Objectives: Odontectomy is a common procedure in the extraction of third molars. Assessment of the difficulty level of extraction of third molars can be evaluated based on the classification of impaction. This article aims to discuss how the classification of impaction in third molars evaluates the difficulty of odontectomy treatment through radiographic examination. Literature Review: Literature search was carried out from various electronic databases with article inclusion criteria that discussed the validity of third molar impaction classification through radiography. Conclusion: Based on the findings of this review, it can be concluded that various stratified classifications are suggested as index that can be considered and recommended in the assessment of the difficulty level of third molar odontectomy.

An impacted third molar is one of the most common abnormalities of the tooth position, impacting patients and their quality of life. Based on the impact and the invasive removal procedure, this study aimed to evaluate the characteristics of impacted third molars based on their radiographic features as well as their association with demographic characteristics. Outpatient dental records of the oral and maxillofacial surgery department of Hasan Sadikin Hospital, Bandung, Indonesia, from 1 January 2018 to 31 December 2019, were sorted, and relevant clinical and demographic data and panoramic radiographic examination results were extracted from these records. All data were then tabulated and analyzed by using SPSS version 29. As many as 3019 impacted third molars were identified. Our findings suggested the association between age to the occurrence of impacted third molars where patients aged between 17 and 29 years old showed high occurrences of impacted third molars. Male patients with impacted third molars are more likely to have multiple impacted third molars, while this risk decreases in females. Radiographic examination showed that the mesioangular position is the most common position for mandibular third molars. The variation in high occurrences of the impacted third molar is associated with several demographic factors.

Karakteristik pasien dan diagnosis pencabutan gigi pada pasien di klinik eksodonsia RSGM Universitas Padjadjaran Characteristics patient and indications of tooth extraction of patients at the exodontia clinic Padjadjaran University Dental Hospital

Introduction: Odontectomy is a minor surgical procedure that often results in dental anxiety. Dental anxiety can interfere during odontectomy treatment. Dental anxiety can be examined using the Modified Dental Anxiety Scale (MDAS) and through the level of the salivary alpha-amylase enzyme, both of which are dental anxiety biomarkers. The objective of this study was to analyse the correlation between anxiety values with salivary alpha-amylase levels using MDAS as an indicator of anxiety in pre-odontectomy patients. Methods: This study was conducted on 60 research samples of women aged 18-40 years who came to the minor surgery clinic of Department of Oral and Maxillofacial Surgery, Universitas Padjadjaran Dental Hospital, to have odontectomy treatment of maxillary or mandibular third molars impaction, not having systemic and oral diseases, and willing to participate in this study. Patients who met the inclusion criteria then required to sign the research consent statement; afterwards, the MDAS data was taken. The salivary alpha-amylase enzyme data was taken using the Cocoro meter (Nipro, Japan) tip which was kept under the tongue for 30 seconds, then the tip was inserted into the monitor, and the enzyme levels would be counted. The data obtained will be analysed using the Spearman rank correlation test. Results: The results showed that there was a significant relationship (p < 0.01) with a strong positive correlation (r = 0.85). Conclusion: There is a correlation between MDAS value and salivary alpha-amylase enzyme as an indicator of dental anxiety.

Pendahuluan: Penderita trauma maksilofasial berisiko mengalami cedera kepala karena letaknya berdekatan dengan kranium. D-dimer plasma merupakan produk akhir pemecahan bekuan darah yang dapat diukur melalui sampel darah, dan berperan sebagai faktor prognostik pada cedera kepala. Maxillofacial Injury Severity Score (MFISS) adalah skoring terbaru untuk menilai derajat keparahan trauma maksilofasial berdasarkan tiga skor cedera tertinggi. Trauma maksilofasial sering disertai cedera kepala dengan peningkatan kadar D-dimer. Penelitian ini bertujuan menganalisis hubungan kadar D-dimer plasma dengan derajat keparahan trauma maksilofasial berdasarkan MFISS sebagai pertimbangan prognostik. Metode: Jenis penelitian adalah kuantitatif cross-sectional. Penelitian dilakukan pada 38 subjek berusia >18 tahun dengan trauma maksilofasial disertai cedera kepala ringan dalam fase 2–24 jam di IGD RS Hasan Sadikin Bandung. Derajat keparahan trauma maksilofasial dinilai menggunakan MFISS, dan cedera kepala ringan dinilai berdasarkan GCS. Sampel darah diambil untuk pemeriksaan D-dimer plasma. Data dianalisis menggunakan uji Spearman Rank. Hasil: Rerata kadar D-dimer plasma sebesar 3,42 pg/dL (p=0,001), dan rerata skor MFISS 6,89 ± 1,91 (p=0,022). Terdapat korelasi positif moderat antara kadar D-dimer dengan skor MFISS (r=0,512). Simpulan: Terdapat peningkatan kadar D-dimer plasma pada trauma maksilofasial disertai cedera kepala ringan. Ditemukan hubungan signifikan antara kadar D-dimer dengan tingkat keparahan trauma maksilofasial berdasarkan MFISS. Correlation between plasma D-dimer levels and the severity of maxillofacial trauma based on the maxillofacial injury severity score (MFISS) in mild head injury patients: Cross-Sectional StudyIntroduction: Patients with maxillofacial trauma are at risk of experiencing head injury because of their proximity to the cranium. Plasma D-dimer is the end product of blood clot breakdown that can be measured through blood samples, and it plays a role as a prognostic factor in head injury. The Maxillofacial Injury Severity Score (MFISS) is the latest scoring system to assess the severity of maxillofacial trauma based on the three highest injury scores. Maxillofacial trauma is often accompanied by head injury with increased D-dimer levels. This study aims to analyze the relationship between plasma D-dimer levels and the severity of maxillofacial trauma based on MFISS, serving as a prognostic consideration. Methods: The present study employed a quantitative cross-sectional design. The study was conducted on 38 subjects aged over 18 years with maxillofacial trauma accompanied by mild head injury in the 2-24 hour phase at the Emergency Department of Hasan Sadikin Hospital, Bandung. The severity of maxillofacial trauma was assessed using MFISS, and mild head injury was assessed based on the Glasgow Coma Scale (GCS). Blood samples were taken for plasma D-dimer examination. Data were analyzed using the Spearman Rank correlation test. Results: The mean plasma D-dimer level was 3.42 pg/dL (p=0.001), and the mean MFISS score was 6.89 ± 1.91 (p=0.022). There was a moderate positive correlation between D-dimer levels and MFISS scores (r=0.512). Conclusion: Plasma D-dimer levels are elevated in maxillofacial trauma accompanied by mild head injury. A significant relationship was found between D-dimer levels and the severity of maxillofacial trauma based on MFISS.