Hasil Pencarian  ::  Simpan CSV :: Kembali

"[ABSTRAKLatar Belakang: Osteoporosis laki-laki adalah penyakit degeneratif yang pentingdiperhatikan oleh dokter gigi dalam memberikan pelayanan kesehatan gigi danmulut, karena osteoporosis pada bagian tubuh yang lain juga bedampak padatulang rahang. Osteoporosis pada tulang rahang dapat mengakibatkan kegagalandalam pembuatan gigi tiruan, pemasangan implan dan perawatan penyakitperiodontal. Untuk mengatasi kegagalan perawatan perlu pemeriksaan kadartestosteron dan pemeriksaan densitas tulang. Pemeriksaan kadar testosteron danpemeriksaan densitas tulang mahal dan hanya ada di kota-kota besar di Indonesia,karena itu perlu dibuat indeks untuk memprediksi penurunan kadar testosterondarah dan indeks untuk memprediksi penurunan densitas tulang mandibula lansialaki-laki. Tujuan: mengetahui faktor risiko yang berperan pada penurunan kadartestosteron dan faktor risiko yang berperan pada penurunan densitas tulangmandibula lansia laki-laki dan untuk membuat indeks prediksi penurunan kadartestosteron dan indeks densitas tulang mandibula. Metode: uji diagnostik dan ujikasus kontrol pada lansia laki-laki usia > 60 tahun dengan wawancara pengisiankuesioner, pemeriksaa klinis dan radiografi. Hasil: Faktor-faktor Risiko yangberperan pada penurunan kadar testosteron dan penurunan densitas tulangmandibula serta indeks untuk menentukan penurunan kadar testosteron dan indeksuntuk menentukan penurunan densitas tulang mandibula lansia laki-laki.Dihasilkan software dan indeks sebagai alat bantu prediksi.

---

ABSTRACTBackground: Osteoporosis in men is a degenerative disease which is animportant subject to be apprehended by dentists in order to provide an optimaldental and oral health service because osteoporosis can also affect the mandible.Examination of testosterone level and bone density in Indonesia is relativelyexpensive and can only be accessed in big cities. This highlights the importance ofestablishing both an index to determine the decrease of total blood testosteronelevel and index to determine the decrease of mandibular bone density in elderlypatients. Objective: to know risk factors that contributes to the decrease oftestosterone level and the decrease of mandibular bone density in elderly men; tomake a prediction model for the decreasing level of testosterone and mandibularbone density. Methods: diagnostic test and case control study in elderly menabove 60 years old by way interviews to fill questionnares, clinical andradiographic examination. Results: Risk factors that contribute to the decrease oftestosterone level and index to determine the decrease of mandibular bone densityin elderly men. A software and index are produced as prediction tools;Background: Osteoporosis in men is a degenerative disease which is animportant subject to be apprehended by dentists in order to provide an optimaldental and oral health service because osteoporosis can also affect the mandible.Examination of testosterone level and bone density in Indonesia is relativelyexpensive and can only be accessed in big cities. This highlights the importance ofestablishing both an index to determine the decrease of total blood testosteronelevel and index to determine the decrease of mandibular bone density in elderlypatients. Objective: to know risk factors that contributes to the decrease oftestosterone level and the decrease of mandibular bone density in elderly men; tomake a prediction model for the decreasing level of testosterone and mandibularbone density. Methods: diagnostic test and case control study in elderly menabove 60 years old by way interviews to fill questionnares, clinical andradiographic examination. Results: Risk factors that contribute to the decrease oftestosterone level and index to determine the decrease of mandibular bone densityin elderly men. A software and index are produced as prediction tools;Background: Osteoporosis in men is a degenerative disease which is animportant subject to be apprehended by dentists in order to provide an optimaldental and oral health service because osteoporosis can also affect the mandible.Examination of testosterone level and bone density in Indonesia is relativelyexpensive and can only be accessed in big cities. This highlights the importance ofestablishing both an index to determine the decrease of total blood testosteronelevel and index to determine the decrease of mandibular bone density in elderlypatients. Objective: to know risk factors that contributes to the decrease oftestosterone level and the decrease of mandibular bone density in elderly men; tomake a prediction model for the decreasing level of testosterone and mandibularbone density. Methods: diagnostic test and case control study in elderly menabove 60 years old by way interviews to fill questionnares, clinical andradiographic examination. Results: Risk factors that contribute to the decrease oftestosterone level and index to determine the decrease of mandibular bone densityin elderly men. A software and index are produced as prediction tools;Background: Osteoporosis in men is a degenerative disease which is animportant subject to be apprehended by dentists in order to provide an optimaldental and oral health service because osteoporosis can also affect the mandible.Examination of testosterone level and bone density in Indonesia is relativelyexpensive and can only be accessed in big cities. This highlights the importance ofestablishing both an index to determine the decrease of total blood testosteronelevel and index to determine the decrease of mandibular bone density in elderlypatients. Objective: to know risk factors that contributes to the decrease oftestosterone level and the decrease of mandibular bone density in elderly men; tomake a prediction model for the decreasing level of testosterone and mandibularbone density. Methods: diagnostic test and case control study in elderly menabove 60 years old by way interviews to fill questionnares, clinical andradiographic examination. Results: Risk factors that contribute to the decrease oftestosterone level and index to determine the decrease of mandibular bone densityin elderly men. A software and index are produced as prediction tools;Background: Osteoporosis in men is a degenerative disease which is animportant subject to be apprehended by dentists in order to provide an optimaldental and oral health service because osteoporosis can also affect the mandible.Examination of testosterone level and bone density in Indonesia is relativelyexpensive and can only be accessed in big cities. This highlights the importance ofestablishing both an index to determine the decrease of total blood testosteronelevel and index to determine the decrease of mandibular bone density in elderlypatients. Objective: to know risk factors that contributes to the decrease oftestosterone level and the decrease of mandibular bone density in elderly men; tomake a prediction model for the decreasing level of testosterone and mandibularbone density. Methods: diagnostic test and case control study in elderly menabove 60 years old by way interviews to fill questionnares, clinical andradiographic examination. Results: Risk factors that contribute to the decrease oftestosterone level and index to determine the decrease of mandibular bone densityin elderly men. A software and index are produced as prediction tools, Background: Osteoporosis in men is a degenerative disease which is animportant subject to be apprehended by dentists in order to provide an optimaldental and oral health service because osteoporosis can also affect the mandible.Examination of testosterone level and bone density in Indonesia is relativelyexpensive and can only be accessed in big cities. This highlights the importance ofestablishing both an index to determine the decrease of total blood testosteronelevel and index to determine the decrease of mandibular bone density in elderlypatients. Objective: to know risk factors that contributes to the decrease oftestosterone level and the decrease of mandibular bone density in elderly men; tomake a prediction model for the decreasing level of testosterone and mandibularbone density. Methods: diagnostic test and case control study in elderly menabove 60 years old by way interviews to fill questionnares, clinical andradiographic examination. Results: Risk factors that contribute to the decrease oftestosterone level and index to determine the decrease of mandibular bone densityin elderly men. A software and index are produced as prediction tools]"

"A young girl 20 years old with mandibular prognatism has been treated with orthodontics and surgical treatment in between. Mandibular set back was done intra orally 5mm length with bilateral sagital split ramus osteotomy method. And rigid fixation was done by inserting three 2mm bicortical screws for stabilizing the fragment. This method allowed the bony segments to heal properly and allowed the patients to function sooner."

"The use of instruments, such as files and reamers, to open the orifice and cleaning-shaping procedure, in a curved canal in excess of 20-degree angle without precurving instrument and irrigation may form a ledge in the canal. Treatment failure may result due to an inadequate cleaning at the apical third of the canal. This failure may be prevented by eliminating the ledge-correction of the curved canals. The purpose of this case is to highlight the importance of careful use of endodontic instruments to avoid ledging. Therefore knowledge of tooth morphology and the use of files in curved canals is an important factor."

"Osteoporosis is a silent disease, i.e. the disease will progress without symptoms or pain until bones start to break. Densitometry examinations to diagnose osteoporosis is relatively expensive for most people in Indonesia. Kusdhany et al have produced a mandibular density index specific for Deutero-Malay postmenopausal women (POSTUR-P). This index can be used to predict osteoporosis risk in mandibular and other bones. The objective of this research was to try out POSTUR-P before using it in the community. The study was a diagnostic test, on 31 Teratai clinic postmenopausal patients of Ciptomangunkusumo Hospital between 50-75 years of age from June to October 2014 and fulfilling inclusion criteria. Densitometry on lumbal and femur bones was used as a gold standard. The result of this study showed that POSTUR-P has high sensitivity and moderate specificity, and appears to be a good screening tool to indicate osteoporosis cases."

"Latar belakang: Tatalaksana rekonstruksi pada pasien reseksi mandibula dengan hanya menggunakan rekonstruksi plat umum dilakukan dibeberapa rumah sakit di Indonesia. Beberapa komplikasi yang dapat terjadi pasca rekonstruksi mandibula dapat berupa ekspose plat, fraktur plat dan fistula.Tujuan: Tujuan penelitian ini akan mencari beberapa faktor yang mempengaruhi terjadinya komplikasi tersebut.Material dan metode: Penelitian ini merupakan studi retrospektif dari tahun 2012-2017 yang diambil dari rekam medis. Data tumor jinak mandibula (lokasi, ukuran, panjang), data sistemik pasien (riwayat merokok, diabetes, status gizi) dan data operasi (durasi, sistem plat rekonstruksi) dihubungkan dengan kejadian komplikasi yang dianalisis dengan menggunakan Kaplan Meier Survival Curve dan Cox Regresi Proportional Hazard.Hasil: Terkumpul 69 data dengan prevalensi terjadinya komplikasi sebesar 21,73%(15/69) dengan rerata lama observasi 15,4 bulan. Terdapat pengaruh riwayat merokok (p=0,000) dan faktor usia (p=0,000) terhadap terjadinya komplikasi pasca pemasangan plat dengan hazard ratio riwayat merokok 9,19 dan faktor usia 10-20 tahun dibanding diatas 60 tahun sebesar 153,8. Angka survival plat pada pasien tidak merokok berada diatas 80% pada 2 tahun pertama, tahun ketiga 60% dan setelah itu dapat menurun hingga 20-40%.Kesimpulan: Merokok dan faktor usia berpengaruh terhadap kejadian komplikasi pasca rekonstruksi mandibula. Jika memungkinkan, rekonstruksi mandibula hanya dengan plat rekonstruksi merupakan tindakan sementara, perlu dipertimbangkan penggunaan graft baik vascularized maupun non-vascularized.

---

Background: Treatment of reconstruction in post-mandibular resection patients using only plate reconstruction is commonly performed in several hospitals in Indonesia. Some complications that can occur after reconstruction of the mandible can be expose plates, plate fractures and fistulas.

Aim: The purpose of this study will look for several factors that influence the occurrence of these complications.

Material and method: A retrospective study from 2012-2017 taken from medical records. Data on benign mandibular tumors (location, size, length), patient systemic data (smoking history, diabetes, nutritional status) and operating data (duration, reconstruction plate system) were associated with the incidence of complications, analyzed using Kaplan Meier Survival Curve and Cox Proportional Regression Hazard.

Result: Sixty-nine data with the prevalence of complications 21.73% (15/69) with an average observation time 15.4 months. There was an effect of smoking history (p = 0,000) and age factor (p = 0,000) on the occurrence of postoperative complications with hazard ratio of smoking history 9,19 and age factor 10-20 years compared to over 60 years is 153,8. The plate survival rate in patients who do not smoke is above 80% in the first 2 years, the third year is 60% and after that it can decrease by 20-40%.

Conclusion: Smoking and age factors influence the incidence of post-reconstruction mandibular complications. If possible, mandible reconstruction using a reconstruction plate is temporary procedure, it is necessary to consider the use of either vascularized or non-vascularized grafts."

"Ankylosis of the temporomandibular joint is a fusion of the glenoid fossa and capsular surface of the joint that involved condyle and discus as a result of the formation of fibrous tissue or bone formation. This condition caused the mandible could not translate from the fossa. This condition reduced mouth opening that range from partial to complete immobility of the jaw. Ankylosis can be duvided into two types, intracapsular and extracapsular ankylosis. This case reported a condylectomy of an adult patient with ankylosis for eight years. It resulted maximum opening mouth approximately 32 mm."

"ABSTRAKPerubahan pertumbuhan penduduk Indonesia ke arah usia yang lebih tua. Seiring bertambahnya usia, tubuh manusia mengalami perubahan salah satunya adalah perubahan jaringan tulang. Salah satu tulang yang terlibat dalam kedokteran gigi adalah tulang mandibula. Gambaran radiogoraf panoramik dapat melihat tinggi tulang mandibula secara radiografis. Tujuan: Mengetahui nilai rata-rata tinggi tulang mandibula pasien rentang usia 45-75 tahun secara radiografis. Metode: Penelitian ini merupakan penelitian deskriptif. Pengukuran tinggi tulang mandibula pada tiga titik referensi spesifik pada 136 radiograf panoramik digital pasien usia 45-75 tahun menggunakan software Digora for Windows 2.5 R1 Tuusula Finland. Tiga titik referensi tersebut yaitu A, C, dan F. Tinggi A merupakan tinggi mandibula pada daerah sudut dalam mandibula, Tinggi F merupakan tinggi pada daerah foramen mental, dan C merupakan tinggi di antara tinggi A dan F. Hasil: Nilai rata-rata tinggi tulang mandibula pasien rentang usia 45-75 tahun yang diperoleh 32.27 mm dengan nilai rata-rata tertinggi pada titik referensi F. Nilai rata-rata tinggi tulang mandibula tertinggi terdapat pada kelompok usia 45-55 tahun, sedangkan terendah pada kelompok usia 66-75 tahun. Kesimpulan: Nilai rata-rata tinggi tulang mandibula menurun pada kelompok usia 66-75 tahun. Usia bukan merupakan satu-satunya faktor yang mempengaruhi tinggi tulang mandibula.

---

ABSTRACTIndonesia rsquo s population growth is increasing in older group. As the age is increasing, human body undergoes some changes. One of the changes that happens is osseous tissues changes. One of bones in human body that is involved in dentistry is mandible. Dental panoramic radiograph can be used to see the heigh of mandible bone radiographically. Objective To obtain the average value of mandibular height in 45 75 year old patiesnts in digital panoramic radiograph. Method This study is a descriptive cross sectional study.Mandibular height at three specific references in 136 digital panoramic radiograph of 45 75 year old patients were measured using Digora for Windows 2.5 R1 Tuusula Finland software. The three specific references are, mandibular height A which is the height of mandible in inner angle of mandible region, F is the height of mandible in foramen mental region, and C is the height of mandible between them. Results The average value of mandibular height in 45 75 year old patients that has been obtained is 32.272 mm with the highest average value at specific reference F. The age group with the highest average value is 45 55 age group, while the lowest is 66 75 age group. Conclusion The average value of mandibular height is lower in 66 75 age group. "

"Latar Belakang: Gigi impaksi merupakan kondisi ketika gigi mengalami kegagalan untuk erupsi sepenuhnya ke lengkung gigi dalam waktu yang diharapkan. Berdasarkan frekuensi kejadiannya, gigi molar tiga rahang bawah (M3 RB) paling sering mengalami impaksi dengan prevalensi mencapai 60.6% di Indonesia. Salah satu faktor lokal utama terjadinya gigi M3 RB impaksi adalah kurangnya ruang pada lengkung rahang bawah yang sering dikaitkan dengan proses pertumbuhan tulang mandibula. Beberapa studi menunjukkan bahwa ukuran morfologi tulang mandibula yang mencerminkan kuantitas dan arah pertumbuhan tulang seperti tinggi simfisis mandibula, panjang badan mandibula, dan sudut gonial berpotensi untuk mempengaruhi kejadian gigi M3 RB impaksi. Tujuan: Mengevaluasi hubungan kejadian gigi M3 RB impaksi dengan morfologi tulang mandibula. Metode: Sebanyak 110 sampel sisi rahang bawah diperoleh dari 67 data radiografi panoramik digital pasien RSKGM FKG UI (50 perempuan dan 17 laki-laki; usia: 21.22–30.91 tahun). Sampel yang tersedia kemudian dibagi menjadi kelompok kasus (sisi rahang dengan gigi M3 RB yang mengalami impaksi baik fully unerupted atau partially erupted) dan kelompok kontrol (sisi rahang dengan gigi M3 RB yang erupsi sempurna) untuk dilakukan perbandingan. Pada studi ini, uji-t independen dan uji Anova 1 arah digunakan untuk menganalisis hubungan status impaksi gigi M3 RB dan klasifikasinya dengan morfologi tulang mandibula pada data berdistribusi normal. Di sisi lain, uji Mann-Whitney U dan Uji Kruskal Wallis digunakan untuk menganalisis hubungan status impaksi gigi M3 RB dan klasifikasinya dengan morfologi tulang mandibula pada data berdistribusi tidak normal. Hasil: Tinggi simfisis mandibula dan sudut gonial secara statistik (p < 0.05) lebih rendah pada kelompok kasus. Sementara itu, panjang badan mandibula antara kelompok kasus dan kelompok kontrol tidak berbeda secara statistik (p > 0.05). Pada hasil tinjauan pasien laki-laki saja, tidak ditemukan adanya perbedaan tinggi simfisis, panjang badan mandibula, dan sudut gonial antara kelompok kasus dan kelompok kontrol secara statistik (p > 0.05). Kesimpulan: Terdapat hubungan kejadian gigi M3 RB impaksi dengan ukuran tinggi simfisis dan sudut gonial. Semakin kecil ukuran tinggi simfisis dan sudut gonial, semakin besar kemungkinan gigi M3 RB mengalami impaksi. Di sisi lain, tidak ditemukan adanya hubungan kejadian gigi M3 RB impaksi dengan ukuran panjang badan mandibula.

---

Background: An impacted tooth is a condition when a tooth fails to fully erupt into the dental arch within the expected time. Based on the frequency of occurrence, the mandibular third molar (M3M) is the most frequently impacted with a prevalence of 60.6% in Indonesia. One of the main local factors for impacted M3M is the lack of space in the lower arch which is often associated with the growth process of the mandibular bone. Several studies have shown that the size of the mandibular bone morphology that reflects the quantity and direction of bone growth such as symphisis mandibular height, mandibular body length, and gonial angle has the potential to influence the occurance of impacted M3M.

Objective: To evaluate the relationship between the occurance of impacted M3M and mandibular bone morphology.

Methods: A total of 110 samples of the mandibular side were obtained from 67 digital panoramic radiographic data of RSKGM FKG UI patients (50 women and 17 men; age: 21.22–30.91 years). The data were then divided into the case group (jaw side with M3M that were fully unerupted or partially erupted) and the control group (jaw side with M3M that fully erupted) for comparison. In this study, an independent t-test and 1-way ANOVA test was used to analyze the relationship between the impaction status of M3M and their classification with the morphology of the mandible in normally distributed data. On the other hand, the Mann-Whitney U test and the Kruskal Wallis test were used to analyze the relationship between the impaction status of the M3M tooth and its classification with the morphology of the mandible bone in abnormally distributed data.

Results: Symphisis mandibular height and gonial angle were statistically (p < 0.05) lower in the case group. Meanwhile, the mandibular body length between the case group and the control group was not statistically different (p > 0.05). In the results of the review of male patients only, there was no statistical difference in symphisis height, mandibular body length, and gonial angle between the case group and control group (p > 0.05).

Conclusion: There is a relationship between the occurance of impacted M3M with the size of the symphisis height and gonial angle. The smaller the size of the symphisis height and gonial angle, the more likely the M3M to experience impaction. On the other hand, there was no relationship between the occurance of impacted M3M and mandibular body length."

"Penentuan hubungan maksila mandibula dalam arah sagital secara sefalometrik, dengan beberapa metoda pengukuran sering memberikan hasil yang berbeda. Penggunaan bidang referensi S-N dan Bidang oklusal adalah yang sering digunakan. Akan tetapi bidang oklusal (Wits) dan titik N (Nasion) dinyatakan merupakan titik yang tidak stabil. Bidang palatal dikatakan dapat digunakan untuk menentukan hubungan maksila mandibula dalam arah sagital, dan oleh beberapa peneliti dinyatakan bidang yang relatif stabil.Penelitian ini bertujuan untuk mengerahui apakah penilaian hubungan maksila mandibula dengan menggunakan referensi bidang SN dan oklusal memberikan hasil yang sama dan sesuai dengan bidang palatal. Sehingga bidang palatal dapat digunakan sebagai referensi alternatif.Penelitian ini berdasarkan analisa sefalometrik sudut ANB, dan nilai Wits yang dilakukan pada pasien yang datang di klinik Pasca Sarjana FKG UI. Kriteria sampel adalah pasien dengan nilai sudur ANB dan Wits menunjukkan maloklusi klas I dan belum pernah perawatan orthodonti. pada distribusi normal akan terlihat berapa besar dari keseluruhan sampel yang juga menunjukkan maloklusi klas I.Hasil penelitian menunjukkan ada sebanyak 32 sampel dari 35 sampel (91,4 %) rnenunjukkan adanya kesesuaian pengukuran antara App-Bpp terhadap ANB dan Wits. Hasil ini menunjukkan bahwa bidang palatal memberikan hasil yang konsisten, sehingga kemungkinan dapar digunakan sebagai alternatif dalam menentukan hubungan maksila mandibula dalam arah sagital."

"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."