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All Journal Majalah Kedokteran Gigi Indonesia Dentino: Jurnal Kedokteran Gigi Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Journal of Dentomaxillofacial Science B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah Padjadjaran Journal of Dental Researchers and Students MDJ (Makassar Dental Journal) Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Cakradonya Dental Journal

Ria N. Firman

Bagian Radiologi Kedokteran Gigi Fakultas Kedokteran Gigi Universitas Padjajaran Bandung, Indonesia

Author-ID : 2541252

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

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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

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

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

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

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

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

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

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

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

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

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.

Co-Authors A. Azhari Achmad Noerkhaerin Putra Aga Satria Nurrachman Ali Thomas Alongsyah Zulkarnaen Ramadhan Alongsyah Zulkarnaen Ramadhan Anak Agung Istri Agung Feranasari Annisa Permatahati Aprilia Dian Pertiwi, Aprilia Dian Arlette Suzy Puspa Pertiwi Avi Laviana Azhari A Azhari Azhari Azhari Azhari Azhari Azhari Belly Sam Bergman Thahar Bergman Thahar, Bergman Berty Pramatika Celine Hestiana Deddy Firman Dominica Dian Saraswati Sumantri Emi Khoironi, Emi Endah Mardiati Eriska Riyanti Fadhlil Ulum A.R. Fadhlil Ulum Abdul Rahman Fadhlil Ulum Abdul Rahman Fahmi Oscandar Fahri Reza Ramadhan Farah Fathiyya Farina Pramanik Gunawan Gunawan Icha Putri Ichda Nabiela Amiria Asykarie Ika Rachmawati Ika Rachmawati Indra Gunawan Indra Gunawan Indra Primathena, Indra Irmayanti Meitrieka Amri Irna Sufiawati Iswani, Resti Julies Hariani Sugiaman Julies Hariani Sugiaman, Julies Hariani Kerk Xi Zhe Khamila Gayatri Anjani Krisna Krisna Lusi Epsilawati Merry Annisa Meyta R. Gwen Moch Rodian Muchlis, Muhammad Rakhmat Ersyad Ni Wayan Nanda Prasanthi Nisa Nur Fathmi Noor Rachmawati Noor Rachmawati Noor Rachmawati Novi Kurniati Pei C. Ling prativi, shinta amini Redzuan Lee, Mohammad Adib Regrina Setiawan Rellyca Sola Gracea Risti Saptarini Primarti Salsabila Yasmine Sandy P Sandy Pamadya Sarifah, Norlaila Shaliha, Shaliha Siska Damayanti Saifuddin Sri Sulastri Suhardjo Sitam Suhardjo Sitam Yanti Rusyanti Yohanes Hutasoit Yohanes Hutasoit Yurika Ambar Lita

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