One of the most difficult cases to be managed in dentistry is an odontogenic infection. The study was aimed to finding the description of the odontogenic infection cases at the Oral Surgery Polyclinic of Hasan Sadikin Hospital, Bandung, Indonesia, according to the odontogenic infection types, genders, ages, sources of infection, and type of treatment given. This study was a retrospective-descriptive study with a survey method conducted from January 2009 to December 2010. The results of this study showed that there were total 8 types of odontogenic infection cases. The periapical abscess was the most frequent abscess found in 89 patients (30.6%). Male patients were having more often cases than women with the ratio of 53:47. The most frequent age group was the 21-30 years old age group in 57 patients (22.7%). The highest number of patients from 8 different cases of odontogenic infection (30.2%). The source of odontogenic infection was found most commonly by the mandibular first molar teeth, with as much as 26.6%.
Impacted was defined as unerupted teeth, it could some pathological conditions such as pain, swelling, trismus, and should be removed by an operative procedure called odontectomy. Nevertheless, this procedure could cause some complications such as pain, trismus and swelling. Trismus was a jaw restricted movement condition caused by inflammation, swelling and pain. Trismus could be cured by analgetic anti inflamation medicines, and physiotherapy such as jaw movement exercise, massaging, hot wet application and therapy used infrared light. Infrared light was an electromagnetic radiation with wavelength between 0.7 μm-1000 μm. It could reduced the inflammation in cell structure, pain and less of side effects. The research was carried out to know the infrared effect to the velocity of trismus recovery. Type of research had been used is quacy experimental in prospective way, using 15 patients with infrared radiation and 15 patients without infrared radiation. The result of research used t test with α = 0.05 indicated that there were significant differences velocity of trismus after odontectomy recovery between infrared radiation and without infrared radiation. This study concluded that the velocity of trismus recovery was faster when applied by infrared radiation.
Introduction: The average age for completely eruption of the mandibular third molar is age 20-25. The eruption of mandibular third molar sometimes prevented by several factors, caused this tooth becomes impacted. All impacted third molar should be removed with minor surgery, which called odontectomy. Several complications and complaint are accompanied with extraction of impacted third molar. The purpose of this study was to determine the prevalence rate of complications post-odontectomy of mandibular third molar, based on genders, age of the patients, the classification of impactions, and the day of postoperative control. Methods: The characteristics of this study was a descriptive survey that collected the secondary data from the medical records, which used the research papers to collect the data. Results: The results of this study show that there are 545 medical records of the patient included to the study, 62.7% complications occur in women. Complications often occur in age groups over 30 years (56.3%). Conclusion: Most of complications occur in C position in class I, II, and III of Pell and Gregory classification. The most complications is oedem on the first day after surgery (43.1%) and on the day of sutures opened (12.3%).
Ankylosis of the temporomandibular joint (TMJ) involves fusion of the mandibular condyle to the base of the skull. Trauma and infection are the leading causes of ankylosis. A case of true bilateral ankylosis of the temporomandibular joint is presented. A 21-year-old male patient had a multiple bone fractures history at the age of 13 due to a sports injury. A TMJ injury might not be detected at that time resulting in a progressive restriction of his mouth opening. He presented with almost complete lack of mobility of the mandible. Surgical treatment was a resection of the ankylotic bone mass, interposition temporalis superficial fascia flaps, and early mobilization and aggressive physiotherapy. The functional results showed good remarks.
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