Odontektomi Gigi Molar Ketiga Mandibula Impaksi Ektopik dengan Kista Dentigerous secara Ekstraoral

https://doi.org/10.22146/mkgk.11956

Edwyn Saleh(1*), Prihartiningsih Prihartiningsih(2), Rahardjo Rahardjo(3)

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

Abstract


Gigi dikatakan impaksi ektopik apabila mengalami malposisi yang disebabkan oleh faktor kongenital atau mengalami perubahan posisi yang disertai dengan kondisi patologis. Kondisi patologis yang sering menyertai gigi impaksi ektopik adalah kista dentigerous. Tujuan dari studi pustaka ini adalah untuk memaparkan odontektomi pada kasus molar ketiga ektopik yang disertai dengan kista dentigerous. Operasi ini adalah untuk menghilangkan faktor penyebab terjadinya kista dentigerous serta membersihkan lesi kista agar tidak berkembang semakin membesar. Pasien laki-laki 38 tahun mengeluhkan adanya sedikit benjolan pada pipi sebelah kanan namun tanpa disertai rasa sakit. Benjolan dirasakan mulai muncul dalam satu tahun terakhir. Hasil pemeriksaan radiografik menunjukkan gigi molar ketiga mandibula kanan berada pada sudut angulus mandibula disertai adanya gambaran radiolusen pada mahkotanya didiagnosa sebagai impaksi ektopik gigi molar ketiga mandibula kanan disertai kista dentigerous. Tindakan operasi odontektomi dan enukleasi kista dentigerous dilakukan secara ekstraoral dengan anastesiumum, pemilihan metode pengambilan ekstraoral karena posisi gigi yang telah berubah jauh dari posisi normal gigi molar ketiga mandibula. Telah dilakukan pengambilan gigi molar ketiga mandibula yang impaksi ektopik dan enukleasi kista dentigerous secara ekstraoral, karena posisi gigi impaksi yang ektopik di ramus mandibula. Pengambilan gigi impaksi secara ekstraoral sangat jarang sekali dilakukan, namun jika posisi gigi berada jauh sekali dari posisi normal maka pendekatan ekstraoral merupakan metode operasi yang akan mempermudah proses pengambilan gigi dan enukleasi kista serta dapat meminimalkan hilangnya tulang mandibula yang sehat.

 

ABSTRACT: Odontectomy of Ectopic Third Molar Associated with Dentigerous Cyst in Submandibular Region. Ectopic impacted tooth has been defined as malpositioned tooth caused by congenital factor or malpositioned tooth associated with pathologic condition. Pathologic condition associated with ectopic impacted tooth is dentigerous cyst. The purpose of this operation is to eliminate the causes of the dentigerous cyst and to raise cyst lesions that do not develop as they grow. A 38-year-old male patient complained of a painless slight swelling on his right cheek which occurred in the last one year. The radiograph examination shows an ectopic right mandibular third molar at the posterior border of the right angle of mandible, with an associated coronal radiolucency diagnosed as ectopic impacted right mandibular third molar associated with dentigerous cyst. The tooth and the cyst were removed surgically under general anesthetic via an extra-oral approach due to an extreme malposition of the tooth. The ectopic impacted right mandibular third molar and associated dentigerous cyst had been removed and enucleated surgically via extra-oral approach because the location of the ectopic impacted tooth was in the ramus of mandible. Extra-oral removal of ectopic mandibular third molar is very rare, however this approach will facilitate an easy removal and enucleation of an extremely malpositioned mandibular third molar associated with dentigerous cyst and minimize a loss of healthy mandibular bone.


Keywords


impaksi ektopik; kista dentigerous; enukleasi ekstraoral; ectopic impaction; dentigerous cyst; extra-oral enucleation

Full Text:

PDF


References

Archer H. Oral and maxillofacial surgery. WB. Saunders Company; 1975. H. 76-4. Jude R, Hororwitz J, Loree T. A case report ectopic molars that cause osteometal complex obstruction. JADA. 1995. Savitri E, Alhamid A. Teknik penentuan lokasi gigi molar tiga rahang bawah impaksi. JKGUI. 2003; 10: 152-156. Wang Chun-Cheng, Kok Sang-Heng, Hou Lien-Tuan. Ectopic mandibular third molar in the ramus region: report of a case and literatur review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105: 55-61. Faculty of Dental Surgery RCS. Current clinical practice and parameters of care: the management of patient with third molar (syn: wisdom) teeth. Lincoln’s Inn fields; 1997. H. 4-13. Shivashankara C, Manjunatha BS, Tanveer A. Ectopic mandibular third molar in subcondylar region: Report of a rare case. Oral Maxillofac Surg. 2012; 16: H. 153-5. Anderson JO, Peterson JK, Laskin DM, editors. Textbook and color atlas of tooth impactions 1st ed. St. Louis: Mosby Year Book. 1997. H. 222-6. Bux P, Lisco V. Ectopic third molar associated with a dentigerous cyst in the subcondylar region: Report of case. J Oral Maxillofac Surg. 1994; 52: 630-632. Salmerón JI, del Amo A, Plasencia J, Pujol R, Vila CN. Ectopic third molar in condylar region. Int J Oral Maxillofac Surg. 2008; 37: 398-400. Bruce RA, Frederickson GC, Small GS. Age of patients and morbidity associated with mandibular third molar surgery. JADA. 1980; 101: 240-245. Basavaraj Katakol. Ectopic impaction of mandibular third molars: case report. Journal of Cranio-Maxillary Diseases. 2014; 3: 12-16. Pieter JS. Dental pathology a practical introducting. Springer Berlin Heidenberg; 2007. H. 52-53. Shear Mervyn. Kista rongga mulut edisi ke-3. editor Lilian Juwono. EGC; 2008. H. 103. Freedman GL. A disappearing dentigerous cyst: Report of a case. J Oral Maxillofac Surg. 1988; 46: 885-886.



DOI: https://doi.org/10.22146/mkgk.11956

Article Metrics

Abstract views : 11885 | views : 41063

Refbacks

  • There are currently no refbacks.




Copyright (c) 2016 Majalah Kedokteran Gigi Klinik




View my stats

site
stats