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Management of temporomandibular joint ankylosis with combination of gap arthroplasty surgery and physiotherapy Ramadhanty, Nurul; Kasim, Alwin; Tasman, Abel; Adiantoro, Seto; Drajat, Dikki
Padjadjaran Journal of Dentistry Vol 28, No 1 (2016): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Background. Temporomandibular joint (TMJ) ankylosis is a union of the articular surface of the temporal bone to the disc-condyle complex that restricts mandibular movements due to either a fibrous or bony union between the head of the condyle and the glenoid fossa. Common etiological factors are trauma, infection, and pathology in the joint or systemic diseases. The diagnosis of TMJ ankylosis is established through physical and clinical evaluation, and imaging examination. Currently, the surgical techniques used to treat TMJ ankylosis are gap arthroplasty, interpositional arthroplasty, joint reconstruction, and distraction osteogenesis. Purpose. To provide overview about management of temporomandibular joint ankylosis with gap arthroplasty combined with physiotherapy post surgery. Case. A 12-year-old female patient came to Department of Oral and Maxillofacial Surgery with complaint of opening mouth restriction, which occured since one year prior to admission. After complete physical and radiographic examination, patient then was diagnosed with TMJ ankylosis due to neglected odontogenic infection. The treatment was performed with gap arthroplasty under general anesthesia. Patient then underwent physiotherapy after the surgery, including application of heat on the affected region and exercises to open and close mouth. Discussion. Ankylosis of TMJ is an uncommon case that results in chronic and severe limited mouth opening. The critical factor of successful treatment of TMJ ankylosis is early detection, correct surgery approach, implementation of an intensive physiotherapy program, and a good post-operative conduct. Therefore on this patient, gap arthroplasty was the chosen surgery approach followed by intensive physiotherapy. Conclusion.Management goal in TMJ ankylosis isÂ to increase the patientâs mandibular function, correct associated facial deformity, decrease pain, and prevent reankylosis. Careful surgical technique and subsequent attenÂtion to physiotherapy are both considered essential to achieve a satisfactory result.

Management of Le Fort II fracture accompanied with blowout fracture of orbital base: a case report Adiantoro, Seto; Kasim, Alwin; Faturrahman, Faturrahman
Journal of Dentomaxillofacial Science Vol 2, No 2 (2017): (Available online: 1 August 2017)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i2.534

Objective: To present a casereport of a 20 years old male with Le Fort II fracture accompanied with blowout fracture and its management.Methods: A 20 years old male patient with chief complaint of maxillary fracture and inability to chew food, also felt limitation of right eye movement and double vision was then diagnosed with Le Fort II fracture accompanied with blowout fracture of the right orbital base. The patient was rehabilitated using open reduction internal fixation of the maxilla to achieve good occlusion continue with immobilization. The orbital base fracture was rehabilitated by orbital mesh placement and release of tissue trapped inside the orbital base fracture fragments to achieve normal position and movement of the eyeball.Results: One month post-surgery follow-up showed the face was symmetrical and the enophthalmos was corrected. A good occlusion was reached.Conclusion: Proper management of Le Fort II fracture accompanied with orbital base blowout fracture can restore the function of the eye, mastication, and occlusion. Symmetrical and proportional facial esthetics are among the indicators of a successful holistic maxillofacial trauma management.

Management of temporomandibular joint ankylosis with combination of gap arthroplasty surgery and physiotherapy Ramadhanty, Nurul; Kasim, Alwin; Tasman, Abel; Adiantoro, Seto; Drajat, Dikki
Padjadjaran Journal of Dentistry Vol 28, No 1 (2016): March
Publisher : Faculty of Dentistry Universitas Padjadjaran

Background. Temporomandibular joint (TMJ) ankylosis is a union of the articular surface of the temporal bone to the disc-condyle complex that restricts mandibular movements due to either a fibrous or bony union between the head of the condyle and the glenoid fossa. Common etiological factors are trauma, infection, and pathology in the joint or systemic diseases. The diagnosis of TMJ ankylosis is established through physical and clinical evaluation, and imaging examination. Currently, the surgical techniques used to treat TMJ ankylosis are gap arthroplasty, interpositional arthroplasty, joint reconstruction, and distraction osteogenesis. Purpose. To provide overview about management of temporomandibular joint ankylosis with gap arthroplasty combined with physiotherapy post surgery. Case. A 12-year-old female patient came to Department of Oral and Maxillofacial Surgery with complaint of opening mouth restriction, which occured since one year prior to admission. After complete physical and radiographic examination, patient then was diagnosed with TMJ ankylosis due to neglected odontogenic infection. The treatment was performed with gap arthroplasty under general anesthesia. Patient then underwent physiotherapy after the surgery, including application of heat on the affected region and exercises to open and close mouth. Discussion. Ankylosis of TMJ is an uncommon case that results in chronic and severe limited mouth opening. The critical factor of successful treatment of TMJ ankylosis is early detection, correct surgery approach, implementation of an intensive physiotherapy program, and a good post-operative conduct. Therefore on this patient, gap arthroplasty was the chosen surgery approach followed by intensive physiotherapy. Conclusion.Management goal in TMJ ankylosis is to increase the patient’s mandibular function, correct associated facial deformity, decrease pain, and prevent reankylosis. Careful surgical technique and subsequent attention to physiotherapy are both considered essential to achieve a satisfactory result.

Infected Dentigerous Cyst Due to Traumatic Injury in Impacted of Mandible Canine : A Case Report muhajir, idawati; Adiantoro, seto; Hardianto, Andri; Rizki, Kiki Ahmad
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc

Dentigerous cyst is an odontogenic cyst associated with unerupted teeth and caused by a remnant of epithelial teeth. The chronic infection process of dentigerous cyst spread slowly and formed an abscess. We report a rare case of a 25 years old man with swelling, pain and redness at chin region. The swelling oftenly appeared and persisted for the passed one year. The radiographic x-ray showed an impacted of left lower canine, lower premolars and right uppper molar Â there was radiolucency at apical region of the all fourth incisors and canines of lower jaw that was diagnosed as infected dentigerous cyst due to impacted of lower left canine. The initial treatment was antibiotic therapy for 2 week, followed with cyst enucleation, extracted of the all fourth incisors and odontectomy canine of left lower jaw, premolars of lower jaw and right uppper jaw molar through intraoral approach under general anasthesia. The evaluation of 2 weeks post surgery treatment showed the healing was good and the chin region showed no sign of inflammation, the color of the tissue was similar to its surrounding. Histological examination revealed an infected dentigerus cyst. Â± 5 years ago the patient was history of traumatic injury with lacerated wound at chin region

Infected dentigerous cyst due to traumatic injury in impacted of mandible canine: a case report Muhajir, Idawati; Adiantoro, Seto; Hardianto, Andri; Rizki, Kiki A.
Journal of Case Reports in Dental Medicine Vol 1, No 1 (2019)
Publisher : Journal of Case Reports in Dental Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (997.595 KB)

Objective: This case study is a case of infected dentigerous cyst involving all erupted incisor teeth and impacted mandible canine. Diagnosis of results from clinical examination, radiographic and histopathologic.Methods: The initial treatment was antibiotic therapy for 2 week, followed with cyst enucleation, extracted of the all fourth incisors and odontectomy lower left canine, lower premolar and upper right molar through intraoral approach under general anesthesiaResults: The evaluation of 2 weeks post surgery treatment showed the healing was good and the chin region showed no sign of inflammation, the color of the tissue was similar to its surrounding.Conclusion: Last sentence of abstract should be a conclusion or further treatment plan for the case. Histological examination and medical history should be placed before the treatment procedureKeywords: Dentigerous Cyst, Enucleation, Infection.

Hemimandibulectomy and intermaxillary fixation: surgical treatment of ameloblastoma in mandible: a case report Sandiah, Jihad H.; Priyanto, Winarno; Adiantoro, Seto; Nurwiadh, Agus
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Objective: Ameloblastoma is a tumor derived from epithelial, gingival mucosa or gingivomaxillary that appear on a teeth. It is a benign yet destructive tumor with high recurrence rate. Hemimandibulectomy is one of therapies selected when the pathologic lesion had involved the coronoid processus and the condyle, although the therapy could results in facial defects and mandibular deviation.The purpose of this article is to report a hemimandibulectomy with bridging plate reconstruction and inter-maxillary fixation as a therapy for left mandibular ameloblastoma performed to reduce deviation and facial defects.Method: Fourty-two years old female patient came to the Oral and Maxillofacial Surgery Clinic at Hasan Sadikin Hospital Bandung, with a lump at the left side of lower jaw, it happened since 3 years ago, with small size in the beginning and grow gradually, painless, hard on palpation, and same colored with surrounding tissue.Result: The histopathologic examination results was plexiform type ameloblastoma at left mandible. Hemimandibulectomy is the removal of most or half of the mandible including the entire condyloideus process, coronoid processus, ramus and some mandibular corpus on one side of the jaw. Ameloblastoma is the most common odontogenic tumor in the mandible and maxilla. Ameloblastoma has several variations of histopathologic appearance, but the most commonly seen is the follicular and plexiform type. In most cases, ameloblastoma is usually asymptomatic, growing slowly, and can expand in the affected jaw.Conclusion: Hemimandibulectomy performed to remove pathologic lesions radically to prevent recurrence. Bridging plate is an act used as a mandibular reconstruction. Intermaxillary fixation is one of the ways to reduce mandibular deviation after hemimandibulectomy.Keywords: hemimandibulectomy, intermaxillary fixation, ameloblastoma

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