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All Journal Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah
Nyoman Ayu Anggayanti
Universitas Udayana
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Carpal Tunnel Syndrome and its relation to dentist Anggayanti, Nyoman Ayu; Adiatmika, I Putu Gde
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1747.755 KB) | DOI: 10.24198/pjd.vol27no3.13556

Abstract

Introduction: Carpal Tunnel Syndrome (CTS) is a compressive neuropathy, caused by mechanical distortion produced by a compressive force of the median nerve at the level of the wrist. Primary sign is pain in the wrist, tingling sensation, pain or numbness in thumb, index finger, middle finger, and radial side of the ring finger, also there is a reduction of the grip strength and function of the affected hand. This sign tend to be worse at night and clumsiness during the activities that requiring wrist flexion. This syndrome is well-known and frequent accounts for 90% of all entrapment neuropathies. Incidence rates up to 276:100.000 per year. More common in females than in males, its occurrence is commonly bilaterally with a peak age range of 40 to 60 years. This is the productive age, which is often reported that the Carpal Tunnel Syndrome are work-related musculoskeletal disorders caused by strain and repeated movements. Disscussion: Dentist are high risks to go through musculoskeletal disorders covering wrist joint. The condition may happen because of the dentist position while handling patients is not in ergonomic position. These include repetitive prolonged hand activities, forceful static posture of wrist, vibration, and localized mechanical stress. To reduce the symptoms of musculoskeletal disorders since the beginning, has developed an integrated concept of teamwork in a modern dental practice. This concept is known as the four-handed dentistry which consists of dentists and assistants with their respective skills. Conclusion: The four-handed treatment techniques has been developed that is now largely acceptable. The concept of four-handed dentistry is expected to prevent the movement that makes the muscles tense, especially in the area around the wrist. And may ultimately reduce the incidence of Carpal Tunnel Syndrome
Etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibulaEtiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis Nyoman Ayu Anggayanti; Endang Sjamsudin; Melita Sylvyana
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.23759

Abstract

Pendahuluan: Sialolithiasis adalah penyakit umum kelenjar saliva. Gejalanya termasuk pembengkakan kelenjar yang terlibat, terutama selama makan, dan nyeri tekan, yang mungkin mereda tetapi dapat kambuh kembali. Sialolith terjadi terutama di kelenjar submandibula (80-90%) dan pada tingkat yang lebih rendah di kelenjar parotid (5-20%). Sialolith bisa tunggal atau jamak. Multipel sialolith di kelenjar submandibula jarang terjadi. Tujuh puluh dari delapan puluh persen kasus memiliki sialolith tunggal, hanya sekitar 5% pasien yang memiliki tiga atau lebih sialolith. Faktor etiopatogenesis terkait dengan pembentukan sialolith adalah obstruksi, penurunan laju aliran saliva, dehidrasi, infeksi kelenjar saliva, dan terganggunya kelarutan kristaloid. Tujuan penulisan laporan kasus ini untuk menjelaskan etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibula. Laporan kasus: Seorang wanita 24 tahun datang dengan pembengkakkan dan nyeri pada submandibula kanan. Radiografi panoramik menunjukkan massa radiopak terdefinisi dengan baik dalam submandibula kanan. Interpretasi ultrasonografi menunjukkan massa tak homogen hypoechoic dengan kalsifikasi ganda. Pengangkatan kelenjar submandibula dilakukan dengan pendekatan ekstraoral. Laporan kasus ini menunjukkan Gambaran sebanyak sembilan sialolith di kelenjar submandibula, yang dihilangkan dengan pendekatan ekstraoral. Simpulan: Etiopatogenesis dari pembentukan multipel sialolithiasis pada duktus kelenjar, yaitu faktor mekanis, inflamasi, kimiawi, dan infeksi. Diperkirakan bahwa alkalin serta saliva kental yang mengandung banyak sel mukus, memiliki persentase kalsium fosfat lebih tinggi seperti pada kelenjar saliva submandibula yang mendukung pembentukan sialolith. Pengangkatan kelenjar submandibula beserta sialolith dilakukan sebagai standar baku perawatan dan dapat menghindari kekambuhan. Pasien kontrol kembali satu minggu pasca operasi dengan kondisi baik dan dijadwalkan untuk pemeriksaan radiografis ulang enam bulan kemudian untuk memastikan tidak terjadinya pembentukan sialolith baru di saluran kelenjar saliva.Kata kunci: Multipel, sialolithiasis, kelenjar submandibula. ABSTRACTIntroduction: Sialolithiasis is a common disease of the salivary glands. Symptoms include the glands inflammation, especially during eating, and tenderness, which may subside but may recur. Sialoliths occur mainly in the submandibular glands (80-90%) and to a lesser extent in the parotid glands (5-20%). Sialolith can be singular or plural. Multiple sialoliths in the submandibular gland rarely occur. Seventy out of eighty per cent of cases have a single sialolith. Only about 5% of patients have three or more sialoliths. The etiopathogenetic factors associated with sialolith formation are obstruction, decreasing salivary flow rate, dehydration, salivary gland infection, and impaired crystalloid solubility. The purpose of this case report was to describe the etiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis. Case report: A 24-year-old woman presented with inflammation and pain in the right submandibular. Panoramic radiograph shows a well-defined radiopaque mass in the right submandibular. Ultrasound interpretation revealed a hypoechoic homogeneous mass with multiple calcifications. Removal of the submandibular gland was carried out with an extraoral approach. This case report showed the appearance of as many as nine sialoliths in the sub-mandibular gland, removed by an extraoral approach. Conclusion: Etiopathogenesis of the formation of multiple sialolithiasis in the glandular duct are mechanical, inflammatory, chemical, and infectious factors. It is thought that alkaline and thick saliva, which contains many mucus cells, has a higher percentage of calcium phosphate than in the submandibular salivary glands, which support the formation of sialoliths. Submandibular gland removal along with the sialoliths is performed as the treatment standard, which can avoid recurrence. The control visit is carried out one week postoperatively in good condition, and the patient is scheduled for another radiographic examination six months after to ensure that no new sialoliths occurred in the salivary gland.Keywords: Multiple, sialolithiasis, submandibular gland.
Carpal Tunnel Syndrome and its relation to dentist Nyoman Ayu Anggayanti; I Putu Gde Adiatmika
Padjadjaran Journal of Dentistry Vol 27, No 3 (2015): November 2015
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1747.755 KB) | DOI: 10.24198/pjd.vol27no3.13556

Abstract

Introduction: Carpal Tunnel Syndrome (CTS) is a compressive neuropathy, caused by mechanical distortion produced by a compressive force of the median nerve at the level of the wrist. Primary sign is pain in the wrist, tingling sensation, pain or numbness in thumb, index finger, middle finger, and radial side of the ring finger, also there is a reduction of the grip strength and function of the affected hand. This sign tend to be worse at night and clumsiness during the activities that requiring wrist flexion. This syndrome is well-known and frequent accounts for 90% of all entrapment neuropathies. Incidence rates up to 276:100.000 per year. More common in females than in males, its occurrence is commonly bilaterally with a peak age range of 40 to 60 years. This is the productive age, which is often reported that the Carpal Tunnel Syndrome are work-related musculoskeletal disorders caused by strain and repeated movements. Disscussion: Dentist are high risks to go through musculoskeletal disorders covering wrist joint. The condition may happen because of the dentist position while handling patients is not in ergonomic position. These include repetitive prolonged hand activities, forceful static posture of wrist, vibration, and localized mechanical stress. To reduce the symptoms of musculoskeletal disorders since the beginning, has developed an integrated concept of teamwork in a modern dental practice. This concept is known as the four-handed dentistry which consists of dentists and assistants with their respective skills. Conclusion: The four-handed treatment techniques has been developed that is now largely acceptable. The concept of four-handed dentistry is expected to prevent the movement that makes the muscles tense, especially in the area around the wrist. And may ultimately reduce the incidence of Carpal Tunnel Syndrome
PENCEGAHAN PENYEBARAN INFEKSI DAN PENGGUNAAN TELEDENTISTRY SELAMA PANDEMI COVID-19 Nyoman Ayu Anggayanti; Putu Lestari Sudirman; Putu Fenti Surya Pratami; Dewi Anggraini
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 8, Nomor 3, Desember 2021
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v8i3.816

Abstract

Introduction: COVID-19 is a new virus that was first discovered in Wuhan, China. In mid-2020, the number of deaths continued to increase worldwide. Topics: Dentist are professions that are susceptible to infection, so they must implement preventive measures and apply alert behavior to all patients. Discussion: The American Dental Association (ADA) describes teledentistry as "the use of telehealth systems and methodologies in dentistry", which includes "a wide variety of technologies and practices to provide virtual medical, healthcare, and educational services. Conclusion: Prevention of disease transmission by using complete personal protective equipment, selection of emergency cases and teledentistry can be carried out during the COVID-19 pandemic to reduce the possibility of transmission at the dentist's practice.
Atypical Odontalgia Putu lestari sudirman; Nyoman Ayu Anggayanti; Patricia Eviana Cahyadi
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 7, Nomor 2, Desember 2020
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v7i2.585

Abstract

Pendahuluan: Atypical odontalgia (AO) merupakan kondisi nyeri kronis intra oral dan merupakan bagian dari nyeri orofasial. Gambaran klinis AO sangat beragam namun umumnya berupa nyeri tumpul persisten pada intraoral dan sebagian besar hanya mengenai satu sisi. Tinjauan: Etiologi dan patofisiologi dari AO masih belum diketahui secara pasti, namun sebagian besar literatur menyebutkan bahwa nyeri neuropati mengambil bagian dalam etiologi AO. Gambaran klinis yang beragam pada pasien AO sering mengakibatkan kesulitan dalam mendiagnosis karena tumpang tindih dengan gambaran klinis nyeri wajah lainnya. Hal tersebut juga dapat menyebabkan keterlambatan diagnosis maupun kesalahan diagnosis. Dikarenakan etiologi dan patofisiologi yang masih belum diketahui secara pasti maka belum terdapat standar prosedur untuk penatalaksanaan perawatan AO. Literatur ini akan membahas mengenai berbagai aspek tersebut. Simpulan: Sebagian besar penatalaksanaan AO berfokus pada keluhan fisik dan psikologis pasien dibandingkan menangani faktor penyebabnya. Perlu diperhatikan juga untuk menghindari prosedur gigi apapun bila mendapati ketidakpastian diagnosis untuk mencegah perburukan dari rasa nyeri pasien. Rangkaian penatalaksanaan dari berbagai disiplin ilmu disarankan untuk perawatan jangka panjang.
Effectiveness of mixed tea plant extract gel with chitosan on fibroblast cells after tooth extraction of Wistar rats Nyoman Ayu Anggayanti; Putu Lestari Sudirman; Ni Nyoman Rian Permata Sari; I Gusti Ayu Putu Diah Suryani
Padjadjaran Journal of Dentistry Vol 35, No 1 (2023): March 2023
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no1.36563

Abstract

ABSTRACTIntroduction: Tooth extraction can cause the damage of hard and soft tissue. When an injury occurs, fibroblast will respond in the wound healing process. Herbal medicines such as green tea and chitosan can be used in wound healing. The polyphenol content in green tea, namely EGCG, has an anti-inflammatory effect, increasing wound healing. In wound healing, chitosan promotes hemostasis and tissue recovery. Based on several previous studies, the use of 1.2% green tea extract was effective for improving wound healing in rat open wound models, chitosan 1% could trigger the proliferation of fibroblasts in the wound healing process after tooth extraction. The aim of this study is to analyze the effect of gel mixture of extract Camellia sinensis 1,2% with chitosan 1% on post-tooth extraction wound of Wistar rats. Methods: This was a randomized post-test only control group design using 40 Wistar rats which were randomly divided into 2 groups. Each group underwent intramuscular anesthesia on the rat's thigh and tooth extraction of mandibular left incisor. The treatment group was applied mixed gel of extract Camellia sinensis 1.2% and 1% chitosan as much as 0.01 ml and the control group was not given any treatment, after that decapitated on days 1, 3, 5, and 7. Result: The mean number of treated fibroblasts was higher than the control group on days 1, 3, 5, 7, respectively, 75.00; 176.00; 349.00 and 427.00 cells. The mean difference in the number of fibroblasts was significant with p-value 0.001 (p>0.05). Conclusions:  Mixed extract gel of Camellia sinensis and chitosan increased fibroblasts in wound healing process after tooth extraction of Wistar rats with the highest mean of fibroblast on the 7th day.Keywords: mixed tea leaves,chitosan, fibroblast,wound healing
Effectivity of 5% Temulawak Extract (Curcuma xanthorrhiza) on Post-Extraction Fibroblast Cells in Wistar Rats (Rattus norvegicus) Nyoman Ayu Anggayanti; Putu Lestari Sudirman; Made Indira Paramita
Padjadjaran Journal of Dentistry Vol 35, No 2 (2023): July 2023
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no2.47023

Abstract

ABSTRACTIntroduction: Fibroblast is a key element in the wound healing process. During the proliferation phase, fibroblast cells are important for producing collagen and elastic cells. Curcuma xanthorriza is a medicinal herb that contains active compounds such as curcumin and flavonoid, both of which have the ability to increase fibroblast migration and accelerate wound healing. This study aims to observe the effectiveness of 5% temulawak extract (Curcuma xanthorrhiza) on post-extraction fibroblast cells in Wistar rats (Rattus norvegicus). Methods: The experimental study was conducted on 30 rats, divided into a control group and a treatment group. The subjects received intramuscular anesthesia prior to extraction of mandibular incisor. The treatment group was injected with 5% curcuma extract into their wound socket, while the control group was given placebo gel injection. The mandibular samples were obtained and analyzed on the 3rd, 5th, and 7th day. The number of fibroblast cells was observed using a light microscope with three different fields of view at 400x magnification. Results: The mean number of fibroblasts in the experiment group was higher than that in the control group. On the 7th day, the treatment group showed 342.50 fibroblast cells, while the control group only showed 298.25 cells. The number of fibroblast cells in the 3rd day treatment group was comparable to that in the 5th day of control group. Conclusion: It can be concluded that 5% temulawak extract (Curcuma xanthorrhiza) has a significant effect increasing post-extraction fibroblast cells in Wistar rats (Rattus norvegicus).
Co-Authors Dewi Anggraini Endang Sjamsudin I Gusti Ayu Putu Diah Suryani I Putu Gede Adiatmika Made Indira Paramita Melita Sylvyana Ni Nyoman Rian Permata Sari Patricia Eviana Cahyadi Putu Fenti Surya Pratami Putu Lestari Sudirman