mandibular corpus fracture; closed reduction, maxillomandibular fixation","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44236150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Koreksi multiple diastema dan gigitan silang posterior unilateral pada kasus maloklusi kelas IIICorrection of multiple diastema and unilateral posterior crossbite in class III malocclusion","authors":"Victoria Rusli, Miesje Karmiati Purwanegara","doi":"10.24198/jkg.v33i3.33473","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.33473","url":null,"abstract":"ABSTRAKPendahuluan: Gigitan silang posterior didefinisikan sebagai relasi abnormal antara gigi molar dan/atau premolar rahang atas dan bawah dalam arah bukal-lingual pada oklusi sentrik. Diastema atau celah antar gigi merupakan kondisi yang umum ditemui dan menjadi salah satu masalah estetis dan maloklusi. Tujuan penulisan laporan kasus ini adalah menjelaskan perawatan ortodontik kasus maloklusi kelas III dengan multiple diastema dan gigitan silang unilateral. Laporan kasus: Pasien laki laki 25 tahun datang ke Klinik Spesialis Ortodontik Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Indonesia dengan keluhan gigi depan berjarak. Pasien mendapat diagnosa maloklusi skeletal kelas III dengan multiple diastema pada gigi anterior rahang atas dan gigitan silang posterior unilateral. Kasus ini dikoreksi dengan ortodontik cekat tanpa pencabutan menggunakan braket preskripsi MBT slot 0,022. Perawatan secara garis besar meliputi pengaturan ruangan serta penggunaan criss-cross elastic di akhir perawatan untuk perbaikan gigitan silang unilateral. Perawatan ortodontik diselesaikan dalam waktu 18 bulan. Simpulan: Perawatan ortodontik cekat pada kasus maloklusi kelas III dengan ekspansi lengkung rahang disertai penggunaan criss- cross elastic yang teratur dapat mengoreksi gigitan silang. Recontouring gigi anterior rahang atas paska pengaturan ruang pada kasus multiple diastema juga memberikan tampilan senyum pasien yang lebih estetis.Kata kunci: multiple diastema; gigitan silang posterior; maloklusi kelas III ABSTRACTIntroduction: Posterior crossbite is an abnormal relationship between the maxillary and mandibular molars and premolars in the buccal-lingual direction in centric occlusion. Diastema or gap between teeth is a common condition and is one of the aesthetic problems and malocclusion. This case report aims to describe the orthodontic treatment of a class III malocclusion case with multiple diastema and unilateral crossbite. Case report: A 25-year-old male patient came to the Orthodontic Specialist Clinic of the Dental Hospital of the Faculty of Dentistry of the University of Indonesia with complaints of distant front teeth. The patient was diagnosed with skeletal class III malocclusion with multiple diastema of anterior maxillary teeth and unilateral posterior crossbite. This case was corrected with fixed orthodontics without extraction using a 0.022 slot MBT prescription bracket. Treatment generally includes room management and a criss-cross elastic at the end of the treatment to repair unilateral crossbites. The orthodontic treatment was completed within 18 months. Conclusion: Fixed orthodontic treatment in cases of class III malocclusion with the expansion of the jaw arch with regular use of criss-cross elastic can correct the crossbite. Recontouring of anterior maxillary teeth after spatial adjustment in cases of multiple diastema also gives the patient a more aesthetic smile.Keywords: multiple diastema; posterior crossbite; class I","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47532387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penatalaksanaan impaksi gigi premolar kedua bawah kiri tanpa exposure bedah pada perawatan ortodonti cekatNon-surgical exposure management of impacted lower left second premolar in orthodontic treatment","authors":"Carolin Parlina, K. Krisnawati","doi":"10.24198/jkg.v33i3.35091","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.35091","url":null,"abstract":"Introduction: Impacted lower second premolars are typical cases in the third rank after third molars and upper canines. There are several ways to treat impacted teeth. The choice of treatment plan depends on the position, distance to the occlusal plane, developmental stage, relationship of the impacted tooth to adjacent teeth, orthodontic treatment needs, patient age, and the healing response of hard and soft tissues after surgery. The patient was treated without surgical exposure. Tooth 34 was extracted, which blocked the eruption path of tooth 35, followed by fixed orthodontic treatment to open space for tooth 35 and pull tooth 35 into the occlusal plane. This case report aims to present the management of impacted orthodontic treatment of the left lower second premolar without surgical exposure. Case report: A 20-year-old female patient with skeletal class II division 1 malocclusion, bimaxillary dentoalveolar protrusion, brachyfacial facial type, convex profile, and impacted tooth 35. MBT bracket insertion of 0.22” slot was performed after teeth 14, 24 and 34 were extracted. The space for the eruption of tooth 35 was maintained by placing an open coil spring between teeth 33 and 36. Once there was sufficient space for tooth 35, tooth 35 was pulled into the dental arch. The total treatment time was 21 months. The impacted tooth 35 had entered the occlusal plane, the patient’s soft tissue profile improved, the upper lip became more competent, and a lip seal was created due to reduced overjet. Conclusion: Management of patients with impacted lower second premolars without adequate surgical exposure and the patient’s smile is more aesthetically pleasing with the position of the anterior teeth in a well-corrected profile.","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47378882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perawatan maloklusi skeletal kelas I bidental protrusion disertai periodontitis stage IV grade BTreatment of class I skeletal malocclusion with bidental protrusion and stage IV grade B periodontitis","authors":"Bayu Rachma Gullianne, E. Siregar","doi":"10.24198/jkg.v33i3.35900","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.35900","url":null,"abstract":"","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42815214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Presurgical nasoalveolar molding modifikasi Hotz-Kogo dengan single nasal stent untuk perawatan pra-bedah bayi celah bibir dan langit-langit unilateral komplitHotz-Kogo modified presurgical nasalveolar molding with single nasal stent for pre-surgical treatment of complete unilateral cleft lip and pa","authors":"Gian Nur Alamsyah, Lisda Damayanti, Taufik Sumarsongko","doi":"10.24198/jkg.v33i3.30906","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.30906","url":null,"abstract":"ABSTRAK Pendahuluan: Defek kongenital pada daerah kraniofasial yang sering terjadi adalah celah bibir dan langit-langit (CBL). Bayi dengan CBL unilateral memiliki ciri khas pada sisi bercelah, premaksila akan berotasi dan terproyeksi ke luar, filtrum dan columella akan memendek pada satu sisi, dan miring ke arah sisi tidak bercelah. Segmen minor maksila akan mengalami hipoplastik dan retroposisi. Presurgical nasoalveolar molding (PNAM) merupakan plat ortopedik yang dapat mereposisi secara pasif segmen alveolar dan kartilago nasal sebelum labioplasty. Desain PNAM dengan modifikasi desain Hotz-Kogo yaitu perpaduan dari plat Hotz yang menutupi segmen alveolar kemudian memanjang ke posterior hingga uvula dipadukan desain plat Kogo dengan peninggian 2 mm di posterior plat yang berperan sebagai close box akan menambah retensi pada plat. Nasal stent memiliki kelebihan mengoreksi kartilago hidung yang immature dan mempertahankan pada posisi yang normal. Tujuan laporan kasus untuk menjelaskan tahapan dan hasil perawatan bayi pra bedah dengan PNAM desain modifikasi Hotz-Kogo dengan single nasal stent bayi celah bibir dan langit-langit unilateral komplit sinistra. Laporan kasus: Diagnosis laporan kasus ini labiognatopalatoschizis unilateral complete sinistra dirawat dengan menggunakan PNAM desain modifikasi Hotz-Kogo dan strapping ekstraoral. Nasal stent kemudian dipasang untuk membentuk kartilago nasal. Posisi premaksila dikoreksi dengan melakukan penyesuaian berkala pada permukaan anatomi PNAM. Hasil perawatan didapat posisi premaksila lebih baik dan celah menyempit, serta morfologi nasal yang lebih simetris antara sisi bercelah dan tidak bercelah. Simpulan: Penanganan pra bedah dengan pembuatan PNAM modifikasi Hotz-Kogo dengan single nasal stent pada bayi CBL unilateral komplit, dapat mengkoreksi posisi premaksila dan memperkecil jarak celah sebelum tindakan labioplasty. Kata kunci: presurgical nasoalveolar molding; nasal stent; celah bibir dan langit-langit. ABSTRACTIntroduction: Congenital defects in the craniofacial area, amongst others, are cleft lip and palate (CLP). Infants with unilateral CLP have a characteristic on the cleft side. The premaxilla will rotate and project outward; the philtrum and columella will shorten on one side and tilt toward the non-cleft side. The minor maxillary segment is hypoplastic and retroposition. Presurgical nasalveolar moulding (PNAM) is an orthopaedic plate that can passively reposition the alveolar and nasal cartilage segments before labioplasty. The PNAM with a modified Hotz-Kogo design combines the Hotz plate that covers the alveolar segment and extends posteriorly to the uvula combined with the Kogo plate design with a 2 mm elevation on the posterior plate, which acts as a close box will increase the retention of the plate. Nasal stents can correct the immature nasal cartilage and maintain it in its normal position. This case report presented the stages and outcomes of presurgical treatment with Hotz-Kogo modif","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47095439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perawatan ortodonti kamuflase pada maloklusi skeletal kelas II dengan penjangkaran mini implant ortodonti, dengan system MBTCamouflage orthodontic treatment in class II skeletal malocclusion with the orthodontic mini implant by the MBT system","authors":"R. S. Moekti, Haru Setyo Anggani","doi":"10.24198/jkg.v33i3.36466","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.36466","url":null,"abstract":"","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44043547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transformasi kista dentigerous menjadi ameloblastoma: Evaluasi serial radiologi 4 tahunTransformation of the dentigerous cyst to ameloblastoma: Case serial of 4-years radiological evaluation","authors":"W. Yulvie, Rumartha Putri Swari, Lilies Dwi Sulistyani, Iwan Tofani","doi":"10.24198/jkg.v33i3.33054","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.33054","url":null,"abstract":"ABSTRAKPendahuluan: Kista dentigerous adalah kista odontogenik terbanyak kedua dan ditemukan sebanyak 49 persen lesi kistik intraoseus pada rahang manusia. Pemahaman tentang pertumbuhan dan perkembangan kista dentigerous menjadi ameloblastoma hingga saat ini masih belum terjawab. Tujuan laporan kasus ini melaporkan transformasi kista dentigerous menjadi ameloblastoma dari hasil evaluasi serial radiologi 4 tahun. Laporan kasus: Kista dentigerous yang pada awalnya dan selama kurun waktu 4 tahun perawatan tumbuh dan berkembang menjadi ameloblastoma, dijumpai disekitar mahkota gigi molar kedua mandibula kanan pada pasien berusia 17 tahun.Secara radiologi dengan panoramik lesi tampak multilokuler, dengan berbatas tegas. Gigi molar kedua kanan bawah yang terkena juga diangkat setelah prosedur enukleasi dilakukan. Uji histopatologi pertama menunjukan diagnosisnya kista dentigerous. Radiologi panoramik menunjukkan penyembuhan sempurna dari tulang mandibula setelah satu tahun kemudian. Kista dentigerous dengan ukuran yang besar terkadang dapat mengindikasikan patologi lain yang lebih agresif. Empat tahun kemudian terjadi kekambuhan lagi dan dilakukan pembedahan kuretase radikal dengan pemberian larutan Carnoy, dan hasil pemeriksaan patologis dari pembedahan kedua adalah ameloblastoma subtipe folikuler padat. Simpulan: Evaluasi perkembangan kasus kista dentigerous dari radigrafi radiologi selama 4 tahun menunjukkan kista dentigerous dengan gambaran radiografi multilokuler, berpotensi terjadi rekurensi dan berkembang menjadi ameloblastoma bila tidak dilakukan tindakan pembedahan secara adekuat dapat mendeteksi secara dini terdapatnya kista dentigerous dan ameloblastoma. Evaluasi dilakukan secara berkala dengan mengunakan rontgen panoramik pada pasien yang telah dilakukan tindakan operasi baik pada kista dentigerous maupun ameloblastoma. Kata kunci: kista dentigerous; ameloblastoma; radiologi ABSTRACT Introduction: Dentigerous cysts are the second most common odontogenic cyst and found as many as 49 percent of intraosseous cystic lesions in the human jaw. The understanding of the growth and development of dentigerous cysts into ameloblastoma is still unanswered. This case report aims to report the transformation of a dentigerous cyst into ameloblastoma observed from 4-year radiological evaluation series. Case report: A dentigerous cyst that initially grew and developed into ameloblastoma over four years of treatment was found around the crown of the right mandibular second molar in a 17-year-old patient. Radiologically, the lesion appeared to be multilocular, with well-defined borders. The affected lower right second molar was also removed after the enucleation procedure was performed. The first histopathological examination confirmed the diagnosis of a dentigerous cyst. The panoramic radiograph showed complete healing of the mandibular bone after one year. Large dentigerous cysts can sometimes indicate other, more aggressive pathologies. Four years later th","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69268396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tatalaksana infeksi herpes simpleks virus tipe-1 dan necrotizing ulcerative stomatitis pada anak dengan anemia aplastikManagement of type-1 herpes simplex virus infection and necrotising ulcerative stomatitis in children with aplastic anaemia","authors":"Y. Lefaan, Wahyu Hidayat, Nanan Nur’aeny","doi":"10.24198/jkg.v33i3.30642","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.30642","url":null,"abstract":"ABSTRAKPendahuluan: Necrotizing ulcerative stomatitis (NUS) merupakan penyakit inflamasi pada rongga mulut, ditandai oleh ulser nekrosis akut, berkembang cepat serta menyebabkan kerusakan masif pada jaringan. NUS dapat berkembang dari kondisi necrotizing ulcerative gingivitis (NUG) dan necrotizing ulcerative periodontitis (NUP). NUS dapat disertai infeksi lain, salah satunya infeksi herpes simplex tipe 1 (HSV-1). Infeksi HSV-1 dan NUS pada anak dengan anemia aplastik jarang ditemukan. Anemia aplastik merupakan kelainan hematologi, ditandai dengan hipoplastik/aplasia sumsum tulang dan pansitopenia, sehingga menurunkan resistensi host terhadap infeksi. Gingivostomatitis herpetik primer memudahkan perkembangan bakteri komensal seperti bakteri Fusiform, Spirochetes dan Pseudomonas aeruginosa  menjadi patogen pada kondisi imunosupresif sehingga meningkatkan progresivitas penyakit periodontal menjadi NUS. Tujuan laporan kasus ini adalah menjelaskan tatalaksana infeksi HSV-1 dan NUS pada anak dengan anemia aplastik. Laporan kasus: Seorang anak perempuan usia 3 tahun dengan diagnosis anemia aplastik dan febrile neutropenia, dirujuk oleh divisi Hematologi-onkologi anak Rumah Sakit Dr. Hasan sadikin (RSHS) Bandung dengan keluhan pembengkakan pada bibir dan stomatitis. Hasil pemeriksaan darah menunjukan adanya pansitopenia dan pemeriksaan anti HSV-1 IgG reaktif. Diagnosis terkait kondisi bibir dan mulut pasien adalah Infeksi HSV-1 dan NUS. Tatalaksana yang dilakukan adalah debridement dengan Hidrogen peroksida 1,5% (H2O2 1,5%), kontrol plak dengan chlorhexidine digluconate 0,12% dan multivitamin. Pembengkakan mulai membaik setelah 3 hari debridement serta memberikan hasil yang signifikan setelah 1 bulan perawatan. Simpulan: Tatalaksana berupa peningkatan oral hygiene dan terapi antiseptik dapat memperbaiki kondisi infeksi HSV-1 dan NUS, khususnya pada pasien dengan kondisi imunosupresif seperti anemia aplastik.Kata kunci: febrile neutropenia; stomatitis; herpes simpleks; anemia; spirochetes ABSTRACTIntroduction: Necrotising ulcerative stomatitis (NUS) is an inflammatory disease of the oral cavity, characterised by acute necrotising ulcers, proliferating, and causing massive tissue damage. NUS can be developed from necrotising ulcerative gingivitis (NUG) and necrotising ulcerative periodontitis (NUP). NUS can be accompanied by other infections, such as herpes simplex type 1 (HSV-1) infection. However, HSV-1 and NUS infections in children with aplastic anaemia are rare. Aplastic anemia is a haematological disorder characterised by hypoplastic/bone marrow aplasia and pancytopenia, reducing the host's resistance to infection. Primary herpetic gingivostomatitis facilitates the development of commensal bacteria such as Fusiform bacteria, Spirochetes and Pseudomonas aeruginosa to become pathogens under immunosuppressive conditions, thereby increasing the progression of periodontal disease to NUS. This case report aims to describe the management of HSV-1 and NUS in","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47501882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perawatan saluran akar pada gigi kaninus bawah dengan konfigurasi saluran akar Vertucci tipe II dan IIIRoot canal treatment in lower canines with type II and III Vertucci root canal configuration","authors":"Henry Octovianus, Dudi Aripin","doi":"10.24198/jkg.v33i3.30785","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.30785","url":null,"abstract":"ABSTRAKPendahuluan: Kunci dasar keberhasilan perawatan saluran akar adalah diagnosis, rencana perawatan, disertai pengetahuan tentang morfologi saluran akar dan variasinya. Saluran akar merupakan sistem yang kompleks dan dapat bercabang serta menyatu kembali. Identifikasi berdasarkan Vertucci,  terdapat delapan tipe konfigurasi i bentuk variasi sistem saluran akar. Tujuan laporan kasus ini adalah memaparkan perawatan saluran akar pada gigi kaninus rahang bawah dengan konfigurasi saluran akar Vertucci tipe II dan III. Laporan kasus: Pasien perempuan usia 54 tahun dirujuk ke Klinik Konservasi Gigi RSGM Unpad untuk dilakukan perawatan saluran akar pada gigi kaninus kiri dan kanan rahang bawah yang akan menjadi gigi penyangga untuk pembuatan overdenture. Hasil pemeriksaan klinis didapatkan gigi kaninus kiri masih dalam keadaan vital dan gigi kaninus kanan telah nekrosis. Pemeriksaan radiologis CBCT menunjukkan bahwa gigi 33 memiliki bentuk konfigurasi saluran akar tipe III dan gigi 43 yang memiliki konfigurasi saluran akar tipe II. Perawatan endodontik intensional pada gigi 33 diawali dengan anestesi infiltrasi karena gigi vital normal. Tahapan perawatan pada kedua gigi adalah pembukaan akses kavitas, negosiasi (penjajakan) saluran akar menggunakan K-File #8 dan #10, preparasi saluran akar, medikamen antar kunjungan, serta pengisian saluran akar. Setelah kontrol dan tidak ada keluhan, pasien dirujuk kembali ke Klinik Prostodonsia. Simpulan: Perawatan saluran akar pada gigi kaninus bawah dengan konfigurasi saluran akar Vertucci tipe II dan III membutuhkan  pengetahuan mengenai morfologi, variasi, kompleksitas sistem saluran akar, pemeriksaan radiologis, teknik pengisian saluran akar, serta komunikasi antar departemen untuk mendapatkan hasil perawatan yang baik.Kata kunci: preparasi saluran akar; cone-beam computed tomography; overdenture; gigi kaninus. ABSTRACTIntroduction: The essential key to successful root canal treatment is the diagnosis, treatment plan, and knowledge of root canal morphology and its variations. Root canals are complex systems that can branch and rejoin. Identification based on Vertucci, there are eight configurations in the form of variations in the root canal system. This case report aims to describe root canal treatment for mandibular canines with Vertucci type II and III root canal configurations. Case report: A 54-year-old female patient was referred to the Dental Conservation Clinic, RSGM Unpad, for root canal treatment for the left and right mandibular canines, which will become abutments for the overdenture. The clinical examination results revealed that the left canine was still in a vital condition and the right canine was necrotic. CBCT radiological examination showed that tooth 33 had a type III root canal configuration and tooth 43 had a type II root canal configuration. Intentional endodontic treatment on tooth 33 was initiated with infiltration anaesthesia because the vital teeth were normal. The treatment steps fo","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48171020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efektifitas quad-helix dalam perawatan defisiensi transversal maksila pada anakEffectiveness of quad-helix for transverse maxillary deficiency treatment in children","authors":"Stephanie Wiguna, Risti Saptarini Primarti, Iwan Ahmad Musnamirwan","doi":"10.24198/jkg.v33i3.27967","DOIUrl":"https://doi.org/10.24198/jkg.v33i3.27967","url":null,"abstract":"Pendahuluan: Periodontitis apikalis adalah peradangan dan kerusakan jaringan pada daerah apikal jaringan periodonsium. Terjadi akibat pulpa nekrosis mengalami perluasan infeksi dari bakteri saluran akar menuju apeks gigi. Penelitian terdahulu membuktikan bahwa periodontitis apikalis dapat dikaitkan dengan peningkatan kadar interleukin-6. Interleukin-6 adalah salah satu sitokin pro-inflamatori yang mempunyai peran penting dalam respon inflamasi. Tujuan penelitian menganalisis perbedaan kadar interleukin-6 dalam darah vena antara pasien dengan periodontitis apikalis dan pasien tanpa periodontitis apikalis. Metode: Jenis penelitian observasional analitik dengan dua puluh sampel stok darah vena yang terdiri atas 10 sampel darah vena pasien dengan periodontitis apikalis dan 10 sampel darah vena pasien tanpa periodontitis apikalis. Serum darah yang telah dipisahkan dengan metode sentrifugasi dipakai sebagai sampel uji enzyme-linked immunosorbent assay (ELISA) sandwich untuk mengukur kadar IL-6 dengan membaca nilai absorbansi dan kurva standar. Data yang diperoleh dianalisis menggunakan uji Shapiro-Wilk, dilanjutkan dengan uji T tidak berpasangan. Hasil: Kadar IL-6 teridentifikasi pada semua sampel. Sampel darah vena pasien tanpa periodontitis apikalis memiliki kadar IL-6 berkisar antara 4,7-18,74 mg/L, sedangkan kadar IL-6 pada pasien dengan periodontitis apikalis 4,0-90,75 mg/L. Uji T tidak berpasangan menunjukan bahwa terdapat perbedaan yang bermakna (p=0.02). Simpulan:  Kadar IL-6 pada darah vena dengan periodontitis apikalis lebih tinggi dibandingkan kadar IL-6 pada tanpa periodontitis apikalis.Kata kunci: periodontitis apikalis; interleukin-6; Enzim-Linked Immunosorbent Assay Sandwich ABSTRACT Introduction: Apical periodontitis is inflammation and tissue damage in the apical area of the periodontium. Occurs due to pulp necrosis experiencing an expansion of infection from root canal bacteria to the apex of the tooth. Previous studies have shown that apical periodontitis can be associated with elevated levels of interleukin-6. Interleukin-6 is a pro-inflammatory cytokine that has a vital role in the inflammatory response. The study aimed to analyze differences in interleukin-6 levels in venous blood between patients with apical periodontitis and patients without apical periodontitis. Methods: This research was an analytic observational study with twenty venous blood samples consisting of 10 venous blood samples from patients with apical periodontitis and ten venous blood samples from patients without apical periodontitis. Blood serum that has been separated by centrifugation method was used as a sandwich enzyme-linked immunosorbent assay (ELISA) test sample to measure IL-6 levels by reading absorbance values and standard curves. The data obtained were analyzed using the Shapiro-Wilk test, followed by an unpaired T-test. Results: IL-6 levels were identified in all samples. Venous blood samples from patients without apical periodontitis had IL-6 level","PeriodicalId":32748,"journal":{"name":"Jurnal Kedokteran Gigi Universitas Padjadjaran","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47869945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}