Monthly Archives: October 2015

Case Report : Root Canal Treatment on Wisdom Tooth 48

Case :

A mid-age lady came to my office with a concern of big hole in the molar tooth resulting in very sharp pain for the last 3 days. Visual examination showed a very deep cavity with exposed pulp tissue. After give some injection to kill the pain, root canal treatment performed with medication of clindamycin paste inside the canal and leave it for 3 days. Second appointment did the root canal filling under rubber dam isolation. And the pain completely gone.


Mariani 48 f      Mariani 48s20151027_100208_0000

Herpes simplex virus in the mouth / Virus herpes simplex di dalam mulut

herpes3      herpes 2



herpes simplex virus are categorized into two types : herpes type 1 (HSV -1), or oral herpes and herpes type 2 (HSV -2), or genital herpes. Herpes type 1, which is transmitted through oral secretions or sores on the skin, can be spread through kissing or sharing objects such as toothbrushes or eating utensils, infected razors, towels, and other shared items and both HSV-1 and HSV-2 can be spread even if sores are not present. Herpes type 1 that causes cold sores and fever, blisters in and around the mouth. The blisters can break and appear as tiny, shallow, grey ulcers on a red base. A few days later, they become crusted or scabbed and appear drier and more yellow. Before the blisters appear, the skin may tingle, itch, or burn for a day or so. In rare cases, as when someone’s immune system is severely compromised, this virus can cause infection of the brain (encephalitis).

Although there is no cure for herpes, treatments can relieve the symptoms. Medication can decrease the pain related to an outbreak and can shorten healing time. They can also decrease the total number of outbreaks. Medicine used to treat such as acyclovir, famciclovir, or valacyclovir


Virus herpes simplex ada 2 macam yaitu  : herpes tipe 1 (HSV -1), atau herpes pada mulut dan herpes tipe 2 (HSV -2), atau herpes pada organ reproduksi. Herpes tipe 1, dapat menular melalui kontak secara langsung dengan luka, atau dapat ditularkan pada saat berciuman, saling bertukar sikat gigi, alat makan, alat cukur, handuk dan yang lainnya. Meskipun tidak terlihat adanya luka tetapi virus ini masih dapat menular. Herpes tipe 1 dapat menyebabkan demam, luka yang melepuh di dalam dan di luar mulut. Luka yang melepuh dapat pecah dan menjadi luka yang berwarna abu-abu dengan dasar kemerahan. Dalam beberapa hari akan mengering dan berwarna kuning. Sebelum luka melepuh muncul maka kulit akan terasa gatal dan terbakar. Pada beberapa kasus, virus ini dapat menginfeksi otak.

Meskipun tidak ada obat untuk herpes, pengobatan dilakukan untuk menekan gejala dari herpes. Obat-obatan dapat mencegah gejalanya dan mempercepat penyembuhan. Obat-obatan yang sering dipakai adalah anti virus seperti acyclovir, famciclovir, or valacyclovir