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All Journal Dental Journal (Majalah Kedokteran Gigi)
Nurdiana Nurdiana
Resident of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga
Dentistry

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Treatment of recurrent aphthous stomatitis major with metronidazole and ciprofloxacin M. Jusri; Nurdiana Nurdiana
Dental Journal (Majalah Kedokteran Gigi) Vol. 42 No. 3 (2009): September 2009
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.007 KB) | DOI: 10.20473/j.djmkg.v42.i3.p109-113

Abstract

Background: Recurrent aphthous stomatitis (RAS) are painful oral ulcerations that recur from days to months or even years. It represents the most common lesion of the oral mucosa with prevalence ranging from 15% to 30%. Although the clinical characteristics of RAS are well defined, the precise etiopathogenesis of RAS remains unclear. Since the etiology of RAS remains unknown, there is no definitive treatment. RAS responds quite well to the use of topical or systemic antiinflammatory drugs, particularly corticosteroids. Purpose: The objective of this paper is to discuss the treatment of RAS with secondary infection. Case: This paper reported a case of 22-year-old man with multiple oral ulcers that did not heal for 7 months. Case Management: These ulcers were diagnosed as RAS major with secondary infection that caused by normal oral flora (aerobic and anaerobic bacteria) and treated with metronidazole (topical and oral) and ciprofloxacin (oral). These lesions healed in 3 weeks with scars. Conclusion: Large ulcer without signs of malignancy that contaminated with normal oral flora will delayed in healing, but with rational treatment RAS mayor with secondary infection has good prognosis.
Pseudomembranous candidiasis in patient wearing full denture Nurdiana Nurdiana; M. Jusri
Dental Journal (Majalah Kedokteran Gigi) Vol. 42 No. 2 (2009): June 2009
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (703.649 KB) | DOI: 10.20473/j.djmkg.v42.i2.p60-64

Abstract

Background: Oral candidiasis is a common opportunistic infection of the oral cavity caused by an overgrowth of Candida species, the commonest being Candida albicans. Candida albicans is a harmless commensal organism inhabiting the mouths but it can change into pathogen and invade tissue and cause acute and chronic disease. Dentures predispose to infection with Candida in as many as 65% of elderly people wearing full upper dentures. Purpose: The purpose of this case report is to discuss thrush in patient wearing full denture which rapidly developed. Case: This paper report a case of 57 year-old man who came to the Oral Medicine Clinic Faculty of Dentistry Airlangga University with clinical appearance of pseudomembranous candidiasis (thrush). Case Management: Diagnosis of this case is confirmed with microbiology examination. Patient was wearing full upper dentures, and from anamnesis known that patient wearing denture for 24 hours and he had poor oral hygiene. Patient was treated with topical (nystatin oral suspension and miconazole oral gel) and systemic (ketoconazole) antifungal. Patient also instructed not to wear his denture and cleaned white pseudomembrane on his mouth with soft toothbrush. Conclusion: Denture, habit of wearing denture for 24 hours, and poor oral hygiene are predisposing factors of thrush and it can healed completely after treated with topical and systemic antifungal.
Co-Authors M. Jusri M. Jusri