Tata Laksana Perawatan Ulkus Traumatik pada Pasien Oklusi Traumatik: Laporan Kasus

Abstract

Traumatic oral ulcer is commonly caused by mucosal injury due to mastication or speaking, warm food or drink, sharp restoration surface, as well as partial broken restored tooth. We reported a case of traumatic oral ulcer in an 18-year-old female who was admitted to the RSGM Unsoed due to painfull sensation on the lesion. Objective examination revealed two lesions, as follows: tooth 47, painfull ulcer in buccal mucosa, solitary, whitish red, white border (punch-out), 4 mm in diameter; teeth 33 and 34, an irregular fissure, solitary, on the 2/3 posterior part of the tongue, 2 mm in depth, 1 cm in length, and not painfull. The diagnosis of this case was traumatic ulcer due to traumatic occlusion based on anamnesis, examination, and occlusion check using articulating paper on the nearest antagonistic tooth to the lesion. The treatment included Dental Health Education (DHE) concerning proper tooth brushing, topical triamci-nolone acetonide application for 5 days, dan selective grinding of teeth 17 and 47. After one-week follow-up, the ulcer had improved and no hyperemia, therefore, the patient could chew comfortably.Keywords: traumatic ulcer, traumatic occlusion, selective tooth grindingAbstrak: Ulkus traumatik biasanya disebabkan oleh tergigitnya dinding mukosa ketika makan atau berbicara, meminum dan memakan yang panas, permukaan restorasi gigi yang tajam, maupun adanya tumpatan yang pecah sebagian. Kami melaporkan kasus seorang perempuan berusia 18 tahun dengan kondisi ulkus traumatik datang ke RSGM Unsoed karena merasa terganggu dan perih pada bagian yang luka. Pada pemeriksaan objektif didapatkan pada gigi 47, lesi berupa ulkus pada area mukosa bukal, tunggal, berwarna merah keputihan, dengan peninggian pada tepi berwarna putih, nyeri, diameter 4 mm; dan pada gigi 33 dan 34, lesi berupa fisura memanjang, berbentuk iregular, tunggal, pada 2/3 dorsum lidah dengan kedalaman 2 mm, panjang 1 cm, tidak terasa nyeri. Diagnosis kasus ini ialah ulkus traumatik akibat oklusi traumatik berdasarkan anamnesis, pemeriksaan, dan cek oklusi menggunakan articulating paper pada gigi antagonis terdekat dengan lesi. Penatalaksanaan meliputi Dental Health Education (DHE) yaitu cara sikat gigi yang baik dan benar, pemberian triamcinolone acetonide topical selama 5 hari, dan selective grinding pada gigi 17 dan 47. Setelah satu minggu pada pengecekan didapatkan perbaikan ulkus dan tidak ditemukan pembengkakan sehingga pasien sudah nyaman untuk makan pada area tersebut.Kata kunci: ulkus traumatik, oklusi traumatik, selective grinding, trauma mekanik

Predisposing Factors for Recurrent Aphthous Stomatitis among Undergraduate Dental Students

“…15 If RAS occurs as a result of local trauma to the oral cavity, usually the loss of the epithelial layer in the soft tissues causes pain that affects the stomatognathic system. 32 Stress was found to be the most common predisposing factor for RAS in fourth-year dental students. In the section of the questionnaire related to stress factors, there was a question asking students whether they had an average of <7 hours or >7 hours of sleep per night.…”

“…15 If RAS occurs as a result of local trauma to the oral cavity, usually the loss of the epithelial layer in the soft tissues causes pain that affects the stomatognathic system. 32…”

EFFECTS OF NANO CHITOSAN MOUTH SPRAY ON THE EPITHELIAL THICKNESS IN THE TRAUMATIC ULCUS HEALING PROCESS (In vivo)

“…4 * Departemen Biologi Oral Fakultas Kedokteran Gigi Universitas Islam Sultan Agung ** Program Pendidikan Dokter Gigi Fakultas Kedokteran Gigi Universitas Islam Sultan Agung Ulkus traumatikus memiliki beberapa faktor penyebab diantaranya yaitu trauma fisik, permukaan gigi yang tajam akibat karies, tepian restorasi yang tajam, tumpatan yang pecah, memakan makanan yang panas, reccurent apthous stomatitis, trauma kimia seperti aspirin burn dan bisa juga sebagai tanda kekurangan zat besi, vitamin B12 dan asam folat. 5 Proses penyembuhan ulkus melibatkan reaksi seluler, molekuler dan biokimia kompleks. Penyembuhan ulkus meliputi fase hemostasis, inflamasi, proliferasi dan remodelling.…”

The correlation between trauma and poor diet in oral ulceration: an online-based survey

“…15 There were only few studies to address the prevalence of traumatic ulcers, some of which are found as case reports study regarding the management of traumatic ulcers. [16][17][18][19] Some oral ulceration has special characteristics, such as traumatic ulcers, which appears as a solitary shallow, or deep ulcer with irregular border. Chronic traumatic ulcer can be found in varying degrees of peripheral keratosis, while RAS have a round or oval shape with a distinct red border (halo erythem), similar to herpes ulcers, except when the multiple ulcer found in a small size and accompanied by gingivitis.…”