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Rahardjo .
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Dentistry

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Reseksi segmental dan rekonstruksi mandibula dengan mandibular positioner guidance sebagai perawatan ameloblastoma pada pasien edentulus total Benny Widianto; Masykur Rahmat; Rahardjo .
Makassar Dental Journal Vol. 2 No. 1 (2013): Vol 2 No 1 Februari 2013
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (473.479 KB) | DOI: 10.35856/mdj.v2i1.108

Abstract

Ameloblastoma adalah tumor jinak odontogenik yang pertumbuhannya lambat dan bersifat invasif lokal. Tumor ini memperlihatkan tanda-tanda sebagai tumor jinak secara histopatologis, secara klinis bersifat agresif dan destruktif. Ameloblastoma lebih sering terjadi di mandibular daripada maksila. Tingkat rekurensi ameloblastoma sangat tinggi. Tujuan memberikan informasi tentang salah satu cara penatalaksanaan kasus ameloblastoma multikistik dengan reseksi segmental disertai rekonstruksi mandibula menggunakan titanium mandibular plate untuk mengembalikan artikulasi, fungsi, dan bentuk mandibula seperti semula pada pasien total edentulous. Seorang wanita berusia 44 tahun datang ke Poli Bedah Mulut RSUP Dr Sardjito dengan keluhan pembengkakan pada rahang bawah selama 1 tahun. Berdasarkan hasil pemeriksaan klinis, radiologi, CT-Scan, dan biopsi didapat diagnosa klinis ameloblastoma multikistik. Pada kasus ini dilakukan tindakan reseksi segmental dan rekonstruksi menggunakan titanium mandibular plate dan plat dimensi vertikal sebagai mandibular positioner guidance. Disimpulkan bahwa penatalaksanaan ameloblastoma multikistik pada kasus ini dengan reseksi segmental dan rekonstruksi mandibula untuk mengembalikan estetika, artikulasi dan fungsi seperti semula, serta prognosisnya baik.
Penatalaksanaan kista dentigerous pada anak Rahardjo .
Makassar Dental Journal Vol. 2 No. 4 (2013): Vol 2 No 4 Agustus 2013
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6.461 KB) | DOI: 10.35856/mdj.v2i4.135

Abstract

Dentigerous cyst is a cyst that develops from the tooth-forming epithelium. These cysts usually involve unerupted teeth. Dentigerous cysts are usually found in incisor and canines teeth area on the upper jaw. In the lower jaw usually involves the unerupted third molar tooth area. Dentigerous cysts in children can lead to impaired bone growth of the jaw and teeth. The cause of this cyst can be due to an infection and inflammation during childhood and also due to lack of nutrition during the growth and development of bones and teeth. Case 1. A 12-year-old boy with a bump on the left anterior region and changed position of the maxillary incisors; there was no pain and there was crepitus on palpation. In orthopanoramic rontgen there was a canine that do not erupt, covered with radiolucent area firm boundaries. Case 2. A 16-year-old woman with a bump in the left lower jaw. There was no pain, there was crepitus on palpation, and the orthopanoramic rontgen there was well defined radiolucent area involving unerupted third molar. Both cases are expressed as a dentigerous cyst. Dentigerous cyst treatment depends on the location, size, and age of the patient. Basically the treatment aims to maintain the growth and development of facial bone and tooth development. Marsupialisation and enucleation is the treatment of cysts in general. In both cases performed two consecutive actions that were marsupialisation and enucleation. It was concluded that marsupialisation and continued with enucleation, the results were satisfactory, growth disorder of the facial bones and teeth can be avoided.
Co-Authors Benny Widianto Masykur Rahmat