Indra Hadikrishna
Department Of Oral And Maxillofacial Surgery, Faculty Of Dentistry, Padjadjaran University, Bandung Indonesia

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Perbedaan tingkat kecemasan pada orang tua penderita celah bibir dan langit-langit yang belum dan telah dioperasi Sarasti Laksmi Anindita; Kirana Lina Gunawan; Indra Hadikrishna
Padjadjaran Journal of Dental Researchers and Students Vol 2, No 1 (2018): Februari 2018
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v2i2.21445

Abstract

Pendahuluan: Orang tua dengan anak penderita celah bibir dan langit-langit yang akan dioperasi sering mengalami kecemasan, baik penderita celah bibir dan langit-langit yang belum dan telah dioperasi.Tujuan penelitian menganalisis perbedaan tingkat kecemasan yang terjadi pada orang tua dari anak penderita celah bibir dan langit-langit baik yang belum maupun telah dilakukan operasi. Metode: Penelitian ini merupakan studi komparatif dengan jumlah responden 17 orang tua dari penderita yang belum dioperasi dan 13 orang tua dari penderita yang telah dioperasi. Teknik pengambilan sampel menggunakan purposive sampling dengan instrumen penelitian berupa kuesioner Stait Trait Anxiety Inventory (STAI). Hasil: State dan trait anxiety berada dalam kategori sedang. State anxiety lebih tinggi dibandingkan dengan trait anxiety. Analisis perbandingan masing-masing state dan trait pada kedua kelompok menunjukkan H0 diterima (p>0,05). Kecemasan dapat disebabkan oleh beberapa faktor seperti jenis kelamin, usia, pendidikan terakhir, status ekonomi, dan pekerjaan. Simpulan: tidak terdapat perbedaan signifikan antara orang tua dari penderita celah bibir dan langit-langit yang belum dioperasi dan orang tua dari penderita celah bibir dan langit-langit yang telah dioperasi.Kata kunci: Celah bibir dan langit-langit, kecemasan
Perbedaan fungsi oral dan ekspresi interleukin-10 pasca odontektomi dengan menggunakan mikromotor dan piezosurgeryDifferences in oral function and interleukin-10 expression post odontectomy using micromotors and piezosurgery Jihad Harun Sandiah; Andri Hardianto; Abel Tasman Yuza; Indra Hadikrishna
Padjadjaran Journal of Dental Researchers and Students Vol 4, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v4i1.25683

Abstract

Pendahuluan: Salah satu langkah paling kritis dan krusial dalam odontektomi adalah osteotomi menggunakan instrumen putar. Instrumen putar piezosurgery (Mectron) ultrasound adalah alat bedah baru pada bedah oral dan kraniomaksilofasial. Inflamasi selalu berkaitan dengan odentektomi dan interleukin-10 (IL-10) adalah salah satu sitokin anti inflamasi yang berfungsi menghambat produksi beberapa jenis sitokin lain sebagai indikator anti inflamasi pasca operasi. Tujuan penelitian menganalisis efektivitas unit mikromotor dibandingkan dengan unit piezosurgery saat melakukan odontektomi molar ketiga bawah melalui penilaian keterbatasan fungsi oral dan tingkat ekspresi interleukin-10. Metode: Penelitian dilakukan pada 20 pasien di Instalasi Bedah Minor Rumah Sakit Gigi dan Mulut Unpad yang akan dilakukan odontektomi. Kelompok pertama yaitu pasien odontektomi dengan menggunakan mikromotor. Kelompok dua yaitu pasien odontektomi dengan menggunakan piezosurgery. Masing-masing kelompok mengisi kuisioner keterbatasan fungsi oral pada hari ketiga dan hari ketujuh setelah dilakukan odontektomi dan dilakukan pengambilan sampel darah dari vena brakialis setelah odontektomi pada hari ketiga dan tindakan odontektomi dilakukan dengan anastesi lokal. Hasil: Perbandingan antara kelompok I dan kelompok II, menunjukkan tidak terdapat perbedaan yang signifikan pada penilaian keterbatasan fungsi oral untuk setiap waktu evaluasi, dan ekspresi interleukin-10 (IL-10) menunjukkan terdapat perbedaan yang signifikan, rata-rata IL-10 mikromotor lebih rendah dibandingkan dengan IL-10 piezosurgery. Simpulan: Tidak terdapat perbedaan pada keterbatasan fungsi oral, namun terdapat perbedaan ekspresi IL-10 pasca odontektomi dengan menggunakan mikromotor dibandingkan dengan menggunakan piezosurgery.Kata Kunci: Odontektomi, mikromotor, piezosurgery, keterbatasan fungsi oral, interleukin-10. ABSTRACTIntroduction: One of the most critical and crucial steps in odontectomy is osteotomy using a rotary instrument. The ultrasound piezosurgery (Mectron) rotary instrument is a new surgical tool in oral and craniomaxillofacial surgery. Inflammation is always associated with odentectomy and interleukin-10 (IL-10) is one of the anti-inflammatory cytokines which functions to inhibit the production of several other types of cytokines as indicators of postoperative anti-inflammatory. This study was aimed to analyse the effectiveness of micromotor units compared to piezosurgery units when performing odontectomy of lower third molars through an assessment of limited oral function and the level of expression of interleukin-10. Methods: The study was conducted on 20 patients in Universitas Padjadjaran Dental Hospital Oral and Maxillofacial Installation who will undergo odontectomy. The first group was odontectomy patients using micromotor. The second group was odontectomy patients using piezosurgery. Each group filled out a questionnaire of limited oral function on the third day and the seventh day after an odontectomy and a blood sample was taken from the brachial vein after odontectomy on the third day, and the odontectomy was performed under local anaesthesia. Results: Comparison between group I and group II, showed no significant difference in the evaluation of oral function limitations for each evaluation time, and the expression of interleukin-10 (IL-10) showed that there were significant differences, the average IL-10 micromotor was more low compared to IL-10 piezosurgery. Conclusion: There is no difference in the limitation of oral function, but there are differences in the expression of IL-10 after odontectomy using micromotor compared to using piezosurgery.Keywords: Odontectomy, micromotor, piezosurgery, limited oral function, interleukin-10.
RETROSPECTIVE STUDY OF MAXILLARY CANINES IMPACTED PROFILES AT DENTAL HOSPITAL OF FACULTY OF DENTISTRY PADJADJARAN UNIVERSITY Ginda Adilla Suwandi; Indra Hadikrishna; Farah Asnely Putri; Yurika Lita
ODONTO : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.0.90-101

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Background: The maxillary canine have a key role in the aesthetics and continuity of the dental arch. Impacted canines are the most frequently impacted teeth apart from the third molars of both the maxilla and mandible. The purpose of this study was to determine and obtain a description of the impact profile of maxillary canines at RSGM UNPAD based on age, sex, classification, type of treatment action plan.Method: This research was a retrospective descriptive study conducted from February to March 2021 based on inclusion and exclusion criteria. The research sample was taken using purposive sampling technique and determination of the impacted image using a classification based on Stivaros Mandal, Ghenoima, and Yamammoto, analyzed with ImageJ software by interobserver and intraobserver. and tested using Kappa statistics for reliability.Result: There were 76 patients who had cases of maxillary canine impaction with an age prevalence range of 10-25 years and the majority occurred in women (42.56%) and men (15.20%). Analysis of the Stivaros and Mandall classification of 59.40% grade III canine impacted patients, the greatest prevalence of the Ghenoima classification in Type E 27.00% and the Yamammoto classification of the largest prevalence in Type II 41.40%. The results of the analysis of the action plan for the treatment of patients with exposure surgery had a percentage of 0.03% and Odontectomy 0.03%.Conclusion: The majority of maxillary canine impacted prevalence occurred at the age of 10-25 years with grade III angulation, mesio-angular position between the anterior-inferior maxillary sinus.
CHARACTERISTICS OF UPPER THIRD MOLAR IMPACTION IN BANDUNG CITY POPULATION Alifya Fahira; Indra Hadikrishna; Lucky Riawan; Yurika Ambar Lita
ODONTO : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.0.57-68

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Background: The third molars (M3) are the most frequently impacted teeth because they are the last to erupt, so they often don’t get enough space to erupt. The characteristics of impacted M3 teeth can be different for each person. This study aims to provide a description of maxillary M3 impaction based on age, sex, classification, treatment, and anesthesia in Bandung City population. Method: This was a descriptive study using secondary data from medical records and panoramic radiographs at RSGM UNPAD with a purposive sampling technique. Determination of the characteristic impaction using a classification based on Archer, Shiller, Jung and Cho, and Killy and Kay, analyzed with ImageJ software by interobserver and intraobserver, and tested using Kappa statistics for reliability.Result: There were 134 impacted teeth from 102 impacted patients with 67 females (66.34%) and most cases occurred in 17-25 years old (60.4%); Class B, 82 cases (60.9%); distoangular angulation, 76 cases (56.72%); Class 3, 76 cases (52.24%); and one fused roots, 83 cases (64.93%). The most common procedure performed was odontectomy (87.25%) with local anesthesia (63.73%)Conclusion: Characteristics of upper M3 impaction in terms of position, angulation, and its relation to age and sex is needed for the diagnosis, so the management plan by the clinician is better and safer. Panoramic radiography can still be used to determine classification and diagnosis in preparing a treatment plan even though it has limitations.
ANALYSIS OF DENTIGEROUS CYST, AMELOBLASTOMA, AND ODONTOGENIC KERATOCYST PANORAMIC RADIOGRAPH AND CBCT: A SCOPING REVIEW Monica Siregar; Suhardjo Sitam; Yurika Ambar Lita; Indra Hadikrishna
ODONTO : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.0.115-130

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Background: The radiographic images similarity of a dentigerous cyst, ameloblastoma, and odontogenic keratocyst can lead to misdiagnosis. The radiographic images of these lesions can be analyzed using panoramic radiographs and CBCT with quantitative and qualitative methods of analysis. The purpose of this study was to find out what radiographic methods is better to used on panoramic radiograph and cbct to analysis these lesions so that the diagnose could be more objective, to determine the characteristics of these lesions, and to determine the use of CBCT and panoramic radiography in establishing radiodiagnosis of these lesions.Method: This research was conducted using a scoping review, through searching for articles related to the research topic in Pubmed, EBSCOHost, and Google Scholar. Result: Fifty-eight studies and case reports were reviewed in this study. This study analyzed these lesions using quantitative methods based on buccolingual size, density, and lesion volume using CBCT. Qualitative methods were used to analyze border and shapes, associations, internal structures, and locations using panoramic radiography and CBCT. Based on the cases studied, size, border, and shape of these lesions were the least optimal characteristics analyzed by panoramic radiography and CBCT.Conclusion: Ameloblastoma has a higher incidence of multilocular forms than OKC and dentigerous cysts and causes tooth resorption, while dentigerous cysts often cause tooth displacement. CBCT can be a gold standard in analyzing dentigerous cyst, ameloblastoma, and odontogenic keratocyst. Analysis of CBCT images could be more objective because it can be carried out using quantitative methods for calculating the density, volume, and size of the buccolingual expansion. Based on the case reports reviewed, size, border, and shape are the least used in determining suspected radiodiagnosis.
Correlation of the modified dental anxiety scale value with salivary alpha-amylase in pre-odontectomy patients Daisy Wulansari; Indra Hadikrishna; Endang Syamsudin
Padjadjaran Journal of Dentistry Vol 32, No 2 (2020): July 2020
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no2.15304

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Introduction: Odontectomy is a minor surgical procedure that often results in dental anxiety. Dental anxiety can interfere during odontectomy treatment. Dental anxiety can be examined using the Modified Dental Anxiety Scale (MDAS) and through the level of the salivary alpha-amylase enzyme, both of which are dental anxiety biomarkers. The objective of this study was to analyse the correlation between anxiety values with salivary alpha-amylase levels using MDAS as an indicator of anxiety in pre-odontectomy patients. Methods: This study was conducted on 60 research samples of women aged 18-40 years who came to the minor surgery clinic of Department of Oral and Maxillofacial Surgery, Universitas Padjadjaran Dental Hospital, to have odontectomy treatment of maxillary or mandibular third molars impaction, not having systemic and oral diseases, and willing to participate in this study. Patients who met the inclusion criteria then required to sign the research consent statement; afterwards, the MDAS data was taken. The salivary alpha-amylase enzyme data was taken using the Cocoro meter (Nipro, Japan) tip which was kept under the tongue for 30 seconds, then the tip was inserted into the monitor, and the enzyme levels would be counted. The data obtained will be analysed using the Spearman rank correlation test. Results: The results showed that there was a significant relationship (p < 0.01) with a strong positive correlation (r = 0.85). Conclusion: There is a correlation between MDAS value and salivary alpha-amylase enzyme as an indicator of dental anxiety.
Klasifikasi impaksi gigi molar ketiga melalui pemeriksaan radiografi sebagai penunjang odontektomi Yurika Ambar Lita; Indra Hadikrishna
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 1 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v4i1.467

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Objectives: Odontectomy is a common procedure in the extraction of third molars. Assessment of the difficulty level of extraction of third molars can be evaluated based on the classification of impaction. This article aims to discuss how the classification of impaction in third molars evaluates the difficulty of odontectomy treatment through radiographic examination. Literature Review: Literature search was carried out from various electronic databases with article inclusion criteria that discussed the validity of third molar impaction classification through radiography. Conclusion: Based on the findings of this review, it can be concluded that various stratified classifications are suggested as index that can be considered and recommended in the assessment of the difficulty level of third molar odontectomy.
Effectiveness of the application of bawang dayak (eleutherine palmifolia l. merr) extracts on healing proccess in the osteitis alveolar post tooth extraction through fibroblast examination, collagen density and amount of osteogenesis (experimental study) Fajar Rezandaru; Endang Syamsudin; Indra Hadikrishna; Vetnizah Juniantito
Journal of Dentomaxillofacial Science Vol. 5 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1222.936 KB) | DOI: 10.15562/jdmfs.v5i1.933

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Objectives: The aim of this study was to analyze the potential for topical administration of Eleutherine palmifolia (l.) merr extract gel in the healing proccess of wound with osteitis alveolar as a complication after tooth extraction in Sprague dawley mice by observing fibroblast cell area, collagen density, and amount of osteogenesis.Material and Methods: This study used a true experimental research method conducted on Sprague Dawley mice. Sample were divided into 3 groups, namely K1 (osteitis alveolar was not given any treatment), K2 (osteitis alveolar mice were given iodoform paste application every 3 days), and K3 (osteitis alveolar mice were given application of the extract gel Eleutherine palmifolia (l.) merr topically). On day 3, 5 and 10 necropsy was done and the tooth sockets in the form of soft tissue together with hard tissue was taken, then preparations were made and stained with masson trichrome to examined fibroblasts, collagen and osteogenesis.Results: Topical application of the extract gel Eleutherine palmifolia (l.) merr showed the mean value of fibroblasts area and collagen density and the amount of osteogenesis were comparable to iodoform paste in alveolar osteitis healing.Conclusion: this study is that the application of Eleutherine Palmifolia (l) merr extract gel has almost the same effectiveness as iodoform paste
Program Partisipasi Masyarakat dalam Meningkatkan Deteksi Kasus dan Monitoring Pengobatan Tuberkulosis di Masa Pandemi Covid-19 Ivan Surya Pradipta; Nurul Darmawulan; Indra Hadikrishna; Aulia Hanafitri
Media Karya Kesehatan Vol 5, No 2 (2022): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v5i2.35656

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Indonesia merupakan negara dengan kasus tuberkulosis (TB) terbanyak kedua di dunia. Kasus TB telah diprediksi meningkat selama pandemi COVID-19. Penemuan dan pelaporan kasus TB menjadi permasalahan utama di Indonesia. Data terbaru menunjukkan angka deteksi kasus TB di kecamatan Jatinangor, Sumedang, Jawa Barat masih belum mencapai target yang diharapkan. Upaya pelibatan masyarakat berpotensi dalam meningkatkan angka deteksi kasus dan keberhasilan terapi TB di Indonesia, namun hal tersebut terhambat akibat kebijakan-kebijakan pembatasan sosial selama pandemi COVID-19. Oleh karena itu aktifitas ini bertujuan untuk mengembangkan kegiatan yang melibatkan masyarakat dalam melakukan penemuan kasus dan pendampingan terapi pasien TB pada masa pandemi COVID-19 di Jatinangor, Sumedang, Jawa Barat. Sebuah mediasi online dilakukan dengan melibatkan struktur pemerintah, pengelola program TB dan masyarakat setempat untuk meningkatkan pemahaman, penemuan kasus dan keberhasilan pengobatan TB. Kegiatan dilakukan melalui beberapa tahapan, yaitu komunikasi dengan struktur pemerintah dan pengelola program TB; identifikasi kelompok kader TB potensial; peningkatkan pengetahuan dan keterampilan kader TB terpilih; pengembangan petunjuk pelaksanaan; dan pembuatan media komunikasi antara kader dan pengelola program TB setempat. Hasilnya, kegiatan ini berhasil menjaring enam kader TB yang potensial selama empat pekan yang kemudian dilatih dan diberikan petunjuk pelaksanaan kegiatan untuk menunjang pengetahuan, peran dan tugas kader TB. Kader terpilih difasilitasi media komunikasi dengan pengelola program TB di puskesmas. Kegiatan ini berhasil mendorong partisipasi masyarakat dalam upaya meningkatkan deteksi kasus dan monitoring pengobatan TB di masa pandemi COVID-19. Kata kunci: Kader; peran masyarakat; program kesehatan; tuberkulosis.
Karakteristik pasien dan diagnosis pencabutan gigi pada pasien di klinik eksodonsia RSGM Universitas PadjadjaranCharacteristics patient and indications of tooth extraction of patients at the exodontia clinic Padjadjaran University Dental Hospital Cynthia Deianira Dewi; Endang Syamsudin; Indra Hadikrishna
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 34, No 2 (2022): Agustus 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v34i2.37719

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ABSTRAKPendahuluan: Pencabutan gigi adalah tindakan mengeluarkan gigi dari soketnya. Pencabutan gigi dilakukan jika terdapat indikasi medis dan sosial dengan epidemiologi di tiap negara berbeda. Penelitian ini bertujuan untuk mengetahui karakteristik dan indikasi pencabutan gigi pasien di klinik Eksodonsia RSGM Universitas Padjadjaran dari tahun 2014-2018. Metode: Metode penelitian yang digunakan adalah deskriptif retrospektif. Data diambil dari rekam medis pasien yang datang untuk dilakukan tindakan pencabutan gigi. Data meliputi jenis kelamin, usia, pekerjaan, tingkat pendidikan, dan diagnosis. Pengambilan sampel dilakukan dengan teknik total sampling. Hasil: Terdapat 2165 gigi yang dicabut dari 1535 pasien. Pencabutan gigi yang dilakukan karena penyakit periodontal 1465 gigi (67,67%), karies dan penyakit pulpa 517 gigi (23,88%), persistensi gigi sulung 76 gigi (3,50%), gigi dengan lesi patologis 60 gigi (2,80%), impaksi 14 gigi (0,64%), perawatan preprostetik 11 gigi (0,50%), perawatan ortodontik 10 gigi (0,50%), gigi supernumerary 5 gigi (0,23%), gigi malposisi 6 gigi (0,27%), dan gigi patah atau fraktur 1 gigi (0,05%). Karakteristik pasien didapatkan terbanyak pada jenis kelamin perempuan 861 (56%), kelompok umur 12-25 tahun 626 (41%), kelompok pelajar/mahasiswa 495 (32%), dan tingkat pendidikan SMA sebanyak 794 (52%). Simpulan: Perempuan dewasa muda dari kalangan pelajar atau mahasiswa merupakan karakteristik pasien yang paling banyak ditemukan di Klinik eksodonsia RSGM Universitas Padjadjaran dengan indikasi pencabutan gigi terbanyak yaitu penyakit periodontal, karies, dan penyakit pulpa.Kata kunci: indikasi; pencabutan gigi; karies; periodontal; penyakit pulpaABSTRACTIntroduction: Tooth extraction is a procedure to remove the tooth from its socket. Tooth extraction performed if there are any medical and social indications with different epidemiology in each country. This study aimed to determine tooth extraction indication and characteristic of patients at exodontia clinic Padjadjaran University Dental Hospital in 2014-2018. Methods: The research used descriptive retrospective as the method. Data were taken from the medical record of patients who came for tooth extraction procedure. The data include gender, age, occupation, level of education, and diagnosis. Sampling was done using total sampling. Results: There were 2165 teeth extracted from 1535 patients. Tooth extraction performed due to periodontal disease were 1465 teeth (67.67%), followed by caries and pulp disease 517 teeth (23.88%), over-retained primary teeth 76 teeth (3.50%), teeth associated with pathologic lesions 60 teeth (2.80%), impacted teeth 14 teeth (0.64%), preprosthetic extraction 11 teeth (0.50%), orthodontic reasons 10 teeth (0.50%), supernumerary teeth 5 teeth (0.23%), malposed teeth 6 teeth (0,27%), and fractured teeth 1 teeth (0.05%). The most common patient characteristics were female 861 patients (56%), 12-25 years old age group 626 patients (41%), students 495 patients (32%), and level of educations was high school 794 pasien (52%). Conclusion: Female young adult among students or college students were the most common characteristic of patients in exodontia clinic Padjadjaran University Dental Hospital with the most common reasons for tooth extraction were Periodontal disease, caries and pulp disease.Keywords: indication; tooth extraction; caries; periodontal; pulp disease