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

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Temuan Keratocyst Odontogenic Tumor besar pada maksila pada pemeriksaan CBCT Berty Pramatika; Suhardjo Sitam; Ria Noerianingsih Firman
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 3 No 2 (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.v3i2.487

Abstract

Objectives: The aim of this case report is to describe radiographic characteristic of keratocyst odontogenic tumor (KCOT) in maxilla using CBCT. Case Report: A 20 year-old women patient was referred to the Oral Maxillofacial Radiology Department of Padjadjaran University with the chief complaint of swelling, painless in the anterior of the upper jaw. In this presented case, we used cone beam computed tomography (CBCT) to find out the margin of the cortical extension, and diameter of the lesion. The CBCT examination shows radiolucent, well-defined lesion in 12-14 region with displacement of 12. The size of the lesion is about 20x15x19mm extended posterior-superiorly near to nasal cavity and it shows less degree of bone expansion. Based on radiographic and clinical examination, the diagnosis was keratocyst odontogenic tumor (KCOT). Conclusion: KCOT has some radiographic characteristic distinguishable with another odontogenic lesion. Therefore, CBCT examination is recommended for the diagnosis of odontogenic keratocyst and proper surgical planning.
Teknik “Clark’s Rule” dalam bidang Kedokteran Gigi Merry Annisa Damayanti; Ria Noerianingsih Firman; Suhardjo Sitam
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.v3i3.440

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Objectives: The purpose of this study is to see how far the Clark's Rule technique (Same Lingual Opposite Buccal) can solve the problem of objects that coincide to each other. Literature Review: Various radiographic techniques can be used in dental photographs consisting of periapical bisecting and parallel photos. Both radiographic techniques produced two-dimensional images. In some cases, objects that often coincide were found and often became problem where the desired object was not visible. The technique that can be used to view object that coincide was Clark's Rule Technique (Same Lingual Opposite Buccal). This article was a literature review that reviews the Clark's Rule technique which would discuss the strengths, weaknesses and techniques of doing this method. Conclusion: The results of the photo radiograph on the Clark's Rule technique (Same Lingual Opposite Buccal) could see the object image of two objects that coincides. The conclusion of this article was the Clark’s Rule technique (Same Lingual Opposite Buccal) can complement the shortcomings of periapical bisecting and parallel photos.
Bentuk dan posisi kondilus sebagai marker pada Temporomandibular Disorder (TMD) melalui radiografi panoramik Khamila Gayatri Anjani; Aga Satria Nurrachman; Fadhlil Ulum Abdul Rahman; Ria Noerianingsih Firman
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 3 (2020): 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.v4i3.609

Abstract

Objectives: The purpose of writing this literature review is to describe the condyle shape and position parameters in panoramic radiographs to be used as markers in diagnosing a TMD case. Literature Review: There are several classifications of both normal and pathological condyles in terms of panoramic radiographs, however these require more detailed observation. Panoramic radiographs that are only two-dimentional and only performed when the teeth are biting edge to edge so that they only show the position of the condyle movement and the shape of the condyle from the lateral view. Panoramic radiograph also have limitations in imaging soft tissues such as articular disc which are vital anatomy in analyzing a TMD case. Conclusion: Assessment of the shape and position of the condyles on a panoramic radiograph can be used as an early diagnosis of TMD. 2-dimensional modalities such as TMJ conventional lateral and frontal or 3-dimensional modalities such as CBCT or CT can be used for further assessment of a TMD case, while MRI or ultrasound can be used for soft tissue abnormalities.
Multiple hypercementosis – a case report of an incidental finding on panoramic radiograph Ichda Nabiela Amiria Asykarie; Fahri Reza Ramadhan; Ria Noerianingsih Firman
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 1 (2022): 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.v6i1.735

Abstract

Objectives: This case report is aimed to describe radiographic features of multiple hypercementosis in an incidental case. Case Report: A 38-year-old man came to the Dental Hospital of Padjadjaran University with a complaint that he had lost some of his teeth and wanted to make dentures because he found it difficult to chew food. Then the patient was referred for a radiographic examination, the results of a panoramic radiograph found abnormalities in the form of thickening of the cementum at the apex of the remaining teeth. The teeth were in vital condition and there were no clinical signs. Conclusion: Based on the examination results, it was concluded that the panoramic radiograph showed excessive cementum thickening and root enlargement on the remaining teeth. This case leads to a radiological diagnosis suspect of multiple hypercementosis or cementum hyperplasia.
Gambaran sementoblastoma tahap awal pada cone beam computed tomography (CBCT) 3D Rellyca Sola Gracea; 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.v3i3.446

Abstract

Objectives: The purpose of this study was to report a case of mandibular cementoblastoma with radiologic approach and describe its characteristics. Case Report: A 32-year-old female came to the Hospital and complained of swelling of the left side of the lower jaw. Clinical examination showed a strong swelling in the buccal region of teeth 44-45, with the same soft tissue color as the surrounding tissue. In the picture cone beam computed tomography appears as a rounded lesion, the internal structure of the radiointermediet with clear and firm boundaries, surrounded by a halo radiolucent. Cementoblastoma radiodiagnosis is established. The patient was referred for surgery. Conclusion: Cementoblastoma was a benign tumor with radiographic characteristics in the form of clearly demarcated radiopaque lesion with radiolucent halo. Some early-stage lesions can show lower density.
Differences between calcifying epithelial odontogenic tumor and calcifying odontogenic cyst through panoramic radiograph: a scoping review Regrina Setiawan; Ria Noerianingsih Firman; Lusi Epsilawati
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 2 (2021): 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.v5i2.698

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Objectives: This review article is aimed to describe the radiographic features of CEOT and COC to determine the differences between the two lesions on panoramic radiographs. Review: This research is a descriptive study using scoping review method based on the Preferred Reporting Items for Systematic Review and Meta-analysis for Scoping Review (PRISMA-Scr). This study examines English and Indonesian articles of CEOT and COC with panoramic radiography as a diagnostic tool published in 2015 – 2021. Relevant articles were obtained from searches using keywords and inclusion criteria on PubMed, PMC NCBI, and hand searching techniques. A total of 32 articles were identified at initial study identification. Duplication, title and abstract, and full-text inspection consecutively excluded 1, 3, and 8 articles. A total of 20 eligible articles were included in this study, 10 cases of Calcifying Epithelial Odontogenic Tumor and 10 cases of Calcifying Odontogenic Cyst. Conclusion: The differences between COC and CEOT on panoramic radiographs are COC is more commonly found in the anterior region than CEOT and COC tends to occur in the periapical or lateral part of adjacent teeth and causes root resorption, whereas CEOT tends to be located at the crown of impacted teeth. There aren’t any pathognomonic radiographic findings from the CEOT and COC, so a definitive diagnosis still requires histopathological analysis.
Gambaran nilai ketajaman radiograf panoramik berdasarkan pengamatan di RSGM UnpadDescription sharpness of radiograph panoramic in RSGM Unpad Nisa Nur Fathmi; Ria Noerianingsih Firman; Aga Satria Nurrachman; Farina Pramanik
Padjadjaran Journal of Dental Researchers and Students Vol 6, No 3 (2022): Oktober 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v6i3.31888

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ABSTRAKPendahuluan: Ketajaman radiograf merupakan kemampuan suatu gambar radiograf memperlihatkan batas tegas objek, sehingga memiliki bentuk dan detail yang jelas. Tidak tajam dan buramnya gambaran radiograf dapat menyebabkan diagnosis serta rencana perawatan menjadi kurang tepat, lesi karies tidak teridentifikasi dengan baik, menyulitkan evaluasi perkembangan gigi-geligi dan menyebabkan pasien terekspos radiasi berlebih, karena dibutuhkan pengulangan pengambilan gambar radiograf. Tujuan penelitian ini adalah mengetahui gambaran nilai ketajaman radiograf panoramik di RSGM UNPAD. Metode: Jenis penelitian merupakan deskriptif dengan populasi yaitu data  arsip radiograf panoramik di Instalasi Radiologi Rumah Sakit Gigi dan Mulut Kedokteran Gigi Universitas Padjadjaran selama bulan September–November 2019. Pengambilan sampel menggunakan total sampling dan diperoleh sebanyak 85 sampel. Analisis ketajaman dilakukan secara visual dengan melakukan pengamatan dan penilaian data radiograf panoramik Hasil: Sebanyak 62 radiograf panoramik (73%) memiliki ketajaman baik, 21 radiograf panoramik (25%) memiliki ketajaman sedang dan 2 radiograf panoramik (2%) memiliki ketajaman buruk. Simpulan: Radiograf panoramik di RSGM UNPAD memiliki gambaran nilai ketajaman baik.Kata kunci: ketajaman radiograf; kualitas radiograf; radiograf panoramik; RSGM Unpad ABSTRACTIntroduction: Radiographic sharpness is the ability of a radiograph image to show strict edge of the object, so it has clear shapes and details. Unsharpness and blurred radiographs can caused diagnosis and treatment plans to be less accurate, carious lesions are not properly identified, complicate the evaluation of the development teeth and cause patients to be exposed by excessive radiation, because it requires repetition of radiographic images. Tthe purpose of this study is to know the description of panoramic radiograph sharpness at RSGM UNPAD. Methods: This research was a descriptive study. The study population was taken from RSGM Padjadjaran University for three months. Total sampling was used and resulted 85 samples. The study was conducted by observing and evaluating panoramic radiograph data. Results: There were 62 panoramic radiograph (73%) have a good sharpness images, 21 panoramic radiograph (25%) have moderate sharpness images and 2 panoramic radiograph (2%) have poor sharpness images. Conclusion: Panoramic radiograph at the RSGM UNPAD have good sharpness images.Keywords: sharpness radiograph; quality radiograph, panoramic radiograph; RSGM Unpad
Posisi tulang hyoid berdasarkan relasi skeletal ditinjau dari radiograf sefalometriPosition of the hyoid bone based on different skeletal pattern using cephalometric radiographs Ni Wayan Nanda Prasanthi; Ria Noerianingsih Firman; Farina Pramanik
Padjadjaran Journal of Dental Researchers and Students Vol 6, No 3 (2022): Oktober 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v6i3.31839

Abstract

ABSTRAKPendahuluan: Tulang hyoid terletak di anterior midline dari leher, berada dibawah mandibula serta terhubung dengan kranium melalui perlekatan otot. Relasi skeletal yang terdiri dari kelas I, II, dan III memiliki variasi hubungan maksila dan mandibula terhadap basis kranium, sehingga dapat memengaruhi posisi dari tulang hyoid. Hal ini dapat ditinjau dari radiograf sefalometri dengan metode segitiga hyoid. Tujuan penelitian adalah mengetahui posisi tulang hyoid berdasarkan relasi skeletal ditinjau dari radiograf sefalometri. Metode: Jenis penelitian deskriptif dengan populasi penelitian 65 radiograf sefalometri pasien berdasarkan relasi skeletal tahun 2018-2019 di Program Pendidikan Dokter Gigi Spesialis (PPDGS) Ortodonti FKG Unpad yang memiliki keterangan Analisis Steiner dan gambaran titik C3 (Servikal ke-3), H (Hyoid), dan RGn (Retrognati) terlihat jelas, serta tidak menggunakan alat ortodonti. Hasil: Posisi Tulang Hyoid berdasarkan Metode Segitiga Hyoid terdapat segitiga positif 68% pada relasi skeletal kelas I, 53,12 % pada relasi skeletal kelas II dan 62,5% pada relasi skeletal kelas III. Posisi tulang hyoid berdasarkan jarak H-C3 pada relasi skeletal kelas II didapatkan rerata jarak terkecil yaitu 34,51 mm. Simpulan: Posisi tulang hyoid pasien berdasarkan relasi skeletal bervariasi namun lebih banyak berada di atas garis C3-RGn dan membentuk segitiga positif serta untuk rerata jarak tulang H-C3 pada relasi skeletal kelas II memiliki rerata jarak terkecil dibandingkan pada relasi skeletal kelas I dan III.Kata kunci: tulang hyoid; skeletal; radiograf; sefalometri ABSTRACT Introduction: The hyoid bone located in the anterior midline of the neck at the inferior edge of mandibular border and its connected to the cranium through muscles attachment. Skeletal pattern which consist of class I,II,and III have variations  relationship of the maxilla and mandible relative to the cranial base which affects the position of the hyoid bone. This can be viewed by cephalometric radiographs  using hyoid triangle method. Methods: This research was descriptive study and conducted 65 chepalometric radiographs of patients with different skeletal pattern from 2018-2019 at PPDGS Orto FKG Unpad with Steiner’s Analysis, had clear vision of  reference points C3 (Third Cervical) ,H(Hyoid) ,RGn (Retrognation), not using orthodontic appliances. The purpose of this study was to examine hyoid bone position based on different skeletal pattern using cephalometric radiographs.  Results: The position of hyoid bone based on Hyoid Triangle Method showed there were 68% positive triangle in skeletal class I, 53.12% in skeletal class II, 62.5% in skeletal class III. The position of hyoid bone based on the distance of H-C3 in skeletal class II had the smallest average distance (34.51 mm). Factors that influenced the hyoid position, such as variation of the cervical spine curvature and slight changes in the head. Conclusions: The Position of the hyoid bone in patients with different skeletal pattern were varied but most of them placed above the C3-RGn line, so it formed a positive triangle and for the average distance from H to C3 in skeletal class II had the smallest average distance than skeletal class I and class III. Keywords: hyoid bone; skeletal; radiograph; cephalometry
Mandibular radiomorphometry analysis of children with HIV and healthy individuals on digital panoramic radiographs by age and sex Alongsyah Zulkarnaen Ramadhan; Indra Gunawan; Ria Noerianingsih Firman; Farina Pramanik; Irna Sufiawati
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 2 (2022): 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.v6i2.887

Abstract

Objectives: The chronic systemic inflammatory process of HIV Human Immunodeficiency Virus) infection in children leads B cell activity to accelerate the osteoclastogenesis process, which results in bone alterations. Long-term usage of highly active antiretroviral medication results in decreased bone quality in HIV patients (HAART). Digital panoramic images are useful for radiomorphometric analysis of the mandibular macrostructure. Mandibular bone is a bone quality analysis that is often performed. Materials and Methods: This study comprised 86 digital panoramic radiographs of pediatric HIV patients and healthy persons. Secondary data in the form of digitized conventional panoramic radiographs of 43 pediatric HIV patients and 43 healthy individuals without clinical symptoms of HIV disease were utilized as a reference. Results: Mandibular morphometry values by sex in children with HIV and healthy adults showed (MCI) p-value 0.009, (GMI) p-value 0.934, (GI) p-value 0.584, (Go-Co) p-value 0.090, and (Co-M) p-value 0.919. Meanwhile, the results of the study with mandibular morphometric values ​​between children with HIV and healthy individuals index based on age revealed (MCI) p-value 0.490, (GMI) p-value 0.657, (GI) p-value 0.080, (Go-Co) p-value 0.147, (Co-M) p-value 0.158 Conclusion: Mandibular morphology differed between HIV-infected children and healthy persons as measured by digital panoramic radiographs, with changes in mandibular resorption thickness, mandibular bone width, and mandibular bone thickness. Furthermore, there were no differences in values, height, and length of the mandible, as well as variances based on age and sex.
Analysis of the panoramic radiographic density of the mandibular bone in the elderly due to increased cortisol levels Noor Rachmawati; Ria Noerianingsih Firman; Lusi Epsilawati; Merry Annisa Damayanti
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 2 (2022): 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.v6i2.885

Abstract

Objectives: Mandibular bone is generally formed by intramembranous ossification. Bone density mandible can be assessed from the trabecular pattern. In the elderly, the hormone cortisol affects bone formation through bone resorption by blocking calcium. The purpose of this study was to determine the correlation of cortisol levels to mandibular bone density in elderly women and men. Materials and Methods: This study was an analytic survey, where the population was determined from secondary patient data in the form of 31 panoramic radiographs and 31 laboratory results of cortisol examination, the research sample was divided into two groups. The bone density of the mandible was assessed from the trabeculae of the neck condyles region of the right and left. Density assessment using the ImageJ software program on panoramic radiographs was an examination that is often done in dentistry. Results: This study showed that the lowest density was in the group of women over 60 years. The results of the t-test with the independent sample obtained a p-value of > 0.05, which indicated there is no significant difference. The negative correlation value indicated that the relationship that occurs is opposite, p-value <0.05 which indicated the lower bone density, the higher cortisol level. Conclusion: Based on the results of the study, there was a correlation that with the increasing age of both women and men there was an increase in cortisol levels and a decrease in mandibular density.