Chrisna Ardhya Medika
Department Of Dentomaxillofacial Radiology, Faculty Of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132

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Progressive systemic sclerosis with unilateral osteolysis of the mandible: a unique case report and review Lusi Epsilawati; Chrisna Ardhya Medika; Eddy Hermanto
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 3 (2021): 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.v5i3.734

Abstract

Objectives: This case report is aimed to discuss case findings of Progressive Systemic Sclerosis (PSS), an overview of the characteristics in the form of osteolysis on one side of the mandible, and a theoretical review. Case Report: A 30-year old male patient came to an oral surgeon after tooth extraction. Clinical extraoral examination revealed hyperpigmentation on the right side of the face. A radiological study showed widening periodontal space on posterior teeth, and the angles of the mandibular arch, the jaw branch and the mandibular condyle neck were dissolved in the form of bone resorption. Conclusion: Characteristics of Progressive Systemic Sclerosis (PSS) in radiographs appear in the form of expansion of the periodontal space and osteolysis of the mandibular angle, branch, and even condyle. This disease is caused by an autoimmune disease that affects the entire body, but it can manifest on one side of the body.
Analisis faktor yang mempengaruhi keputusan pemilihan program studi spesialis radiologi kedokteran gigi Chrisna Ardhya Medika; Rellyca Sola Gracea; Lusi Epsilawati; Azhari Azhari; Farina Pramanik
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 2 (2020): 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.v4i2.560

Abstract

Objectives: This paper aims to determine the factors that influence the decision making of a general dentist to become a dentomaxillofacial radiologist, particularly in Indonesia. Material and Methods: This research used a descriptive design with survey techniques, and the research samples were residents of dentomaxillofacial radiology residency program and dentomaxillofacial radiologists in Indonesia. This research was conducted by the way respondents filled out questionnaires, based on the concept of marketing and purchasing on the expertise of dental radiology specialists. Results: There are variations in answers that are dominated by the value of product purchases as a dental radiology specialist is urgently needed. Conclusion: Dentomaxillofacial radiologist is a profession that is rarely found in Indonesia so it becomes a reliable job in the future as more experts are needed. The promotional activities of its residency program are still much of lack.
Analisis lesi endo-perio di periapikal melalui radiografi Chrisna Ardhya Medika; Suhardjo Sitam; Lusi Epsilawati
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 3 No 2 (2019): 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.v3i2.491

Abstract

Objectives: Endodontic lesions and periodontal lesions that appear together in the same tooth are called endo-perio lesions. This study is aimed to explain further on radiography characteristics of endo-perio lesions. Case Report: Case 1, A 21-year-old male patient came to RSGM with a lower left lower back pain complaint. The tooth was once cursed 1 year ago. In the radiographic picture there is a large radiolucent lesion on the alveolar bone around the distal root. Case 2, A 25-year-old female patient came to the Installation of Dental Conservation Specialist RSGM FKG Padjadjaran University complained that the lower left molar was sore and swollen gums had been 3 days. The tooth has been treated by a dentist in another city, but the treatment is not completed. Patients have taken the drug of mefenamic acid and amoxicillin each one grain. Conclusion: Periapical radiography is one of diagnostic imaging tools to help establish a more accurate diagnosis of endo-perio lesions.
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.
A TALE OF TWO OKC’S : CLINICAL INSIGHTS FROM PEDIATRIC AND ADULT PRESENTATIONS Andini, Putri; Epsilawati, Lusi; Pramanik, Farina; Medika, Chrisna Ardhya
Indonesian Journal of Dentistry Vol 5, No 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/ijd.v5i2.18181

Abstract

Background: Odontogenic Keratocyst or OKC is one of the odontogenic cysts of the jaw. Its prevalence is greater in the lower jaw. OKC radiographically appears with unicystic or multicystic lesions. To be able to recognize it in a radiograph is very difficult and sometimes causes difficulties. The most special thing about this lesion is that it has a shallop border, enlarges by walking along the bone and tissue causing resorption of the roots of the involved teeth. Case: there are two cases that have similarities between each other. First case: An 11-year-old girl came to the radiographic installation for a panoramic examination, with swelling in right mandible since 8 months ago. Second case: A 32-year-old woman came to do  a panoramic examination. Patient complaints of swelling in the mucosa of lower mandible since 6 months ago. Both cases were diagnosed as Odontokeratocyst (OKC). Conclusion: OKC basically has a quite different appearance in radiographs. This difference is easily recognized specifically in both cases in children and adults. This difference can be known from the characteristics of the growth type, scallop borders and minimal resorption of the tooth roots. However, OKC has a high recurrence rate. Panoramic radiography is quite capable of showing all the differentiating characteristics needed.
Suspect residual cyst at maxilla with sinus maxilaris involvement Damayanti, Merry Annisa; Dhiaulhaq, Rifarana Inayah; Medika, Chrisna Ardhya; Jamil, Nur Aini; Munasyifa, Tazkia
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 3 (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.v9i3.1329

Abstract

Objectives: This case report aims to describe the radiographic characteristics of residual cysts in the maxilla that extend into the vestibular area and the maxillary sinus, using panoramic and CBCT radiographs. Case Report: An 81-year-old patient presented with a chief complaint of re-swelling after cyst removal under local anesthesia and scraping in 2022. The patient changed doctors and had a CBCT examination as a supporting examination to confirm the diagnosis. The patient had a history of hypertension and cholesterol, so treatment was delayed until now. Clinical examination showed vestibular swelling around the edentulous sites of teeth #13 and 14. Radiological examination showed a well-demarcated and well-defined radiolucency in the maxilla that was aggressive due to its relatively large size, erosion of the buccal cortical bone, and extension into the maxillary sinus. The suspected diagnosis of this case was a residual cyst due to previous treatment, with differential diagnoses of labial cyst, nasopalatine cyst, and radicular cyst. Conclusion: Based on clinical examination, radiography examination by 2D, panoramic, and 3D CBCT, this lesion is radiolucent, leading to a suspected radiodiagnosis of maxillary residual ar cyst with maxillary sinus involvement.
Suspect residual cyst at maxilla with sinus maxilaris involvement Damayanti, Merry Annisa; Dhiaulhaq, Rifarana Inayah; Medika, Chrisna Ardhya; Jamil, Nur Aini; Munasyifa, Tazkia
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol. 9 No. 3 (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.v9i3.1329

Abstract

Objectives: This case report aims to describe the radiographic characteristics of residual cysts in the maxilla that extend into the vestibular area and maxillary sinus using panoramic radiographs and CBCT radiographs. Case Report: An 81-year-old patient presented with a chief complaint of re-swelling after cyst removal under local anesthesia and scraping in 2022. The patient changed doctors and had a CBCT examination as a supporting examination to confirm the diagnosis. The patient had a history of hypertension and cholesterol so treatment was delayed until now. Clinical examination showed vestibular swelling around the edentulous sites of teeth #13, and 14. Radiological examination showed a well-demarcated and well-defined radiolucency in the maxilla that was aggressive due to its relatively large size, erosion of the buccal cortical bone, and extended into the maxillary sinus. Suspect diagnosis of this case was residual cyst due to previous treatment, with differential diagnosis of labial cyst, nasopalatine cyst, and radicular cyst. Conclusion: Based on clinical examination, radiography examination by 2D, panoramic and 3D CBCT, this lesion radiolucent leads to a suspected radiodiagnosis of maxillary residual ar cyst with maxillary sinus involvement.