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"The removal of impacted mandibular molar by surgery (odontectomi) is a common procedure done by the dentist in daily practice. A well and proper operation technique is required to avoid unexpected complication after odontectomy. A 48 years old women is reported with pathological sinistra mandible angle fracture after odontectomy of mandibular third molar done by Yordania Oral Surgeon two month ago. Patient was refered to Departemen of Oral Surgery RSCM. Reposition and fragmen fixation using plate-srew and arch bar. In this paper, writer try to discuss about the posible cause of complication. Hopefully,dentists will be more careful in doing odontectomy procedure, to avoid unexpected complications."

"Alveolar osteitis (AO) continues to be a significant postoperative problem associated with the surgical removal of impacted mandibular third molars. This study aims to investigate the prevalence differences of AO between female and male patients with postoperative surgical removal of these teeth. An ex post facto approach was used, with a total of 60 cases of removed impacted third molars recorded from 24 female and 38 male patients. an incidence of AO was defined to imply a painful condition that occurs after the surgical removal of teeth, usually beginning 3 to 5 days after surgery. Also, on examination the tooth socket appears to be empty with a partially or completely lost blood clot, and the bone surfaces of the socket are exposed. The results were analyzed using Chi-square test and showed significant differences in the prevalence of AO between male and female patients (a < 0.05). The prevalence of AO was 41.7% in female and 16.7% in male patients. In conclusion, female patients show a significantly higher prevalence of AO than male patients."

"Impacted third mandibular molar seems as a common and easy case but actually a difficult one when the odontectomy proceeds. besides, another unpredicted problems ofte appear such as fractured lip, traumatized and damaged of the mandibular canal. To decide the odontectomy procedure, a dentist has to do the examination systematically. In this case, radiographic examination is very important to perceive the location as well as shape of the third molar, especially its position to the adjacent anatomic structure that has to be considered during operation. This whole view will help dentist to decide appropriate approach.A special radiographic examination enables dentist to predict the treatment result more accurately, since the location and shape of the tooth correctly perceived. With this more complete diagnostic information, an appropriate treatment plan could be arranged and unfavorable risk could be limited, therefore complication and failure could be avoided."

"ABSTRAKLatar Belakang: Kehilangan gigi dan trauma oklusi merupakan salah satu faktor pendukung penyebab penyakit periodontal. Belum ada penelitian mengenai analisis kehilangan gigi molar pertama mandibula terhadap trauma oklusi dan status periodontal di Indonesia. Tujuan: Memperoleh analisis kehilangan gigi molar pertama mandibula terhadap trauma oklusi dan status periodontal. Metode: Studi retrospektif menggunakan data sekunder dengan pendekatan potong lintang dari rekam medik Departemen Periodonsia RSKGM FKG UI periode 2012-2017. Hasil: Didapatkan 184 subjek yang mengalami kehilangan gigi molar pertama (M1) mandibula dengan jumlah kasus trauma oklusi terjadi pada 42 gigi premolar kedua (P2) mandibula dan 63 gigi molar kedua (M2) mandibula. Trauma oklusi yang terjadi pada P2 dan M2 mandibula memiliki nilai resesi gingiva, kedalaman poket, dan kehilangan perlekatan klinis yang lebih besar dibandingkan dengan keadaan tidak trauma oklusi. Terdapat perbedaan bermakna (p<0,05) nilai resesi gingiva, kedalaman poket, dan kehilangan perlekatan klinis antara gigi P2 mandibula trauma oklusi dengan tidak trauma oklusi. Terdapat perbedaan bermakna (p<0,05) nilai resesi gingiva dan kehilangan perlekatan klinis antara gigi M2 mandibula trauma oklusi dengan tidak trauma oklusi. Kesimpulan: Kehilangan gigi M1 mandibula dengan trauma oklusi berpengaruh terhadap resesi gingiva, kedalaman poket, dan kehilangan perlekatan klinis pada gigi P2 dan M2 mandibula.

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ABSTRACTBackground: Tooth loss and trauma from occlusion are kind of factors that contributing in periodontal disease. There has been no research on the analysis of mandibular first molar loss to trauma from occlusion and periodontal status in Indonesia. Objective: Get the analysis of mandibular first molar loss to trauma from occlusion and periodontal status. Method: A cross-sectional study using medical records in Department of Periodontics RSKGM FKG UI 2012-2017. Result: There were 184 subjects that had mandibular first molar (M1) loss with total 42 mandibular second premolar (P2) and 63 mandibular second molar (M2) cases related to trauma from occlusion (TFO). Gingival recession, pocket depth, and loss of attachment of P2 and M2 mandibular teeth with TFO were worse than non-TFO. There were statically significant differences (p<0,05) of gingival recession, pocket depth, and loss of attachment between P2 mandibular teeth with TFO and non-TFO groups. There were statically significant differences (p<0,05) of gingival recession and loss of attachment between M2 mandibular teeth with TFO and non-TFO groups. Conclusion:  Mandibular first molar loss with trauma from occlusion is related to gingival recession, pocket depth, and lost of attachment on mandibular second premolar and mandibular second molar."

"Teeth dimension is the factor influenced the incidence of tooth impaction. The most related factor with teeth dimension is teeth form. This study was aimed to determine the effect of teeth form on the incidence of lower third impaction. It was carried out on Buginese and Torajanese in South Sulawesi Indonesia. The samples consist of 115 Buginese and 115 Torajanese , the age range from 20-25 years old with all natural mandibular teeth including second molar. After impression of both upper and lower teeth was taken , each tooth form was determined by measurement with trubite tooth indicator. The frequency distribution and coefficient corelation analysis test showed that there was no significant difference between teeth form and incidence of lower third molar impaction in Buginese and Torajanese as well as the sex. Generally, Buginese hare ovoid while Torajanese hare square teeth form."

"ABSTRAKImpacted mandibular molars often caused by locking of the adjacent teeth, lack of space and many other reasons. Surgical extraction used to be the first choice in treating the severely impacted molars. In this article, firstly a horizontally impacted mandibular first molar and a mandibular second molar were diagnosed radiographically. By surgical crown exposure, combined with elastic traction, the teeth can be pulled occlusally into proper position. However, a thorough observation to control the position of the impacted molars during traction is still necessary."

"ABSTRAKLatar belakang: Kecemasan dental merupakan respon stress pasien terhadap keadaan spesifik terkait perawatan dental. Ekstraksi gigi molar tiga mandibula impaksi merupakan perawatan dalam bedah kedokteran gigi yang paling sering menimbulkan kecemasan. Musik mengambil peran dalam mengurangi kecemasan pasien saat prosedur ekstraksi tersebut. Tujuan : Untuk mengetahui pengaruh musik pilihan pasien pada saat ekstraksi gigi molar tiga mandibula impaksi terhadap kecemasan dan membandingkannya dengan musik klasik. Metode : Penelitian ini menggunakan desain eksperimental single-blinded acak dengan kontrol di RSKGM FKG UI. Intervensi menggunakan musik dengan alat BoseÒ SoundWearÔ untuk memutarkan musik. Subjek penelitian dibagi dalam 3 kelompok : Musik Pilihan Pasien, Musik Klasik, dan Kontrol (tanpa musik). Operator ekstraksi adalah Mahasiswa Program Pendidikan Dokter Gigi Spesialis Bedah Mulut FKG UI. Pengukuran kecemasan menggunakan MDAS, APAIS, VAS, dan mengukur tanda vital. Pengukuran tanda vital, tekanan darah dan frekuensi nadi, menggunakan OMRON HEM-7130, JAPAN. Analisis data menggunakan SPSS dengan analisis bivariat Paired T-Test dan Independent T-Test pada setiap kelompoknya. Hasil : Terdapat pengurangan rata rata skor total tingkat kecemasan antara sebelum dan sesudah intervensi pada kelompok (A) musik pilihan pasien dan kelompok (B) musik klasik yang diukur dengan MDAS, APAIS, dan VAS (p < 0,05). Kelompok kontrol menunjukkan peningkatan tekanan darah dan frekuensi nadi sesudah intervensi (p < 0,05). Kesimpulan : Musik pilihan pasien dan musik klasik memberikan efek dalam mengurangi kecemasan pasien yang diukur dengan MDAS, APAIS, dan VAS dibandingkan tanpa menggunakan musik."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 210-214One of the impacts of traffic accident that is often seen by a dentist is mandible fracture. To prevent deformation of mandible because of a slow management, it is better to treat the fracture as soon as possible. The treatment can be done with an open/close reduction, depending on case. An immediate management of mandible fracture is very important to prevent malunion, malocclusion, and stomatoganathic dysfunction."

"ABSTRAK Latar Belakang: Impaksi Molar 3 rahang bawah telah diketahui akan meningkatkan resiko fraktur tulang mandibula terutama di daerah angulus mandibula. Fraktur angulus mandibula sering terjadi akibat kecelakaan lalu lintas di Indonesia. Masyarakat belum mengetahui pentingnya odontektomi sebagai langkah awal pencegahan fraktur angulus mandibula.Tujuan: Untuk mengetahui apakah terdapat hubungan dari adanya fraktur angulus mandibula dengan adanya impaksi molar 3 rahang bawah.Material dan Metode: Rekam medis pasien poli Bedah Mulut dan Maksilofasial Rumah Sakit Umum kabupaten Tangerang selama periode Januari 2013-Desember 2017 dikumpulkan dan didapatkan 41 orang dengan fraktur angulus mandibula. Setiap sampel diidentifikasi adanya fraktur angulus mandibula, adanya impaksi molar 3 rahang bawah, posisi erupsi impaksi molar 3 dan kelas impaksi menurut Pell dan Gregory. Data diolah dengan uji Chi Square dan Kolmogorov Smirnov, serta ditentukan Odd Ratio. Uji hipotesis korelatif dilakukan dengan Uji Contingency Coeficient, Phi ? ? ?, Cramer rsquo;s V, dan Kendall rsquo;s Tau-b.Kesimpulan: Ditemukan hubungan antara terjadinya fraktur angulus mandibula dengan adanya impaksi molar 3 bawah mandibula dengan p = 0,01 p < 0,05 dengan Odd Ratio = 4,615; memiliki hubungan korelatif dengan p = 0,010 p < 0,05 dengan kekuatan r = 0,272 lemah . Tidak ditemukan hubungan bermakna antara fraktur angulus mandibula dengan posisi erupsi Suprabony,Infrabony p=0,375 p>0,05 . Tidak ditemukan hubungan bermakna antara fraktur angulus mandibula dengan kelas impaksi menurut Pell dan Gregory p=0,087, p>0,05 .Tidak ditemukan hubungan bermakna antara fraktur angulus mandibula dengan Jenis Kelamin p=0,763 p>0,05 . Tidak ditemukan hubungan bermakna antara fraktur angulus mandibula dengan Usia p=1,000 p>0,05. ABSTRACT Background: Impacted third molar of mandibula have been studied to have a role in increasing mandible fracture especially in the mandibular angle region. Mandibular angle fractures are often the result of traffic accidents in Indonesia. People do not yet know the importance of odontectomy as a first step to prevent fracture of the mandibular angle.Objective: To determine whether there is association or correlation of the presence of angular fracture in the presence of lower third molar impaction.Materials and Methods: Medical records of patients with Oral and Maxillofacial Surgery of Tangerang District General Hospital during the period of January 2013-December 2017 were collected and obtained 41 people with mandibular angle fractures. Each sample identified an mandibular angle fracture, a lower third molar impaction, third molar impaction eruption position and an impaction class according to Pell and Gregory. The data were processed by Chi Square and Kolmogorov Smirnov, and Odd Ratio was determined. Test the correlative hypothesis with Contingency Coefficient, Phy ? ? ?, Cramer rsquo;s V, and Kendall Tau B test.Conclusion: There was found a association between the presence of mandibular angle fracture in the presence of mandibula lower 3 molar impaction with p = 0,01 p 0,05 . There was no significant association between mandibular angle fracture and Gender p = 0,763 p> 0,05 . There was no significant association between mandibular angle fracture and Age p = 1,000 p> 0,05"

"Odontektomi merupakan suatu tindakan bedah di bidang Kedokteran Gigi yang paling sering dilakukan, sehingga selalu menarik bagi klinisi untuk terus ingin melatih drinya agar dapat melakukan odontektomi dengan baik."