One of the most difficult cases to be managed in dentistry is an odontogenic infection. The study was aimed to finding the description of the odontogenic infection cases at the Oral Surgery Polyclinic of Hasan Sadikin Hospital, Bandung, Indonesia, according to the odontogenic infection types, genders, ages, sources of infection, and type of treatment given. This study was a retrospective-descriptive study with a survey method conducted from January 2009 to December 2010. The results of this study showed that there were total 8 types of odontogenic infection cases. The periapical abscess was the most frequent abscess found in 89 patients (30.6%). Male patients were having more often cases than women with the ratio of 53:47. The most frequent age group was the 21-30 years old age group in 57 patients (22.7%). The highest number of patients from 8 different cases of odontogenic infection (30.2%). The source of odontogenic infection was found most commonly by the mandibular first molar teeth, with as much as 26.6%.

Odontogenic myxofibroma is a rare, benign, but locally aggressive neoplasm found exclusively in the jaws. It has a predilection to occurs in the 2nd–3rd decade. The lesion often grows without symptoms and presents as a painless swelling. Most common clinical variant is associated with the impacted tooth and shows local invasion. The surgical treatment of these tumors consists of complete enucleation or radical excision. 15th year old girl with a slow growing, painless swelling in the left mandibular region since 2 years. Results of a radiological examination revealed a multilocular radiolucency extending from first molar up to coronoid process with impacted 3rd molar. Biopsy was done, and the histopathological examination showed a myxofibroma. Hemimandibulectomy was done and the tumor mass was resected along with it. Then the mandibular was reconstructed with AO plate. In this case hemimandibulectomy was done due to high rate of recurrence, surgical treatment through bone resection is the most indicated treatment modality and the patient must be followed‑up closely for years. AO Plate for mandibular reconstruction was considered because it was safe, rapid, easy and tissue tolerance is good. The neoplasm diagnosed on the basis of radiographic imaging modalities and histopathological examination.

Introduction:  Head and neck infections commonly caused by spreading odontogenic infection, which able to cause a local and systemic manifestation, from mild to severe complications according to its severity. Assessment of the severity of odontogenic infections is essential to determine the prognosis, assessed through local and systemic parameters. Laboratory examination used to examine the biological marker that indicates the ongoing infection. C-reactive protein (CRP) is a protein synthesised by hepatocytes in response to the body's inflammatory process, including odontogenic infection. This study was aimed to analyse the severity score of odontogenic infections using the CRP levels in patients with odontogenic infections. Methods: An analytic study with a cross-sectional approach was conducted on 30 patients of Dr Hasan Sadikin General Hospital Bandung diagnosed with odontogenic infections, determined by calculations according to Hosmer and Lemeshow. Assessment of the severity score in odontogenic infections and quantitative CRP levels with the Dimension tool was conducted afterwards. Correlation between odontogenic infection severity score and CRP levels was analysed using regression and correlation tests. Results: From 30 subjects, there was found 33.3% with mild severity score, 63.3% moderate score and 3.3% severe score. The mean of the CRP level was significantly increased according to the odontogenic severity scoring category. All research subjects who were examined showed that there was a very strong and significant correlation (p-value<0.05) between the severity of odontogenic infections and CRP levels in odontogenic infection patients with a correlation coefficient r=0.84 (p=0.001). Conclusion: There is a positive correlation between the CRP levels and the severity score of odontogenic infection. The higher the CRP levels, the odontogenic infection will be more severe. Therefore, the CRP level might be considered an additional biomarker in supporting the severity of odontogenic infection in clinical practice.

carotid artery embolisation prior to the surgical removal of the lesion. Weber-Ferguson approach was adopted to achieve satisfactory exposure, and the defect on the facial region was restored with a monocortical cancellous iliac graft. Results: The lesion had been successfully removed, and aesthetically acceptable. Currently, six-months postoperatively, there is minimal scar of the flap incision, normal sensory and motor functions and no signs of recurrence. Conclusion:The presentation of the lesion is distinct from the conventional facial angiofibroma because of its single rather than multiple and enormous in spite of tiny size. Thus, a differential diagnosis of juvenile nasopharyngeal angiofibroma should not be excluded. The lesion warrants regular follow-up due to inability to surgically remove tumour wholly due to deep invasion of the sphenoid or high tumour growth rate of 10-36%.

Introduction: Congenital macrostomia is a relatively rare congenital facial anomaly that can occur either alone or in association with other facial anomalies and present either unilaterally or bilaterally. Purpose: To report the management of macrostomia with good functional and aesthetic results. Case report: A 3-months-old baby girl with widening at right corner of the lip since birth. Case management: Surgical correction was done with double Z-plasty to correct the macrostomia. Conclusion: Surgical correction of macrostomia in infant patient should be done promptly in young age to provide good psychological impacts on both child and family. Macrostomia reconstruction with double Z-plasty technique is the simplest one and easy to yields good results in both functional and aesthetics aspects. In the present case, there was minimal scar and no lateral deviation of the commissure after 2 weeks follow up.