Poerwati Soetji Rahajoe, Poerwati Soetji
Bagian Bedah Mulut & Maksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Intrusi Berat dengan Keterlibatan Multipel Gigi Insisivus Maksila akibat Trauma pada Anak Priyatama, Andhika; Rahajoe, Poerwati Soetji; Rahardjo, Rahardjo
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013)
Publisher : Majalah Kedokteran Gigi Indonesia

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Abstract

Trauma gigi anak merupakan kasus yang sering dijumpai. Intrusi gigi merupakan salah satu akibat trauma berupa perpindahan gigi ke dalam soket alveolaris. Intrusi gigi permanen anak dengan pertumbuhan akar sempurna perlu segera ditangani untuk menghindari kerusakan permanen gigi dan jaringan pendukung. Reposisi secara bedah dipilih dengan pertimbangan kondisi umum, lama kejadian, keparahan dislokasi, kondisi mahkota dan pertumbuhan akar. Tujuan laporan ini adalah melaporkan keberhasilan pembedahan pada kasus fraktur dentoalveolar dengan multipel gigi intrusi. Seorang anak laki-laki berusia 10 tahun datang ke RSGM Prof. Soedomo dengan keluhan gigi masuk ke langit-langit setelah terjatuh kurang lebih 30 menit sebelum kedatangan. Keadaan umum baik, compos mentis,  GCS 15, tanda vital normal, rasa sakit pada gigi atas (VAS = 7), tidak dicurigai cedera kepala atau trauma di tempat lain. Pemeriksaan klinis menunjukkan vulnus laceratum pada gingiva anterior maksila, empat gigi incisivus maksila (12,11, 21, 22) mengalami intrusi. Gigi insisivus sentral dan lateral kanan terlihat sepertiga mahkota, gigi insisivus sentral dan lateral kiri mahkota tidak tampak. Pemeriksaan radiografis menunjukkan intrusi gigi insisivus maksila dengan kedalaman lebih dari 7 milimeter, akar gigi telah tumbuh sempurna, dan tidak terdapat fraktur akar, fraktur mahkota maupun fraktur rahang. Tindakan yang dilakukan adalah reposisi gigi intrusi dan fiksasi interdental maksila. Perawatan bedah dan fiksasi interdental memberikan hasil yang sangat  baik. Hasil kontrol pasca perawatan didapatkan oklusi normal, pasien mampu membuka dan menutup mulut tanpa ada gangguan, gigi-gigi intrusi dalam kondisi vital, mastikasi normal, dan estetika baik.ABSTRACT: Severe Traumatic Intrusions of Multiple Maxillary Incisors In Children. Dental trauma is one of the most common traumas during childhood. The report will discuss about a treatment of multiple severe traumatically  intruded maxillary incisors in children. A 10-year-old boy came to Prof. Soedomo Dental Hospital with a complaint of teeth intrusion after having accident in school thirty minutes before. The patient was in good general condition, compos mentis, the GCS score was 15, vital sign was normal, pain on anterior maxillary teeth (VAS was 7), no head injury or other traumas. The clinical examination showed that there was vulnus laceratum on maxillary gingival, and intrusion of the four maxillary incisors (12, 11, 21, 22). Only one-third crown of the right maxillary incisors was visible, meanwhile, the crowns of the left maxillary incisors were totally invisible. The supporting radiographic examination showed that the four maxillary incisors was apically intruded with more than seven millimeters in depth. The teeth’s root were well-developed (complete root formation), no fractures of the teeth’s root, crown, and the jaw. The patient underwent intruded teeth repositioning surgical treatment and maxillary inter dental fixation. Clinical evaluation (1 month and 2 months) after the treatments showed that the occlusion was achieved as the same as before the trauma. The patient was able to open and close the mouth normally without functional impairments. Furthermore, the intruded teeth were in a vital condition, no mastication pain, and with a good aesthetics.
Effects of Lidocaine Concentration on Streptococcus Mutans Bacteria Haryono, Muhammad Wildan Hari Subagya; Rahajoe, Poerwati Soetji
The Indonesian Journal of Dental Research Vol 1, No 1 (2010)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

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Abstract

Lidocaine is one of the local anesthetics agents that are frequently used in dentistry. Streptococcus mutan is a gram-positive, facultatively an aerobic bacterium commonly found in human oral cavity. The study aims to find out the effects of Lidocaine concentration against Streptococcus mutans bacteria. The study used experimental design with liquid and solid dilution method to find out bacteriostatic and bacteriocidal effects of Lidocaine concentration. The test bacteria used in the study are the ones, which have been compared with Mcfarland standard solution with 10μCFU/ML concentration. The Lidocaine concentrations were 2%, 1%,0.5%, 0.25%, 0.125%, 0.0625%, 0.03125%, 0.015625%, and 0.007812%. Kruskal-Wallis and Mann-Whitney methods were used for the statistical test. The result of the study suggests that Lidocaine concentration has effects against Streptococcus mutans bacteria in the concentrations of 2%, 1% and 0.5%, to inhibit bacterial growth (p<0.05), but there was no bacteriocidal potential of Lidocaine concentration against Streptococcus mutans bacteria (p>0.05).
Intrusi Berat dengan Keterlibatan Multipel Gigi Insisivus Maksila akibat Trauma pada Anak Priyatama, Andhika; Rahajoe, Poerwati Soetji; Rahardjo, Rahardjo
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

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Abstract

Trauma gigi anak merupakan kasus yang sering dijumpai. Intrusi gigi merupakan salah satu akibat trauma berupa perpindahan gigi ke dalam soket alveolaris. Intrusi gigi permanen anak dengan pertumbuhan akar sempurna perlu segera ditangani untuk menghindari kerusakan permanen gigi dan jaringan pendukung. Reposisi secara bedah dipilih dengan pertimbangan kondisi umum, lama kejadian, keparahan dislokasi, kondisi mahkota dan pertumbuhan akar. Tujuan laporan ini adalah melaporkan keberhasilan pembedahan pada kasus fraktur dentoalveolar dengan multipel gigi intrusi. Seorang anak laki-laki berusia 10 tahun datang ke RSGM Prof. Soedomo dengan keluhan gigi masuk ke langit-langit setelah terjatuh kurang lebih 30 menit sebelum kedatangan. Keadaan umum baik, compos mentis,  GCS 15, tanda vital normal, rasa sakit pada gigi atas (VAS = 7), tidak dicurigai cedera kepala atau trauma di tempat lain. Pemeriksaan klinis menunjukkan vulnus laceratum pada gingiva anterior maksila, empat gigi incisivus maksila (12,11, 21, 22) mengalami intrusi. Gigi insisivus sentral dan lateral kanan terlihat sepertiga mahkota, gigi insisivus sentral dan lateral kiri mahkota tidak tampak. Pemeriksaan radiografis menunjukkan intrusi gigi insisivus maksila dengan kedalaman lebih dari 7 milimeter, akar gigi telah tumbuh sempurna, dan tidak terdapat fraktur akar, fraktur mahkota maupun fraktur rahang. Tindakan yang dilakukan adalah reposisi gigi intrusi dan fiksasi interdental maksila. Perawatan bedah dan fiksasi interdental memberikan hasil yang sangat  baik. Hasil kontrol pasca perawatan didapatkan oklusi normal, pasien mampu membuka dan menutup mulut tanpa ada gangguan, gigi-gigi intrusi dalam kondisi vital, mastikasi normal, dan estetika baik.Severe Traumatic Intrusions of Multiple Maxillary Incisors In Children. Dental trauma is one of the most common traumas during childhood. The report will discuss about a treatment of multiple severe traumatically  intruded maxillary incisors in children. A 10-year-old boy came to Prof. Soedomo Dental Hospital with a complaint of teeth intrusion after having accident in school thirty minutes before. The patient was in good general condition, compos mentis, the GCS score was 15, vital sign was normal, pain on anterior maxillary teeth (VAS was 7), no head injury or other traumas. The clinical examination showed that there was vulnus laceratum on maxillary gingival, and intrusion of the four maxillary incisors (12, 11, 21, 22). Only one-third crown of the right maxillary incisors was visible, meanwhile, the crowns of the left maxillary incisors were totally invisible. The supporting radiographic examination showed that the four maxillary incisors was apically intruded with more than seven millimeters in depth. The teeth’s root were well-developed (complete root formation), no fractures of the teeth’s root, crown, and the jaw. The patient underwent intruded teeth repositioning surgical treatment and maxillary inter dental fixation. Clinical evaluation (1 month and 2 months) after the treatments showed that the occlusion was achieved as the same as before the trauma. The patient was able to open and close the mouth normally without functional impairments. Furthermore, the intruded teeth were in a vital condition, no mastication pain, and with a good aesthetics.
Parestesi pada fraktur kompleks zigomatikomaksilaris Paresthesia in zygomaticomaxillary complex fractures Bernado, Pedro; Prihartiningsih, Prihartiningsih; Rahajoe, Poerwati Soetji
Journal of Dentomaxillofacial Science Vol 12, No 3 (2013): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc

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Abstract

Head trauma cases can involve os.zygoma and maxilla. Injury to the nerves is one of the complications that can beencountered as a result of the fracture fragments shift. This paper reported one case of n.infraorbitalis paresthesiafollowing zygomaticomaxillary complex fracture. A 30 years old man was referred to the Department of Oral Surgery,Dr.Sardjito Hospital with a history of traffic accident two weeks before admission. The patient complained of rightcheek area feels numbness, bite changed and there was a protrusion of bone under his right eye. Clinical examinationfound paresthesias of right n.infraorbitalis, left posterior open bite, and bone displace at right infraorbital rim. At theWaters x-ray and 3D CT scan visualized fractures involving the right maxillary and infraorbital rim. Open reductioninternal fixation (ORIF) zygomaticomaxillary complex fracture, with miniplate supported by arch bar as a device toachieve individually normal occlusions, was performed under general anesthesia. Postoperative follow up indicateparesthesia symptoms gradually decreased and totally recover within 5 months. Prognosis for this case was bonam. Itwas concluded that ORIF with miniplate, combined with mounting arch bar can support paresthesia correction due tothe displacing of fracture fragment zygomaticomaxillary complex.
Autotranplantasi Caninus Maxilla pada Soket Incisivus Lateral Maxilla menggunakan Anestesi Lokal Putra, Adi Subekti; Widyastuti, Maria Gorreti; Rahajoe, Poerwati Soetji
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

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Abstract

Autotransplantation of Maxillary Canines in Lateral Incisor Socket Using Local Anesthetic. Autotransplantation as the primary option that has many benefits over a period of mixed dentition for contributing to stimulating bone growth; it is not obtained on dental implants. Autotransplantation donor tooth is best when root development reaches half or one-third of the total length with open apex, with a success rate of 94%. However in the complete root, the success rate is lower (84%) due to periodontal issues which are often damaged when making the donor. In this case report, the authors performed the autotransplantation using a whole root donor tooth. Embedded teeth were used to replace deciduous canine teeth with rampant caries. The aim of this case is to replace rampant caries teeth that are not anatomically perfect.
Pengelolaan Fraktur Dentoalveolar pada Anak-Anak dengan Cap Splint Akrilik Nur Cahyo, Dedy Sigit; Widyastuti, Maria Gorreti; Rahajoe, Poerwati Soetji
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

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Abstract

Management of Dentoalveolar Fractures in Children Using Acrylic Cap Splint. The purpose of fracture treatment in children is basically the same as that in adults with different management, while the choice of treatment method mainly relies on the development of jaws and teeth. It reports two cases of dentoalveolar fractures in children under 5 years old who were treated using acrylic cap splint with circum-mandibular wiring under general anesthetic. Two children, aged 1 year and 3 years old were referred to the emergency department of Dr. Sardjito Hospital with the diagnosis of dentoalveolar fractures. Both cases were treated using cap splint with circum-mandibular wiring-based fixation under general anesthetic. After 3 weeks, the acrylic cap splint and the circum-mandibular wiring were released under sedation. No loose teeth were found in the fracture area. In the following 6 weeks, the teeth were stable with normal occlusion and no infection found. Acrylic cap splint with circum-mandibular wiring is a simple, effective and minimally invasive method for dentoalveolar treatment in children.