Bramma Kiswanjaya
Department Of Dental And Maxillofacial Radiology, Faculty Of Dentistry, Universitas Indonesia, Jakarta 10430

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Vertical Angulation Alteration Tolerance in the Periapical Radiograph of Maxillary Incisor (An in vitro Study) Antolis, Maureen; Priaminiarti, Menik; Kiswanjaya, Bramma
Journal of Dentistry Indonesia Vol. 21, No. 2
Publisher : UI Scholars Hub

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The prevalence of vertical distortion in the periapical radiograph of the anterior maxillary teeth is quite significant and cingulum is commonly used as the reference of vertical distortion in anterior radiograph. Objective: To evaluate the limit of vertical angulation error that still can be tolerated. Methods: Periapical radiograph with vertical angle 0° was obtained from 30 maxillary incisors as reference, then the vertical angulation was changed into -10°, +10°, -15°, +15°, -20° and +20°. Long axis of the teeth was adjusted parallel to the film. Tooth length and cingulum width with vertical angulation alteration was measured and compared to the actual length. All of the measurement was tested using T test. Results: There were no significant differences between all the measurements of tooth length with the alteration in vertical angulation (p>0.05), whereas cingulum width had a significant difference at +15° and -10°, p
Measurement of Tooth Brushing Frequency, Time of Day and Duration of Adults and Children in Jakarta, Indonesia Rahardjo, Anton; Maharani, Diah A.; Kiswanjaya, Bramma; Idrus, Erik; Nicholson, Julie; Cunningham, Paul J.; Schäfer, Fred
Journal of Dentistry Indonesia Vol. 21, No. 3
Publisher : UI Scholars Hub

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Epidemiological study of tooth brushing is essential to evaluate dental health of a country. Objective: To obtain data on tooth brushing frequency, time of day and duration from adults and children in Jakarta, Indonesia. Methods: Toothbrushes containing data loggers were distributed to 120 random families in Jakarta to record how many times a day, when and for how long subjects brushed their teeth. The families were each composed of a mother, father and two children aged between 6 and 15 years. Results: The mean brushing frequency of the population was 1.27 times per day. The majority of the tooth brushing (46%) was performed in the morning. The mean tooth brushing duration of this population was 57.29 seconds. The mothers’ tooth brushing frequencies tended to be higher than that of the other family members, and the fathers tended to brush their teeth longer. Conclusion: Effective education aimed at increasing both the duration and frequency of tooth brushing from once to twice per day is urgently required in Indonesia.
PENGGUNAAN RADIOGRAF GIGI UNTUK KEPENTINGAN IDENTIFIKASI FORENSIK Sita Rose Nandiasa; Bramma Kiswanjaya; Mindya Yuniastuti
ODONTO : Dental Journal Vol 3, No 1 (2016): July 2016
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.3.1.74-77

Abstract

Background: Tooth has a unique characteristic. Teeth often used for forensic identification especially when the other parts of the body could not gave a difference feature used for identification.Discussion: Tooth is part of the body known for its resistant against external influence making it as an important primary identifier. Dental radiographic can act as a helpful tool in identification process to compare antemortem and postmortem data. Radiograph can give a detail features from the teeth and their surroundings, especially digital radiograph so it can ease the identification process.Conclusion : forensic identification using radiograph can be trusted.
Alveolar Bone Loss Analysis on Dental Digital Radiography Image Fitriananda, Aulia Karina; Kiswanjaya, Bramma; Bachtiar-Iskandar, Hanna H
Makara Journal of Health Research Vol. 25, No. 2
Publisher : UI Scholars Hub

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Background: Periodontal disease is the second most common tooth and mouth disease in Indonesia. Moreover, radiographic examination is the most useful tool to evaluate alveolar bone loss and diagnose periodontal diseases. This study aimed to analyze radiographically the relationship between alveolar bone loss and age among patients with chronic periodontitis. Methods: A total of 192 digital periapical images of patients aged 25–40 years were collected. Four regions were selected, including the maxillary and mandibular central incisors and maxillary and mandibular first molars. Alveolar bone loss was measured in the mesial and distal surfaces. Results: The mean and standard deviation for alveolar bone loss in age categories 1 (age 25–32 years) and 2 (age 33–40 years) were 4.03 ± 1.46 and 5.23 ± 2.5 (mm), respectively. Alveolar bone loss demonstrated a significant relationship with patient’s age (p < 0.001, Mann–Whitney U test). Conclusions: The mean and standard deviation of alveolar bone loss reduction in patients with chronic periodontitis was 4.87 ± 0.2 (mm). The alveolar bone loss on the mandibular central incisors’ mesial surface is the highest among other regions.
Lateral cephalometric radiograph analysis on obstructive sleep apnea patients Resky Mustafa; Menik Priaminiarti; Hanna Huzaima Bachtiar Iskandar; Bramma Kiswanjaya
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.v6i2.862

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Objectives: This review article is aimed to investigate changes in anatomical factors in Obstructive Sleep Apnea (OSA) patients through means of a cephalometric radiograph, which covers relation and size. Review: This literature review used online databases (PubMed and Scopus) discussing obstructive sleep apnea (OSA) in adults aged 18-80 years, using cephalometric analysis, and several keywords such as “obstructive sleep apnea and cephalometry” were employed to do the literature search. The search was limited to full-text articles written in English and published during the 2011-2021 period. Articles were selected by complying with literature review guidelines. Conclusion: Dentists can detect OSA early through lateral radiograph, which is originally an early screening tool, by paying attention to patients’ position during exposure, irradiation condition (kV, mA and Sec) and patient position in OSA diagnosis in regards to hard and soft tissue being evaluated. The specific craniofacial morphological variable could be a reliable parameter in determining the existence of OSA.
Osteoporosis detection using radiomorphometric examination and fractal dimensions through cone-beam computed tomography Efie Mariyam Nursari; Bramma Kiswanjaya; Menik Priaminiarti; Hanna H Bachtiar-Iskandar
Majalah Kedokteran Gigi Indonesia Vol 8, No 2 (2022): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.74535

Abstract

Cone-beam computed tomography (CBCT) is becoming more widely used in the field of dentomaxillofacial radiography, but its utility for bone quality assessment is still limited. This study was conducted to describe the use of radiomorphometric examination and fractal dimensions (FDs) for osteoporosis risk detection through CBCT in elderly patients. Medical databases (PubMed, Scopus, Elsevier, and Directory of Open Access Journals (DOAJ)) were searched using the keywords osteoporosis, radiomorphometric, fractal dimension, and fractal analysis. The search limits applied were available full-text articles, publication years 2012-2021, and articles published available in English. Then, the articles included were systematically reviewed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A total of four studies were included in this review. Seven radiomorphometric indices were used, and most indices were adopted from panoramic radiographs, such as the computed tomographycortical index, computed tomography mental index, computed tomography index, and four other indices along the mandible, which are the S (symphysis), A (anterior), M (molar), and P (posterior) indices. All of the radiomorphometric studies show similar results. These indices can identify osteoporosis-related changes and are useful as osteoporosis screening tools on CBCT. However, all FD studies show different methods and discover heterogeneous results. Radiomorphometric measurement methods in CBCT can be used to detect patients at risk for osteoporosis. The FD analysis method still finds heterogeneous research results, so it is recommended to standardize the method in terms of the shape, size, and location of the region of interest.
Gambaran cone-beam computed tomography pada kasus Cleidocranial Displasia Efie Mariyam Nursari; Menik Priaminiarti; Bramma Kiswanjaya; Eva Fauziah; Hanna H Bachtiar-Iskandar
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 8, No 3 (2022)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.81954

Abstract

Cleidocranial dysplasia (CCD) merupakan kelainan herediter yang mempengaruhi tulang dan gigi serta diwariskan secara autosomal. Meskipun radiograf dua dimensi dapat memberikan informasi diagnosis CCD, namun memiliki keterbatasan distorsi geometrik dan superimposisi. Laporan kasus ini memaparkan dua kasus CCD yang berbeda dan mengevaluasi gambaran radiograf dengan menggunakan modalitas pencitraan Cone-Beam Computed Tomography (CBCT) dengan tujuan untuk memberikan gambaran radiografis lengkap melalui CBCT sebagai salah satu alatpenunjang diagnosis yang memberikan rekonstruksi akurat, sehingga diharapkan dapat membantu dalam menegakkan diagnosis dan menentukan rencana perawatan. Dua orang pasien berusia dua belas dan sembilan tahun dikonsultasikan dari bagian Ilmu Kedokteran Gigi Anak untuk melakukan pemeriksaan pencitraan 3D CBCT. Temuan radiografik gigi multiple supernumerary di rahang atas dan bawah serta keterlambatan pertumbuhan gigi-gigi permanen pada kedua pasien, serta adanya kelainan tumbuh kembah pada struktur kranium, tulang-tulang wajah, maksila dan mandibula. CBCT mengatasi kelemahan atau kekurangan pada radiograf dua dimensi, khususnya evaluasi dalam arah bukolingual. Pencitraan 3D CBCT memungkinkan rekonstruksi yang akurat dan dari beberapa pandangan sagital, koronal dan aksial dari gigi supernumerari sehingga dapat dengan tepat menentukan jumlah, posisi, morfologi mahkota dan juga hubungannya dengan gigi permanen yang berdekatan sehingga memudahkan dalam menentukan rencana perawatan.
Correlation of clinical and radiographic severity of periodontitis with furcation involvement: Evaluation of periapical radiographs and Cone-beam Computed Tomography Syurri Innaddinna Syahraini; Hanna Huzaima Bachtiar Iskandar; Bramma Kiswanjaya; Fatimah Maria Tadjoedin
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 7 No 2 (2023): 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.v7i2.1070

Abstract

Objectives: To analyze the correlation of clinical and radiographic features in periodontitis with furcation involvement. Materials and Methods: Cross-sectional analytic study of 30 mandibular molars from 13 patients (8 males and 5 females), who had periodontitis with furcation involvement, with purposive sampling. Clinical, periapical and CBCT examination were then carried out . Assessment for clinical dan CBCT based on modified Glickman classification. Correlation test was performed with Kendall's Tau_b. Results: There was a significant difference between subjects of non CBCT group (clinical (p=0,01) and periapical (p=0,026)), with subjects examined by CBCT. However there was no difference between the clinical and periapical group. There is a correlation between furcation involvement on CBCT and periapical group (r=0,528; p=0,003). Conclusion: There was no correlation between furcation involvement on clinical examination with periapical radiographs and CBCT. The correlation is only seen between periapical radiographs and CBCT.
Regional odontodysplasia melibatkan dua kuadran pada anterior rahang atas Syahraini, Syurri Innaddinna; Priaminiarti, Menik; Bachtiar-Iskandar, Hanna Huzaima; Kiswanjaya, Bramma; Rizal, Mochamad Fahlevi; Rizal, Rezki Viona
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 9, No 1 (2023)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.82270

Abstract

Regional odontodyplasia (RO) merupakan anomali yang terjadi secara lokal, nonherediter developmental abnormality dengan kerusakan parah pada pembentukan enamel, dentin serta pulpa. Gambaran radiografis menunjukkan kamar pulpa besar dengan lapisan enamel dan dentin yang sangat tipis serta penurunan densitas sedangkan ukuran gigi normal atau sedikit lebih kecil daripada normal sehingga tampilan gambaran tersebut tampak seperti “ghost teeth”. Kompleksitas abnormalitas yang membutuhkan visualisasi gambaran hubungan gigi dan skeletal dapat dilakukan dengan pemeriksaan Cone Beam Computed Tomography (CBCT). Laporankasus berikut memaparkan gambaran radiografik CBCT pasien RO melibatkan regio anterior kanan rahang atas dan insisivus sentral kiri rahang atas. Pasien anak laki-laki usia 8 tahun 8 bulan dengan gigi depan atas kanan permanen belum tumbuh. Pada panoramik reconstruction tampak kehilangan gigi 51, 52, 53 dan gigi 61 resorpsi akar mencapai 1/3 apikal. Benih gigi 11, 12, 13, 21 berukuran kecil dan belum erupsi. Diagnosis banding kasus ini adalah dentinogenesis imperfekta dan segmental odontomaxillary dysplasia. Perawatan yang dilakukan berupapembuatan gigi tiruan sebagian lepasan akrilik regio 51, 52, 53. RO yang melibatkan dua regio sangat jarang terjadi. Pada laporan kasus ini dilakukan evaluasi menggunakan CBCT dengan tampilan Multiplanar reformatted (MPR), panoramic Volume Rendering (VR) pada potongan axial, panoramic view, transaxial-sagittal, and 3D view sehingga dapat dilakukan evaluasi perkembangan benih gigi secara menyeluruh dalam segala aspek. Gambaran radiografik yang khas dari RO menunjukkan bahwa pemeriksaan radiografik merupakan metode diagnostik utama dalam menegakkan diagnosis yang penting dalam menentukan rencana perawatan yang tepat.
The role of radiographic imaging and finite element analysis in evaluating occlusal loads and stress distribution in the periodontal ligament Nainggolan, Lidya Irani; Priaminiarti, Menik; Kiswanjaya, Bramma; Iskandar, Hanna Bachtiar
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.v8i3.1299

Abstract

Objectives: Biomechanical behavior analysis of the periodontal ligament (PDL) under various loading conditions is essential for understanding the impact of occlusal force distribution. A comprehensive understanding of this aspect is fundamental, and radiographic examination is a crucial modality for evaluating periodontal health. This review aims to illustrate the role of radiographic examination in influencing dental prognosis through the use of Finite Element Analysis (FEA) to assess occlusal load and stress distribution in PDLs. Review: Radiographic imaging techniques are critical for assessing the extent of occlusal trauma and its impact on the periodontal ligament and surrounding structures. Modalities such as conventional radiography, cone-beam computed tomography (CBCT), and micro-computed tomography (micro-CT) are commonly used to evaluate occlusal load. Studies have demonstrated that a balanced occlusal scheme results in a more uniform stress distribution, while an unbalanced scheme leads to localized stress concentrations, increasing the risk of periodontal damage. FEA has emerged as a powerful tool for simulated and visualizing stress patterns in the PDL and quantitatively calculating stresses and deformations in the periodontium. Technological advances in imaging, when applied in conjunction with finite element computational techniques, have shown that oblique loading results in higher stress concentrations compared to vertical loading, particularly in the PDL of mandibular first molars. These higher stresses, often observed in the cervical and apical regions, highlight the potential for more significant PDL damage, making it useful for evaluating bone loss and PDL integrity. for eligibility and completeness of journals. Conclusion: Integration of advance radiographic imaging with FEA has significantly enhanced the understanding of occlusal load and stress distribution in the periodontal ligament. This advancement has propelled the field of periodontal biomechanics, offering very valuable insights into PDL’s biomechanical behavior as it responds to varying occlusal loads, to optimize outcomes in periodontal and orthodontic care.