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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.
Hemimandibulectomy of an extensive complex odontoma in the mandible: a case report Widayanti, Retno; Hardianto, Andri; Hardianto, Andri; Priyanto, Winarno; Rizki, Kiki A.
Journal of Dentomaxillofacial Science Vol 2, No 3 (2017)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i3.652

Abstract

Objective: Odontomas are the most common form of odontogenic tumors of the jaw. They constitute 22% of all odontogenic tumors. Odontomas consist of two types, compound and complex. The compound odontomas contain recognizable enamel, dentin and sometimes cementum, shaped in tooth like structures; whereas complex odontomas are composed of irregular masses of dentin and enamel and have no anatomic resemblance to a tooth.Methods: A17-year-old female patient came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left mandible. The panoramic radiograph showed a radioopacity and radiolucent lesion, with well-corticated limits. The radioopaque area was amorphous, circumscribed by a thin and irregular radiolucent halo. An inscisional biopsy confirmed the lesion as a complex odontoma. The surgery performed was hemimandibulectomy followed by a reconstruction using a plate under general anesthesia.Results: Complexodontomas are most likely to be found in the posterior region of the maxilla or the mandible and can be treated with a simple enucleation and curettage. In this case report the hemimandibulectomy was performed due to the extensiveness of the mass.Conclusion: Surgical removal of large complex odontoma with hemimandibulectomy is a rare clinical scenario. The extensiveness of the lesion contributed to its removal technique.
Hemimandibulectomy of an extensive complex odontoma in the mandible: a case report Widayanti, Retno; Hardianto, Andri; Hardianto, Andri; Priyanto, Winarno; Rizki, Kiki A.
Journal of Dentomaxillofacial Science Vol 2, No 3 (2017)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i3.652

Abstract

Objective: Odontomas are the most common form of odontogenic tumors of the jaw. They constitute 22% of all odontogenic tumors. Odontomas consist of two types, compound and complex. The compound odontomas contain recognizable enamel, dentin and sometimes cementum, shaped in tooth like structures; whereas complex odontomas are composed of irregular masses of dentin and enamel and have no anatomic resemblance to a tooth.Methods: A17-year-old female patient came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left mandible. The panoramic radiograph showed a radioopacity and radiolucent lesion, with well-corticated limits. The radioopaque area was amorphous, circumscribed by a thin and irregular radiolucent halo. An inscisional biopsy confirmed the lesion as a complex odontoma. The surgery performed was hemimandibulectomy followed by a reconstruction using a plate under general anesthesia.Results: Complexodontomas are most likely to be found in the posterior region of the maxilla or the mandible and can be treated with a simple enucleation and curettage. In this case report the hemimandibulectomy was performed due to the extensiveness of the mass.Conclusion: Surgical removal of large complex odontoma with hemimandibulectomy is a rare clinical scenario. The extensiveness of the lesion contributed to its removal technique.
Surgical management of necrotizing fasciitis due to odontogenic infection with sepsis: a case report Nugroho, Saka S.; Syamsudin, Endang; Hardianto, Andri; Riawan, Lucky
Journal of Dentomaxillofacial Science Vol 2, No 1 (2017): (Available online: 1 April 2017)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i1.455

Abstract

Objective:To perform surgical operation on necrotizing fasciitis due to odontegenic infection with sepsis.Methods: In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis. Patient was hospitalized in the Dr.HasanSadikin General Hospital. Management of this patient in the emergency room were administration of appropriate broad-spectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation. Surgical debridement was then performed.Results:After being treated for 12 days the patient’s condition improved. We planned closure of defects of the facial area, but the patient refused.Conclusion: Necrotizing fasciitis is an uncommon but potentially lethal condition associated with high rates of morbidity and mortality. Early diagnosis coupled with emergent surgical debridement, appropriate broad-spectrum empiric antibiotic treatment, and a multidisciplinary team approach is essential for successful treatment.
Multiple sialolithiasis of submandibular gland: a case report Nurwahida, Nurwahida; Hardianto, Andri; Rizki, Kiki A.
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.v2i2.530

Abstract

Objective: Sialolithiasis is a common disease of the salivary glands. Sialolithiasis occurs mainly in the submandibular gland (80–90%) and to a lesser extent in the parotid gland (5–20%). Sialoliths may be single or multiple. Multiple sialolith in the submandibular gland are rare. Seventy to 80% of cases feature solitary stones; only about 5% of patients have three or more stones.  Patients commonly experience pain and/or swelling.Methods: A 51-year-old male came to Department of Oral and Maxillofacial Surgery with a swelling and pain at the right submandibular. The panoramic radiograph showed a radiopacity mass with well-defined in right submandibular. The Ultrasonographic interpretation showed hypoechoic inhomogeneous mass with multiple calcification.The submandibular gland removal was performed by extraoral approach.Result:Multiple sialolith in the submandibular gland are rare. A surgical approach for removal of sialolith in the submandibular gland could be intraoral or extraoral. In this case report, we described five stones in the submandibular gland. which were removed by extraoral approach.Conclusion: There are various methods available for the management of salivary stones. In this case report, removal of the submandibular gland with the stone should still be preferred as the gold standard of treatment and could avoid recurrence of this medical condition.
Hemimandibulectomy of an extensive complex odontoma in the mandible: a case report widayanti, retno; Priyanto, Winarno; Rizki, Kiki A.; Hardianto, Andri
Journal of Dentomaxillofacial Science Vol 2, No 3 (2017): (Available online: 1 December 2017)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i3.518

Abstract

Objective: Odontomas are the most common form of odontogenic tumors of the jaw, represent a benign hamartoma rather than a true neoplasm. They constitute 22% of all odontogenic tumors. Odontomas are consist of two types, compound and complex. The compound odontomas contain recognizable enalmel, dentin and sometimes cementum, shaped in toothlike structures; whereas complex odontomas are composed of irregular masses of dentin and enamel and have no anatomic resemblance to a tooth.Methods: A17-year-old female patient came to Department of Oral and Maxillofacial Surgery with a slow growing and asymptomatic swelling in her left mandible. The panoramic radiograph showed a radioopacity and radiolucent lesion, with well-corticated limits. The radioopaque area was amorphous, circumscribed by a thin and irregular radiolucent halo. An inscisional biopsy confirmed the lesion as a complex odontoma. The surgery performed was hemimandibulectomy followed by a reconstruction using a plate under general anaesthesia.Results: Complex odontomas are most likely to be found in the posterior region of the maxilla or the mandible and can be treated with a simple enucleation and curettage. In this case report the hemimandibulectomy was performed due to the extensiveness of the mass.Conclusion: Surgical removal of large complex odontoma with hemimandibulectomy is a rare clinical scenario. The extensiveness of the lesion contributed to its removal technique.
Hemiglosectomy with selective neck dissection in squamous cell carcinoma at tongue Fauzi, Abul; Hardianto, Andri; Wariz, Rahmat
Journal of Dentomaxillofacial Science Vol 1, No 2 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v1i2.13

Abstract

Squamous Cell Carcinoma (SCC) is common is a malignant neoplasma originated from epithelial cells. It is usually involving the oral mucosa and underlying tissue of the tongue, hypopharynx, and also larynx. This report discussed about the management of SCC at tongue with hemiglosectomy and selective neck dissection managed in a male, 57 years old who referred with chief complaints of a mass on the tongue measuring 0.5cm that did not heal, Incision biopsy result confirms a squamous cell carcinoma with well differentiated on his tongue with enlarged lymph nodes level I ipsilateral. The patient was hospitalized and hemiglosectomy surgery with selective neck dissection was conducted, with the entire edge of the excision boundary has been free of tumor mass. Hemiglosectomy with selective neck dissection is selected depending on the size of the lesion, location of lesion and metastases occurrence.
Prevalence of dentigerous cysts due to impaction of mandibular third molar teeth Nuraini, Hanifah; Yusuf, Harmas Yazid; Hardianto, Andri
Padjadjaran Journal of Dentistry Vol 25, No 1 (2013): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.49 KB) | DOI: 10.24198/pjd.vol25no1.15425

Abstract

Dentigerous cyst is an odontogenic cyst that surrounds the crown of an impacted tooth, caused by fluid accumulation between the reduced enamel epithelium and the enamel surface, usually associated with mandibular third molars. The purpose of this study was to find out the prevalence of dentigerous cyst caused by impaction of mandibular third molar at the oral and maxillofacial surgery department of Hasan Sadikin hospital Bandung. This study was a descriptive survey study. Samples were taken from the data of patient’s medical record from July 2006 until June 2011. The result of this study showed the number of oromaxillofacial cyst cases in the period was as much as 316 (0.78%). Dentigerous cyst was the most common odontogenic cyst (48,64%). Dentigerous cyst most commonly caused by impaction of the mandibular third molar (13,89%). The amount of male and female patients with dentigerous cyst was the same (50% each). The most age group that suffered dentigerous cyst due to impaction of the mandibular third molars was the age group of 41-50 years (40%). The most chosen therapy was enucleation (100%). From the results of this study can be concluded that dentigerous cyst due to impaction of mandibular third molars was the most common case, with the same frequency found in both male and female, the most age group of impacted was the age group of 41-50 years old, and the most chosen therapy was enucleation.
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

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.
Prevalence of dentigerous cysts due to impaction of mandibular third molar teeth Nuraini, Hanifah; Yusuf, Harmas Yazid; Hardianto, Andri
Padjadjaran Journal of Dentistry Vol 25, No 1 (2013): March
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.49 KB) | DOI: 10.24198/pjd.vol25no1.15425

Abstract

Dentigerous cyst is an odontogenic cyst that surrounds the crown of an impacted tooth, caused by fluid accumulation between the reduced enamel epithelium and the enamel surface, usually associated with mandibular third molars. The purpose of this study was to find out the prevalence of dentigerous cyst caused by impaction of mandibular third molar at the oral and maxillofacial surgery department of Hasan Sadikin hospital Bandung. This study was a descriptive survey study. Samples were taken from the data of patient’s medical record from July 2006 until June 2011. The result of this study showed the number of oromaxillofacial cyst cases in the period was as much as 316 (0.78%). Dentigerous cyst was the most common odontogenic cyst (48,64%). Dentigerous cyst most commonly caused by impaction of the mandibular third molar (13,89%). The amount of male and female patients with dentigerous cyst was the same (50% each). The most age group that suffered dentigerous cyst due to impaction of the mandibular third molars was the age group of 41-50 years (40%). The most chosen therapy was enucleation (100%). From the results of this study can be concluded that dentigerous cyst due to impaction of mandibular third molars was the most common case, with the same frequency found in both male and female, the most age group of impacted was the age group of 41-50 years old, and the most chosen therapy was enucleation.