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

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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

Abstract

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.
Analysis of ameloblastic fibroma lesion on panoramic radiograph: a case report Muchlis, Muhammad Rakhmat Ersyad; Firman, Ria Noerianingsih; Epsilawati, Lusi
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 3 (2024): 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.v8i3.1224

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Objectives: This case report aims to present a case of ameloblastic fibroma, an odontogenic tumor, and to describe its characteristic radiographic features as observed on a panoramic radiograph. Case Report: A 28-year-old woman presented to the RSGM FKG Unpad with a referral for evaluation of a jaw swelling. According to the patient’s medical history, the swelling had gradually appeared over the past two years. While it was not painful, it caused discomfort, prompting her to seek medical attention. Upon examination, the lesion was found in the posterior region of the mandible, and further diagnostic imaging was recommended to determine the extent and nature of the lesion. Ameloblastic fibroma of the jaw is a benign, relatively rare, mixed odontogenic tumor whose epithelial and mesenchymal components are neoplastic. This tumor is usually diagnosed in the first and second decades of life (72.4%), when odontogenesis has been completed (80% of cases), and mainly affects the mandible. In this case, the lesion was diagnosed in the second decade of life, and occurred in the posterior region of the mandible. Conclusion: Ameloblastic fibroma is a benign odontogenic mixed tumor, although rarely ameloblastic fibroma can recur and develop into malignancy. The aim of this case report is to analyze the radiographic appearance of the lesion with information from the history and clinical signs to establish a correct radiodiagnosis.
Determination of pulp necrosis based on periapical digital radiography histogram and pulp histopathology Khoironi, Emi; Firman, Ria Noerianingsih; A, Azhari; Oscandar, Fahmi
Padjadjaran Journal of Dentistry Vol 29, No 3 (2017): November 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.878 KB) | DOI: 10.24198/pjd.vol29no3.14300

Abstract

Introduction: Radiographic examination is needed to determine the diagnosis of pulp necrosis in addition to a clinical examination. Visual observation was limited in seeing the colour change degree and hence an effort taken by assessing the histogram value. The purpose of this study was to obtain the pulp chamber histogram pattern which reveals its grey scale value, trend, intensity average, histogram variation, and histograms maximum regional of interest (ROI) through digital periapical radiograph. Methods: This study was a descriptive study of the total of nine pulp chamber periapical radiograph data samples. The samples were divided into three groups, the 1st group was the data taken prior to the tooth extraction, the 2nd group was the data collected after the teeth extraction, and the 3rd group was the data of priorly pulpless teeth. Results: There was a tendency of histogram graphic shifting to the left side, likely towards the radiolucent area on ROI of the pulp at the apical region, whilst histopathologically, a massive infiltration of a round PMN cells was found in the area. This finding supported the determination of pulp necrosis diagnose. Conclusion: The tooth with a pulp necrosis showed a tendency that led to radiolucency on periapical radiograph histogram, and histopathologic examination showed massive infiltration of a round PMN cells, thus supported the pulp necrosis diagnose.
Normal, inflammation and necrosis pulp radiograph image using 3D cone beam computed tomography Pramanik, Farina; Firman, Ria Noerianingsih; Oscandar, Fahmi; Epsilawati, Lusi
Padjadjaran Journal of Dentistry Vol 28, No 2 (2016): July 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.253 KB) | DOI: 10.24198/pjd.vol28no2.13720

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Introduction: Abnormalities of the dental pulp can have several different diagnoses. Therefore, the dental pulp characteristics must be known in more detail and clear so that diagnosis be established more precisely and accurately.  One characteristic of the pulp can be seen from the density value through the 3D Cone Beam Computed Tomography (3D CBCT). Methods: The study  was  conducted  with  a  simple  descriptive  method.  The population is all the data 3D CBCT of patients who visited the Universitas Padjadjaran Dental Hospital (RSGM Unpad) in 2012. Samples of the research were 75 pulps  with normal, inflammation, and necrosis conditions and calculate the average density value. Results: Density values for dental pulps in the normal teeth between 465 - 775 HU, the inflammation teeth between 243.5 - 396 HU, and necrosis teeth between - 461.5 - -170 HU. Conclusion: There are differences in dental pulp density between the normal pulp, inflammation and necrosis through 3D CBCT.
Analysis digital panoramic radiograph about positions root of maxillary posterior teeth with maxillary sinus floor Pertiwi, Aprilia Dian; Noerianingsih Firman, Ria; Pramanik, Farina
Padjadjaran Journal of Dentistry Vol 28, No 3 (2016): November 2016
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (602.44 KB) | DOI: 10.24198/pjd.vol28no3.13669

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Introduction: Maxillary sinus floor is a part of the alveolar bone adjacent to the apex of the posterior maxillary teeth that often causes complications in dentistry. Anatomical relationship between the maxillary posterior tooth root and the maxillary sinus floor can be obtained by panoramic radiograph.  The purpose of this study is to analysis digital panoramic radiograph about positions root of maxillary posterior teeth’s with  maxillary sinus floor by age and gender using. Methods: Research method is descriptive with purposive sampling technique. Study population was taken from archives of patient’s digital panoramic radiograph in Radiography Installation from January to March 2016. 88 samples were obtained from 207 digital panoramic radiographs archives. Results: The result showed that type 3 was dominated by P1 (86.8% right, 88.2% left), type 2 is dominated by P2 (24.7% right, 21% left), type 1 is dominated by M2 in the right (31.2%) and M1 in the left (38.1%). Conclusion: This study concludes that overall, the most commonly found was type 3. Based on the age, type 1 majority occurs in age group of above 49 years old; type 2 in age group of 40-49 years old; and type 3 in age group 30-39 years old, 40-49 years old, and above 49 years old. By gender, type 1 and type 2 are more common in males, while type 3 is more common in female.
Radiation protection in Dentomaxillofacial Radiology Installation Redzuan Lee, Mohammad Adib; Oscandar, Fahmi; Firman, Ria Noerianingsih
Padjadjaran Journal of Dentistry Vol 26, No 2 (2014): July 2014
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol26no2.26701

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Introduction: ICRP produces recommendations for radiation protection concerning among them, patient, personnel and surrounding. The supervision for radiation protection in Dentomaxillofacial Radiology Installation RSGM-UNPAD and PP-UM must be as according to the national regulations. The purpose of study is how is the radiation protection and PP-UM, and what factors that influence radiation protection. Methods: Descriptive of qualitative research method with questionnaire technique with observational and interview survey, done to describe radiation protection with ALARA principle, taken in both Dentomaxillofacial Radiology Installation of RSGM-UNPAD and PP-UM. Result: Although few criteria like, lead apron lead protective glove, gonad lead barrier for personnel or operator, and, pass box and film storage for surrounding, radiation protection were not met by both installations, thyroid collar for patient radiation protection was met in PP-UM while not in RSGM-UNPAD. Conclusion: Radiation protection in Dentomaxillofacial Radiology Installation of RSGM-UNPAD have the advantage of systematic and central way of enforcement of regulation, and the weakness of its standard of radiation protection was not comprehensive, while PP-UM have the advantage of high supervision and adequate of instruments for patient radiation protection, and the weakness of its standard of radiation protection was not comprehensive. Factors influence the result were due to unavailable of SOP, insufficient of funds, inadequate of instruments, low supervision, and difficulty in bureaucracy approval.
Differences of temporomandibular joint condyle morphology with and without clicking using digital panoramic radiograph Pramanik, Farina; Firman, Ria Noerianingsih; Sam, Belly
Padjadjaran Journal of Dentistry Vol 28, No 3 (2016): November 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.904 KB) | DOI: 10.24198/pjd.vol28no3.13672

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Introduction: Clicking is the most common clinical symptom in patients with Temporomandibular Disorder (TMD). Lacking attention by either the patient or dentist, many patients were found to have suffered from morphologic alteration of the condyles seen in the panoramic radiograph inadvertently. The purpose of the study was to determine the differences of condyle morphology of the Temporomandibular Joint (TMJ) with and without the existence of clicking by means of digital panoramic radiographs. Methods: This study was based on an analytic descriptive research, whereas subjects are digital panoramic radiographs taken from clicking and non-clicking patients at the Radiology Installation of Dental Hospital Universitas Padjadjaran. 16 samples of each group were chosen in a non-random purposive sampling manner. Results: The research showed the mean of condyle morphology, HOC height  on clicking (6.31 mm) was shorter than the non clicking (7.63 mm), the width of HOC on clicking (10.38 mm) was higher than the non clicking (10.22 mm) and height of the processus condylaris on clicking (19.70 mm) was shorter than non clicking (20.04 mm). Ratio of the high of HOC, width of HOC and high of processus condylaris were 12.13 (clicking), and 12.63 (non-clicking). Conclusion: There was no significant difference between the morphology of the TMJ condyle between clicking and not clicking group, except on high of HOC.
Alveolar bone trabeculae in patients with aggressive patients with aggressive periodontitis using cone beam computed tomography imaging Shaliha, Shaliha; Firman, Ria Noerianingsih; Rusyanti, Yanti
Padjadjaran Journal of Dentistry Vol 24, No 2 (2012): July 2012
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol24no2.26828

Abstract

Introduction: Periodontitis is an inflamatory process in supporting tissues of the teeth including the gingiva, cementum, periodontal ligament and alveolar bone. Perioditis ntitis begins with migration of junctional ephithelium toward the apical side and form a pocket on gingiva. Aggressive periodontitis is one of the classifications of periodontitis with characteristics of attacking teens to young adults in relatively fast can lead to severe alveolar bone loss and it is not comparable with local factors that there. Trabeculae are part of the alveolar bone covered by compact bone and cortical bone harder . On radiographs, trabeculae only seen as a radiolucent surrounded by a radiopaque. The purpose of this research was to know the description of alveolar trabecular bone in patients with aggressive periodontitis using Cone Beam Computed Tomography imaging. Methods: This study is descriptive on 72 samples of aggressive periodontitis alveolar travecular bon e by CBCT imaging, taken from 6 archival aggressive periodontitis patients as research subjects, obtained from secondary data in the Radiology Department of RSGM FKG UNPAD. Results: The results of this study from the 3D CBCT imaging of alveolar trabecular bone leading to further describe the more posterior a decline in trabecular bone density and decrease in patients with aggressive periodontitis. Conclusion: The 3D CBCT imaging of alveolar trabecular bone leading to further describe the more posterior a decline in trabecular bone density and decrease in patients with aggressive periodontitis.
Shortened of the crown and root lengths of the mandibular permanent molar in beta major thalassemia children Primathena, Indra; Riyanti, Eriska; Firman, Ria Noerianingsih
Padjadjaran Journal of Dentistry Vol 23, No 2 (2011): July 2011
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.566 KB) | DOI: 10.24198/pjd.vol23no2.14024

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Beta major thalassemia is a genetically inherited blood disorder due to a genetic mutation on the polypeptide chains of hemoglobin which is manifested in the growth and development of the tooth. The objectives of the investigation were to obtain differences of the crown and root lengths of the mandibular first right side permanent molar between beta major thalassemia children and normal children group at the matching ages of 11 to 13 years old. The descriptive comparative method was used in the study and samples were selected using the purposive sampling technique. Sample numbers, which were obtained using the consecutive sampling technique, consists of 12 children of beta major thalassemia and 12 of normal children at the matching ages of 11 to 13 years. Periapical radiographs of both thalassemia and normal children were administered using the method of Seow and Lai. Data were analyzed using t-test method. The study revealed that the crown and root lengths of the mandibular first right side permanent molar of beta major thalassemia children were shorter than normal children at the ages of 11 to 13 years.
NILAI KETEBALAN KORTIKAL KONDILUS DAN MANDIBULA DILIHAT DARI RADIOGRAF PANORAMIK DIGITAL PADA WANITA PASCA MENOPAUSE Iswani, Resti; Noerianingsih, Ria; Azhari, Azhari
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 1, Nomor 2, Desember 2014
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (72.23 KB) | DOI: 10.33854/JBDjbd.27

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Kekurangan hormon estrogen pada wanita pasca menopause mempengaruhi proses remodeling tulang, mengakibatkan terganggunya keseimbangan kerja osteoblas dan osteoklas sehingga menurunkan kuantitas tulang. Radiografi panoramik dapat digunakan untuk mengukur kuantitas tulang mandibula sebagai deteksi dini penurunan kuantitas tulang pasien. Tujuan penelitian ini adalah untuk mengetahui nilai ketebalan tulang kortikal kondilus dan kortikal mandibula wanita pasca menopause dengan radiograf panoramik digital. Metode penelitian ini adalah deskriptif sederhana dengan teknik insidental random purposive sampling, sehingga di peroleh 29 sampel radiograf panoramik wanita pasca menopause usia 50-80. Data dicatat, lalu dikumpulkan dan disajikan dalam bentuk tabel dan diagram. Penelitian dilakukan di RSGM FKG UNPAD Bandung. Hasil penelitian berupa nilai rata-rata ketebalan tulang kortikal kondilus dan mandibula pada 6 wanita menopause dengan osteoporosis mempunyai nilai kortikal kondilus regio kanan area anterior dan posterior mempunyai nilai yang sama 0,17 mm, pada superior 0,18 mm dan pada regio kiri seimbang pada semua area yaitu 0,18 mm. Sedangkan pada 23 sampel wanita menopause tanpa osteoporosis regio kanan area anterior dan superior dengan nilai 0,27 mm sama dengan regio kiri area superior, serta regio kanan area posterior sama nilainya dengan regio kiri area anterior dan posterior yaitu 0,23 mm. Nilai ketebalan tulang kortikal mandibula wanita osteoporosis lebih rendah dari wanita tanpa osteoporosis dan cendrung seimbang regio kanan dan kiri. Simpulan penelitian ini adalah nilai ketebalan tulang kortikal kondilus dan mandibula wanita pasca menopause dengan osteoporosis ternyata memiliki nilai ketebalan tulang kortikal kondilus dan mandibula lebih rendah dari wanita pasca menopause normal.