Ria Noerianingsih Firman, Ria Noerianingsih
Departemen Radiologi Dentomaksilofasial, Fakultas Kedokteran Gigi, Universitas Padjadjaran, Bandung, Jawa Barat

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Kualitas radiograf periapikal dengan teknik bisektrisThe quality of periapical radiograph with the bisecting technique Annisa Permatahati; Ria Noerianingsih Firman; Farina Pramanik
Padjadjaran Journal of Dental Researchers and Students Vol 3, No 2 (2019): Oktober 2019
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.872 KB) | DOI: 10.24198/pjdrs.v3i2.23040

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Pendahuluan: Pemeriksaan radiografi dalam bidang kedokteran gigi sangat membantu klinisi dalam penegakkan diagnosis. Diketahui bahwa teknik radiografi yang paling sering digunakan di Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) adalah teknik intraoral periapikal bisektris. Kualitas radiograf dipengaruhi oleh proses pemeriksaan radiografi. Kualitas radiograf sangat berpengaruh terhadap penentuan penegakkan diagnosis, rencana perawatan, dan evaluasi pasca perawatan. Tujuan dari penelitian ini adalah untuk mengetahui kualitas radiograf periapikal dengan teknik bisektris di RSGM Unpad. Metode: Jenis penelitian ini adalah deskriptif. Populasi dalam penelitian ini adalah radiograf periapikal dengan teknik bisektris sepanjang tahun 2018. Sampel dalam penelitian ini adalah radiograf periapikal dengan teknik bisektris periode November sampai Desember 2018. Jumlah sampel yang digunakan yaitu sebanyak 90 radiograf. Hasil: Kriteria kualitas yang paling banyak terpenuhi adalah kriteria kontras dan distorsi bentuk dengan 97,78%, dan mayoritas radiograf bisektris, yaitu pada rating 1 dengan 85,56%. Simpulan: Kualitas radiograf periapikal dengan teknik bisektris di RSGM Unpad secara umum berada pada rating 1 berdasarkan National Radiological Protection Board (NRPB), yaitu sempurna yang berarti tidak ada kesalahan pada persiapan pasien, pemaparan sinar, pemosisian film, dan pengolahan film.Kata kunci: Kualitas radiograf, teknik periapikal bisektris, rating NRPB. ABSTRACTIntroduction: Radiographic examination in the field of dentistry is beneficial for clinicians in establishing the diagnosis. It is known that the radiographic technique most commonly used at the Universitas Padjadjaran Dental Hospital (RSGM Unpad) is bisecting intraoral periapical technique. The radiographic inspection process influences the quality of the radiograph. Quality of the radiograph profoundly affecting determination of diagnosis, treatment plan, and post-treatment evaluation. The purpose of this study was to determine the quality of periapical radiographs with the bisecting technique at Universitas Padjadjaran Dental Hospital. Methods: This research was descriptive. The population of this study was periapical radiographs with the bisecting technique throughout 2018. The sample of this study was periapical radiographs with bisecting technique from November to December 2018. The number of samples used was 90 radiographs. Results: The most fulfilled quality criteria were contrast criteria and shape distortion with 97.78%, and the majority of bisecting radiographs, namely at rating 1 with 85.56%. Conclusion: The quality of periapical radiographs with bisecting technique at Universitas Padjadjaran Dental Hospital in general is ranked 1 based on the National Radiological Protection Board (NRPB), which is categorised as perfect, which means that there are no errors in patient preparation, exposure to light, film positioning, and film processing.Keywords: Radiograph quality, post-treatment periapical technique, NRPB rating. 
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

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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

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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.
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

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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.
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

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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.
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

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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

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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

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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: 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.