Penatalaksanaan Kista Dentigerus Terinfeksi dengan Fistel Ekstra Oral pada Pipi Kanan

https://doi.org/10.22146/mkgk.11926

Rita Koen Widhianingrum(1*), Maria Goreti(2), Prihartiningsih Prihartiningsih(3)

(1) Program Pendidikan Dokter Gigi Spesialis Bedah Mulut & Maksilofasial Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) KSM Bedah Mulut & Maksilofasial RSUP Dr Sardjito Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Bagian Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Kista dentigerus merupakan kista yang berhubungan dengan gigi yang tidak erupsi berasal dari sisa epitelial organ pembentuk gigi. Gejala klinis menunjukkan pembengkakan yang tumbuh lambat dan tidak sakit pada rahang. Gambaran radiografis memperlihatkan area radiolusen uniokular yang mengelilingi mahkota gigi yang tidak erupsi. Proses infeksi kronis pada kista dentigerus dapat menyebar lambat membentuk abses subperiosteal dan melewati barrier kulit membentuk fistel ekstra oral. Studi kasus ini laporkan seorang wanita 56 tahun yang datang ke poli Bedah Mulut dan Maksilofasial RSUP Dr Sardjito dengan kasus kista dentigerus pada regio angulus mandibula kanan dengan fistel ekstra oral pada pipi kanan. Penatalaksanaan kasus adalah pemberian antibiotik, enukleasi kista, pengambilan gigi 45, 47 dan 48 yang impaksi sertafistulektomi dengan pendekatan ekstra oral dan sinus shoe polishing technique di bawah bius umum. Evaluasi 3 minggu pasca operasi menunjukkan penyembuhan ekstra oral dan intra oral sempurna serta tidak terbentuk jaringan parut.

 

ABSTRACT: Management of Infected Dentigerous Cyst with Extra Oral Fistulae on Right Cheek. Dentigerous cyst is an odontogenic cyst associated with unerupted teeth from epithelial remnant teeth organ. The clinical appearance shows slow-growing painless swelling lesion in jaw. The radiografics reveals uniocular radiolucency surrounding unerupted teeth. The chronic infection proccess in dentigerous cyst could spread slowly forming subperiosteal abcess and, through cutaneous barrier, it forms extra oral fistulae. We reported a 56 year old woman who came to RSUP Dr Sardjito with dentigerous cyst in mandible angulus with extra oral fistulae in the right cheek. The treatment consisted of antibiotic medication; cyst enucleation; removal of unerupted third molar, second premolar, second molar; and fistulectomy with extra oral approach and sinus shoe polishing technique under general anesthetic. Three week evaluation post surgery shows succesful extra oral and intra oral healing without scarring.


Keywords


kista dentigerus; fistel ekstra oral; dentigerous cyst; extra oral fistulae

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References

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DOI: https://doi.org/10.22146/mkgk.11926

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