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

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Correlation of cervical vertebral maturity and teeth calcification stages in children with cleft lip and palate Sandy Pamadya; Azhari Azhari; Ria Noerianingsih Firman
Majalah Kedokteran Gigi Indonesia Vol 4, No 3 (2018): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.381 KB) | DOI: 10.22146/majkedgiind.31875

Abstract

Cleft lip and palate are the most common craniofacial anomalies in Indonesia. Recent publications report that there was delayed skeletal and dental age in cleft lip and palate patients. Panoramic and lateral cephalometric radiograph to evaluate growth and development through skeletal and dental age is still rarely used. The research aimed to determine the correlation between cervical vertebral maturation and teeth calcification stages in children aged 7 to 16 years old with cleft lip and palate in Unpad Dental Hospital. The research design was analytic correlation and the sample was selected using purposive sampling cross-sectional using secondary data panoramic and lateral cephalometric radiograph. The scores of cervical maturation and teeth calcification stages were then analyzed statistically using SPSS version 16. Spearman coefficient of rank correlation test showed strong correlation between cervical vertebral maturation and teeth calcification stages on all teeth, with the highest rs score was secondary molar (0.734) and p value 0.000 The conclusion of this research is that there is a strong correlation between cervical vertebral maturation and teeth calcification stages in children aged 7 to 16 years old with cleft lip and palate.
Differences in maturity pattern between mandibular posterior teeth and sagittal skeletal malocclusion Shinta Amini Prativi; Ria Noor Firman; Belly Sam; Avi Laviana
Majalah Kedokteran Gigi Indonesia Vol 6, No 3 (2020): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.43798

Abstract

The availability of X-rays in dentistry may help visualize the stage of development of dental maturity. The high prevalence of malocclusion in a population and contradictory research results on dental maturation in each skeletal malocclusion encourage the authors to know the maturity pattern of the posterior mandibular teeth in each skeletal relation and the difference in women and men. A cross-sectional study was conducted with a sample size of 214 panoramic and cephalometric radiographs from skeletal malocclusion patients based on ANB angle (class I: 73, class II: 75, class III: 56) with an age ranging from 8 to16 years old. Maturation of the second premolar and second molar was assessed using Demirjian method. Statistical analysis used the non-parametric Kruskal Wallis test to show the difference in maturity patterns in each class of skeletal relations and Mann Whitney test to show the difference in females’ and males’ maturity patterns. There were significant differences in females and males dental maturity patterns in which female dental maturation was advanced than male. Differences in each skeletal relationare not significant.
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

Abstract

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.
MANDIBULAR BONE QUALITY OF PANORAMIC RADIOGRAPHS IN HIV-INFECTED CHILDREN Ria Noerianingsih Firman; Irna Sufiawati; Risti Saptarini Primarti; Aga Satria Nurrachman; Merry Annisa Damayanti
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.v5i1.8129

Abstract

Background: People living with HIV may have several pathologic conditions in its body and bone is one of the organs affected by HIV infection. HIV-infected patients have been associated frequently with osteoporosis and lower bone mineral density (BMD) which may lead to the increasing risk of bone fracture. This situation may become more complicated in children and young age as it will affect the long-term bone quality and development later in life until the peak BMD is reached. Objectives: The aim of this study was to measure the mandibular bone quality using the mandibular cortical index (MCI) and panoramic mandibular index (PMI) in panoramic radiographs of HIV-infected children. Method: This study used descriptive cross sectional research design which analyzed panoramic radiographs of HIV-infected children and measured its mandibular bone quality. Total 43 panoramic radiographs of HIV-infected children were observed and analyzed qualitatively using mandibular cortical index (MCI) and panoramic mandibular index (PMI) were used for the quantitave measurement, as it have been widely used for assesing mandibular bone quality in previous studies. Mandibular cortical index (MCI) has 3 categories of cortical bone quality: C1 (normal cortex), C2 (mildly to moderately eroded cortex), and C3 (severely eroded cortex), while the normal ratio of mental foramen-inferior border of mandible to mandibular cortical length in panoramic mandibuIar index is about 0.3. Result: Mandibular cortical index (MCI) of 43 HIV-infected children consist of 4 samples in C1, 38 in  C2, 1 in C3, while the panoramic mandibular index (PMI) of 43 HIV-infected children consist of 23 less than normal, 5 normal, 15 more than normal. Conclusions: The most number of mandibular cortical index (MCI) was C2 (mildly to moderately eroded cortex) and the most number of panoramic mandibular index (PMI) was less than normal of HIV-infected children.
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

Abstract

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.
Temuan abses pada sinus maksilaris paska pemasangan implan gigi melalui Cone Beam Computed TomographyAbscess detection in the maxillary sinus after dental implant placement through the means of Cone Beam Computed Tomography Noor Rachmawati; Ria Noerianingsih Firman; Deddy Firman; Sandy P; Krisna Krisna; Lusi Epsilawati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 31, No 1 (2019): April 2019
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (957.528 KB) | DOI: 10.24198/jkg.v31i1.21420

Abstract

Pendahuluan: Tindakan implan merupakan salah satu upaya untuk mengganti gigi yang hilang. Pemasangan implan yang baik, mampu memberikan kenyamanan dan aspek estetis yang baik. Pemasangan implan yang penuh dengan resiko dan ketidak hati-hatian pada pemasangan berakibat tidak baik bagi pasien. Tujuan dari penulisan laporan kasus ini adalah untuk melaporkan kasus ketidaknyamanan yang disebabkan timbulnya reaksi inflamasi disertai supurasi pada sinus maksilaris paska pemasangan implan, dan juga untuk melihat kemampuan dari Cone Beam Computed Tomography (CBCT) dalam menganalisa hal tersebut. Laporan  kasus: Perempuan berusia 40 tahun, mengeluhkan adanya rasa tidak nyaman berupa bau mulut dan hidung disertai hidung tersumbat dan pusing kepala. Anamnesa diketahui bahwa pasien telah melakukan pemasangan implan 3 bulan sebelumnya. Pemeriksaan intraoral menemukan adanya implan pada regio posterior, tanpa rasa sakit dan tanda peradangan. Manajemen kasus dilakukan dengan meminta pasien melakukan pemeriksaan CBCT, karena dicurigai rasa tidak nyaman, pusing dan bau disebabkan oleh implan yang saat ini telah terpasang. Setelah dilakukan pemeriksaan CBCT ternyata ditemukan sinus aproksimasi pada ujung implan. Ujung implan masuk ke dalam sinus dengan panjang lebih dari 2 mm. Hal ini menyebabkan infeksi pada dinding sinus dan berkumpulnya nanah pada daerah sinus. Hal ini membuktikan bahwa implan menyebabkan infeksi pada sinus sehingga kasus ini terjadi. Pasien kemudian dirujuk ke bagian bedah untuk dilakukan perbaikan pada implan. Simpulan: Inflamasi sinus disertai supurasi pada sinus maksilaris paska pemasangan dapat terjadi, hal ini terjadi kemungkinan karena respon tubuh terhadap implan yang masuk ke rongga sinus. Analisa dapat dilakukan dengan memanfaatkan radiografi CBCT.Kata kunci: Implan, CBCT, infeksi sinus maksilaris. ABSTRACTIntroduction: Dental implant placement is an attempt to replace missing teeth. Installing the right implant can provide comfort and good aesthetic aspects. However, the installation of implants with full risks and caution will hurt the patient; thus proper planning is needed for implant placement. The purpose of this case report was to report cases of discomfort caused by an inflammatory reaction accompanied by suppuration in the maxillary sinus after implant placement and also to see the ability of Cone Beam Computed Tomography (CBCT) in analysing this. Case report: A 40-years-old woman complains of discomfort in the form of bad breath, nasal congestion, and headache. Anamnesa found that the patient had implant placement 3 months earlier. An intraoral examination found an implant in the posterior region, with no signs of pain and inflammation. Case management was performed by asking the patient to do a CBCT examination due to suspected discomfort, dizziness and bad breath caused by implants that are currently installed. After a CBCT examination found a sinus approximation at the tip of the implant. The tip of the implant goes into the sinus with a length of more than 2 mm. This caused an infection of the sinus wall and the gathering of pus in the sinus area. This proves that the implant caused an infection of the sinuses. The patient was then referred to the surgical section for the implant repairment. Conclusion: Sinus inflammation accompanied by suppuration of the maxillary sinus after installation can be occurred likely due to the body’s response towards the implants entering the sinus cavity. Analysis can be performed using CBCT radiography.Keywords: Implant, CBCT, maxillary sinus infection.
Temuan kista dentigerous rahang atas dengan perluasan kavum nasal dan sinus maksilaris melalui CBCT dan panoramik radiografMaxillary dentigerous cyst finding with expansion of the nasal cavity and maxillary sinus through the CBCT and panoramic radiographs Yohanes Hutasoit; Belly Sam; Ria Noerianingsih Firman
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 2 (2020): November 2020 (Suplemen 1)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.18013

Abstract

ABSTRAKPendahuluan: Kista dentigerous atau kista folikuler merupakan kista odontogenik yang terbentuk selama perkembangan gigi dan terbentuk karena akumulasi cairan di rongga folikuler pada gigi yang belum erupsi. Lokasi gigi-gigi yang sering berhubungan dengan kista dentigerous adalah gigi M3 rahang bawah, C rahang atas, P rahang bawah dan jarang pada gigi M3 rahang atas. Kista dentigerous yang berkaitan dengan gigi supernumerari dan sinus maksilaris sangat jarang ditemukan. Panoramik dan CBCT dapat dilakukan untuk melihat kasus kista dentigerous. Tujuan laporan kasus ini untuk melihat temuan kista dentigerous di rahang atas yang meluas sampai ke kavum nasi dan sinus maksilaris melalui gambaran CBCT dan panoramik radiograf. Laporan kasus: Seorang pasien laki-laki berusia 27 tahun datang ke RSGM Unpad untuk dilakukan CBCT-3D. Keluhan pasien yaitu bengkak di daerah langit-langit lebih dari 1 tahun yang lalu, bengkak meluas ke pipi sejak 1-2 bulan yang lalu. Keluhan bengkak tidak terasa nyeri. Konsistensi massa keras dan terasa nyeri saat ditekan. Hasil pemeriksaan CBCT dan histopatologi menyatakan bahwa lesi merupakan kista dentigerous. Simpulan: Kista dentigerous pada CBCT menunjukkan perluasan lesi ke kavum nasal dan sinus maksilaris serta tepi yang lebih jelas dibandingkan dengan radiograf panoramik.Kata kunci: CBCT, panoramik, kista dentigerous, kavum nasal, sinus maksilaris. ABSTRACTIntroduction: Dentigerous cysts or follicular cysts are odontogenic cysts that form during tooth development and formed from the accumulation of fluid in the follicular cavity of an unerupted tooth. The teeth locations often associated with dentigerous cysts are the mandibular M3, the maxillary C, the mandibular P, and rarely occurred in the maxillary M3. Dentigerous cysts associated with supernumerary teeth and maxillary sinuses are extremely rare. Panoramic and CBCT can be performed to observe dentigerous cysts cases. This case report was aimed to examine the findings of a maxillary dentigerous cyst with expansion of the nasal cavity and maxillary sinus through CBCT and panoramic radiographs. Case report: A 27-years-old male patient came to Universitas Padjadjaran Dental Hospital for CBCT-3D examination. The patient's complaint was swelling in the palate from more than one-year prior, extended to the cheek from 1-2 months prior. Complaints of swelling was not painful, although, when pressed, then a solid, painful mass will be felt. The results of CBCT and histopathological examination confirmed that the lesion was a dentigerous cyst. Conclusion: Dentigerous cyst on CBCT showed expansion of the lesion to the nasal cavity and maxillary sinus as well as more apparent margins compared to panoramic radiographs.Keywords: CBCT, panoramic, dentigerous cyst, nasal cavity, maxillary sinus.
CBCT sebagai penunjang diagnosis kista dentigerous gigi supernumerary anterior rahang atasCBCT as a supporting tool for diagnosis determination of maxillary anterior supernumerary dentigerous cysts Novi Kurniati; Ria Noerianingsih Firman
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

Abstract

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: CBCT terbukti akurat sebagai penunjang diagnosis kista dentigerous gigi supernumerary anterior rahang atas.Kata kunci: CBCT, kista dentigerous, impaksi, gigi supernumerary, anterior. 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 was proven to be accurate as a supporting tool for diagnosis determination of maxillary anterior supernumerary dentigerous cysts.Keywords: CBCT, dentigerous cyst, impaction, supernumerary teeth, anterior supernumerary teeth.
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 Julies Hariani Sugiaman; Bergman Thahar; Endah Mardiati; Ria Noerianingsih Firman
Padjadjaran Journal of Dentistry Vol 23, No 1 (2011): March 2011
Publisher : Faculty of Dentistry Universitas Padjadjaran

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

Abstract

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 canine's 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.
Nilai ketebalan kortikal mandibula pada anak dan remaja terinfeksi HIV Fadhlil Ulum Abdul Rahman; Alongsyah Zulkarnaen Ramadhan; Farina Pramanik; Ria Noerianingsih Firman
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 3 No 3 (2019): 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.v3i3.437

Abstract

Objectives: The aim of this study was to obtain the value of mandibular cortical thickness in HIV-infected children and adolescents based on panoramic radiographs. Material and Methods: This descriptive and cross-sectional study was carried out on 43 panoramic radiographs of HIV-infected children and adolescents. The value of mandibular cortical thickness were measured by three indices regarded as mental index (MI), gonial index (GI), and antegonial index (AGI) using a digital calipers directly on the panoramic radiographs which had been taken previously. Results: Among 43 panoramic radiographs, 18 (41,86%) were boys and 25 (58,14%) were girls. Based on age range, there are 30 samples (69,77%) were categorized as children with age range 5-11 years and 13 samples (30,23%) were categorized as adolescents with age range 12-16 years. The lower value of mandibular cortical thickness based on MI, AGI, and AGI was seen in girls compared to boys. The adolescents have a higher value of mandibular cortical thickness compared with the children. Conclusion: There are different values of mandibular cortical thickness in HIV-infected children and adolescents based on sex and age.