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

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A case report of incidental finding of concrescence teeth on a panoramic radiograph as a complication of impacted maxillary third molar Agustin, Sylvia; Epsilawati, Lusi; Sitam, Suhardjo; Rante Marampa, Wilman
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.v9i2.1174

Abstract

Objectives: Concrescence is a rare dental developmental anomaly where two fully formed teeth are fused by cementum. It often occurs in the maxillary posterior region and may lead to tooth impaction. This case report presents an incidental radiographic finding of a concrescence related to maxillary third molar (M3) impaction. Case Report: A 72-year-old woman presented with a panoramic radiograph referral for mandibular denture placement with a clinical diagnosis of missing teeth in the right and left mandibular regions. On the panoramic radiograph, the impacted root of tooth 28 was seen, fused with the root of tooth 27. Conclusion: Concrescence is a rare case of anomaly and can occur in an impacted M3 tooth, and Concrescence is suspected as the main cause of the tooth not being erupted/impacted. Keywords: Concrescence, maxillary molar tooth impaction, panoramic radiography
Radiographic dilemma of four systemic bone diseases: rickets, osteomalacia, renal osteodystrophy, and hypophosphatemic rickets (literature review) Rahasdini, Puri; Epsilawati, Lusi
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.v9i3.1364

Abstract

Objectives: Rickets, osteomalacia, renal osteodystrophy, and hypophosphatemic rickets are systemic diseases that have the same characteristics, namely the condition of bone softening or weak bone conditions. This condition is caused by low levels of calcium and phosphorus in the bones. As a result, the bones become of poor quality, which can be seen histologically in the form of a picture of bone osteoid that is less calcified. However, the etiology of the causes of abnormalities in these four diseases is different, and in particular, the picture in the radiograph certainly has its own character. Review: The purpose of writing this article is to learn more about the special characteristics of these four systemic diseases. The writing method used is a narrative literature review. This article will discuss the four types of systemic diseases, starting from the definition, clinical appearance, appearance in radiographs, and the characteristics of each type. The results of the characterization that has been carried out indicate that, in general, radiography and other imaging methods are indeed difficult to distinguish because they have the same symptoms, but at the beginning of the case, the picture can be distinguished. Conclusion: The conclusion that can be drawn from this article is that between rickets, osteomalacia, renal osteodystrophy, and hypophosphatemic rickets, there are specific characteristics that are the main key in recognizing each abnormality, especially radiographically, that can be recognized.
Exploring the radiographic distinctions between ewing's sarcoma and malignant and fibrous ameloblastoma: a clinical case report and review Jamil, Nur Aini; Epsilawati, Lusi; Lita, Yurika Ambar
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.v9i3.1355

Abstract

Objectives: Ewing's sarcoma and fibrous ameloblastoma are distinct entities that can present similarly in imaging studies, posing challenges in accurate diagnosis. This report aims to elucidate the radiographic features that differentiate these two lesions. Case Report: The first case was a 7-year-old boy who came to the radiology installation accompanied by his mother for a panoramic radiography examination. The patient complained of swelling on both sides of the lower jaw for 1.8 years. The second case was an 8-year-old boy who came with a referral for a panoramic radiography examination due to swelling on the left side of the lower jaw for 6 months. The first case was radiographically determined as Differential Radiodiagnosis Ewing sarcoma and malignant ameloblastoma, and the second case was radiographically determined as fibrous ameloblastoma with differential Radiodiagnosis malignant ameloblastoma. The differential diagnosis between Ewing's sarcoma and fibrous ameloblastoma is critical due to their distinct treatment protocols and prognoses. This case underscores the importance of comprehensive imaging evaluation and correlating clinical findings to achieve an accurate diagnosis. Conclusion: This case report contributes to the understanding of radiographic distinctions among Ewing's sarcoma, fibrous ameloblastoma, and malignant ameloblastoma. Enhanced awareness of these differences may improve diagnostic accuracy and inform treatment strategies. This abstract provides a succinct overview of the case report, highlighting essential elements such as background information, case details, discussion points, and conclusions relevant to radiographic distinctions between the two conditions.
Knowledge level of dentists and dental specialists on the use of dental portable x-ray Faatihah, Amaliya Ummul; Rahasdini, Puri; Ilmayah, Ilmayah; Kurniawan, Septian Bagus; Andaria, Rully Zaidan; Epsilawati, Lusi; Sam, Belly; Pramanik, Farina
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.v9i3.1338

Abstract

Objectives: Portable X-ray is one of the mobile radiography equipment. It is made with special technological characteristics. It is designed for diagnostic purposes in areas that are far from health facilities. It is considered easy to use and also beneficial. This study aimed to assess the level of knowledge of general and dental specialists on the use, protection, and benefits of dental portable X-rays. Materials and Methods: The study used a descriptive-analytic method design with a survey technique through a closed questionnaire distributed online to respondents in September 2024. Results: This study netted 169 respondents with the results. For question category 1, 43.7% understood, and categories 2 and 3 were very well understood. Conclusion: The understanding of portable X-ray is in the moderate category, its utilization is classified as very good, and the goal, understanding, and knowledge of radiation protection is good.
Knowledge level of dentists and dental specialists on the use of dental portable x-ray Faatihah, Amaliya Ummul; Rahasdini, Puri; Ilmayah, Ilmayah; Kurniawan, Septian Bagus; Andaria, Rully Zaidan; Epsilawati, Lusi; Sam, Belly; Pramanik, Farina
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.v9i3.1338

Abstract

Objectives: Portable X-ray is one of the mobile radiography equipment. It is made with special technological characteristics. It is designed for diagnostic purposes in areas that are far from health facilities. It is considered easy to use and also beneficial. This study aimed to assess the level of knowledge of general and dental specialists on the use, protection, and benefits of dental portable X-rays. Materials and Methods: The study used a descriptive-analytic method design with a survey technique through a closed questionnaire distributed online to respondents in September 2024. Results: This study netted 169 respondents with the results. For question category 1, 43.7% understood, and categories 2 and 3 were very well understood. Conclusion: The understanding of portable X-ray is in the moderate category, its utilization is classified as very good, and the goal, understanding, and knowledge of radiation protection is good.
Exploring the radiographic distinctions between ewing's sarcoma and malignant and fibrous ameloblastoma: a clinical case report and review Jamil, Nur Aini; Epsilawati, Lusi; Lita, Yurika Ambar
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.v9i3.1355

Abstract

Objectives: Ewing's sarcoma and fibrous ameloblastoma are distinct entities that can present similarly in imaging studies, posing challenges in accurate diagnosis. This report aims to elucidate the radiographic features that differentiate these two lesions. Case Report: The first case was a 7-year-old boy who came to the radiology installation accompanied by his mother for a panoramic radiography examination. The patient complained of swelling on both sides of the lower jaw for 1.8 years. The second case was an 8-year-old boy who came with a referral for a panoramic radiography examination due to swelling on the left side of the lower jaw for 6 months. The first case was radiographically determined as Differential Radiodiagnosis Ewing sarcoma and malignant ameloblastoma, and the second case was radiographically  determined   as   fibrousameloblastoma with differential Radiodiagnosis malignant ameloblastoma. The differential diagnosis between Ewing's sarcoma and fibrous ameloblastoma is critical due to their distinct treatment protocols and prognoses. This case underscores the importance of comprehensive imaging evaluation and correlating clinical findings to achieve an accurate diagnosis. Conclusion: This case report contributes to the understanding of radiographic distinctions among Ewing's sarcoma, fibrous ameloblastoma, and malignant ameloblastoma. Enhanced awareness of these differences may improve diagnostic accuracy and inform treatment strategies. This abstract provides a succinct overview of the case report, highlighting essential elements such as background information, case details, discussion points, and conclusions relevant to radiographic distinctions between the two conditions.
Analysis of mandibular length, width, and height in patients with hypertension and type II diabetes mellitus Romdlon, Mahindra Awwaludin; Epsilawati, Lusi
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol. 10 No. 1 (2026): 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.v10i1.1378

Abstract

Objectives: This study aimed to analyze the mandible's length, width, and height in patients with hypertension and T2DM through panoramic radiography. Materials and Methods: This study used the observational analytical description method, which has been used in this study with a cross-sectional approach. The sample consisted of 48 panoramic radiographs from 24 patients with hypertension and T2DM, divided into two age groups: those under 60 and those 60 years or older. The radiographs were analyzed using ImageJ to measure the mandible's length, height, and width, and the results were averaged. Results: The study found no significant differences in the length, width, or height of the mandible between the disease groups or the age groups. Conclusion: The mandible's length, width, and height values in hypertension and T2DM do not show statistically significant differences. This explains that the bone quality between patients with hypertension and T2DM is not much different.
Post-traumatic condylar hyperplasia and temporomandibular joint ankylosis in a single patient: a case report based on cone beam computed tomography images Fatimah, Tati Siti; Jamaluddin, Rafiqah Rezky Amelia; Epsilawati, Lusi
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol. 10 No. 1 (2026): 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.v10i1.1379

Abstract

Objectives: This case report aims to provide information about post-traumatic condylar hyperplasia and temporomandibular joint ankylosis, and its features on CBCT imaging. Case Report: A 16-year-old female patient visited the Radiology Installation of RSGM Universitas Padjadjaran with a referral for CBCT TMJ scan, prompted by a chief complaint of restricted mouth opening. The patient had a history of a traffic accident two years prior, resulting in multiple facial fractures that were treated through several surgical interventions. CBCT images showed morphological irregularities and enlargement of both right and left condyles, glenoid fossae, and articular eminences. Moreover, the development of fibrous tissue was observed within the joint space, accompanied by bone fusion. Conclusion: Condylar hyperplasia and temporomandibular joint ankylosis are pathological conditions that can arise as a consequence of trauma to the facial region. This case highlights the importance of radiological evaluation in identifying morphological alterations of the temporomandibular joint complex, such as condylar enlargement, joint space obliteration, and fibrous or bony fusion. These conditions significantly impact the function of the stomatognathic system, emphasizing the necessity for prompt intervention. Early recognition of these radiographic features is essential to support accurate diagnosis, guide appropriate clinical management, and prevent further deterioration of mandibular function. 
Invasion palatum oral squamous cell carcinoma to the maxillary sinus investigation: case report Gustianto, Yudhy; Fauziyah, Erlina; Hanafi, Eva Yulianti; Cahyareni, Firlana; Epsilawati, Lusi
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol. 10 No. 1 (2026): 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.v10i1.1391

Abstract

Objectives: This case report aims to analyze the specific characteristics of Oral Squamous Cell Carcinoma (OSCC) and its rare invasion of the palate. Case Report: A 49-year-old male patient came to the Dental Radiology Installation of RSGM FKG UNPAD with a referral letter for a Cone Beam Computed Tomography (CBCT) examination. Based on the patient's anamnesis, he complained of swelling on the roof of the mouth that had lasted for 3 months, accompanied by pain, trismus, and persistent bad breath. Oral hygiene was poor; there was plaque, stains, and pale gums. The patient is an active smoker, smoking 1-2 packs per day; there is no history of similar diseases in the family. On extraoral examination, facial asymmetry was found due to swelling on the right cheek. On intraoral examination, gingival hyperplasia was found, accompanied by ulceration and reddish lesions on the roof of the mouth. The patient previously underwent a biopsy and excision of the roof of the mouth. Previous panoramic X-ray results showed lesions with unclear boundaries. On CBCT radiography, bone damage with irregular bone invasion and signs of malignancy indicate the characteristics of Squamous Cell Carcinoma (OSCC). 3D CBCT examination can be performed to accurately analyze and determine further diagnosis. Conclusion: 3D CBCT radiography can be used as a supporting examination to analyze specific characteristics in OSCC cases. The results of CBCT analysis can be a guideline in planning pre-operative follow-up to be carried out.
Bilateral mumps in an adult female mimicking mandibular lesions on panoramic radiography: a case report Fauziyah, Erlina; Epsilawati, Lusi; Lubis, Ratih Trikusumadewi
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol. 10 No. 1 (2026): 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.v10i1.1501

Abstract

Objectives: The purpose of this case study is to report a case of quite painful facial swelling observed on a panoramic radiograph and diagnosed as Bilateral Mumps.   Case Report: A 34-year-old woman came to the Radiology Department with complaints of throbbing pain accompanied by swelling in the right and left mandible. The swelling has been present for 5 days, and the pain worsens when eating. In addition, the patient complains of having a fever and being unable to sleep. Physical examination revealed a body temperature of 38.6°C; the patient appeared lethargic and weak. Extraoral examination shows the lower part of the face is swollen, symmetrical between the left and right sides, with increased surface temperature of the lesion, and upon palpation, it feels soft and painful when touched. During the intraoral examination, no swelling was observed. The results of the panoramic radiograph examination show a diffuse radiolucent image spread from the angle to the ramus of the left and right mandible. There are no changes in the structure of the cortical bone of the mandible. From the panoramic examination, a suspect radiodiagnosis of bilateral mumps on the right and left mandible was found. Conclusion: Mumps is an infection of the salivary glands caused by a virus. On panoramic radiography, the image is more indicative of the formation of osteolytic lesions in the form of radiolucent foci with varying diameters and ill-defined borders. Pockets spread in the inflamed area, and in this case, panoramic radiography can recognize the condition.
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