Traumatic Ulcers in a Patient Using Fixed Orthodontic Appliances with Moderate Oral Hygiene
DOI:
https://doi.org/10.18196/di.v12i1.16069Keywords:
mechanical factor, oral lesion management, traumatic ulcersAbstract
Traumatic ulcer is one of the most common ulcerated lesions bought on by local factors. It is usually a single ulcer, but multiple ulcers can also be found in some cases. Local factors that can result in traumatic ulcers include mechanical, thermal, and chemical factors. The most frequent mechanical causes of traumatic ulcers include utilizing orthodontic appliances, which can result in mechanical trauma. This case report, therefore, aims to provide information about the oral management of mechanical traumatic ulcers in a patient using fixed orthodontic appliances with moderate oral hygiene. A 22-year-old woman with moderate oral hygiene came to Oral Medicine Department RSGM Nala Husada with complaints of multiple sores on her lower lip, which was painful. Multiple ulcers (±10-15 mm), erythematous margin, and concave yellow base were visible on intra-oral examination. On the lower teeth around the lesions, there were fixed orthodontic appliances (only braces, no wire and power O/chain). As a pharmacological therapy, a triamcinolone acetonide was administered in addition to BecomC and antiseptic mouthwash. As a non-pharmacological therapy, patients have been educated about the importance of scaling and root planning and routine control of orthodontic appliances to eliminate local factors causing ulcers and improve oral hygiene. One week after removing the causative factor, the ulcer healed completely without scars or pain.
References
Morita, S., Nendia, Intan P.P. Peningkatan Pengetahuan Kesehatan Gigi dan Mulut pada Lansia dengan Promosi Kesehatan Metode Demonstrasi. Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva. November 2021. 10(2): 26-31. https://doi.org/10.18196/di.v10i2.11311
Danial, Nurul H. Prevalensi Kelainan
Jaringan Lunak Rongga Mulut pada Anak Usia 6-18 tahun yang Mengalami Stunting: Kajian Literatur. FKG Universitas Hasanuddin. 2020.Pp 6-12.
Dyah, Ambarawati I.G.A. Pengantar Oral Medicine dan Lesi Primer Rongga Mulut. Story Guide Dental Science I: 2017. Universitas Udayana. Pp 17-18
Pradnyani, I.G.A. Sri. Pengantar Oral Medicine dan Lesi Sekunder Rongga Mulut. Story Guide Dental Science I: 2017. School of Dentistry, Faculty of Medicine, Udayana University. P31.
Mendrofa A.N., Isidora K.S., Mulawarmanti D. Ekstrak Daun Mangrove (A. marina) dalam Mempercepat Kesembuhan Ulkus Traumatikus. Jurnal Dentofasial. 2015. 14(1): 11-14. https://doi.org/10.15562/jdmfs.v14i1.418
Khairiati, Wenny Martalinda, Abu Bakar. Ulkus Traumatikus Disebabkan Trauma Mekanik dari Sayap Gigi Tiruan Lengkap (Laporan Kasus). Jurnal B-Dent, 2014: 1(2), Desember. Pp 112- 117. https://doi.org/10.33854/JBDjbd.6
Alam M.K. Alam. A to Z Orthodontics. Removable Orthodontic Appliance. Malaysia: PPSP Publication. 2014,(10).
Manoppo, Sri K.P. Gambaran Ulkus Traumatikus pada Mahasiswa Pengguna Alat Orthodontik Cekat di Program Studi Kedokteran Gigi Fakultas Kedokteran Universitas Sam Ratulangi. e-GIGI Jurnal Ilmiah Kedokteran Gigi. 2013:1(2). https://doi.org/10.35790/eg.1.2.2013.3135
Langkir A., D.H.C. Pangeman, C.N. Mintjelungan. Gambaran Lesi Traummatik Mukosa Mulut pada Lansia Pengguna Gigi Tiruan Sebagian Lepasan di Panti Werda Kabupaten Minahasa. Jurnal e-GIGI. 2015. 3(1): 1-8. https://doi.org/10.35790/eg.3.1.2015.6405
Greenberg, M.S.M, Glick. J.A. Ship. Burket’s Oral Medicine. 12th ed. 2015. Hamilton: B.C Dekker Inc.
Sa’adah, Nikmatus. Hendarti, Hening Tuti. Et.al. The Effect of Basil Leaves (Ocimum Sanctum L.) Extract Gel to Traumatic Ulcer Area in Rattus Norvegicus. Jurnal Kesehatan Gigi 2020:8 Nomor 1: 11-15. https://doi.org/10.31983/jkg.v8i1.6701
Wilda Hafny Lubis, Sanjarna R Suppaya. Hubungan Status Ekonomi dan Pengetahuan Masyarakat terhadap Kanker Rongga Mulut di Kotamadya Medan 2014. Insisiva Dental Journal, 2016: 5(1). P34.
Dwi Suhartiningtyas, Novarini Prahastuti, Kharisma Sari. Insidensi Ulkus Traumatikus pada Pemakai Alat Ortodonsi Lepasan dan Ortodonsi Cekat. Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva. Mei 2020: 9(1), P7. https://doi.org/10.18196/di.9111
Nova, Primadina., Ahmad Basori, David S. Perdanakusuma. Proses Penyembuhan Luka Ditinjau Dari Aspek Mekanisme Seluler dan Molekuler. Qanun Medika. 2019: Januari; 3(1). Pp32-3. https://doi.org/10.30651/jqm.v3i1.2198
T Velnar, T Bailey, V Smrkolj. The Wound Healing Process: an Overview of Cellular and Molecular Mechanism. The Journal of International Medical Research. 2011. Pp1528-42. https://doi.org/10.1177/147323000903700531
Setyowati, D.E., L.R. Dewi, A.M. Prihanti. Insiden Recurrent Aphthous Stomatitis dengan Riwayat Keluarga di Klinik Oral Medicine RSGM FKG Universitas Jember. Prosiding the 4th Dentistry Scientific Meeting of Jember. April 2017. Jember University Press. 75-83.
Karina, A.S., Revianti, Isidora K. Khasiat Ekstrak Sargassum s.p. Terhadap Kepadatan Kolagen pada Proses Penyembuhan Ulkus Traumatikus. Jurnal Kedokteran Gigi Denta. 2014. 8(1):34-42.
Ivan Arie Wahyudi, Malida Magista, Merry Angel. Efektivitas Penggunaan Saliva Dibandingkan Povidin-Iodin 10% Terhadap PenyembuhanLuka Pada Kutaneus Tikus Sprague Dawley. Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva. 2013: 2(1).
Paisal. Kenalog in Orabase. 2014. Available online at http://www.kerjanya.net/faq/8037-kenalog-inorabase.html/
Nelonda, Revi. Setiadhi, Riani. Management of chronic traumatic ulcer mimicking oral squamous cell carcinoma on the tongue. Dental Journal (Majalah Kedokteran Gigi) 2018: June; 51(2): 76–80. https://doi.org/10.20473/j.djmkg.v51.i2.p76-80
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