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DIAGNOSA DAN PERAWATAN DISLOKASI KONDILUS MANDIBULA KE ANTERIOR: DIAGNOSIS AND ANTERIOR DISLOCATION MANAGEMENT OF MANDIBULAR CONDYLE Lucky Riawan; Alwin Kasim; Isnandar
Dentika: Dental Journal Vol. 17 No. 2 (2012): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.151 KB) | DOI: 10.32734/dentika.v17i2.1839

Abstract

Dislokasi kondilus mandibula ke anterior adalah translasi atau bergesernya kondilus mandibula keluar dari fossagleinodalis dan terkunci di antero-superior dari eminentia artikularis, menyebabkan terhalangnya gerakan menutup mulut,dimana umumnya ini terjadi karena hipermobilitas dari mandibula. Gangguan ini sering ditemukan dalam praktek doktergigi. Makalah ini membahas definisi dislokasi,etiologi, dan evaluasi klinis serta beberapa perawatanbaik secara bedahataupun non bedah. Dislokasi ini dapat terjadi pada satu sisi (unilateral) atau dua sisi (bilateral) dan dapat bersifat akut dankronis atau kronis yang bersifat rekuren. Penatalaksanaan dislokasi kondilus mandibula yang akut, umumnya dapatdilakukan dengan reposisi secara manual (non bedah), sedangkan pada yang kronis dan rekuren umumnya dilakukanintervensi bedah dalam penatalaksanaannya. Pemeriksaan fisik dan riwayat penyakit penting untuk mengevaluasi dengantepat semua kategori dislokasi, dan dislokasi harus direduksi sesegera mungkin sebelum terjadi spasme otot yang berat.Pengetahuan mengenai etiologi dari dislokasi ini penting dalam setiap kasus dan mungkin akan membutuhkan metodeperawatan yang berbeda. Sebagai kesimpulan, untuk menegakkan diagnosa dibutuhkan pemeriksaan secaralengkap. Penanganan dislokasi mandibula ini dapat dilakukan dengan teknik bedah ataupun non-bedah.
CEMENTO-OSSIFYING FIBROMA ON THE ANTERIOR MANDIBLE REGION: FIBROMA CEMENTO-OSSIFYING PADA REGIO DEPAN RAHANG BAWAH Isnandar; Kasman Manullang; Hendro Sudjono Yuwono
Dentika: Dental Journal Vol. 16 No. 1 (2011): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (559.447 KB) | DOI: 10.32734/dentika.v16i1.1910

Abstract

Cemento-ossifying fibroma (COF) is a rare benign tumor which mostly affects the mandible and the most common site is in the premolar-molar region . It is a painless, generally slow-growing, benign lesion which enlarges in an expansive manner. It is usually detected in the third and fourth decade of life and is more common in women. Radiographically, they appear as well-defined unilocular or multilocular intraosseous mass in the premolar- molar region of the mandible. The lesion is invariably encapsulated and with mixed radiolucent density. Its histopathology shows fibrous tissues with calcified structures resembling bone or cementum. This article reports a rare case of a-20-year old male with history of swelling in the anterior mandible region at tooth region 33-43 causing difficulty in occlusion. We have performed marginal resection and put AO plate crossing the bone defect. There was no wound dehiscence and exposed AO plate after six months of close observation. In conclusion, the mass has been succesfully excised and reconstructed using AOplate. Patient has been referred to the prosthodontic department for having a denture.
The Effect of Cananga (Cananga odorata) Aromatherapy on Anxiety Level of Patients Before Tooth Extraction in RSGM-P USU: Pengaruh Aromaterapi Kenanga (Cananga odorata) Terhadap Tingkat Kecemasan Pasien Sebelum Pencabutan Gigi Posterior di RSGM USU Isnandar; Abdullah Oes; Indra Basar; Mutia Firenza
Dentika: Dental Journal Vol. 24 No. 1 (2021): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v24i1.5614

Abstract

Tooth extraction is a form of treatment in dentistry. Tooth extraction has the potential to cause excessive anxiety in patients because patients tend to think about things that will or can happen during the procedure. The purpose of this study was to determine the effect of Cananga aromatherapy (Cananga odorata) on the anxiety level of patients at RSGM USU. This research method is a quasi-experimental study using a re-experimental design non-randomized pretest and posttest control group design. The sample was divided into 2 groups, namely the treatment group and the control group. Each group consists of 16 people who will extract the posterior teeth of the upper and/or lower jaw. The treatment group was given a Cananga aromatherapy nasal inhaler and the control group was given an empty nasal inhaler without Cananga aromatherapy. Blood pressure and pulse measurements were taken twice. The first measurement after the patient was given informed consent and the MDAS questionnaire (Modified Dental Anxiety Scale) and the second measurement after inhaling the Cananga aromatherapy nasal inhaler and empty nasal inhaler without Cananga aromatherapy within 10 cm from the nasal cavity for 5 minutes. The results of this study were analyzed using the Wilcoxon and Mann-Whitney tests. In the treatment group, there was a significant decrease in blood pressure and pulse compared to the control group with a value of p = 0.000 <0.005. This study concludes that Cananga aromatherapy is effective in reducing the anxiety level of patients before tooth extraction in RSGM USU.