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All Journal Indonesian Journal of Applied Sciences MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Majalah Kedokteran Gigi Indonesia Dentino: Jurnal Kedokteran Gigi Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Journal of Dentomaxillofacial Science Padjadjaran Journal of Dental Researchers and Students E-Prodenta Journal of Dentistry MDJ (Makassar Dental Journal) Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Cakradonya Dental Journal Indonesian Journal of Dentistry

Lusi Epsilawati

Departemen Radiologi Kedokteran Gigi Universitas Padjajaran, Bandung

Author-ID : 2541108

Biochemistry, Genetics & Molecular Biology Dentistry Energy Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Physics Public Health

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Deskripsi pertumbuhan akar lengkap pada gigi molar tiga rahang atas berdasarkan usia kronologis Kerk Xi Zhe; Lusi Epsilawati; Ria Noerianingsih Firman
Padjadjaran Journal of Dental Researchers and Students Vol 1, No 2 (2017): Oktober 2017
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v1i1.22137

Pendahuluan: Perkembangan gigi adalah satu proses yang lambat, tetapi pertumbuhan gigi tetap mengikuti satu pola perkembangan tersebut. Perkembangan gigi sering digunakan untuk mengevaluasi usia kronologis melalui radiograf. Erupsi gigi molar ketiga biasanya paling akhir, maka gigi tersebut dapat menjadi indikator kematangan usia. Penelitian menunjukan erupsi gigi tersebut biasanya sekitar usia 17-25 tahun tetapi, usia atau waktu pertumbuhan sempurna dari akar gigi molar ketiga masih belum diketahui. Tujuan penelitian untuk meneliti usia kronologis melalui pertumbuhan akar gigi secara sempurna pada pasien di RSGM Unpad. Metode: Penelitian yang dilakukan merupakan penelitian deskripsi dengan sampel diambil dari radiograf panoramik di Instalasi Radiologi RSGM Unpad. Populasi yang diteliti adalah pasien dari usia 17-25 tahun pada bulan April-Juni 2016. Data ini dikategorikan untuk 3 kategori sesuai dengan anatomi akar, dan diverifikasi oleh konsulen dari departemen radiologi sebelum disusun dalam bentuk tabel distribusi frekuensi. Hasil: Kelompok sampel gigi 18 menunjukkan 66% sampel perempuan dan 69% sampel laki-laki adalah dalam kategori III. Kelompok sampel gigi 28 menunjukkan 55% sampel perempuan dan 77 % sampel laki-laki adalah dalam kategori III. Simpulan: Mayoritas akar gigi molar ketiga pada populasi perempuan tumbuh secara sempurna pada usia 23 dan 25, dan pada populasi laki-laki adalah usia 22.Kata kunci: Gigi molar tiga rahang atas, pertumbuhan akar gigi, radiograf panoramik, usia kronologis

Pengetahuan radiografi di bidang kedokteran gigi pada siswa Sekolah Menengah Atas Fauza Raidha; Lusi Epsilawati; Riana Wardani
Padjadjaran Journal of Dental Researchers and Students Vol 2, No 2 (2018): Oktober 2018
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v3i1.21449

Pendahuluan: Remaja merupakan sosok yang membutuhkan perawatan gigi yang khusus disebabkan remaja sering mengalami beberapa masalah kesehatan gigi dan mulut. Keberhasilan dari perawatan gigi yang dilakukan akan lebih maksimal apabila ditunjang oleh pemeriksaan radiografi. Masyarakat harus mengetahui peran dan fungsi, minimnya bahaya radiasi yang dapat ditimbulkan, serta proteksi radiasi yang harus dilakukan pada pemeriksaan radiografi kedokteran gigi. Penelitian ini bertujuan untuk mengetahui bagaimana pengetahuan radiografi di bidang kedokteran gigi pada siswa SMAN 1 Cipatat. Metode: Jenis penelitian yang digunakan adalah deskriptif. Penelitian dilakukan di SMAN 1 Cipatat pada Februari 2018. Metode menggunakan kuesioner. Teknik analisis data menggunakan persentase yang dikategorikan menjadi tiga kriteria objek pengetahuan yaitu tinggi, sedang, dan rendah. Hasil: Sebanyak 4,87% siswa memiliki pengetahuan yang tinggi, 59,75% memiliki pengetahuan yang sedang, dan 35,36% memiliki pengetahuan yang rendah megenai radiografi kedokteran gigi. Tiap variabel mempunyai rata-rata persentase yang menjawab benar. Berdasarkan rata-rata tersebut, pengetahuan yang paling rendah yaitu mengenai proteksi radiasi yaitu hanya sebesar 39,42%. Simpulan: Pengetahuan radiografi di bidang kedokteran gigi pada siswa SMAN 1 Cipatat dinyatakan sedang, namun pengetahuan mengenai proteksi radiasi masih sangat rendah.Kata kunci: Pengetahuan, radiografi kedokteran gigi, remaja

HUBUNGAN PENURUNAN TULANG ALVEOLAR DAN PENIPISAN TULANG KORTIKAL MANDIBULA PADA PENDERITA PERIODONTITIS DISERTAI DIABETES MILITUS TIPE-2 MENGGUNAKAN RADIOGRAFI CONE BEAM COMPUTED TOMOGRAFI-3D Lusi Epsilawati
Indonesian Journal of Applied Sciences Vol 2, No 2 (2012)
Publisher : Universitas Padjadjaran

Diabetes mellitus is a metabolic disease, which are the characteristics characterized by high levels of sugar in the body. Based on the studies that have been made, the decline in density is one complication that occurs in this disease. Decrease in bone density is thought to cause the resorption on alveolar bone and thinning of the cortical bone. Even resorption the alveolar bone is heavily influenced by local factors such as the condition of periodontal tissue inflammation (periodontitis) does not mean that systemic factors do not influence. The cortical bone thinning influence of systemic factors is quite large. Effect of systemic and local causes bone damage, so it needs to be extent, to show the relationship between the decrease in alveolar bone and the cortical bone thinning. The aims of this study are analyze the relationship between the decrease in alveolar bone and mandible cortical bone inpatient's periodontitis with type-2 diabetes mellitus by the use of cone beam computed tomography (CBCT-3D). This type of this research is the analytical description of the sample derived from the radiographs CBCT-3D of patient's periodontitis with type-2 diabetes mellitus, who visited the RSGM FKG Unpad of 2 January 2010 - May 30, 2011, with specified criteria of sample and obtained 21 data. Region of the research performed on patients with the mandible alveolar and cortical bone which is divided into 10 regional sections. Analyzes were conducted in two stages. The first analysis with multiple regression analysis in which all three variables were measured simultaneously and the second with a partial regression analysis in which all three variables are calculated separately. Results of the study found a decrease in alveolar bone substantial in region anterior by sagital viuw and coronal. The maximum value of the alveolar resorption is in the left anterior region with a large range from 4.51 to 4.99 mm from sagital and 5.2 to 5.7 mm from the coronal. The thinning of the mandible cortical bone thinning ranged from 0.59 to 0.62 mm. Between the decrease in alveolar bone of the thinning in cortical bone significant in the posterior it's shown in the region M2, 3 and M1, while for other regions like's regions P, C and I did not show significance.

Gambaran CBCT osteomyelitis dan osteoradionecrosis Anak Agung Gede Dananjaya Agung; Lusi Epsilawati; Merry Anissa Damayanti
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 4, No 1 (2018)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.61413

Osteomyelitis adalah peradangan yang terjadi pada tulang termasuk pada tulang rahang. Inflamasi ini menyebar dengan melibatkan sumsum pada spongios tulang bahkan sampai ke korteks dan periosteum. Osteomielitis disebabkan adanya invasi dari organisme piogenik yang masuk menginfeksi tulang dari berbagai macam cara. Osteoradionekrosis merupakan kondisi kematian jaringan tulang dikarenakan bebrapa hal seperti penggunaan radioterapi. Radioterapi merupakan salah satu penyebab umum dikeranakan radioterapi dapat merusak jaringan veskularisasi dan darah pada tulang, sehingga tulang menjadi kekurangan nutrisi yang akhirnya mengarah ke kondisi nekrosis. Untuk menganalisis kedua kondisi ini, biasa digunakan cone beam computed tomografi (CBCT). Tujuan dari penulisan studi kasus ini adalah untuk memberikan gambaran spesifik antara osteomielitis dan osteonekrosis pada CBCT. Wanita berusia 48 dan 55 tahun datang ke RSGM UNPAD Bandung dengan keluhan adanya pembengkakan di regio mandibula disertai rasa sakit luar biasa. Kondisi umum compos mentis akan tetapi sangat lemah, lalu dirujuk untuk pemeriksaan CBCT. Pemeriksaan CBCT terlihat lesi nekrotik pada mandibula dengan tingkat keparahan antara kedua pasien berbeda. CBCT memberikan gambran spesifik yang membedakan antara kedua kasus, sehingga diagnosa dapat ditegakkan secara pasti. Jenis osteomiletis yang merupakan kondisi inflamasi pada rahang mampu didefinisikan dengan baik melalui CBCT.

Differences between male and female mandibular length growth according to panoramic radiograph Azhari Azhari; Berty Pramatika; Lusi Epsilawati
Majalah Kedokteran Gigi Indonesia Vol 5, No 1 (2019): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Evaluation of the mandible was used for age and sex determination in the forensic field and it established the treatment planning in dentistry. The present study aims to determine mandibular length growth on male and female group aged 9-25 years old using panoramic radiograph. The research was conducted using analytical cross-sectional design method. The subject of this research was 412 panoramic radioraphs of patients aged 9-25 years old. It involved a totalsamples of 207 males and 205 females. This research was conducted from May to October 2017 in RSGM Padjadjaran University Bandung to meassure the length and height of mandibula from the point in condyleus to mentone. The MannWhitney test results showed a significant difference in mandibular length between men and women and no significant difference between the right andleft mandibular length in men and women. There is a difference between male and female mandibular length growth, in which the increase of growth of mandibular length in female is earlier than that of male. Male mandibular length is greater than female.

Comparison of panoramic mandibular cortical bone quality indexes in amlodipine users and healthy individuals Aga Satria Nurrachman; Lusi Epsilawati; Azhari Azhari; Suhardjo Sitam
Majalah Kedokteran Gigi Indonesia Vol 7, No 1 (2021): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.48490

Hypertension and osteoporosis are believed to be linked to to each other. Previous studies have suggested that the imbalance of calcium metabolism in hypertensive condition and the use of calcium channel blockers such as amlodipine may lower the density and quality of bone. Panoramic radiography has been widely used as a reliable tool in assessing bone quality. One indicator of bone quality in panoramic radiograph is the macrostructure evaluation of mandibular cortical bone by using various indexes such as mandibular cortical index (MCI) and antegonial index (AI). This research aimed to compare the bone quality of hypertensive patients with amlodipine and healthy individuals using MCI and AI. In this study we used sixty panoramic radiographs of hypertensive patients with amlodipine and healthy individuals, thirty for each group, with various aspects of demography. The MCI analysis was done by dividing the mandibular cortical shape into three different qualitative categories and the AI analysis was done quantitatively by measuring the width of mandibular cortical bone in antegonial region using ImageJ software. There were statistically significant differences in the results between the two groups in terms of both AI (p = 0.000) and MCI (p = 0.001) in which hypertensive group had lower score. Based on this research, there were differences of mandibular bone quality of hypertensive patients with amlodipine and healthy individuals, particularly in its macrostructure.

LINEAR MEASUREMENT OF THE CONDYLE POSITION IN HIV-INFECTED CHILDREN AND ADOLESCENTS Lusi Epsilawati; Ria N.Firman; Irna Sufiawati; Norlaila Sarifah; Indra Gunawan
Dentino : Jurnal Kedokteran Gigi Vol 5, No 1 (2020)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v5i1.8128

Background: The incidence of HIV had recently increased rapidly. People infected with HIV were required to take anti-viral drugs. The severity of HIV also contributes to a decrease in bone mineral density due to taking antiviral drugs. Decreased bone density in people with HIV was a chronic disease due to the long-term use of drugs. TMD in people with HIV was often associated with several factors including emotional states such as depression. Patient infected HIV was vulnerable to TMD because it triggers physical and psychological changes. TMD and decreased bone density are common in people with HIV. Researchers hope that later there will be the latest findings that can make patients infected with HIV felt safe to take drugs without worrying about the decline in bone quality. Objective: This study aimed to investigate the value of linear measurement of the condyle position in HIV- infected children and adolescents based on panoramic radiographs in Dental Hospital Padjadjaran University. Methods: This descriptive and cross-sectional method was conducted on panoramic radiographs of HIV-infected children and adolescents since was born. Condyle position was defined by linear measurement using a protractor that divides the condyle 45° of anterior, 90° of superior, and 135° of posterior joint space from a horizontal line. The distance was then measured using a digital caliper. Results: According to linear measurements of the condyle position, all samples had abnormal linear distances in children and adolescents in all gender. The standard range of anterior joint space (Ajs) was 1.3 mm, superior joint space (Sjs) was 2.1 mm, and the posterior joint space (Pjs) was 1.8 mm. The result of this research, the right women condyle sample, the standard distance of the AJS was 0%, SJS was 16%, Pjs was 18%. While the left condyle, the usual range of the AJS was 4%, SJS was 12%, Pjs was 24%. The right men condyle sample, the standard distance of the Ajs was 0%, Sjs was 17.65%, Pjs was 11.76%. While the left condyle, the usual range of the Ajs was 0%, Sjs was 11.76%, Pjs was 5.88%. Conclusions: The abnormal distance measured was found in the condyle position of children and adolescents infected with HIV.

DESCRIPTIONS OF CONDYLE HEAD POSITION IN DIGITAL PANORAMIC RADIOGRAPH OF CLICKING AND NONCLICKING PATIENTS AT RSGM UNPAD DENTAL RADIOLOGY INSTALLATION Meiryndra Syaira Putri; Farina Pramanik; Lusi Epsilawati
Dentino : Jurnal Kedokteran Gigi Vol 4, No 2 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i2.7056

Background: Clicking is associated with the movement of condyle head and other predisposing factors. Digital panoramic radiograph may identify such condition by describing the position of head of condyle. Objective: To identify the description of condyle head position in digital panoramic radiograph of clicking and non-clicking patients at RSGM Unpad Dental Radiology Installation. Method: This was a descriptive research employing purposive sampling method to collect 31 samples of digital panoramic radiographs from 11 clicking patients and 20 non-clicking patients. The measurement method in this research is referring to Ikeda’s (2011). Result: The average position of clicking TMJ was 1.45 mm from posterior aspect and the average position of non-clicking TMJ was 1.64 mm from superior aspect. Conclusion: It can be inferred that head of condyle’s position in digital panoramic radiographs of clicking and non-clicking patients at RSGM Unpad may change from normal position to the majority of head of condyle displacement approaching the glenoid fossa. Clicking TMJ is presented with posterior displacement while non-clicking TMJ demonstrates superior displacement.

RADIOGRAPHIC FEATURES OF INTERNAL STRUCTURE IN JAW LESIONS (Review article) Norlaila Sarifah; Ria N.Firman; Farina Pramanik; Lusi Epsilawati
Dentino : Jurnal Kedokteran Gigi Vol 4, No 1 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i1.6183

Background: The internal structure of jaw lesions demonstrates different characteristics and distinctions. They may be varied in features such as the four variations of internal structure presented in ameloblastoma. Each type represents distinctive characteristics which depict the natures of respective lesion. Unquestionably required for lesion identification, internal structure becomes an essential radiographic aspect to differentiate the characteristic of a lesion. Several specific attributes of internal structure are utilized to distinguish each diagnosis. Thus, it is necessary to conduct specific assessment to discover the features of internal structure. Objective: To identify different radiographic features of internal structure in jaw lesions. Discussion: This article scrutinizes the internal structure of jaw lesions such as Pattern of Bones Destruction and Septation in Bone Lesions from several article reviews. A number of variances exist in the features of internal structure which later separate them from other lesions. The identification of cyst, benign and malignant tumor lesions may eventually be performed by using specific radiographic features of the lesions. Conclusion: Radiographic features of internal structure in jaw lesions illustrate particular hallmarks and traits which assist the identification of a lesion.

Fitur radiografis ameloblastoma pada CBCT dan panoramikRadiographic feature of ameloblastoma on CBCT and panoramic Anak Agung Istri Agung Feranasari; Lusi Epsilawati; Farina Pramanik
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.18062

Pendahuluan: Ameloblastoma adalah neoplasma agresif yang timbul dari sisa-sisa lamina dentalis dan enamel organ (epitel odontogenik). Pemeriksaan radiografi yang dilakukan, yaitu radiografi CBCT dan panoramik sebagai pemeriksaan penunjang untuk melihat lesi ameloblastoma. Tujuan laporan kasus untuk membantu menegakkan diagnosa dan menganalisis gambaran ameloblastoma dilihat dari radiograf CBCT dan panoramik. Laporan kasus: Pasien laki-laki usia 16 tahun datang ke RSGM Instalasi Radiologi Kedokteran Gigi RSGM UNPAD untuk dilakukan pemeriksaan radiografi CBCT dan panoramik. Hasil anamnesa menunjukkan ± 2 minggu yang lalu pasien mengeluh adanya rasa sakit pada regio kiri rahang bawah. Keadaan umum pasien menunjukkan baik dan tidak mempunyai penyakit sistemik. Hasil pemeriksaan intra oral menunjukkan adanya kemerahan, sakit pada regio gigi 37 dan gigi 38 belum tumbuh. Hasil pemeriksaan ekstra oral menunjukkan sakit, bengkak pada pipi kiri, wajah asimetris. Hasil radiograf menunjukkan adanya gambaran radiolusen, well defined, corticated, multilokuler serta perluasan lesi pada posterior maksila dan mandibula kiri. Radiograf CBCT dan panoramik dapat dijadikan sebagai pemeriksaan penunjang dalam menegakkan diagnosa. Simpulan: Gambaran radiograf ameloblastoma pada kasus ini menunjukkan radiolusen, well defined, corticated, multilokuler, serta perluasan lesi pada posterior maksila dan mandibula kiri.Kata kunci: Ameloblastoma, CBCT, panoramik. ABSTRACTIntroduction: Ameloblastoma is aggressive neoplasm rose from the rest of the lamina dental and enamel organ (odontogenic epithelium). Radiographic examination was performed with CBCT and panoramic technique as supportive examination to observe the ameloblastoma lesion. The purpose of this report was to describe the diagnosis and analysis of the features of ameloblastoma observed from CBCT and panoramic radiographs. Case report: A 16-years-old male patient came to the radiology installation of Universitas Padjadjaran Dental Hospital to obtain CBCT and panoramic examination. The medical records showed ± two weeks prior, the patient complained of pain in the left jaw region. The general condition of the patient was good, with no systemic disease. Intraoral examination results showed redness, pain in the tooth region 37, and unerupted tooth number 38. The results of the extraoral examination showed pain, swelling in the left cheek, and asymmetrical face. Radiographic results showed radiolucent, well-defined, corticated, multilocular features and lesions extended posteriorly to the maxilla and left mandible. CBCT and panoramic radiograph thus can be used as investigations tools for diagnosis. Conclusion: Radiographic feature of ameloblastoma in this case shows radiolucent, well defined, corticated, multilocular, as well as the extended lesion in the posterior maxillary and left mandible.Keywords: Ameloblastoma, CBCT, panoramic.

Co-Authors - Azhari Abel Tasman Yuza, Abel Tasman Achmad Noerkhaerin Putra Aga Satria Nurrachman Agung, Anak Agung Gde Dananjaya Alongsyah Zulkarnaen Ramadhan Anak Agung Gede Dananjaya Agung Anak Agung Istri Agung Feranasari Anjani, Khamila Gayatri Anne Agustina Suwargiani Annisa Fitriyana Annisa Putri Annisa Putri Azhari Azhari Azhari Azhari Azhari Azhari Azhari Azhari Azhari Azhari Azhari Azhari Bambang Pontjo Priosoeryanto Belly Sam Berty Pramatika Bremmy Laksono Chrisna Ardhya Medika Chrisna Ardhya Medika Chrisna Ardhya Medika Deddy Firman Dewi Zakiawati, Dewi Dhiaulhaq, Rifarana Inayah Diera Fitrah Kusumawardhany Dwi Putri Wulansari Eddy Hermanto Eha Renwi Astuti Eka Marwansyah Oli'i Erna Herawati Fadhlil Ulum A. Rahman Fadhlil Ulum A.R. Fadhlil Ulum Abdul Rahman Fahmi Oscandar Fahmi Oscandar Fahmi Oscandar, Fahmi Fahri Reza Ramadhan Farina Pramanik Fauza Raidha Fidela D. Aziza Gunawan Gunawan Hadiputri, Felicia Haris Nasutianto Hatta, Isnur Hendra Polii Hentartika Desyaningrum Ichda Nabiela Amiria Asykarie Indra Hadikrishna Indri Kusuma Dewi Inne Suherna Sasmita Irna Sufiawati Istri Dwi Utami Jamil, Nur Janadewi, I Gusti Agung Jasrin, Tadeus Arufan Kerk Xi Zhe Khamila Gayatri Anjani Krisna Krisna Laurentina, Made Lei Wei Ken Lita, Yurika Lutfi Yondri Mahindra Awwaludin Romdlon Medika, Chrisna Ardhya Meelaashah Ragunathan Meiryndra Syaira Putri Merry Anissa Damayanti Merry Annisa Mieke Hermiawati Satari Mirna Febriani Mohammad Rahimi Muchlis, Muhammad Rakhmat Ersyad Muhammad Adri Nurrahim Muhammad Fikri Muhammad Rakhmat Ersyad Muchlis Munasyifa, Tazkia Noor Rachmawati Noor Rachmawati Noor Rachmawati Nova Rosdiana Nunung Rusminah Nur Alya Nazerin Nursin, Rohmat Pramatika, Berty Pramatika, Berty Putra, Dimas Satria Putri Andini, Putri Putri, Gina Rachmawati, Ika Rahmadona, Suci Rahman, Fadhlil Ulum Abdul Rahmania Rahmania Ramzy Ramadhan Ratih Trikusumadewi Lubis Regrina Setiawan Rellyca Sola Gracea Restiti, Rr Dinar Reza, Ahmad Ria Firman Ria N. Firman Ria N.Firman Ria Noerianingsih Firman, Ria Noerianingsih Riana Wardani Rike Kapriani Romdlon, Mahindra Awwaludin Salsabila Yasmine Sandy P Sarifah, Norlaila Septina, Farihah Setyawan Bonifacius Silviana Farrah Diba Sitam, suharjo Sri Sulastri Sri Susilawati Sri Tjahajawati, Sri Suhardjo Sitam Suhardjo Sitam Suhardjo Sitam Suhardjo Sitam, Suhardjo Suhardjo Suhardjo Suharjo Sitam Sukmadewi, Putri Marina Vera Widyastuti Wisam Rizqullah Yanti Rusyanti Yurika Ambar Lita Yuti Malinda

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