Impaksi gigi molar tiga rahang bawah dan sefalgia  Mandibular third molar impaction and cephalgia

Amalia Meisya Fitri; Alwin Kasim; Abel Tasman Yuza

doi:10.24198/jkg.v28i3.18691

Impaksi gigi molar tiga rahang bawah dan sefalgia
Mandibular third molar impaction and cephalgia

Amalia Meisya Fitri, Alwin Kasim, Abel Tasman Yuza

Abstract

Pendahuluan: Impaksi yang sering terjadi adalah pada gigi molar tiga pada rahang bawah. Penderita biasanya mengeluhkan sefalgia yang dirasakan bersamaan dengan erupsi molar tiga tersebut. Tujuan penelitian adalah untuk mengetahui besar prevalensi impaksi molar tiga rahang bawah yang disertai sefalgia dan seberapa besar frekuensi sefalgia yang terjadi berdasarkan posisi impaksi klasifikasi Pell dan Gregory serta klasifikasi Winter. Metode: Penelitian menggunakan metode deskriptif terhadap mahasiswa Fakultas Kedokteran Gigi Univesitas Padjadjaran angkatan 2010 yang masuk dalam kriteria inklusi akan dilakukan foto panoramik untuk melihat klasifikasi impaksi. Sampel kemudian diminta untuk mengisi kuesioner penelitian. Hasil: Hasil penelitian menunjukan dari 100 orang sampel yang mengeluhkan impaksi sebanyak 58 orang, tetapi hanya 15 orang mahasiswa saja yang memasuki kriteria inklusi yaitu murni mengalami sefalgia yang berasal dari gigi impaksi. Simpulan: Kesimpulan penelitian ini adalah prevalensi impaksi molar tiga rahang bawah yang disertai sefalgia sebanyak 25,86%. Posisi A merupakan posisi pada klasifikasi Pell dan Gregory yang paling banyak mengakibatkan sefalgia. Berdasarkan klasifikasi Winter, impaksi horizontal merupakan yang paling banyak mengakibatkan sefalgia.

Kata kunci: Impaksi, sefalgia.

ABSTRACT

Introduction: Frequent impaction is in the lower third molars. Patients usually complain of cephalgia which is felt along with the eruption of the third molar. The purpose of this study was to determine the prevalence of lower third molar impaction accompanied by cephalgia and how much the frequency of cephalgia occurred based on Pell and Gregory classification impaction position and Winter classification. Methods: The study used descriptive method for FKG students of Padjadjaran University 2010 class which included in the inclusion criteria, panoramic photos were taken to see the classification of impactions. The sample was then asked to fill out the research questionnaire. Results: The results showed that out of 100 samples who complained of impaction as many as 58 people, but only 15 students who entered the inclusion criteria were purely experiencing cephalgia from impacted teeth. Conclusion: The conclusion of this study is the prevalence of lower third molar impaction accompanied by cephalgia as much as 25.86%. Position A is the position in the classification of Pell and Gregory which most often results in cephalgia. Based on Winter’s classification, horizontal impaction is the most common cause of cephalgia.

Keywords: Impaction, cephalgia.

Keywords

Impaksi, sefalgia, impaction, cephalgia.

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References

Chu FC, Li TK, Lui VK, Newsome PR, Chow RL, Cheung LK. Prevalence of impacted teeth and associated pathologies- a radiographic study of the Hong Kong Chinese population. Hong Kong Med J. 2003; 9(3): 158-63.

Simanjuntak HF, Sylvyana M, Fathurachman. Chronic osteomyelitis suppurative the mandible as a complication secondary impaction of the mandibular third molars. Maj Ked Gi Klin. 2016; 2(1): 13-18. DOI: 10.22146/mkgk.28778

Hidayati HB. The clinician's approach to the management of headache. Malang Neur J. 2016; 2(2): 89-96.

Guyton AC, Hall JE. Guyton and Hall Textbook of Medical Physiology. ed 11. Philadelphia: Saunders; 2008.

Berns JM. Understanding Impacted Wisdom Teeth. ed 2. Chicago: Quintessence Publishing Co., Inc.; 1998. h. 8-29.

Wei TC, Soemantri ESS, Sunaryo IR. Prevalence of third molar impaction in patient with mandibular anterior teeth crowding. Padjadjaran J Dent. 2016; 28(3): 159-63.

Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short‐Form McGill Pain Questionnaire (SF‐MPQ), Chronic Pain Grade Scale (CPGS), Short Form‐36 Bodily Pain Scale (SF‐36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Measure Pathol Symp. 2011; 63(Suppl11): S240-S252. DOI: 10.1002/acr.20543

Bijur PE, Silver W, Gallagher EJ. Reliability of the Visual Analog Scale for Measurement of Acuta Pain. Acad Emerg Med. 2001; 8(12): 1153-7.

Loretz L. Primary Care Tools for Clinicians: A Compendium of Forms, Questionnaires, and Rating Scales for Everyday Practice. St. Louis: Mosby-Elsevier; 2005. h. 378.

Elsey MJ, Rock WP. Influence of orthodontic treatment on development of third molars. Br J Oral Maxillofac Surg. 2000; 38(4): 350-3. DOI: 10.1054/bjom.2000.0307

Juodzbalys G, Daugela P. Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification. J Oral Maxillofac Res. 2013 Apr-Jun; 4(2): e1. DOI: 10.5037/jomr.2013.4201

Peterson LJ, Ellis III E, Hupp JR, Tucker MR. Contemporary oral and maxillofacial surgery. ed 4. St. Louis: Mosby; 2003.

Bishara SE. Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop. 1992; 101(2): 159-171. DOI: 10.1016/0889-5406(92)70008-X

Afzal M, Sharif M, Junaid M, Shahzad M, Ibrahim MW, Shah I. Prevalence of radiogaphic clasification impaction mandibular third molar – an overview. Pak Oral Dent J. 2013. 33(3).

Miloro M, Ghali GE, Larsen P, Waite P. Peterson’s Principles of Oral and Maxillofacial Surgery. ed 2. Shelton: People’s Medical Publishing House; 2004.

Proffit WR, Fields Jr. HW. Contemporary Orthodontics. ed 4. St. Louis: Mosby; 2007.

Andreasen JO, Petersen JK, Laskin DM. Textbook and Color atlas of Tooth Impaction: Diagnosis, Treatment, and Prevention. ed 1. St. Louis: Mosby; 1997.

Wahid A, Mian FI, Bokhari SAH, Moazzam A, Kramat A, Khan F. Prevalence Of Impacted Mandibular And Maxillary Third Molars: A Radiographic Study In Patients Reporting Madina Teaching Hospital, Faisalabad. JUMDC. 2013; 4(2): 22-31.

Hassan AH. Pattern of third impaction in a Saudi population. Clin Cosmet Investig Dent. 2010; 2: 109-113. DOI: 10.2147/CCIDEN.S12394

Šečić S, Prohić S, Komšić S, Vuković A. Incidence of impacted mandibular third molars in population of Bosnia and Herzegovina: a retrospective radiographic study. J Health Sci. 2013; 3(2): 151-8. DOI: 10.17532/jhsci.2013.80

Fragiskos, FD. Oral Surgery. Berlin: Springer-Verlag Berlin Heidelberg; 2007.

Pedlar J, Frame J. Oral and Maxillofacial Surgery. ed 2. London: Churchill Livingstone; 2001.

Santosh P. Impacted Mandibular Third Molars: Review of Literature and a Proposal of a Combined Clinical and Radiological Classification. Ann Med Health Sci Res. 2015; 5(4): 229–234. DOI: 10.4103/2141-9248.160177

Greenberg MS, Glick M. Burket’s Oral Medicine. Diagnosis and Treatment. ed 10. London: BC Decker Inc; 2003.

Tubbs RS, Johnson PC, Loukas M, Shoja MM, Cohen-Gadol AA. Anatomical landmarks for localizing the buccal branch of the trigeminal nerve on the face. Surg Radiol Anat. 2010; 32(10): 933-5. DOI: 10.1007/s00276-010-0656-y

DOI: https://doi.org/10.24198/jkg.v28i3.18691