ABSTRACT

This study aims to determine distribution frequency odontectomy based on classification third molar mandibular impaction with only remove bone retention or use separation technique. This research was conducted in the Teeth and Mouth Dentistry Hospital of the Faculty of Dentistry Prof. Dr. Moestopo (Beragama). The results showed the prevalence of odontectomy with the technique of removing only bone retention was 173 cases (50.58%) for odontectomy with separation technique was 169 cases (49.41%).  The technique with only removing bone retention was found to be more common in class 1 is 94 cases (54.33%), position A is 146 cases (84.39%), mesioangular angulation is 117 cases (67.63%) and minimal difficulty (3-4) is 118  cases (68.20%).  Odontectomy using separation technique was more common in class 2 cases as many as 89 cases (52.66%), position A is 130 cases (76.92%), mesioangular angulation is 114 cases (67.45%) and minimal difficulty level (3-4) is 105 cases (  62.13%). This study found that root configuration influences the choice of odontectomy technique but further research is needed.

Keywords: Odontectomy, Third Molar Mandible Impaction, Student

ABSTRAK

Penelitian ini bertujuan untuk mengetahui distribusi frekuensi teknik odontektomi berdasarkan klasifikasi impaksi molar ketiga rahang bawah dengan hanya membuang retensi tulang maupun menggunakan teknik separasi. Penelitian  dilakukan di Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Prof. Dr. Moestopo (Beragama). Hasil penelitian menunjukkan prevalensi odontektomi dengan teknik hanya membuang retensi tulang sebanyak 173 kasus (50.58%) untuk odontektomi dengan teknik separasi sebanyak 169 kasus (49.41%). Teknik dengan hanya membuang retensi tulang ditemukan lebih banyak pada kelas 1 sebanyak 94 kasus (54.33%), posisi A sebanyak 146 kasus (84.39%), angulasi mesioangular sebanyak 117 kasus (67.63%) dan tingkat kesulitan minimal (3-4) sebanyak 118 kasus (68.20%). Odontektomi menggunakan teknik separasi lebih banyak pada kasus kelas 2 sebanyak 89 kasus (52.66%), posisi A sebanyak 130 kasus (76.92%), angulasi mesioangular sebanyak 114 kasus (67.45%) dan tingkat kesulitan minimal (3-4) sebanyak 105 kasus (62.13%). Penelitian ini ditemukan bahwa konfigurasi akar mempengaruhi pemilihan teknik odontektomi namun dibutuhkan penelitian lebih lanjut.

Kata Kunci: Odontektomi, Gigi Molar Ketiga Rahang Bawah, Mahasiswa

Sahetapy D, Nindita P, Hutagalung P. (2015). Prevalensi Gigi Impaksi Molar Tiga Parsial Erupted pada Masyarakat Desa Totabuan. E-journal UNSRAT 2015;3(2).

Divya T, Themozhi M. S. (2014). Third Molar Impaction-A Review. J Pharm Sci & Res 2014;6(11):363-367.

Rahayu S. 2104). Odontektomi: Tatalaksana Gigi Bungsu Impaksi. Universitas Kristen Indonesia. 2014;1(2):81-91.

Latt, M. M., Chewpreecha, P., Wongsirichat N. (2015). Prediction of Difficulty in Impacted Lower Third Molars Extraction; Review Literature. Mahidol Dental Journal. 2015;35:281-90.

Jaro´n, A.; Trybek, G. (2021) The Pattern of Mandibular Third Molar Impaction and Assessment of Surgery Difficulty: A Retrospective Study of Radiographs in East Baltic Population. Int. J. Environ. Res. Public Health 2021, 18, 6016.

https://doi.org/10.3390/ ijerph18116016.

Pedersen, Gordon W. (1996). Buku Ajar Praktis Bedah Mulut. Jakarta:EGC.

Jaffar, Tin-Oo M. M. (2009). Impacted Mandibular Third Molars Among Patients Attending Hospital University Sains Malaysia. Archives of Orofacial Science. 2009;4(1):7-12.

Farish S, Bouloux G. (2007). General Technique of Third Molar Removal. Oral Maxillofacial Surg Clin N Am. 2007;19:23-43.

Carter K, Worthington S. (2015). Predictors of Third Molar Impaction: A Systematic Review and Meta-analysis. Journal of Dental Research. 2015. doi: 10.1177/0022034515615857

Ryalat S, AlRyalat S. A., Kassob Z, Hassona Y, Al-Shayyab M. H., Sawair F. (2018). Impaction of Lower Third Molars and Their Association with Age: Radiological Perspectives. BMC Oral Health. 2018;18:58. doi: 10.1186/s12903-018-0519-1