Poerwati Soetji Rahajoe, Poerwati Soetji
Bagian Bedah Mulut & Maksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Intrusi Berat dengan Keterlibatan Multipel Gigi Insisivus Maksila akibat Trauma pada Anak Priyatama, Andhika; Rahajoe, Poerwati Soetji; Rahardjo, Rahardjo
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013)
Publisher : Majalah Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Trauma gigi anak merupakan kasus yang sering dijumpai. Intrusi gigi merupakan salah satu akibat trauma berupa perpindahan gigi ke dalam soket alveolaris. Intrusi gigi permanen anak dengan pertumbuhan akar sempurna perlu segera ditangani untuk menghindari kerusakan permanen gigi dan jaringan pendukung. Reposisi secara bedah dipilih dengan pertimbangan kondisi umum, lama kejadian, keparahan dislokasi, kondisi mahkota dan pertumbuhan akar. Tujuan laporan ini adalah melaporkan keberhasilan pembedahan pada kasus fraktur dentoalveolar dengan multipel gigi intrusi. Seorang anak laki-laki berusia 10 tahun datang ke RSGM Prof. Soedomo dengan keluhan gigi masuk ke langit-langit setelah terjatuh kurang lebih 30 menit sebelum kedatangan. Keadaan umum baik, compos mentis,  GCS 15, tanda vital normal, rasa sakit pada gigi atas (VAS = 7), tidak dicurigai cedera kepala atau trauma di tempat lain. Pemeriksaan klinis menunjukkan vulnus laceratum pada gingiva anterior maksila, empat gigi incisivus maksila (12,11, 21, 22) mengalami intrusi. Gigi insisivus sentral dan lateral kanan terlihat sepertiga mahkota, gigi insisivus sentral dan lateral kiri mahkota tidak tampak. Pemeriksaan radiografis menunjukkan intrusi gigi insisivus maksila dengan kedalaman lebih dari 7 milimeter, akar gigi telah tumbuh sempurna, dan tidak terdapat fraktur akar, fraktur mahkota maupun fraktur rahang. Tindakan yang dilakukan adalah reposisi gigi intrusi dan fiksasi interdental maksila. Perawatan bedah dan fiksasi interdental memberikan hasil yang sangat  baik. Hasil kontrol pasca perawatan didapatkan oklusi normal, pasien mampu membuka dan menutup mulut tanpa ada gangguan, gigi-gigi intrusi dalam kondisi vital, mastikasi normal, dan estetika baik.ABSTRACT: Severe Traumatic Intrusions of Multiple Maxillary Incisors In Children. Dental trauma is one of the most common traumas during childhood. The report will discuss about a treatment of multiple severe traumatically  intruded maxillary incisors in children. A 10-year-old boy came to Prof. Soedomo Dental Hospital with a complaint of teeth intrusion after having accident in school thirty minutes before. The patient was in good general condition, compos mentis, the GCS score was 15, vital sign was normal, pain on anterior maxillary teeth (VAS was 7), no head injury or other traumas. The clinical examination showed that there was vulnus laceratum on maxillary gingival, and intrusion of the four maxillary incisors (12, 11, 21, 22). Only one-third crown of the right maxillary incisors was visible, meanwhile, the crowns of the left maxillary incisors were totally invisible. The supporting radiographic examination showed that the four maxillary incisors was apically intruded with more than seven millimeters in depth. The teeth’s root were well-developed (complete root formation), no fractures of the teeth’s root, crown, and the jaw. The patient underwent intruded teeth repositioning surgical treatment and maxillary inter dental fixation. Clinical evaluation (1 month and 2 months) after the treatments showed that the occlusion was achieved as the same as before the trauma. The patient was able to open and close the mouth normally without functional impairments. Furthermore, the intruded teeth were in a vital condition, no mastication pain, and with a good aesthetics.
Effects of Lidocaine Concentration on Streptococcus Mutans Bacteria Haryono, Muhammad Wildan Hari Subagya; Rahajoe, Poerwati Soetji
The Indonesian Journal of Dental Research Vol 1, No 1 (2010)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (582.291 KB) | DOI: 10.22146/theindjdentres.9985

Abstract

Lidocaine is one of the local anesthetics agents that are frequently used in dentistry. Streptococcus mutan is a gram-positive, facultatively an aerobic bacterium commonly found in human oral cavity. The study aims to find out the effects of Lidocaine concentration against Streptococcus mutans bacteria. The study used experimental design with liquid and solid dilution method to find out bacteriostatic and bacteriocidal effects of Lidocaine concentration. The test bacteria used in the study are the ones, which have been compared with Mcfarland standard solution with 10μCFU/ML concentration. The Lidocaine concentrations were 2%, 1%,0.5%, 0.25%, 0.125%, 0.0625%, 0.03125%, 0.015625%, and 0.007812%. Kruskal-Wallis and Mann-Whitney methods were used for the statistical test. The result of the study suggests that Lidocaine concentration has effects against Streptococcus mutans bacteria in the concentrations of 2%, 1% and 0.5%, to inhibit bacterial growth (p<0.05), but there was no bacteriocidal potential of Lidocaine concentration against Streptococcus mutans bacteria (p>0.05).
Intrusi Berat dengan Keterlibatan Multipel Gigi Insisivus Maksila akibat Trauma pada Anak Priyatama, Andhika; Rahajoe, Poerwati Soetji; Rahardjo, Rahardjo
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (587.208 KB) | DOI: 10.22146/majkedgiind.7677

Abstract

Trauma gigi anak merupakan kasus yang sering dijumpai. Intrusi gigi merupakan salah satu akibat trauma berupa perpindahan gigi ke dalam soket alveolaris. Intrusi gigi permanen anak dengan pertumbuhan akar sempurna perlu segera ditangani untuk menghindari kerusakan permanen gigi dan jaringan pendukung. Reposisi secara bedah dipilih dengan pertimbangan kondisi umum, lama kejadian, keparahan dislokasi, kondisi mahkota dan pertumbuhan akar. Tujuan laporan ini adalah melaporkan keberhasilan pembedahan pada kasus fraktur dentoalveolar dengan multipel gigi intrusi. Seorang anak laki-laki berusia 10 tahun datang ke RSGM Prof. Soedomo dengan keluhan gigi masuk ke langit-langit setelah terjatuh kurang lebih 30 menit sebelum kedatangan. Keadaan umum baik, compos mentis,  GCS 15, tanda vital normal, rasa sakit pada gigi atas (VAS = 7), tidak dicurigai cedera kepala atau trauma di tempat lain. Pemeriksaan klinis menunjukkan vulnus laceratum pada gingiva anterior maksila, empat gigi incisivus maksila (12,11, 21, 22) mengalami intrusi. Gigi insisivus sentral dan lateral kanan terlihat sepertiga mahkota, gigi insisivus sentral dan lateral kiri mahkota tidak tampak. Pemeriksaan radiografis menunjukkan intrusi gigi insisivus maksila dengan kedalaman lebih dari 7 milimeter, akar gigi telah tumbuh sempurna, dan tidak terdapat fraktur akar, fraktur mahkota maupun fraktur rahang. Tindakan yang dilakukan adalah reposisi gigi intrusi dan fiksasi interdental maksila. Perawatan bedah dan fiksasi interdental memberikan hasil yang sangat  baik. Hasil kontrol pasca perawatan didapatkan oklusi normal, pasien mampu membuka dan menutup mulut tanpa ada gangguan, gigi-gigi intrusi dalam kondisi vital, mastikasi normal, dan estetika baik.Severe Traumatic Intrusions of Multiple Maxillary Incisors In Children. Dental trauma is one of the most common traumas during childhood. The report will discuss about a treatment of multiple severe traumatically  intruded maxillary incisors in children. A 10-year-old boy came to Prof. Soedomo Dental Hospital with a complaint of teeth intrusion after having accident in school thirty minutes before. The patient was in good general condition, compos mentis, the GCS score was 15, vital sign was normal, pain on anterior maxillary teeth (VAS was 7), no head injury or other traumas. The clinical examination showed that there was vulnus laceratum on maxillary gingival, and intrusion of the four maxillary incisors (12, 11, 21, 22). Only one-third crown of the right maxillary incisors was visible, meanwhile, the crowns of the left maxillary incisors were totally invisible. The supporting radiographic examination showed that the four maxillary incisors was apically intruded with more than seven millimeters in depth. The teeth’s root were well-developed (complete root formation), no fractures of the teeth’s root, crown, and the jaw. The patient underwent intruded teeth repositioning surgical treatment and maxillary inter dental fixation. Clinical evaluation (1 month and 2 months) after the treatments showed that the occlusion was achieved as the same as before the trauma. The patient was able to open and close the mouth normally without functional impairments. Furthermore, the intruded teeth were in a vital condition, no mastication pain, and with a good aesthetics.
Parestesi pada fraktur kompleks zigomatikomaksilaris Paresthesia in zygomaticomaxillary complex fractures Bernado, Pedro; Prihartiningsih, Prihartiningsih; Rahajoe, Poerwati Soetji
Journal of Dentomaxillofacial Science Vol 12, No 3 (2013): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v12i3.376

Abstract

Head trauma cases can involve os.zygoma and maxilla. Injury to the nerves is one of the complications that can beencountered as a result of the fracture fragments shift. This paper reported one case of n.infraorbitalis paresthesiafollowing zygomaticomaxillary complex fracture. A 30 years old man was referred to the Department of Oral Surgery,Dr.Sardjito Hospital with a history of traffic accident two weeks before admission. The patient complained of rightcheek area feels numbness, bite changed and there was a protrusion of bone under his right eye. Clinical examinationfound paresthesias of right n.infraorbitalis, left posterior open bite, and bone displace at right infraorbital rim. At theWaters x-ray and 3D CT scan visualized fractures involving the right maxillary and infraorbital rim. Open reductioninternal fixation (ORIF) zygomaticomaxillary complex fracture, with miniplate supported by arch bar as a device toachieve individually normal occlusions, was performed under general anesthesia. Postoperative follow up indicateparesthesia symptoms gradually decreased and totally recover within 5 months. Prognosis for this case was bonam. Itwas concluded that ORIF with miniplate, combined with mounting arch bar can support paresthesia correction due tothe displacing of fracture fragment zygomaticomaxillary complex.
Autotranplantasi Caninus Maxilla pada Soket Incisivus Lateral Maxilla menggunakan Anestesi Lokal Putra, Adi Subekti; Widyastuti, Maria Gorreti; Rahajoe, Poerwati Soetji
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.768 KB) | DOI: 10.22146/majkedgiind.9119

Abstract

Autotransplantation of Maxillary Canines in Lateral Incisor Socket Using Local Anesthetic. Autotransplantation as the primary option that has many benefits over a period of mixed dentition for contributing to stimulating bone growth; it is not obtained on dental implants. Autotransplantation donor tooth is best when root development reaches half or one-third of the total length with open apex, with a success rate of 94%. However in the complete root, the success rate is lower (84%) due to periodontal issues which are often damaged when making the donor. In this case report, the authors performed the autotransplantation using a whole root donor tooth. Embedded teeth were used to replace deciduous canine teeth with rampant caries. The aim of this case is to replace rampant caries teeth that are not anatomically perfect.
Pengelolaan Fraktur Dentoalveolar pada Anak-Anak dengan Cap Splint Akrilik Nur Cahyo, Dedy Sigit; Widyastuti, Maria Gorreti; Rahajoe, Poerwati Soetji
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1320.12 KB) | DOI: 10.22146/majkedgiind.9118

Abstract

Management of Dentoalveolar Fractures in Children Using Acrylic Cap Splint. The purpose of fracture treatment in children is basically the same as that in adults with different management, while the choice of treatment method mainly relies on the development of jaws and teeth. It reports two cases of dentoalveolar fractures in children under 5 years old who were treated using acrylic cap splint with circum-mandibular wiring under general anesthetic. Two children, aged 1 year and 3 years old were referred to the emergency department of Dr. Sardjito Hospital with the diagnosis of dentoalveolar fractures. Both cases were treated using cap splint with circum-mandibular wiring-based fixation under general anesthetic. After 3 weeks, the acrylic cap splint and the circum-mandibular wiring were released under sedation. No loose teeth were found in the fracture area. In the following 6 weeks, the teeth were stable with normal occlusion and no infection found. Acrylic cap splint with circum-mandibular wiring is a simple, effective and minimally invasive method for dentoalveolar treatment in children.
Misdiagnose of fine needle aspiration biopsy Damanhuri, Rahma Yulinda; Widiastuti, Maria Goreti; Rahajoe, Poerwati Soetji
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 3, No 1 (2017)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.904 KB) | DOI: 10.22146/mkgk.49228

Abstract

The accuracy of biopsy on oral malignant lesion examination depends on the adequacy of clinical information obtained, biopsy type and procedure, determination of biopsy site, and integrity of biopsy tissue. Fine needle aspiration biopsy (FNAB) is one of among cytology examinationthat can be used for oral lesion. However, the results are variative, either false positive or false negative. The adequate management of a malignant lesion started with an accurate diagnosis. Histopathology and tissue biopsy examination is a gold standard in diagnosis determination of suspected malignant lesion. The aim of this case study was to report a refferal case of misdiagnosed lower lip squamous cell carcinoma using FNAB examination. Patient reffered from local hospital with squamous cell carcinoma lesion misdiagnosed as a benign cystic lesion prone to mucocele through FNAB finding. From this case study, it was concluded that FNAB examination is not reliable to diagnose superficial lesions, such as cystic lesions and SCC in the lower lip. ABSTRAKKetepatan diagnosis dari pemeriksaan lesi ganas rongga mulut tergantung pada adekuatnya informasi klinis yang didapatkan, jenis dan prosedur biopsi yang tepat, pemilihan tempat biopsi dan pemenuhan syarat dari jaringan biopsi. Aspirasi jarum halus (AJH) merupakan salah satu pemeriksaan sitologi yang bisa dilakukan untuk lesi di mulut, namun hasil pemeriksaan AJH masih ada yang dilaporkan false negative maupun false positive dengan hasil yang bervariasi.Penanganan yang tepat pada lesi ganas dimulai dengan melakukan diagnosis yang akurat. Standar baku dalam mendiagnosa terletak pada pemeriksaan histopatologi dari biopsi jaringan yang dicurigai mengalami lesi ganas. Tujuan studi kasus ini adalah melaporkan suatu kasus rujukan kesalahan diagnosis squamous cell carcinoma bibir bawah dengan pemeriksaan AJH. Seorang pasien rujukan dari salah satu RSUD dengan lesi squamous cell carcinoma yangdidiagnosis benigna cystic lesion yang condong ke mucocele melalui pemeriksaan AJH. Kesimpulan studi kasus ini adalah pemeriksaan AJH tidak tepat digunakan untuk kasus lesi superfisial seperti lesi kistik dan SCC di bibir bawah.
A CASE OF THIRD MOLAR AUTOTRANSPLANTATION INTO FIRST MOLAR RECIPIENT SITE WITH PERIAPICAL GRANULOMA Rahmawati, Yuni; Widiastuti, Maria Goreti; Rahajoe, Poerwati Soetji
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 3, No 2 (2017)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.54471

Abstract

Autotransplantation of molar is a potential treatment option to restore perfect occlusion and to improve mastication following a substantial loss of molars. A succesful transplantation depends on the general patient condition, the donor tooth, and the recipient site. An ideal recipient site should have sufficient alveolar bone support, periodontal, and tissue and absence of chronic inflamation. We reported a case of third molar autotransplantation to first molar with periapical granuloma as recipient site with one year follow-up. Autotransplantation process started with an adequate curettage of the recipient site immediately, followed by atraumatic donor tooth extraction. The result of clinical and radiological examination showed no pain, no tooth mobility, and no inflammation at periapical first molar region. Periapical granuloma at the recipient site is not an absolute contraindication of autotransplantation. Extra-alveolar period and atraumatic extraction of the donor tooth during autotransplantation affected the condition of periodontal ligament
SIALOSTENT FOR WARTHON’S DUCT REPAIR IN SUBMANDIBULAR SIALOLITHIASIS Rosanto, Yosaphat Bayu; Widiastuti, Maria Goreti; Rahajoe, Poerwati Soetji
DENTA Jurnal Kedokteran Gigi Vol 13, No 2 (2019)
Publisher : FKG Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v13i2.200

Abstract

Sialolithiasis is disease found in the salivary glands which is marked by obstruction of salivary secretion by salivary gland stone. Submandibular gland is the highest predilection for sialolithiasis with 80% occurrence rate. The gland stones in Wharton's duct cause ductal stenosis and inflammation that causing pain. The main purpose of surgery on sialolithiasis is not only to take salivary gland stones, but the most important thing is to maintain the warthon duct as an outlet for the submandibular salivary glands. This paper explains case of sialolithiasis related to the management of Warthon?s duct repair surgery with sialostent in pediatric. A 5 years-old female patient came to our hospital with a complaint of swealing in the floor of the mouth for 2 weeks that sometimes disturbing when eating. Clinical examination revealed a mobile 5 mm swealing and inflamation in the floor of the mouth in the sublingual caruncle. Ultrasoundgraphy examination results showed a picture of a very hyperechoic circle measuring 3 mm. Patient was planned for surgical removal of gland stone and Warthon?s duct repair with siaolostent under general anesthesia. The suture technique for sialostent fixation is an important key to the success of this surgery, especially in children, because children often feel uncomfortable and want to remove this sialostent that appears intraorally. Result of this successful surgery is the Warthon?s duct can be maintained without relapse. Good soft tissue healing and normal salivary gland function. There was no complications in this surgical result. Sialolithectomy in combination with sialostent is a promising method for repairing the Wharthon duct. This method is able to correct the unfavorable curvature of the Warthon duct, prevent stenosis, and avoid sublingual caruncle closure due to inflammatory and healing processes.