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Abstrak :
Osteitis dapat berperan sebagai sumber inflamasi kronis pada struktur tulang sinonasal pada kasus rinosinusitis kronik RSK dengan atau tanpa polip yang menyebabkan rekurensi pasca terapi medikamentosa maupun pembedahan. Tesis ini membahas mengenai korelasi antara derajat osteitis serta inflamasi mukosa pada RSK dengan polip hidung bilateral refrakter. Penelitian menggunakan desain korelatif potong lintang pada 29 subjek yang diambil secara retrospektif. Hasil dari penelitian ini didapatkan korelasi signifikan antara skor LMSS dan GOSS r = 0,36, p = 0,05 , tidak terdapat korelasi signifikan pada subjek dengan polip bilateral derajat 2 -3 r = 0,39, p = 0,439 , maupun pada subjek dengan polip grade 4 ndash; 6 r = 0,27, p = 0,204 , dan tidak terdapat korelasi signifikan pada subjek dengan riwayat pembedahan satu kali r = 0,44, p = 0,145 , maupun pada subjek dengan riwayat pembedahan lebih dari satu kali r = 0,27, p = 0,29 , Median skor LMSS dan GOSS lebih tinggi pada kelompok pembedahan berulang dan polip derajat 4 ndash; 6. Hasil penelitian ini membuktikan bahwa identifikasi osteitis dapat digunakan untuk mengetahui derajat keparahan RSK serta memprediksi kekambuhan yang selanjutnya dapat membantu untuk menentukan terapi medikamentosa dan pembedahan yang tepat. ......Osteitis may served as a nidus for chronic inflammation in Chronic Rhinosinusitis CRS with or without polyps, that may explain for any recurrence post medical treatment and surgery. The purpose of this thesis paper was to determine correlation between osteitis and mucosal inflammation in CRS with refractory bilateral nasal polyps. This is a cross ndash sectional corelative research in 29 subjects which were taken by retrospective sampling. The results are significant correlation between LMSS and GOSS score r 0,36, p 0,05 , , no significant correlation in subject with bilateral nasal polyps grade 2 ndash 3 r 0,39, p 0,439 and subject with polyps grade 4 ndash 6 r 0,27, p 0,204 , and no significant correlation also in subject with history of primary surgery r 0,44, p 0,145 , and also no significant correlation in subjects with history of revision surgery r 0,27, p 0,29 Median LMSS and GOSS score were higher in revision surgery and polyps grade 4 ndash 6 group. The conclusion was identifying osteitis can be used to determine the degree of severity and predicting recurrency and further help to determine proper medical treatment and surgery.

Abstrak :
Latar belakang: Dry socket atau alveolar osteitis (AO) merupakan salah satu komplikasi yang paling umum terjadi pasca ekstraksi gigi permanen dan menjadi salah satu komplikasi yang paling banyak dipelajari dalam kedokteran gigi. Sampai saat ini, terdapat berbagai macam metode preventif yang dapat digunakan dalam mencegah insidensi terjadinya dry socket. Tujuan: Mengevaluasi seberapa efektif perawatan satu metode dan yang lainnya dalam pencegahan kasus dry socket serta menganalisis berbagai faktor risiko terkait. Metode: Penelitian ini menggunakan metode systematic review dengan pedoman PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). Pencarian dilakukan menggunakan tiga basis data, yaitu ClinicalKey, EBSCOHost, dan SpringerLink untuk mendapatkan literatur lima tahun terakhir (2016-2020) yang membahas tentang pencegahan dry socket melalui berbagai metode preventif. Hasil penelitian: Pencarian ini menghasilkan 888 studi dan didapatkan 15 studi untuk dianalisis setelah dilakukan seleksi berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Dari sejumlah studi tersebut, terdapat 9 metode yang berbeda. Kesimpulan: Efektivitas metode preventif yang dianalisis dalam studi ini menunjukkan hasil yang bervariasi. Tiga metode dengan nilai efektivitas tertinggi di atas 80% yaitu Platelet-Rich Fibrin (PRF), Platelet-Rich Plasma (PRP), dan gas ozon dengan nilai berturut-turut 100%, 89,2%, dan 80,2%. PRF dan PRP merupakan konsentrat trombosit yang berperan baik dalam meregenerasi jaringan dan penyembuhan luka. Berdasarkan analisis penelitian ini ditemukan bahwa setiap metode preventif mempunyai kelebihan dan kekurangan yang harus dipertimbangkan dalam mencegah terjadinya dry socket dengan tetap memperhitungkan faktor risiko terutama jenis kelamin, usia, dan lokasi gigi yang diekstraksi. ......Background: Dry socket or alveolar osteitis (AO) is one of the most common complications that occur after permanent tooth extraction and is one of the most studied complications in dentistry. At this time, various preventive methods that can be used to prevent the incidence of dry socket have been introduced. Objective: The aim of this systematic review is to provide data on various dry socket preventative methods and analyze the associated risk factors. Methods: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines are used to conduct this systematic review. The search criterias for literatures used in this study are studies that discuss dry socket prevention through various preventative methods that are published in the past 5 years. Results: This search resulted in 888 studies. After further selection based on predetermined inclusion and exclusion criteria, 15 final studies were selected from the previous search process and divided into 9 different methods. Conclusion: The effectiveness of different methods analyzed in this study shows various results. The three methods with the highest values above 80% are PRF, PRP, and ozone gas with the respective values of 100%, 89.2%, and 80,2%. PRF and PRP are platelet concentrates that positively impact tissue regeneration and wound healing. From the analysis of this study, it was found that each preventive method has its advantages and disadvantages that must be considered in preventing the occurrence of dry socket while also taking into account the associated risk factors, especially gender, age, and location of the extracted teeth.

Abstrak :
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.