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All Journal Indonesian Journal of Applied Sciences MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Majalah Kedokteran Gigi Indonesia Insisiva Dental Journal : Majalah Kedokteran Gigi Insisiva 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

Department Of Dentomaxillofacial Radiology, Faculty Of Dentistry, Padjadjaran University Bandung, Indonesia

Author-ID : 2541108

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

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Analysis of ameloblastic fibroma lesion on panoramic radiograph: a case report Muchlis, Muhammad Rakhmat Ersyad; Firman, Ria Noerianingsih; Epsilawati, Lusi
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 3 (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.v8i3.1224

Objectives: This case report aims to present a case of ameloblastic fibroma, an odontogenic tumor, and to describe its characteristic radiographic features as observed on a panoramic radiograph. Case Report: A 28-year-old woman presented to the RSGM FKG Unpad with a referral for evaluation of a jaw swelling. According to the patient’s medical history, the swelling had gradually appeared over the past two years. While it was not painful, it caused discomfort, prompting her to seek medical attention. Upon examination, the lesion was found in the posterior region of the mandible, and further diagnostic imaging was recommended to determine the extent and nature of the lesion. Ameloblastic fibroma of the jaw is a benign, relatively rare, mixed odontogenic tumor whose epithelial and mesenchymal components are neoplastic. This tumor is usually diagnosed in the first and second decades of life (72.4%), when odontogenesis has been completed (80% of cases), and mainly affects the mandible. In this case, the lesion was diagnosed in the second decade of life, and occurred in the posterior region of the mandible. Conclusion: Ameloblastic fibroma is a benign odontogenic mixed tumor, although rarely ameloblastic fibroma can recur and develop into malignancy. The aim of this case report is to analyze the radiographic appearance of the lesion with information from the history and clinical signs to establish a correct radiodiagnosis.

Analysis of condylar head density and morphology in osteoporosis and non-osteoporosis patients: an observational descriptive study Putri, Gina; Jamil, Nur; Epsilawati, Lusi; Sitam, Suhardjo; Lita, Yurika; Nursin, Rohmat
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): March 2025
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59209

Introduction: Osteoporosis is a systemic bone disease characterized by increased bone fragility and susceptibility to fractures, decreased bone mass and changes in the bone’s microscopic structure, leading to increased porosity and decreased strength. This study aimed to evaluate the differences in the mandibular bone density and condylar head morphology between osteoporosis and non-osteoporosis patients. Methods: The study used an observational descriptive design with a cross-sectional approach. The study population using secondary data consisted of all panoramic radiography photos collected over a six-month period from July to December 2019. A total of 24 radiographs were included, comprising women with osteoporosis (age 40 to 60 years) and without osteoporosis (aged 40 to 50 years). Bone density was measured using a region of interest (ROI) of 3x3mm through histogram analysis, while condyle shape was evaluated visually. The collected data were processed with t-test results. Results: This study found that right condyle osteoporosis mean 137.51 ± 17.3, right condyle non osteoporosis 143.65 ± 21,1. Left condyle osteoporosis 133.46 ± 18,6, and left condyle non osteoporosis 143.64 ± 18. The mandibular bone density in condylar region was lower in osteoporosis patients by 6.14 pixels on the right side and 10.48 pixels on the left side. The result of the statistical analysis in all groups were p value > 0,05. However, the t-test results indicated no statistically significant differences between two groups. In terms of morphology, the oval shape was the most common in both groups. The bird beak shape was observed exclusively in the osteoporosis group, while the flat shape was more prevalent in the non-osteoporosis group. Conclusion: This study suggests that the mandibular bone density in osteoporosis patients is lower than in the non-osteoporosis group. However, this difference was not statistically significant. Additionally, changes in condylar head morphology did not correlate with osteoporosis status or reflect the observed differences in bone density.

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

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.

The role of CBCT in diagnosing and managing cleft lip and palate Anjani, Khamila Gayatri; Rachmawati, Ika; Epsilawati, Lusi; Pramanik, Farina
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.v9i1.1275

Objectives: Cleft lip and palate (CLP) are one of the most common types of congenital maxillofacial lesions. Cleft lip and palate patients often deal withspeech, masticatory and hearing problems, dental and craniofacial anomalies, and psychosocial issue. The aim of this study is to determine the role of cone beam computed tomography (CBCT) in diagnosing CLP. Case Report: A 25-year-old female was referred to dentomaxilllofacial radiology department in Universitas Padjadjaran Dental Hospital for a CBCT examination of a cleft palate. Three-dimensional image analysis provides superior and more detailed information compared with conventional plain two-dimensional (2D) radiography, with the added benefit of 3D printing for preoperative treatment planning and regenerative therapy. The result showed a radiolucent area between teeth 21 and 23, agenese teeth 22. These findings led to cleft palate unilateral complete at sinistra region. CBCT imaging provides a detailed picture of the cleft in three dimensions view that can helps for determining the treatment plan based on the classification of cleft lip and palate. Conclusion: Available evidence implies that 3D imaging methods not only can be used for documentation of CLP patients, but also can determining the treatment plan. 3D CBCT radiograph are more informative than conventional 2D.

Correlation between mandibular length and third molar maturation based on their radiography appearances Pramatika, Berty; Azhari, Azhari; Epsilawati, Lusi
Padjadjaran Journal of Dentistry Vol 30, No 2 (2018): July 2018
Publisher : Universitas Padjadjaran

Introduction: Growth and development is a dynamic process that is influenced by many factors, this is why children of the same age do not have the same growth rate, therefore growth can not be evaluated only by chronological age, but also by maturation skeletal and dental. Previous research has shown a strong relationship between mandibular length and Cervical Vertebral Maturation (CVM). The aim of the present study was to determine the correlation between mandibular length and mandibular third molar maturation using panoramic radiograph. Methods: This research is an observational analytic cross sectional study. Total 412 panoramic radiographs of 207 male and 205 female aged 9-25 years were evaluated. The mandibular length measured from the point of condylion (Co) to menton (Me). M3 maturation of the mandible was evaluated by Demirjian methods. Results: Spearman non-parametric correlation was used for analysis. A strong correlation was found between mandibular length and third molar development (in males: r=0.705 on the right side and are=0.729 on the left side; in females: are=0.755 on the right side and are=0.707 on the left side) Conclusion: There is a strong correlation between mandibular length and mandibular third molar maturation in both male and female.

Normal, inflammation and necrosis pulp radiograph image using 3D cone beam computed tomography Pramanik, Farina; Firman, Ria Noerianingsih; Oscandar, Fahmi; Epsilawati, Lusi
Padjadjaran Journal of Dentistry Vol 28, No 2 (2016): July 2016
Publisher : Universitas Padjadjaran

Introduction: Abnormalities of the dental pulp can have several different diagnoses. Therefore, the dental pulp characteristics must be known in more detail and clear so that diagnosis be established more precisely and accurately. One characteristic of the pulp can be seen from the density value through the 3D Cone Beam Computed Tomography (3D CBCT). Methods: The study was conducted with a simple descriptive method. The population is all the data 3D CBCT of patients who visited the Universitas Padjadjaran Dental Hospital (RSGM Unpad) in 2012. Samples of the research were 75 pulps with normal, inflammation, and necrosis conditions and calculate the average density value. Results: Density values for dental pulps in the normal teeth between 465 - 775 HU, the inflammation teeth between 243.5 - 396 HU, and necrosis teeth between - 461.5 - -170 HU. Conclusion: There are differences in dental pulp density between the normal pulp, inflammation and necrosis through 3D CBCT.

General Dentist's knowledge in determining radiodiagnosis of lucent lesions through panoramic radiography: Study descriptive Rahmadona, Suci; Epsilawati, Lusi; Damayanti, Merry Annisa; Jasrin, Tadeus Arufan; Susilawati, Sri; Zakiawati, Dewi
Padjadjaran Journal of Dental Researchers and Students Vol 9, No 2 (2025): June 2025
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v9i2.62976

ABSTRACT Introduction: Radiology in dentistry plays an important role in diagnosis and treatment planning through radiographic examinations, such as panoramic radiography which provides a broad view of the bone and tooth structure. Mistakes in radiographic interpretation can lead to misdiagnosis, as shown by previous study which found a high percentage of misdiagnosis by practitioners. The aim of this study was to determine whether general dentists were able to interpret properly and correctly. Methods: This type of research was descriptive with a convenience sampling technique. The study was conducted on 96 general dentists using an instrument in the form of a questionnaire with 15 questions. Results: Based on the distribution of respondents, the majority were women domiciled outside the city of Bandung, most of whom worked in independent clinics (24,8%) and hospitals (21,4%). A total of 57 respondents (59,4%) were at the level of knowledge with a good category, then 36 people (37,5%) were in the sufficient category, and 3 people (3,1%) were in the less category; (4) Conclusions: The level of knowledge of general dentists in identifying the characteristics of lucent lesions is classified as good, but the ability to determine radiodiagnosis and differential radiodiagnosis is still lacking. Overall, the results of the study showed that the level of general dentists’ knowledge is categorized as adequate, with an average score of 10,8.KEY WORDS: Knowledge, radiodiagnosis, general dentist, lucent lesions, panoramic radiography Pengetahuan dokter gigi umum dalam menentukan radiodiagnosis lesi lusen melalui radiografi panoramik: deskriptif kualitatifABSTRAK Pendahuluan: Ilmu radiologi dalam kedokteran gigi berperan penting dalam diagnosis dan perencanaan perawatan melalui pemeriksaan radiografi, seperti radiografi panoramik yang memberikan gambaran luas struktur tulang dan gigi. Kesalahan dalam interpretasi radiografi dapat menyebabkan diagnosis yang keliru, sebagaimana ditunjukkan oleh peneliti sebelumnya yang menemukan persentase kesalahan diagnosis oleh praktisi cukup tinggi. Tujuan penelitian ini untuk mengetahui apakah dokter gigi umum sudah dapat melakukan interpretasi dengan baik dan benar. Metode: Jenis penelitian deskriptif dengan teknik pengambilan sampel convenience sampling. Penelitian dilakukan pada 96 dokter gigi umum menggunakan instrumen berupa kuesioner dengan 15 butir pertanyaan. Hasil: Berdasarkan distribusi responden, mayoritasnya merupakan perempuan dengan domisili di luar Kota Bandung yang sebagian besarnya bekerja pada klinik mandiri (24,8%) dan rumah sakit (21,4%). Sebanyak 57 responden (59,4%) berada pada tingkat pengetahuan dengan kategori baik lalu sebanyak 36 orang (37,5%) dengan kategori cukup, serta 3 orang (3,1%) dengan kategori kurang. Simpulan: Tingkat pengetahuan dokter gigi umum dalam mengidentifikasi karakteristik lesi lusen tergolong baik, tetapi kemampuan dalam menentukan radiodiagnosis dan radiagnosis banding masih kurang. Secara keseluruhan, hasil penelitian menunjukkan bahwa tingkat pengetahuan dokter gigi umum dikategorikan cukup dengan rerata perolehan nilai berada pada 10,8. KATA KUNCI: Pengetahuan, radiodiagnosis, dokter gigi umum, lesi lusen, radiografi panoramik

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

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.

Differences in bone quality and condylar head shape between patients with type 2 diabetes mellitus and non-diabetic patients Amalia, Rahmi; Harqad, Teuku; Epsilawati, Lusi; Damayanti, Merry; Nursin, Rohmat
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.103504

This study aimed to compare bone quality—assessed through mandibular bone density—and condylar head shape between patients with type 2 diabetes mellitus (DM) and non-diabetic (non-DM) individuals, using bone histogram values derived from panoramic radiographs. An observational descriptive design with a cross-sectional approach was employed. The study population comprised all panoramic radiographic records collected during the study period. The sample consisted of 25 radiographs: 11 from male patients (DM and non-DM) and 14 from female patients (DM and non-DM), aged 40–60 years. Bone density was measured using a histogram analysis within a 4 × 4 mm region of interest (ROI) in the condylar head area, and the condylar head shape was also evaluated. Statistical analysis was subsequently performed. The findings revealed no statistically significant difference in mandibular bone density in the condylar area between DM and non-DM patients (p > 0.005). Similarly, the condylar head shape was predominantly oval in both groups. While individuals with type 2 DM tended to exhibit lower bone density values than non-DM individuals, the difference was not statistically significant. No significant differences in bone density were observed between the left and right condylar heads. However, variations in condylar head morphology were noted.

Evaluation of unilateral condyle head fracture on panoramic and CBCT imaging: a case report Putri, Meiryndra Syaira; Sam, Belly; Epsilawati, Lusi
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.v9i2.1256

Objectives: This case report aimed to describe the radiographic characteristics of the fracture of the condyle’s head and its impact on surrounding tissues in a young adult patient using panoramic and CBCT radiographs. Case Report: A 19-year-old female patient presented to the Dental Radiology Unit of Dental Hospital Universitas Padjadjaran with a panoramic and periapical referral letter, diagnosed clinically with a dental fracture of the upper left central incisor, and planning to have orthodontic treatment. The patient had a history of a motorcycle accident in early January 2024 and was hit on the left side of her face. Extraoral examination revealed an asymmetrical facial appearance with mandible deviation, mouth opening limitation, and crepitation on palpation test. Intraoral examination showed a traumatic ulcer in the upper left lip region (tooth 22) and a dental fracture on tooth 21. Oral hygiene was in good condition. The first panoramic radiograph (January 19th, 2024) showed a fracture on the right condyle’s head. It referred to taking the CBCT examination (May 28th, 2024) to know the exact position and the destruction of the condyle’s head. The CBCT examination showed a radiolucent line crossing horizontally on the left condyle’s head; the joint space was larger than on the other side. Conclusion: Based on the CBCT results in terms of location and radiographic feature, this radiolucent line led to a suspect radiodiagnosis of unilateral fracture on the left condyle’s head that causes pain and limited mouth opening. Keywords: CBCT, condyle’s head, fracture, panoramic, temporomandibular joint

Co-Authors - Azhari Abel Tasman Yuza Achmad Noerkhaerin Putra Aga Satria Nurrachman Agung, Anak Agung Gde Dananjaya Agustin, Sylvia Alongsyah Zulkarnaen Ramadhan Amalia, Rahmi Anak Agung Gede Dananjaya Agung Anak Agung Istri Agung Feranasari Andaria, Rully Zaidan 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 Cahyareni, Firlana Chrisna Ardhya Medika Damayanti, Merry Deddy Firman Dewi Zakiawati Dhiaulhaq, Rifarana Inayah Diera Fitrah Kusumawardhany Dwi Putri Wulansari Eddy Hermanto Eha Renwi Astuti Eka Marwansyah Oli'i Erna Herawati Faatihah, Amaliya Ummul Fadhlil Ulum A. Rahman Fadhlil Ulum A.R. Fadhlil Ulum Abdul Rahman Fahmi Oscandar Fahri Reza Ramadhan Farah Nurul Salsabila Farina Pramanik Fatimah, Tati Siti Fauza Raidha Fauziyah, Erlina Fidela D. Aziza Gunawan Gunawan Gustianto, Yudhy Hadiputri, Felicia Hanafi, Eva Yulianti Haris Nasutianto Harqad, Teuku Hatta, Isnur Hendra Polii Hentartika Desyaningrum Ichda Nabiela Amiria Asykarie Ilmayah, Ilmayah Indra Hadikrishna Indri Kusuma Dewi Inne Suherna Sasmita Irna Sufiawati Istri Dwi Utami Jamaluddin, Rafiqah Rezky Amelia Jamil, Nur Jamil, Nur Aini Janadewi, I Gusti Agung Kerk Xi Zhe Khamila Gayatri Anjani Krisna Krisna Kurniawan, Septian Bagus Laurentina, Made Lei Wei Ken Lita, Yurika Lubis, Ratih Trikusumadewi Lutfi Yondri Mahindra Awwaludin Romdlon 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 Putri, Meiryndra Syaira Rachmawati, Ika Rahasdini, Puri Rahmadona, Suci Rahman, Fadhlil Ulum Abdul Rahmania Rahmania Ramzy Ramadhan Rante Marampa, Wilman Rasmi Rikmasari Ratih Trikusumadewi Lubis Regrina Setiawan Rellyca Sola Gracea Restiti, Rr Dinar Reza, Ahmad Ria N. Firman Riana Wardani Rike Kapriani Salsabila Yasmine Sami Puspitasari Sandy P Sarifah, Norlaila Septina, Farihah Setyawan Bonifacius Silviana Farrah Diba Sitam, suharjo Sri Sulastri Sri Susilawati Sri Tjahajawati Suhardjo Sitam Suhardjo Sitam Suhardjo Sitam, Suhardjo Suhardjo Suhardjo Suharjo Sitam Sukmadewi, Putri Marina Tadeus Arufan Jasrin Vera Widyastuti Wisam Rizqullah Yanti Rusyanti Yurika Ambar Lita Yuti Malinda

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