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

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Description of condyle trabecular bone density of hypertension patients evaluated from panoramic radiograph using software imageJ Meyta R. Gwen; Ria N. Firman; Farina Pramanik
Journal of Dentomaxillofacial Science Vol. 5 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v0i0.441

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Objective: The purpose of this research is to find condyle trabecular bone density of hypertension patients evaluating from panoramic radiograph using software imageJ.Material and Methods: The type of research is descriptive using purposive sampling method, 25 panoramic radiographs of hypertension patients aged 25-45 years old are obtained. The condyle trabecular analysis is done using software ImageJ with region of interest (ROI) 50×50 pixel.Results: This shows that the condyle trabecular bone density of hypertension patients evaluated from panoramic radiograph using software ImageJ in trabecular area 29.929% and marrow area 70.071%.Conclusion: This research is that the condyle trabecular on hypertension patients evaluated from panoramic radiograph using software ImageJ was decreasing.
A descriptive study of bone density based on angle’s malocclusion classification on female patients aged 13–30 years old on panoramic radiograph Pei C. Ling; Ria N. Firman; Farina Pramanik
Journal of Dentomaxillofacial Science Vol. 2 No. 2 (2017): (Available online: 1 August 2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i2.523

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Objective: This study was performed to determine the bone density based on angle’s malocclusion classification on female patients aged 13–30 years old using panoramic radiograph.Material and Methods: Ninety digital panoramic radiographs of female patients aged 13–30 years old and with 30 radiographs representing each of the angle’s malocclusion classes (class I, class II, class III) were used. The bone density was measured by using ImageJ software with 20 x 20 pixels intensity by using a method based on the mental index (MI).Results: The mean bone density of female patients aged 13–30 years old with angle’s malocclusion of class I was 18.726% of cortical and 81.274% of marrow, class II was 16.804% of cortical and 83.196% of marrow, and class III was 15.911% of cortical and 84.089% of marrow.Conclusion: The bone density of female patients aged 13–30 years old with angle’s class I malocclusion was higher than class II and class II malocclusion had higher bone density than class III on panoramic radiograph.
Periapical radiography using bisect technique in autistic children through nonpharmacological approach: a case report Yohanes Hutasoit; Ria N. Firman; Arlette Suzy
Journal of Dentomaxillofacial Science Vol. 2 No. 2 (2017): (Available online: 1 August 2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v2i2.532

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Objective:The periapical dental radiography using bisect technique needs a special skill in managing autistic patient. Autism is one of the characteristics from handicapped children with behavioral syndrome caused by neurological disturbance characterized by behavioral disturbance, communication, and social interaction difficulties occurringin the first three years of the children life.Problems occurringin dental radiography in such children make the bisect technique necessary. Dentist and the operator need to do special preparations to optimally create the dental radiograph using two approaches, i.e. nonpharmacological and pharmacological approaches.Methods:In this case, dental imaging using bisect technique for autistic children is performed using modified technique for periapical and occlusal imaging as well as nonpharmacological approach.Result:Theradiograph examination for autistic children using modified technique can be done successfully.Conclusion:Dental radiographin autistic children canbe performed by modifying periapical radiograph using bisecting technique with nonpharmacological approach.
Characteristics of internal structure feature of ameloblastoma, and ameloblastic fibroma and fibro-odontoma on radiographic examination (a literature review) : Karateristik gambaran struktur internal pada ameloblastoma, dan ameloblastik fibroma dan fibro-odontoma melalui pemeriksaan radiografi (tinjauan pustaka) Fadhlil Ulum A.R.; Suhardjo Sitam; Ria N. Firman; Lusi Epsilawati
Makassar Dental Journal Vol. 9 No. 1 (2020): Volume 9 No 1 April 2020
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar

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Ameloblastoma and other odontogenic tumors, specifically ameloblastic fibroma and ameloblastic fibro-odontoma are conditionsofbenigntumorsoriginatingfromtheodontogenicapparatus.Ameloblastomasaretumorsofodontogenic epithelial origin, while the other two odontogenic tumors originate from involvement of the ephitelial layer and the ectomesenchymal layer.Radiographicexaminationofameloblastoma,ameloblasticfibroma,and ameloblastic fibro-odontoma provides several variations in the description of internal structures that vary according to the lesions type. Radiographic examinations of ameloblastoma, ameloblastic fibroma, and ameloblastic fibro-odontoma provides several variations in the description of internalstructuresthatvaryaccordingtotype. This literaturere view aim stodistinguish the three cases based on the description of specific internal structures seen in the results of radiographic examinations. It is found that there are differences in the picture of the internal structure of ameloblastoma, ameloblastic fibroma and ameloblastic fibro-odontoma. Ameloblastoma appears unilocular and multilocular radiolucent with distinctive patterns such as honeycomb, soap bubble, and web spiders. The internal structure of ameloblastoma is similar to ameloblastic fibroma, but can be distinguished from other radiographic features. Whereas ameloblastic fibro-odontomas are more specifically differentiated from their internal structures. It was concluded that there are differences in the internal structure of ameloblastoma with radiographically, ameloblastic fibroma and ameloblastic fibro-odontoma.
The correlation between age and mandibular bone quality based on panoramic radiographs: Korelasi antara usia dan kualitas tulang mandibula berdasarkan radiografi panoramik Irmayanti Meitrieka Amri; Ria N. Firman; Farina Pramanik
Makassar Dental Journal Vol. 10 No. 3 (2021): Volume 10 Issue 3 Desember 2021
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v10i3.448

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Introduction: As someone ages, the bone quality may change and may be seen on mandibular bone. The changes in mandibular bone quality may be assessed using a panoramic radiograph. The aim of this study was to describe mandibular bone quality and to know the correlation between age and mandibular bone quality on panoramic ra-diograph. Methods: Cross sectional correlation analysis; the population was panoramic radiograph archives of patients in Dental Radiology Installation RSGM Universitas Padjadjaran within the range of age 13-59 years old when the radiograph was taken so that obtained 48 samples. The mandibular bone quality was obtained with man-dibular alveolar bone resorption index (MM ratio) method using EzPax-Plus software. Results: The highest ave-rage number of MM ratio was 2.384 and the lowest was 2.2856. The results showed correlation coefficient bet-ween age and MM ratio on right mandible calculated with Spearman’s rank (rs) was -0.046 (­p-value=0.757) and rs=-0.058 (­p-value=0.697) between age and MM ratio on left mandible. Conclusion: There is no correlation bet-ween age and mandibular bone quality on panoramic radiographs in RSGM Unpad based on MM Ratio.
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

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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

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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

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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.
Imaging analysis 3D cone-beam computed tomography of a suspected infected radicular cyst in the mandible Merry Annisa Damayanti; Ria Noerianingsih Firman; Fahri Reza Ramadhan; Ika Rachmawati; Fadhlil Ulum Abdul Rahman; Aga Satria Nurrachman; Norlaila Sarifah; Alongsyah Zulkarnaen Ramadhan; Indra Gunawan
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 3 (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.v6i3.898

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Objectives: This article is aimed to report the use of cone-beam computed tomography (CBCT) imaging analysis on a radiolucent lesion case. Case Report: A 24-year-old female patient was referred to dentomaxillofacial radiology installation, at Universitas Padjadjaran Dental Hospital for a CBCT examination of a lower jaw lesion. The CBCT result demonstrated a large radiolucent lesion at the periapical of tooth 37 with a mostly diffuse border that extended posteriorly to the ramus. There was a cortical thinning on the lingual side alveolar bone. Density analysis revealed an average density of –22,9 grayscale. Conclusion: CBCT 3D could analyze lesions from qualitative and quantitative approaches. Based on these approaches, the lesion of this case led to a suspect of infected radicular cyst.