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All Journal Journal of Dentomaxillofacial Science Journal of Case Reports in Dental Medicine
Nur A. Usman
Department of Oral Medicine, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
Dentistry Health Professions

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Oral potentially malignant disorder awareness level among elder community in the Belawa Distric, Wajo, South Sulawesi, Indonesia Erni Marlina; Sumintarti; Harlina Ilmar; Ali Yusran; Nur A. Usman; Israyani; Andi A. Mauliana
Journal of Dentomaxillofacial Science Vol. 7 No. 3 (2022): (Available online: 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i3.1427

Abstract

Objective: to assess awareness of senior community in the Belawa distric, Wajo, South Sulawesi, Indonesia regarding their oral soft tissue abnormality specifically regard to Oral potentially malignant disorders, and to assess community ability to descript any pain or uncomfortably origin from their oral cavity. Methods: A self-made questionnaire written in Indonesia language was given to the old aged-adult based on WHO criteria with age range between 45 to 75 years old, who was willing to participate in this study. The questioner consists some picture representing oral mucosal cavity with clinical feature of some ulcers, clinical feature of candida infection, and some clinical appearances of oral potentially malignant disorders. Results: In term of oral mucosal diseases questions, 22 (55%) participants had history of ulceration, however only 5 (45%) participants could specifically point out its previous ulcer location. However, history of pain only stated by 11 (28%) participants, 24 (60%) did not experienced any pain, and 5 (12%) did not answer the questions. Conclusion: knowledge and awareness regarding oral health lesion, especially the associated-potentially malignant lesion was far from ideal in the Belawa Community.
Management of recalcitrant ulcer in elderly patients with anemia: A case report Erni Marlina; Nur A. Usman; Masita Rahayu
Journal of Case Reports in Dental Medicine Vol 4, No 3 (2022)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v4i3.212

Abstract

Objective: This case report aimed to answer challenging in the treatment of chronic recalcitrant ulcers in elderly complicated by anemic condition. A 68 years old female patient came to Hasanuddin University Dental Hospital with chief complaint of recalcitrant painful canker sores affecting mouth and throat.Methods: Elder age could contribute in difficulty swallowing due to reduced saliva, slow eating habit, lost or caries teeth which lead to a less efficiency in the absorption of important nutrients such as iron and folic acid. This condition triggers a recalcitrant but chronic ulcer which in the end would add more difficulties for swallowing. A part from the pale conjunctiva of the eye, there was no other abnormality found extra orally. Drug therapy Bcom 150 mg with chlorhexidine gluconate 0.2% mouthwash and systemic corticosteroid.Results: Blood screening results demonstrated lower hemoglobin level with 11.6 and hematocrit 35.6 with referred value of 12 and 37, respectively. Long visit was needed to slowly adapted patient oral environment with local condition, as well as from systemic background improvement. Recalcitrant but chronic ulcers might be challenging in the treatment due to variabilities contributed factors such as age, unhealthy-eating habits, systemic background, and local oral hygiene and condition. One should be careful and be patient in changing the long behavior of the patient.Conclusion: Most importantly, patient been given advice to change her eating behaviors by consume more iron and folic acid food, and avoid irritant food. Local irritant of element 45 also been grinded.
Co-Authors Ali Yusran Andi A. Mauliana Erni Marlina Harlina Ilmar Israyani Israyani Masita Rahayu Sumintarti Sumintarti