Ria N. Firman
Bagian Radiologi Kedokteran Gigi Fakultas Kedokteran Gigi Universitas Padjajaran Bandung, Indonesia

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Analysis digital panoramic radiograph about positions root of maxillary posterior teeth with maxillary sinus floor Pertiwi, Aprilia Dian; Noerianingsih Firman, Ria; Pramanik, Farina
Padjadjaran Journal of Dentistry Vol 28, No 3 (2016): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (602.44 KB) | DOI: 10.24198/pjd.vol28no3.13669

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Introduction: Maxillary sinus floor is a part of the alveolar bone adjacent to the apex of the posterior maxillary teeth that often causes complications in dentistry. Anatomical relationship between the maxillary posterior tooth root and the maxillary sinus floor can be obtained by panoramic radiograph.  The purpose of this study is to analysis digital panoramic radiograph about positions root of maxillary posterior teeth’s with  maxillary sinus floor by age and gender using. Methods: Research method is descriptive with purposive sampling technique. Study population was taken from archives of patient’s digital panoramic radiograph in Radiography Installation from January to March 2016. 88 samples were obtained from 207 digital panoramic radiographs archives. Results: The result showed that type 3 was dominated by P1 (86.8% right, 88.2% left), type 2 is dominated by P2 (24.7% right, 21% left), type 1 is dominated by M2 in the right (31.2%) and M1 in the left (38.1%). Conclusion: This study concludes that overall, the most commonly found was type 3. Based on the age, type 1 majority occurs in age group of above 49 years old; type 2 in age group of 40-49 years old; and type 3 in age group 30-39 years old, 40-49 years old, and above 49 years old. By gender, type 1 and type 2 are more common in males, while type 3 is more common in female.
The difference of canine, first and second premolar tooth size resulted from cone beam computed tomography imaging with Moyers Prediction Table on the working study model Sugiaman, Julies Hariani; Thahar, Bergman; Mardiati, Endah; Firman, Ria Noerianingsih
Padjadjaran Journal of Dentistry Vol 23, No 1 (2011): March
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1860.306 KB) | DOI: 10.24198/pjd.vol23no1.14055

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Model study is one of the standard orthodontic components which is important for diagnosis and treatment plan, but in some patients with the high gag reflex, it will be difficult to get this kind of study models. The existence of a new device which is able to show the condition of patients mouth in three space areas (axial, sagittal, and coronal) is expected to be an alternative when a study model is difficult to get. The purpose of this study is to find out whether or not there are any differences on the size of canines mesiodistal, first and second premolar resulted from CBCT imaging with Moyers analysis on the study models. The method of the research is comparative descriptive. Measurements are made on 10 CBCT imaging results and 10 study models. The mesiodistal size, the result of CBCT imaging is measured by the available computer program and also the mesiodistal size of the study models is measured using a sliding compass, and then the size of canines, first and second premolar teeth resulted from CBCT imaging are compared to the result of Moyers method analysis on the study models. The t-test is used to find out if there is a difference between teeth size value between the CBCT imaging with the study models. The significance is determined based on the p-value < 0,05. The statistical test result shows a significant difference between the size of canines mesiodistal, first and second premolar teeth, the result of CBCT imaging and the Moyers analysis result in the study models in which t count > t table.
Differences of temporomandibular joint condyle morphology with and without clicking using digital panoramic radiograph Pramanik, Farina; Firman, Ria Noerianingsih; Sam, Belly
Padjadjaran Journal of Dentistry Vol 28, No 3 (2016): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.904 KB) | DOI: 10.24198/pjd.vol28no3.13672

Abstract

Introduction: Clicking is the most common clinical symptom in patients with Temporomandibular Disorder (TMD). Lacking attention by either the patient or dentist, many patients were found to have suffered from morphologic alteration of the condyles seen in the panoramic radiograph inadvertently. The purpose of the study was to determine the differences of condyle morphology of the Temporomandibular Joint (TMJ) with and without the existence of clicking by means of digital panoramic radiographs. Methods: This study was based on an analytic descriptive research, whereas subjects are digital panoramic radiographs taken from clicking and non-clicking patients at the Radiology Installation of Dental Hospital Universitas Padjadjaran. 16 samples of each group were chosen in a non-random purposive sampling manner. Results: The research showed the mean of condyle morphology, HOC height  on clicking (6.31 mm) was shorter than the non clicking (7.63 mm), the width of HOC on clicking (10.38 mm) was higher than the non clicking (10.22 mm) and height of the processus condylaris on clicking (19.70 mm) was shorter than non clicking (20.04 mm). Ratio of the high of HOC, width of HOC and high of processus condylaris were 12.13 (clicking), and 12.63 (non-clicking). Conclusion: There was no significant difference between the morphology of the TMJ condyle between clicking and not clicking group, except on high of HOC.
Shortened of the crown and root lengths of the mandibular permanent molar in beta major thalassemia children Primathena, Indra; Riyanti, Eriska; Firman, Ria Noerianingsih
Padjadjaran Journal of Dentistry Vol 23, No 2 (2011): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.566 KB) | DOI: 10.24198/pjd.vol23no2.14024

Abstract

Beta major thalassemia is a genetically inherited blood disorder due to a genetic mutation on the polypeptide chains of hemoglobin which is manifested in the growth and development of the tooth. The objectives of the investigation were to obtain differences of the crown and root lengths of the mandibular first right side permanent molar between beta major thalassemia children and normal children group at the matching ages of 11 to 13 years old. The descriptive comparative method was used in the study and samples were selected using the purposive sampling technique. Sample numbers, which were obtained using the consecutive sampling technique, consists of 12 children of beta major thalassemia and 12 of normal children at the matching ages of 11 to 13 years. Periapical radiographs of both thalassemia and normal children were administered using the method of Seow and Lai. Data were analyzed using t-test method. The study revealed that the crown and root lengths of the mandibular first right side permanent molar of beta major thalassemia children were shorter than normal children at the ages of 11 to 13 years.
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
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.253 KB) | DOI: 10.24198/pjd.vol28no2.13720

Abstract

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.
Determination of pulp necrosis based on periapical digital radiography histogram and pulp histopathology Khoironi, Emi; Firman, Ria Noerianingsih; A, Azhari; Oscandar, Fahmi
Padjadjaran Journal of Dentistry Vol 29, No 3 (2017): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.878 KB) | DOI: 10.24198/pjd.vol29no3.14300

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Introduction: Radiographic examination is needed to determine the diagnosis of pulp necrosis in addition to a clinical examination. Visual observation was limited in seeing the colour change degree and hence an effort taken by assessing the histogram value. The purpose of this study was to obtain the pulp chamber histogram pattern which reveals its grey scale value, trend, intensity average, histogram variation, and histograms maximum regional of interest (ROI) through digital periapical radiograph. Methods: This study was a descriptive study of the total of nine pulp chamber periapical radiograph data samples. The samples were divided into three groups, the 1st group was the data taken prior to the tooth extraction, the 2nd group was the data collected after the teeth extraction, and the 3rd group was the data of priorly pulpless teeth. Results: There was a tendency of histogram graphic shifting to the left side, likely towards the radiolucent area on ROI of the pulp at the apical region, whilst histopathologically, a massive infiltration of a round PMN cells was found in the area. This finding supported the determination of pulp necrosis diagnose. Conclusion: The tooth with a pulp necrosis showed a tendency that led to radiolucency on periapical radiograph histogram, and histopathologic examination showed massive infiltration of a round PMN cells, thus supported the pulp necrosis diagnose.
Analisis gambaran CBCT pada kista dentigerous gigi supernumerary anterior rahang atasCBCT images analysis of the anterior maxillary supernumerary teeth dentigerous cysts Kurniati, Novi; Firman, Ria Noerianingsih
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 30, No 2 (2018): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (354 KB) | DOI: 10.24198/jkg.v30i3.18530

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Pendahuluan: Kista dentigerous atau kista follikular adalah kista odontogenik jinak yang tumbuh lambat akibat kelainan perkembangan epitel email pembentuk gigi. Kebanyakan kista dentigerous berhubungan dengan gigi molar ketiga mandibula, tetapi jarang melibatkan impaksi gigi supernumerary anterior rahang atas, sehingga pada tulisan ini akan menganalisis kista dentigerous akibat impaksi gigi supernumerari anterior rahang menggunakan CBCT terhadap seorang laki-laki berusia 50 tahun. Laporan Kasus: Keluhan berupa pembengkakan pada cuping hidung dan gusi anterior rahang atas disertai keluarnya darah dan cairan menyerupai nanah. Hasil CBCT menunjukan gambaran lesi radiolusen berbatas radioopak meluas di daerah rahang atas hingga sinus maksilaris dextra dan sinistra berbentuk irreguler disertai gambaran radioopak pada bagian tengah lesi (menyerupai gigi supernumerary). Suspek radiologis adalah kista dentigerous karena impaksi gigi supernumerary anterior rahang atas disertai penebalan sinus maksilaris sinistra. CBCT menawarkan pendekatan alternatif yang menjanjikan karena menyediakan gambar sub-milimeter dengan resolusi kualitas diagnostik yang tinggi, waktu pemindaian singkat dan mengurangi dosis radiasi. Simpulan: Gambaran CBCT pada kista dentigerous gigi supernumerary anterior rahang atas dapat terlihat akurat, sehingga sangat berguna sebagai alat penunjang untuk diagnosis dan perencanaan operasi pada kasus kista dentigerous. Penampakan 3D CBCT menawarkan akurasi yang tinggi dalam merencanakan perawatan bedah, sehingga hasil perawatan lebih efektif. ABSTRACTIntroduction: Dentigerous cysts or follicular cysts are benign odontogenic cysts that grow slowly due to tooth-forming enamel epithelial developmental abnormalities. Most dentigerous cysts are associated with mandibular third molars, but rarely involve impaction of the maxillary anterior supernumerary teeth, so in this paper we will analyze dentigerous cysts due to impact of anterior jaw supernumerary teeth using CBCT on a 50-year-old man. Case Report: Complaints include swelling of the nostrils and anterior maxillary gums accompanied by blood and pus-like fluid. CBCT results show radiolucent lesions with well-defined radiopaque boundaries extending in the upper jaw region to the maxillary and left maxillary sinuses irregularly shaped with radiopaque features in the center of the lesion (resembling supernumerary teeth). Radiological suspicion is a dentigerous cyst caused by impaction of the maxillary anterior supernumerary teeth accompanied by thickening mucous of the left maxillary sinus. Conclusion: CBCT offers a promising alternative approach because it provides sub-millimeter images with high diagnostic quality resolution, short scanning times and reduced radiation doses. CBCT evaluation in this case shows the entire large area of the lesion and helps the surgeon to accurately assess the extent of the lesion and also determine the relationship of the lesion to the adjacent vital structures. Keywords: CBCT, dentigerous cyst, impaction, supernumerary teeth, anterior supernumerary teeth, anterior.
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

Abstract

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
Analisis radiograf periapikal menggunakan software imageJ pada abses periapikal setelah perawatan endodontik Dominica Dian Saraswati Sumantri; Ria Noerianingsih Firman; A. Azhari
Majalah Kedokteran Gigi Indonesia Vol 3, No 1 (2017): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (407.801 KB) | DOI: 10.22146/majkedgiind.10468

Abstract

Periapical abscess radiography analysis using imageJ after endodontics treatment. The visual assessment to measure the lesion of periapical abscesses on the radiograph interpretation has the distinction of periapical in intra observer and inter observer which caused by the subjectivity of observer. The assessment on abscess periapikal after endodontic treatment commonly has been seen visually from the reduced size of the lesion periapical abscess. On this research, the measurement of periapical abscesses lesion is done with measuring the number of particles, the extensive of lesions, and the extensive of particle on the radiograph after endodontic treatment on digitally. The purpose of this research is to knowing the extensive of lesions, the number of particles and the extensive particles of trabeculae bones after endodontic treatment on periapical abscess through digitization periapical radiograph using ImageJ software. This research have a form of observational analysis. Samples was taken as many as 31 on each radiograph before and after treatment of endodontic patients with diagnosis of periapical abscess at RSGM Padjadjaran University Bandung. The radiograph will digitized using ImageJ software to get the extensive of lesions, the number of particles and the particle of extensive in periapical abscess. The results of this research found that of the 31 pairs of radiograph before and after endodontic treatment there is decrease in the average area of lesions from 12.44 ± 2.29 mm2 into 2.72 ± 1.86 mm2, increase in the average number of particles of 56.22, to 79.61, an increase in the average particles area of 8.93 ± 2.55 mm2, being 11.42 ± 2.61 mm2. The summary of this research is there is a decrease in the size of the lesions, which are affected by the increase in the number of particulate matter and particles on the radiograph of the extensive of lesions periapical abscess after endodontic treatment.ABSTRAKPenilaian secara visual pada abses periapikal pada radiograf periapikal, memiliki perbedaan interpretasi secara intra dan inter observer yang diakibatkan subjektitas penilaian. Penilaian pada abses periapikal setelah perawatan endodontik secara visual umumnya dilihat dari berkurangnya ukuran abses periapikal. Pada penelitian ini pengukuran abses periapikal dilakukan dengan mengukur luas lesi, jumlah partikel, dan luas partikel pada radiograf setelah perawatan endodontik secara digital. Tujuan penelitian ini untuk mengetahui luas lesi, jumlah partikel dan luas partikel trabekula tulang setelah perawatan endodontik pada abses periapikal melalui digitalisasi radiograf periapikal menggunakan software ImageJ. Penelitian bersifat analisis observasional. Sampel diambil sebanyak masing-masing 31 radiograf sebelum dan setelah perawatan endodontik pasien dengan diagnosa abses periapikal di RSGM Universitas Padjadjaran Bandung. Radiograf di digitalisasi menggunakan software ImageJ untuk mendapatkan hasil luas lesi, jumlah partikel dan luas partikel abses periapikal. Hasil penelitian ditemukan bahwa dari 31 pasang radiograf sebelum dan setelah perawatan endodontik terdapat penurunan rata-rata luas lesi dari 12,44 ± 2,29 mm2 menjadi 2,72 ± 1,86 mm2, peningkatan rata- rata jumlah partikel dari 56,22 buah, menjadi 79,61 buah, peningkatan rata-rata luas partikel dari 8,93 ± 2,55 mm2, menjadi 11,42 ± 2,61 mm2. Simpulan penelitian ini adalah analisis radiograf abses periapikal menggunakan software imageJ ditemukan penurunan ukuran luas lesi, yang dipengaruhi oleh kenaikan jumlah partikel dan luas partikel setelah perawatan endodontik.
Analisis radiograf periapikal menggunakan software ImageJ pada granuloma periapikal pada perawatan endodontik Ali Thomas; Ria Noerianingsih Firman; A. Azhari
Majalah Kedokteran Gigi Indonesia Vol 3, No 2 (2017): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (413.987 KB) | DOI: 10.22146/majkedgiind.10472

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Analysis of periapical radiographs using ImageJ software on periapical granuloma in endodontic treatment. The assessment of the success rate of endodontic treatment on teeth with periapical granuloma is currently still using the conventional method, that is using a viewer as the tool which is then interpreted subjectively by dentist. This may lead to the possibility of signicant differences in the assessment between inter and intra-observers. The objective of this study was to demonstrate the differences in picture and the relationship of lesion size, and the number and size of trabecular particles on periapical granuloma cases before and after endodontic treatment with digitized periapical radiographs using ImageJ software. This study was conducted using observational analysis method. The sample  in this study consisted of 30 data before endodontic treatment and 30 data after endodontic treatment that had been digitized. The results of this study showed a decrease in the average size of periapical granuloma lesions from 16,400 ± 2.2924 mm2  to 13.860 ± 2.1250 mm2, an increase in the average number of particles from 70.167 ± 7.2258 to 99.733 ± 7.4089 and an increase in the particle size from 14.033 ± 1.4452 mm2 to 19.017 ± 1.4223 mm2. The conclusion of this study is that there are different pictures and relationship between the size of lesions, the number and size of trabecular particles in periapical granuloma cases before and after endodontic treatment through digitized periapical radiographs using ImageJ software.ABSTRAKPenilaian tingkat keberhasilan perawatan endodontik pada gigi yang mengalami granuloma periapikal, saat ini masih menggunakan metoda konvensional yaitu dengan menggunakan viewer sebagai alat bantu dan diinterpretasi secara subjektif oleh dokter gigi. Keadaan ini mengakibatkan peluang terjadinya perbedaan penilaian cukup besar secara inter dan intra-observer. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan gambaran dan hubungan nilai luas lesi, jumlah dan luas partikel trabekula pada kasus granuloma periapikal sebelum dan sesudah perawatan endodontik melalui digitalisasi radiograf periapikal menggunakan software ImageJ. Penelitian ini dilakukan dengan menggunakan metode analisis observasional. Sampel yang digunakan dalam penelitian ini terdiri dari 30 data sebelum perawatan endodontik dan 30 data sesudah perawatan endodontik yang telah dilakukan digitalisasi. Hasil penelitian ini adalah terjadi penurunan rata-rata luas lesi granuloma periapikal dari 16.400 ± 2.2924 mm2 menjadi 13.860 ± 2.1250 mm2, peningkatan rata-rata jumlah partikel dari 70.167 ± 7.2258 menjadi 99.733 ± 7.4089 dan peningkatan luas partikel dari 14.033 ± 1.4452 mm2 menjadi 19.017 ± 1.4223 mm2. Simpulan dari penelitian ini adalah terdapat perbedaan gambaran dan hubungan nilai luas lesi, jumlah dan luas partikel trabekula pada kasus granuloma periapikal sebelum dan sesudah perawatan endodontik melalui digitalisasi radiograf periapikal menggunakan software ImageJ.