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Journal : Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)

Mandibular osteomyelitis on panoramic radiographs: a case series Thala, Ifa Ariefah Hs; Wulansari, Dwi Putri; Rasul, Muhammad Irfan
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 1 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v9i1.1264

Abstract

Objectives: This series of cases aims to see an extension of a lesion using panoramic radiographs to help establish a diagnosis in three cases in the mandible. Osteomyelitis occurs more often in the mandible than in the maxilla because the maxilla has a better blood supply than the mandible, with relatively thinner cortical and fewer medullary cavities. Case Report: Three female patients presented with nearly identical complaints, including frequent pus discharge, unpleasant odor, and swelling. Only two of the patients had a history of tooth extraction. All three were referred to the university dental hospital (RSGM) for further management. Panoramic radiographs revealed similar findings among the three cases, including mixed radiopaque-radiolucent images with irregular shapes and diffuse borders. In two patients, sequestra were visible in the right and left corpus regions of the mandible. In contrast, the third patient showed a slightly different presentation: a well-defined, irregular radiopaque mass protruding from the top of the alveolar bone, localized at the crest of the ridge. One of the patients had a history of systemic diseases, specifically hypertension which was under control. Conclusion: In these three cases, a panoramic X-ray examination was the only support for identifying the characteristics of lesion expansion and was considered sufficient as a reference for patient management. However, a definitive diagnosis still requires a histopathological examination.
Indications for CBCT examination in pediatric patients: a cross-sectional study Arisandy, Marini; Wulansari, Dwi Putri; Rahman, Fadhlil Ulum Abdul
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 1 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v9i1.1276

Abstract

Objectives: This study aims to portray the characteristic of cone beam computed tomography (CBCT) indication on pediatric patients based on age, gender, specialist field, clinical indications, and radiation doses. Materials and Methods: CBCT images of 55 pediatric patients were investigated retrospectively. CBCT images were obtained with three categories field of view (FOV). CBCT indications were categorized as dental anomalies, impacted teeth, orofacial cleft, orthodontic needs, endodontics, osseous pathological lesion, dentoalveolar trauma, and temporo mandibular disorder. The effect of age, sex, and FOV were evaluated. Results: The most common indication for using CBCT is impacted teeth (45%), osseous pathological lesion (17%), and dentoalveolar trauma (11%). There were not significant association between sex, age group, and FOV to CBCT indication. Conclusion: CBCT examination at Dental Hospital of Hasanuddin University is needed in pediatric patients mainly to diagnose oral pathology, impacted teeth, and dentoalveolar trauma. Determining CBCT for pediatric patients should be indicative-oriented suitably with as low as diagnotically achievable being indication-oriented and patient-specific (ALADAIP) principles.