Objective: The present article is to report a case of a patient with alveolar cleft that was treated with the application of iliac bone graft Methods: A nine year-old girl with maxillary alveolar cleft had labioplasty and palatoplasty. The cleft was closed using iliac bone graft and the result was the canine erupts on the graft site get a better alveolar arch and no more oronasal fistule. Alveolar cleft can be treated by the use of iliac bone graft. Results: Based on the clinical and radiographic development of the patient, the treatment for overall seemed success with the obtain of maxillary arch continuity, provide bone that is available for permanent canine to erupt, optimal alar base reconstruction, the fistulae was eliminated, provide a better nasal alar cartilage support, get a stabil the maxillary segment for orthodontic treatment and obtain an ideal alveolar morphology. Conclusion:The timing of alveolar bone grafting usually associated with the state of the developing of dentition. Post operative management is important to get a good result and to prevent any complications. Keywords
Dokter gigi dalam praktiknya terkadang menghadapi pasien dengan kelainan sistemik serta kasus kedaruratan medik, terutama syok anafilaksis. Fakultas Kedokteran Gigi Unjani mempunyai program unggulan kedaruratan medik dental sehingga perlu untuk menyelenggarakan pengabdian kepada masyarakat secara berkesinambungan, dalam hal ini untuk dokter gigi secara umum. Tujuan dari kegiatan pengabdian masyarakat ini untuk meningkatkan pengetahuan dan keterampilan kesehatan mengenai penatalaksanaan pasien dengan syok anafilaksis dan penyakit sistemik pada tempat praktik dokter gigi. Metode kegiatannya berupa edukasi dalam bentuk webinar bagi dokter gigi, bekerja sama dengan Persatuan Dokter Gigi Indonesia Cabang Kabupaten Bandung Barat (KBB). Kegiatan dibagi dalam 2 sesi, sesi pertama mengenai penyakit sistemik dan sesi kedua mengenai kedaruratan medis. Hasil kegiatan dihadiri secara antusias oleh sekitar 200 peserta dari daerah KBB dan sekitarnya.
ABSTRAKPendahuluan: Gigi impaksi yaitu gigi yang tidak dapat erupsi ke posisi fungsi normalnya karena terhalang, baik disebabkan oleh faktor lokal maupun sistemik. Gigi yang sering mengalami impaksi yaitu molar ketiga, diikuti oleh kaninus dan premolar. Gigi molar kedua jarang mengalami impaksi, dan umumnya disebabkan karena terhalang oleh molar ketiga di sebelahnya. Tujuan laporan kasus ini adalah untuk menjabarkan penatalaksanaan kasus impaksi horisontal gigi molar kedua maksila bilateral simptomatis yang menyebabkan nyeri kepala rekuren. Laporan kasus: Seorang wanita berusia 23 tahun datang dengan keluhan sering mengalami sakit kepala sebelah kiri. Foto panoramik menunjukkan gigi molar kedua rahang atas kanan dan kiri mengalami impaksi horisontal, disertai agenesis gigi molar ketiga rahang atas kanan dan kiri, serta bawah kiri. Pasien belum pernah melakukan pencabutan gigi tetap sebelumnya. Selanjutnya dilakukan bedah pengangkatan gigi molar kedua atas kiri yang impaksi. Kunjungan kontrol, pasien melaporkan bahwa sakit kepalanya berkurang secara signifikan. Simpulan: Impaksi gigi molar kedua rahang atas jarang terjadi, dan dapat menyebabkan berbagai gejala sakit kepala, sehingga pencabutan gigi impaksi dapat mengurangi gejala nyeri kepala yang dialami.Kata kunci: Impaksi molar kedua, horizontal, maksila bilateral, nyeri kepala rekuren. Horizontal impaction of symptomatic bilateral maxillary second molar causing recurrent headacheABSTRACT Introduction: Impacted teeth are the teeth that unable to erupted into their normal functional position because they are blocked, caused by both local and systemic factors. Teeth impaction often occurred at the third molar, followed by canines and premolar. The second molar rarely experiences impaction and generally caused by being obstructed by the adjacent third molar. The purpose of this case report was to describe the management of cases of horizontal impaction of symptomatic bilateral maxillary second molar that caused recurrent headache. Case report: A 23-years-old woman with a chief complaint of a recurrent left headache. Panoramic image showed that the right and left maxillary second molar were experiencing horizontal impaction, along with agenesis of the right and left maxillary third molar, and also in the left mandibular. The patient has never extracted any permanent teeth before. The next treatment was the surgical extraction of the impacted left maxillary second molar. In the control visits, the patient reported that her headache was significantly reduced. Conclusion: Impaction of the maxillary second molars is a rare case that can cause various headache symptoms thus extraction of the impacted teeth will be able to reduce the headache symptoms.
Systemic disease is a medical condition that can affect dental care and cause complications during and after dental treatment, so it needs special attention and treatment by dentists. Systemic diseases consist of heart disorders and hypertension, diabetes, blood disorders, and others. The purpose of this study is to determine the readiness of dentists to treat patients with systemic diseases. The study was conducted by distributing questionnaires in an electronic form to dentists in West Bandung Regency (KBB) and its surroundings in the form of experience in finding patients with systemic diseases in practice and readiness in their management. Questionnaires were obtained from 83 dentists, with the results describing that 98.8% of dentists had treated patients with systemic diseases. Systemic diseases that were often found in practice are hypertension (96.2%), then diabetes (89.2%), heart disorders (65.1%), asthma (47%), allergies (45.8%), stroke (37.3%), blood disorders (27.7%), kidney disorders (25.3%), thyroid disorders (24.1%), liver disorders (14.5%), and others (2.4%). The results show that dentists in the KBB area were well-prepared to treat patients with systemic diseases. Dental and oral care in patients with systemic diseases were found in daily practice. Based on the research results, most dentists have encountered patients with systemic diseases and are ready to treat patients with controlled systemic diseases. However, when the systemic disease conditions are not governed, the dentist chooses to consult the patient with a general practitioner or internal medicine specialist first. Most dentists in the West Bandung Regency and its surroundings have found patients with systemic diseases who were well-prepared for their management plans at their practice sites.
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