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All Journal Padjadjaran Journal of Dentistry Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Rahman, Fadhlil Ulum Abdul
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Biochemistry, Genetics & Molecular Biology Dentistry Energy Health Professions Immunology & microbiology Medicine & Pharmacology Physics Public Health

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Radiographic imagery of aggressive plexiform-type ameloblastoma in the mandible: a case report Arnawansah, Rakhmat Putra Guru; Yunus, Barunawaty; Rahman, Fadhlil Ulum Abdul; Ariestiana, Yossy Yoanita; Mubarak, Husni
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 7 No 3 (2023): 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.v7i3.954

Abstract

Objectives: This case report aims to describe the radiographic characteristics of plexiform ameloblastoma and its impact on surrounding tissues in a middle-aged female patient using panoramic radiography and CBCT, along with case management. Case Report: A 43-year-old female patient presented to the Dental Radiology Unit of RSGMP UNHAS with a panoramic referral letter, diagnosed clinically with anterior mandibular ameloblastoma. Extraoral examination revealed an asymmetrical facial appearance with anterior mandibular enlargement. Intraoral examination showed mucus membrane enlargement in the anterior mandible region (teeth 37-45), soft consistency, absence of crepitus, no palpation tenderness, and mobility in several anterior mandibular teeth. The first panoramic radiograph (March 16, 2022) exhibited a unilocular radiolucent lesion, well-defined, with scalloped margins in the anteroposterior mandibular region. The second panoramic examination (May 23, 2022) indicated a more aggressive lesion expansion, with evidence of root resorption and destruction of the inferior mandibular cortex approaching the mandibular angle. CBCT findings demonstrated a hypodense/radiolucent lesion extending anteroposteriorly, superiorly, and inferiorly, leading to displacement, root resorption, and destruction of the inferior mandibular cortex in the inferior direction. Conclusion: Based on the characteristics and structure of the lesion observed through various radiographic examinations, a unilocular ameloblastoma was suspected. Histopathological examination confirmed the plexiform-type ameloblastoma.
A novel approach of tongue cancer diagnostic imaging: a literature review Dwiputri, Gavrila Samitra; Rahman, Fadhlil Ulum Abdul
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 1 (2024): 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.v8i1.1176

Abstract

Objectives: This review article is aimed to provide a scientific information about novel approach of tongue cancer diagnostic imaging based on evidence-based reputed published studies. Review: The databases used in this literature review are Google Scholar, PubMed and Elsevier. The research results were selected by title and abstract according to their relevance to the review topic, then the results were selected again based on the inclusion and exclusion criteria. A total of 13 literatures were reviewed. This review shows the diagnostic imaging is a useful tool for staging and management planning in tongue cancers. In this era of technological development, a novel diagnostic imaging technologies that can be used for the diagnosis of tongue cancers such us Ultra High-Frequency Ultrasound (UHFUS), Diffusion-Weighted Imaging MRI (DWI-MRI), Dynamic Contrast-Enhanced MRI (DCE-MRI), Optical Coherence Tomography (OCT), Positron Emission Tomography (PET), Endoscopic images, and the other noninvasive imaging methods like vital staining, autofluorescence, Narrow-Band Imaging (NBI), and in vivo confocal microscopy. Besides that, imaging of tongue cancer requires a multimodality imaging approach to obtain accurate information about pathological condition such as PET/MRI, FDG PET/CT, and SPECT-CT. Conclusion: Each diagnostic imaging has limitations in imaging the patient's condition, so it can be used alone or in combination with one another to obtain accurate information about pathological conditions. FGD PET-CT and UHFUS reportedly provide a high level of sensitivity and specificity to diagnose and staging of tongue cancer.
CBCT-3D radiographic analysis of an infected radicular cyst of the upper jaw: a case report Prawira, Ade; Yunus, Barunawaty; Rahman, Fadhlil Ulum Abdul; Anam, Mukhtar Nur
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 1 (2024): 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.v8i1.1130

Abstract

Objectives: The purpose of this case report is to find out the function of CBCT that can analyze in detail a radicular cyst case where CBCT has the ability to determine the density of a lesion. An overview of the density pattern of a radicular cyst can help determine the lesion and its margins. Case Report: : A 40-year-old patient complained of swelling in the palate that had been felt for about a year with a history of trauma due to an accident fifteen years ago. The patient underwent CBCT examination with the results of a hypodense area compared to the surrounding bone in the maxillary anterior area involving teeth 11,21,22 to 23 accompanied by a discontinuity of the cortical plate of the palatal bone and extending to involve the base of the nasal cavity. Part of the lesion is clearly demarcated, while the other side is diffuse. The suspected radiodiagnosis of the case was a moderately aggressive radicular cyst with a differential diagnosis of an odontogenic tumor. Conclusion: The final diagnosis of this case was a radicular cyst with chronic granulomatous inflammation, based on a combination of radiographic findings, clinical findings, and histopathological examination.
Large erupted complex odontoma in posterior mandible: a rare case report Munasyifa, Tazkia; Restiti, Rr Dinar; Epsilawati, Lusi; Medika, Chrisna Ardhya; Rahman, Fadhlil Ulum Abdul; Reza, Ahmad
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): April 2025 (Supplements 1)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59039

Abstract

Introduction: Complex odontomas are hamartomas composed of randomly arranged dental tissues like enamel, dentin, cementum, and pulp. They typically have limited growth, with only 4.3% that exceed 3 cm in size. Erupted odontomas, which occur when an intraosseous odontoma erupts into the oral cavity, are exceptionally rare. This case report presents a rare case of a large complex odontoma in the posterior mandible of a woman. Case report: A 25-year-old female patient was referred to the Radiology Department with a chief complaint of left jaw swelling persisting for 6 months. Facial asymmetry was noted due to a swelling in the left jaw. Intraoral examination revealed a yellow-brown, irregular, hard mass resembling calculus. Radiographs showed a well-defined, irregular radiopaque mass approximately 6 x 3 cm in size, surrounded by a radiolucent rim. The opacity degree resembled the density of enamel and dentin in some lesion sites. Mandibular left molars were missing. Radiographic findings confirmed a diagnosis of odontoma. The patient was then referred to the Department of Oral Surgery for further management and surgical intervention. Conclusion: Odontomas rarely erupt, but their eruption and large size can lead to significant complications like pain, inflammation, infection, and facial asymmetry. Dentists should be familiar with the characteristics of odontoma to enable prompt and effective management.
Radiographic finding of sunray appearance as a sign of malignant mandibular lesion: a case report Alfina, Risca; Rahman, Fadhlil Ulum Abdul; Yunus, Barunawaty; Ariestiana, Yossy Yoanita
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.v9i1.1249

Abstract

Objectives: To report the “sunray” appearance on panoramic radiography as a sign of malignancy lesions of the mandible. Case Report: A 40 year old female patient came to the Hasanuddin University Dental Hospital with the main complaint of facial swelling which causes an asymmetrical appearance and hard consistency on palpation. Mucosa around the second right premolar to the third right molar is reddish with an irregular border. The patient was referred to the radiology department for panoramic radiography and MRI. The panoramic radiograph revealed a mixed radiolucent-radiopaque lesion in tooth 35 involving ramus to the coronoid process. PDL space was irregular widening at 36, 37, and 38. The "sunray” appearance was seen from the ramus extending to the coronoid process. On the MRI, a mass on the submandibular gland pushed and narrowed the sublingual, parapharyngeal, and masticator space, destroying the mandible on the left side. These radiologic findings strongly suggest a malignancy involving the jawbone. Conclusion: The findings of a mandibular malignancy in the form of a “sunray” appearance on panoramic radiography need to be confirmed with an MRI examination to determine the consistency and extent of the lesion to the surrounding tissue. A comprehensive examination is necessary to properly diagnose mandibular malignant lesions so that the most suitable treatment plan can be determined.
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.
Quality assurance of oral and maxillofacial teleradiology: a literature review Suraidah, Suraidah; Rahman, Fadhlil Ulum Abdul
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 2 (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.v9i2.1324

Abstract

Objectives: This article aims to inform dentists and dental specialists about quality assurance in oral and maxillofacial teleradiology as a communication tool between radiologists and colleagues using a teleradiology system. Review: Teleradiology is a radiological practice that allows the transmission and interpretation of diagnostic images, such as intraoral, extraoral, and CT scans, from different geographic locations. In dentistry, oral and maxillofacial radiologists often interpret these images remotely. To be effective diagnostically, teleradiology must maintain high-quality imaging standards and follow radiological care principles. Quality assurance (QA) plays a vital role in ensuring image clarity, diagnostic accuracy, and patient safety. QA involves implementing standard protocols for image acquisition and transmission using systems such as DICOM (Digital Imaging and Communication in Medicine) and PACS (Picture Archiving and Communication System), under radiologist supervision and with professional collaboration. Compression formats like JPEG and wavelet, whether lossy or lossless, must be managed properly to avoid image degradation. In clinical dental practice, teleradiology is utilized through teleconsultation, tele-consultancy, and telemanagement, relying on secure communication networks and professional interaction to protect data integrity and confidentiality. Conclusion: Teleradiology improves access to radiologic interpretation and secondary consultations while offering flexibility in image review. Images can be simultaneously accessed from multiple locations. Successful implementation requires proper compression, stable internet, patient privacy, authentication, and data integrity. With adequate QA measures, teleradiology significantly enhances diagnostic services and patient care outcomes. Keywords: Quality assurance, oral and maxillofacial, teleradiology
Co-Authors Alfina, Risca Anam, Mukhtar Nur Ariestiana, Yossy Yoanita Arisandy, Marini Arnawansah, Rakhmat Putra Guru Barunawaty Yunus Dwiputri, Gavrila Samitra Lusi Epsilawati Medika, Chrisna Ardhya Munasyifa, Tazkia Prawira, Ade Restiti, Rr Dinar Reza, Ahmad Rony, Zahara Tussoleha Suraidah Suraidah, Suraidah Wulansari, Dwi Putri