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Cervical necrotizing fasciitis (CNF) is a life-threatening bacterial infection that runs aggressively in the subcutaneous tissue and fascia in the head and neck area with clinical presentation of extensive necrotic tissue that develops from infection of the teeth or gingiva and other supporting tissues accompanied by an endosteal or periosteal infection of the jaw. This research aims to obtain information about characteristic patients with cervical necrotizing fasciitis (CNF). This study is an observational study with a retrospective descriptive approach. Based on medical record data, the research was conducted at Hasan Sadikin General Hospital (RSHS) Bandung from March 2019 – March 2021. The data collected include age, gender, onset, nutritional status, region, clinical diagnosis, microbiology, antibiotic sensitivity resistance, length of stay, and source focal infection. In this study, 23 medical records were obtained. The most frequent characteristics of the subjects were elderly aged more than 50 years (47.8%) and males (61%). The most frequent locations were the submandible area (100%), and the most frequent source of focal infection was from mandibular posterior teeth (60.46%). From the onset to the symptoms frequently 7-14 days with the nutritional status, most patients were malnourished (58%). Regarding microbiology gram negative dominantly (66,6%), with the most bacterial that worsening the spread of CNF being Acinobacter Baumanii (26.0%), Tigecycline becomes antibiotic most sensitive (43,47%), Cefazoline is the most resistance (73.91%). Most patients were treated by surgery necrotomy debridement (95, 6 %), and most improved (76 %). The ability to diagnose quickly and take aggressive action is needed to treat patients with Cervical Necrotizing Fasciitis (CNF) because of its high progression.

Subcutaneous emphysema is an uncommon complication of dental procedures. This complication arises when air forced beneath the tissue. In dentistry it may appear with the use of high-speed bur and could cause a serious complication including airway obstruction. This case report highlights a complication during dental procedure to give information for the clinician the factors, diagnosis, and management of subcutaneous emphysema.A 33 years old male patient with difficulty in breathing and swelling at right lower jaw, neck and chest region. The swelling occurred about 2 hours before admission during tooth extraction of second right lower molar using a high-speed bur about 30 minutes, then he started to feel difficulty in breathing with swelling at right lower jaw, neck and chest region occurred and pain. Then he was transferred to Hasan Sadikin Emergency Department for further treatment. The patient was diagnosed with subcutaneous emphysema at right lower jaw, neck and chest region due to suspect iatrogenic. The management of this patient was conservative treatment with oxygenation 3 lpm, close observation vital sign and wide emphysema, IVFD ringer lactate 1500 cc/ 24 hours, medication with Ceftriaxone 1 gr, Ketorolac 30 mg, Omeprazole 20 mg intravenous and being hospitalized for 4 days. After general condition stable he was performed tooth extraction.Iatrogenic subcutaneous emphysema could be a serious and potentially life-threatening, so dentist has to be more careful while using high-speed bur for tooth extraction.

Pendahuluan: Pencabutan gigi molar ketiga merupakan salah satu prosedur kedokteran gigi yang sering dilakukan, tetapi bukan berarti resiko dan komplikasinya jarang terjadi. Salah satu komplikasi pencabutan gigi molar ketiga adalah fraktur mandibula. Penelitian ini bertujuan untuk mengetahui insidensi fraktur mandibula sebagai komplikasi pencabutan gigi molar ketiga rahang bawah. Metode: Rapid review ini dilakukan pada Desember 2020-Februari 2021 terhadap artikel berbahasa inggris yang melaporkan insidensi fraktur mandibula akibat pencabutan gigi molar ketiga rahang bawah. Pencarian artikel mengacu pada bagan PRISMA yang dilakukan melalui PubMed, ScienceDirect, dan Google Scholar tanpa membatasi tahun pencarian. Artikel terpilih memenuhi kriteria sesuai dengan kerangka PICO. Penapisan artikel dilakukan dengan memeriksa duplikasi, membaca judul dan abstrak, serta membaca isi keseluruhan teks. Hasil: Sebanyak delapan artikel dengan desain studi observasional dicakup dalam penelitian ini. Insidensi fraktur mandibula sebagai komplikasi pencabutan gigi molar ketiga berkisar antara 0,0046%-3,03%. Fraktur lebih banyak ditemukan pada laki-laki (n=42) daripada perempuan (n=20), pada usia rata-rata di atas 39 tahun, pada gigi-geligi lengkap (n=31) daripada tidak lengkap (n=3), pada gigi impaksi tulang penuh (n=47) daripada impaksi tulang sebagian (n=14), dan pada angulasi gigi horizontal (n=22) atau vertikal (n=20) daripada mesioangular (n=13) atau distoangular (n=6). Simpulan: Fraktur mandibula akibat pencabutan gigi molar ketiga rahang bawah jarang terjadi. Peningkatan kasus ditemukan pada pasien laki-laki, berusia di atas 39 tahun, memiliki gigi-geligi lengkap, gigi impaksi tulang penuh, dan angulasi gigi horizontal atau vertikal. Infeksi pre operatif dan kista merupakan keadaan patologis yang lebih sering ditemukan pada pasien fraktur.

The aim of this study is to investigate the volumetric measurements of the maxillary sinus among Indonesian population through computed tomography (CT) scan semi-automated segmentation. This project collected 802 retrospective head CT scan archives from Department of Radiology, Hasan Sadikin Hospital, Bandung, Indonesia between 2019-2020. Patients with craniofacial anomalies/pathology fracture in proximity of the maxillary sinuses, and mediocre image quality were excluded from this study resulting only 97 CT scan archives (194 maxillary sinuses; 52 males; 45 females; age range 0-25 years old). Three-dimensional craniofacial structures were reconstructed and volumetric measurements of the maxillary sinus were computed through semi-automated segmentation using ITK-SNAP. This study recorded the initial phase of maxillary sinus pneumatization during infancy. The maxillary sinus developed until reaching the maximum of average maxillary sinus volume at 13,278.73 mm3 in 16 to 20 years old group in which afterwards fell to 12,325.21 mm3. There was no difference found between right and left maxillary sinus volume. This study revealed that the pneumatization of maxillary sinus begin during infancy and climb until reaching the second decade of life, in which after that slowly decrease. Moreover, no difference between right and left maxillary sinus volume was detected. The volumetric dimension of maxillary sinus presented in this study may serve as the basis knowledge surgical intervention of maxillary sinus and its related structures.

Nyeri dan inflamasi merupakan respon tubuh pada kondisi patologis yang merupakan sinyal adanya kerusakan. Nyeri oromaksilofasial khususnya yang bersifat akut akibat luka inflamasi berpotensi menyebabkan gangguan fungsi rahang serta gangguan kualitas hidup penderita. Penelitian dengan menggunakan bahan alam seperti kurkumin yang dapat memodulasi respons inflamasi dapat membantu mengurangi rasa nyeri akibat luka inflamasi pada daerah oromaksilofasial. Pada kegiatan Program Pengabdian Masyarakat (PPM) yang dilakukan di Bandung Raya, penyuluhan dilakukan kepada 50 orang ibu-ibu PKK dari RW 08, Gunung Batu, Kelurahan Sukaraja, Kecamatan Cicendo secara daring dari kediaman masing-masing. Untuk efektivitas penelitian, dilakukan evaluasi melalui pemberian kuesioner pre-test dan post-test. Program edukasi yang dilakukan adalah edukasi mengenai efektivitas penggunaan kurkumin sebagai peningkatan sistem imun. Dari hasil evaluasi melalui pemberian pre-test dan post-test kepada sasaran, hasil dari kedua test tersebut dapat menunjukkan tingkat pengetahuan sasaran akan topik KKN-PPM kami meningkat sebesar 95,2%. Kegiatan penyuluhan yang telah dilakukan menunjukkan pengetahuan sasaran akan topik KKN-PPM meningkat setelah dilakukan penyuluhan.

Background: Ameloblastoma is the most common odontogenic tumor. Ameloblastoma is a borderline tumor because it is a benign but locally aggressive tumor with a high recurrence rate if the excision is not complete. The principle of treatment for ameloblastoma is excision all the tumor. This article aimed to conduct a retrospective study to analyze the characteristics of ameloblastoma in patients at Oral and Maxillofacial Surgery Hasan Sadikin Hospital Oral Surgery between the period of January 2018-December 2019Method: This is a retrospective study with 37 patients diagnosed with ameloblastoma during 2018-2019. We took data from each patient such as gender, age, radiological features, histopathological diagnosis of the location of ameloblastoma, management, defects, reconstruction. Result: A total of 22 patients were diagnosed with plexiform ameloblastoma, 12 cases of follicular ameloblastoma, 3 cases of mixed plexiform and follicular ameloblastoma. 31 patients were treated radically, while 6 patients were treated conservatively. Radical treatment is more often used to reduce recurrence rates, whereas conservative measures are indicated in children and adolescents, as well as adult patients with unilocular ameloblastoma types. Conclusion: The most characteristic of ameloblastoma is plexiform ameloblastoma in the mandible. Ameloblastoma is usually performed radically and reconstructed with an AO plate.