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All Journal Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Audry Arifin, Sariyani Pancasari
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Dentistry Energy Health Professions Medicine & Pharmacology Physics

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Large radicular cyst compressing the mandibular canal: a case report Andika, Steve Yosua; Yunizar, Vania Rizky; Audry Arifin, Sariyani Pancasari; Anggraeni, Rezky
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.v9i2.1388

Abstract

Objectives: To describe radicular cysts and differentiate them from radiographically similar cysts such as odontogenic keratocysts. Case Report: A 21-year-old female patient presented to the Dental and Oral Hospital with a primary complaint of residual root fragments in the left mandibular region, for which she requested extraction. Extraoral clinical examination revealed no facial asymmetry, swelling, or tenderness, and the region was asymptomatic upon palpation. The patient reported no relevant systemic medical history. Panoramic radiographic examination demonstrated a well-defined unilocular radiolucent lesion extending from the apical third of tooth 36 to the periapical areas of teeth 35, 37, and 38. Given the limitations in diagnostic detail offered by conventional periapical radiography, a Cone-Beam Computed Tomography (CBCT) scan was subsequently performed. Multiplanar reconstruction images from the CBCT revealed a radiolucent lesion extending from the periapical area of tooth 35, with evidence of compression on the mandibular canal. Conclusion: Radicular cysts are the most common type of odontogenic cyst and are associated with dental inflammation. Radicular cysts and OKCs have a similar radiographic appearance, leading to confusion between the two. Cone Beam Computed Tomography (CBCT) offers three-dimensional imaging that allows a comprehensive assessment of the lesion's size, extent, and relationship to adjacent anatomic structures, allowing the characteristics of both radicular lesions and OKCs to be clearly demonstrated. The characteristics of each lesion can be clearly described, making CBCT a very helpful modality in these cases. Keywords: Cone Beam Computed Tomography, odontogenic cyst, radicular cyst
Prevalence of mandibular third molar impaction roots position towards mandibular canal based on rood and shehab classification (studies on panoramic radiographs) Mustamu, Indhira Valerie; Farizka, Intan; Audry Arifin, Sariyani Pancasari; Tjandrawinata, Rosalina; Sekar Palupi, Anggraeny Putri; Tanjung, Rizki
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.v9i3.1342

Abstract

Objectives: This study aims to determine the prevalence of the position of the impacted mandibular third molar roots in relation to the mandibular canal using a classification by Rood and Shehab. Materials and Methods: This study is a descriptive study with a cross-sectional approach. The samples were 210 left and right third molar impaction tooth mandibular on 105 digital panoramic radiographs at the Radiology Installation, RSGM FKG Usakti, and categorized according to the seven classifications by Rood and Shehab. The interobserver reliability test was conducted using Cohen's Kappa test. The data is presented as frequency and percentages for each type of root position classification. Results: Radiolucent tooth type on the root was the most prevalent at 104 (50%), white line interruption in 28 (13%), narrowing of the mandibular canal in 27 (13%), deflection of the tooth root in 26 (12%), deflection of mandibular canal in 11 (5%), narrowing of the root in 8 (4%), and bifid apex in 6 (3%). Conclusion: The highest prevalence of third molar impaction tooth root position was the radiolucent type at the root, and the lowest was the bifid apex type.
Co-Authors Andika, Steve Yosua Anggraeni, Rezky Budiman, Johan Arief Intan Farizka Louisa, Marie Mustamu, Indhira Valerie Rizki Tanjung Rosalina Tjandrawinata Sekar Palupi, Anggraeny Putri Trijani Suwandi Yunizar, Vania Rizky