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Impaksi gigi molar tiga rahang bawah dan sefalgiaMandibular third molar impaction and cephalgia Amalia Meisya Fitri; Alwin Kasim; Abel Tasman Yuza
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 28, No 3 (2016): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.092 KB) | DOI: 10.24198/jkg.v28i3.18691

Abstract

Pendahuluan: Impaksi yang sering terjadi adalah pada gigi molar tiga pada rahang bawah. Penderita biasanya mengeluhkan sefalgia yang dirasakan bersamaan dengan erupsi molar tiga tersebut. Tujuan penelitian adalah untuk mengetahui besar prevalensi impaksi molar tiga rahang bawah yang disertai sefalgia dan seberapa besar frekuensi sefalgia yang terjadi berdasarkan posisi impaksi klasifikasi Pell dan Gregory serta klasifikasi Winter. Metode: Penelitian menggunakan metode deskriptif terhadap mahasiswa Fakultas Kedokteran Gigi Univesitas Padjadjaran angkatan 2010 yang masuk dalam kriteria inklusi akan dilakukan foto panoramik untuk melihat klasifikasi impaksi. Sampel kemudian diminta untuk mengisi kuesioner penelitian. Hasil: Hasil penelitian menunjukan dari 100 orang sampel yang mengeluhkan impaksi sebanyak 58 orang, tetapi hanya 15 orang mahasiswa saja yang memasuki kriteria inklusi yaitu murni mengalami sefalgia yang berasal dari gigi impaksi. Simpulan: Kesimpulan penelitian ini adalah prevalensi impaksi molar tiga rahang bawah yang disertai sefalgia sebanyak 25,86%. Posisi A merupakan posisi pada klasifikasi Pell dan Gregory yang paling banyak mengakibatkan sefalgia. Berdasarkan klasifikasi Winter, impaksi horizontal merupakan yang paling banyak mengakibatkan sefalgia.Kata kunci: Impaksi, sefalgia. ABSTRACTIntroduction: Frequent impaction is in the lower third molars. Patients usually complain of cephalgia which is felt along with the eruption of the third molar. The purpose of this study was to determine the prevalence of lower third molar impaction accompanied by cephalgia and how much the frequency of cephalgia occurred based on Pell and Gregory classification impaction position and Winter classification. Methods: The study used descriptive method for FKG students of Padjadjaran University 2010 class which included in the inclusion criteria, panoramic photos were taken to see the classification of impactions. The sample was then asked to fill out the research questionnaire. Results: The results showed that out of 100 samples who complained of impaction as many as 58 people, but only 15 students who entered the inclusion criteria were purely experiencing cephalgia from impacted teeth. Conclusion: The conclusion of this study is the prevalence of lower third molar impaction accompanied by cephalgia as much as 25.86%. Position A is the position in the classification of Pell and Gregory which most often results in cephalgia. Based on Winter’s classification, horizontal impaction is the most common cause of cephalgia.Keywords: Impaction, cephalgia.
Treatment of bilateral ankylosis of the temporomandibular joint with temporalis superficial fascia interpositional flap Harmas Yazid Yusuf; Alwin Kasim; Tis Karasutisna
Padjadjaran Journal of Dentistry Vol 19, No 1 (2007): March 2007
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2236.253 KB) | DOI: 10.24198/pjd.vol19no1.14188

Abstract

Ankylosis of the temporomandibular joint (TMJ) involves fusion of the mandibular condyle to the base of the skull. Trauma and infection are the leading causes of ankylosis. A case of true bilateral ankylosis of the temporomandibular joint is presented. A 21-year-old male patient had a multiple bone fractures history at the age of 13 due to a sports injury. A TMJ injury might not be detected at that time resulting in a progressive restriction of his mouth opening. He presented with almost complete lack of mobility of the mandible. Surgical treatment was a resection of the ankylotic bone mass, interposition temporalis superficial fascia flaps, and early mobilization and aggressive physiotherapy. The functional results showed good remarks.
Assessment of nasopharynx area and level of severity posterior crossbite on children with cleft lips and palate post-palatoplasty Anie Apriani; Risti Saptarini Primarti; Alwin Kasim; Fahmi Oscandar
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.vol32no2.17951

Abstract

Introduction: Many children with post palatoplasty had crossbite posterior. This study was aimed to assess the nasopharynx area and the posterior crossbite severity level of children with cleft lip and palate (CLP) who received palatoplasty treatment compared to normal children. Methods: The study was observational analytic. The research subject was 14 children with CLP post-palatoplasty and 14 normal children. The object of research was 28 study models and secondary data of lateral cephalometric radiograph of children with CLP post palatoplasty and normal children. The measurement of PTM-ad1-Ad2-PTM and PTM-So-Ba-PTM were used to measure the nasopharyngeal area. Study models were assessed to analyse the level of severity of posterior crossbite. Results: The average of the soft tissues (the nasopharynx) area children with CLP post-palatoplasty was 35.02 mm2, which was lower than the normal child (35.73 mm2). Similarly, the average of the hard tissues (the nasopharynx) area children with CLP post-palatoplasty was 301.40 mm2, which was smaller than the normal children (315.54 mm2). Statistical analysis of the nasopharynx area resulted in non-significant difference. All children with CLP post-palatoplasty was suffered from posterior crossbite. The level of severity posterior crossbite, which was categorised as good was 42.9%, poor criteria was 35.7%, moderate criteria was 14.3%, and very good criteria was 7.1%. Conclusion: There is no difference between the average size of the nasopharynx area on children with CLP post-palatoplasty and normal children. The level of severity posterior crossbite after palatoplasty in CLP children mostly included in the good criteria.
Management of temporomandibular joint ankylosis with combination of gap arthroplasty surgery and physiotherapy Nurul Ramadhanty; Alwin Kasim; Abel Tasman; Seto Adiantoro; Dikki Drajat
Padjadjaran Journal of Dentistry Vol 28, No 1 (2016): March 2016
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1344.99 KB) | DOI: 10.24198/pjd.vol28no1.13518

Abstract

Background. Temporomandibular joint (TMJ) ankylosis is a union of the articular surface of the temporal bone to the disc-condyle complex that restricts mandibular movements due to either a fibrous or bony union between the head of the condyle and the glenoid fossa. Common etiological factors are trauma, infection, and pathology in the joint or systemic diseases. The diagnosis of TMJ ankylosis is established through physical and clinical evaluation, and imaging examination. Currently, the surgical techniques used to treat TMJ ankylosis are gap arthroplasty, interpositional arthroplasty, joint reconstruction, and distraction osteogenesis. Purpose. To provide overview about management of temporomandibular joint ankylosis with gap arthroplasty combined with physiotherapy post surgery. Case. A 12-year-old female patient came to Department of Oral and Maxillofacial Surgery with complaint of opening mouth restriction, which occured since one year prior to admission. After complete physical and radiographic examination, patient then was diagnosed with TMJ ankylosis due to neglected odontogenic infection. The treatment was performed with gap arthroplasty under general anesthesia. Patient then underwent physiotherapy after the surgery, including application of heat on the affected region and exercises to open and close mouth. Discussion. Ankylosis of TMJ is an uncommon case that results in chronic and severe limited mouth opening. The critical factor of successful treatment of TMJ ankylosis is early detection, correct surgery approach, implementation of an intensive physiotherapy program, and a good post-operative conduct. Therefore on this patient, gap arthroplasty was the chosen surgery approach followed by intensive physiotherapy. Conclusion.Management goal in TMJ ankylosis is  to increase the patient’s mandibular function, correct associated facial deformity, decrease pain, and prevent reankylosis. Careful surgical technique and subsequent atten­tion to physiotherapy are both considered essential to achieve a satisfactory result.
Maxillofacial fracture due to traffic accidents in motorcycle riders with helmets Erza Kurniawan; Alwin Kasim; Herman Hambali
Padjadjaran Journal of Dentistry Vol 27, No 2 (2015): July 2015
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol27no2.26656

Abstract

Introduction: Many of maxillofacial fractures in traffic accidents, primarily occurred to motorcyclists. The fractures are strongly influenced by the use of helmets, either half-face or full-face helmets. The objective of this research was to obtain information about the fractures occurred to motorcyclist with helmets. Methods: The research was designed as a descriptive study and conducted in Oral and Maxillofacial Surgery Department of Hasan Sadikin Hospital. Results: From January 2009 through November 2011, recorded as many as 116 out of 759 fracture cases (15.28%). Based on its occurrence, male motorcyclist (80.17%) was found more often than female (19.83%). The study also recorded that based on the type of helmets, the accident occurred of those using half-face type (86.33%) and 13.67% to those using full-face type. Conclusion: Maxillofacial fractures in motorcycle accidents are recorded as many as 116 fracture cases. The most common type of maxillofacial fracture is a dentoalveolar fracture. Maxillofacial fracture more occurred in male.