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A rare case of massif Adenomatoid Odontogenic Tumor in the anterior region of mandible: Mimicking as dentigerous cyst Munandar, Aris; Syamsudin, Endang; Sylvyana, Melita; Rizki, Kiki Akhmad
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 (1504.831 KB) | DOI: 10.24198/pjd.vol27no3.13561

Abstract

Background. Adenomatoid Odontogenic Tumor (AOT) is a rare tumor of epithelial origin. AOT appears in three clinico-topographic variants: follicular, extrafollicular and peripheral. The AOT was predominantly found in the upper jaw, and rarely found in mandible, especially at anterior mandible. AOT is a tumor of odontogenic epithelium having duct like structures, which may be partly cystic, and in some cases the solid lesion may be present only as masses in the wall of a large cyst. The surgical management of this lesion would be enucleation along with removal of associated impacted tooth. The prognosis for both of them is good and recurrences are very rare after complete removal of the lesion. Purpose. It is important to define final diagnose for AOT due to mimicking with DC in clinically and radiographically finding. Biopsy is still obviously necessary to the final diagnosis. Case. 15-year-old female patients reported with chief complain of swelling in anterior mandible. The swelling beginning 4 years ago, gradually progressed, with no history pain, discharge and patient is complaint about loss of sensation around anterior mandible. Aspiration revealed straw colored fluid thinking in the way of DC. The provisional diagnosis of DC was given due to clinical presentation and radiographic imaging. But the biopsy examination showed AOT due to duct-like epithelial cells was being found. Discussion. The case report illustrates characteristic clinical and radiographic features of follicular variant of AOT mimicking a DC at unusual site that is anterior mandible. AOT is thought to arise from odontogenic epithelium and associated with the impacted tooth. Rightfully AOT is a perfect imitator of DC radiographically as well as histopathologically. It usually clinically misdiagnosed as DC as both have a unilocular, well-defined radiolucency surrounding the crown of an impacted tooth. The mass was enucleated, involved teeth were extracted, and titanium plates are used to avoid pathologist fracture. The patient had uneventful postoperative recovery. Follow up of a year has not shown any evidence of recurrence. Conclusion. Follicular type of OAT could confuse us with DC if the support examination just only clinicaly finding and radiographic examination. This case could not be definitively diagnosed on clinical and radiographic features alone. Biopsy was obviously necessary to the final diagnosis.
Tooth extraction complication and treatments at the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Universitas Padjadjaran Bandung Wirastriajeng, Harnastiti; Riawan, Lucky; Syamsudin, Endang
Padjadjaran Journal of Dentistry Vol 19, No 2 (2007): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.65 KB) | DOI: 10.24198/pjd.vol19no2.14185

Abstract

The patient’s dental conditions who visited the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Padjadjaran University, Bandung, were generally in a severe damage stage, causing problems in extraction. This condition, as well as the operator ’s (co-assistant student) that still have limited capability,  may increase the risk of complication. This study was conducted at the Exodontia Clinic of the Oral and Dental Hospital of the Faculty of Dentistry of Padjadjaran University. It is conducted from March 13 to May 13, 2007. It is aimed at finding out the types of tooth extraction complications including the treatments towards the problems. This study was a prospective descriptive using the survey method. The study showed that there were 70 cases (64% ) of complications occurred, namely, 37 cases (6.68%) in the maxilla, and 33 cases (5.96% ) in the mandible. The complications that occurred consisted of root fracture (41 .43%), crown fracture (32.86% ), soft tissue laceration (14 .29%), maxillary sinus perforations (2.86% ), syncope (2.86% ), swelling (2.86% ), and secondary hemorrhage (2.86% ).
Congenital double lip pits Widayanti, Retno; Sylvyana, Melita; Syamsudin, Endang; Diposarosa, Rizki
Padjadjaran Journal of Dentistry Vol 28, No 1 (2016): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1030.647 KB) | DOI: 10.24198/pjd.vol28no1.13520

Abstract

Introduction : Lip pits are unusual congenital anomalies affecting the lip, first described by DeMurquay in 1845. Lip pits can encounter aesthetic problem thus the patient ask for surgical overcome. Case Report : A 4-year-old girl patient came with double lower lip pits that present since birth with bilateral cleft lip and palate. The pits made a mucous accumulation occurs during mealtimes and crying, and felt aesthethic discomfort. The surgery was performed by simple excision combined with split-lip advancement technique under general anaesthesia and the excised pits was then analized for histopatological structures. The patient has no aesthetic defect after surgery. Discussion : Congenital lip pits are developmental anomalies that occur as an isolated defect or either in association with other developmental disturbances. It happens due to notching of lip at an early stage of development with fixation of tissues of the base of the notch or from a failure of complete union of embryonic lateral sulci of the lip. Lip pits can be shallow or deep, and may be associated with accessory salivary glands. The treatment is usually surgical excision with removal of entire fistulous tract. Conclusion : Surgical removal of lip pits is commonly for cosmetic purpose. It must be treated wisely because lips are essential part of someones face.
The infrared radiation effect to the trismus recovery after odontectomy Marwan, Arian Reza; Syamsudin, Endang; Karasutisna, Tis
Padjadjaran Journal of Dentistry Vol 19, No 2 (2007): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.003 KB) | DOI: 10.24198/pjd.vol19no2.14177

Abstract

Impacted was defined as unerupted teeth, it could some pathological conditions such as pain, swelling, trismus, and should be removed by an operative procedure called odontectomy. Nevertheless, this procedure could cause some complications such as pain, trismus and swelling. Trismus was a jaw restricted movement condition caused by inflammation, swelling and pain. Trismus could be cured by analgetic anti-inflammation medicines, and physiotherapy such as jaw movement exercise, massaging, hot wet application and therapy used infrared light. Infrared light was an electromagnetic radiation with a wavelength between 0.7 μm-1000 μm. It could reduce the inflammation in cell structure, pain and less of side effects. The research was carried out to know the infrared effect to the velocity of trismus recovery. Type of research had been used is quacy experimental in a prospective way, using 15 patients with infrared radiation and 15 patients without infrared radiation. The result of research used t-test with α = 0.05 indicated that there was significant differences velocity of trismus after odontectomy recovery between infrared radiation and without infrared radiation. This study concluded that the velocity of trismus recovery was faster when applied by infrared radiation.
Treatment of relapse Ameloblastoma after Hemimandibulectomy and Mandibular Reconstruction Putri, Dian Maifara; Hardianto, Andri; Syamsudin, Endang; Rizki, Kiki Akhmad
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 (815.144 KB) | DOI: 10.24198/pjd.vol27no3.13560

Abstract

Background. Ameloblastoma is a benign odontogenic tumor with an aggressive biological behaviour, and the surgical treatment frequently results in failure for the post operative recurrence. Purpose. The aim of this study was to evaluate the clinical result of the patient with aggressive recurrent ameloblastoma who underwent two times radical surgery to get recurrence free. Case. We report a patient who was diagnosed with ameloblastoma of the mandible 13 years ago and had undertaken operation hemimandibulectomy and mandibular reconstruction. However, recurrence occured and secondary surgical treatment (particularly radical) offers the best chance to the patient. The recurrence of an ameloblastoma mainly displays the ineffectiveness or perhaps lack of success of the main surgical treatment. Conclusion. The method has to be intense as well as radical in order to steer clear of reccurence. For ameloblastoma an ineffectiveness of initial surgical treatment indicates that more radical strategy led to minimum recurrence rate.
PENGARUH POLUTAN Pb TERHADAP PERTUMBUHAN DAN PERKEMBANGAN TANAMAN Lantana sellowiana dan Ixora chinensis Siti Nurisjah; G. A. Wattimena; Endang Syamsudin; Lily Taslim
Indonesian Journal of Agronomy Vol. 22 No. 1 (1994): Buletin Agronomi
Publisher : Indonesia Society of Agronomy (PERAGI) and Department of Agronomy and Horticulture, Faculty of Agriculture, IPB University, Bogor, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1039.661 KB) | DOI: 10.24831/jai.v22i1.1644

Abstract

An experiment on the effect of Pb pollutants on the growth and development of two widely used ornamental plants, i.e. Lantana sellowiana and Ixora chinensis, was conducted at the IPB Greenhouse, Baranangsiang, Bogor from mid September 1990 to the end of December 1990. The experiment aimed to determine the effect of concentration levels of Pb in the form of PbCl2 upon the growth and development of the two ornamental plants. The experiment consisted of two units, each of which was based on the complete randomized design. Treatments consisted of four concentration levels of PbCI2, i.e. 0, 250, 2500, and 25 000 ppm, applied to each unit with three replications. Observation during 12 weeks showed that treatments with 250 and 2500 ppm PbCl2 did not give significant damage to the growth and development of Lantana sellowiana. Concentration level of 25 000 ppm, however, interfered growth and development of this species six weeks after planting. On the other hand, the concentration levels used in this experiment had no toxic effect on the growth and development of Ixora chinensis.