Anak Agung Istri Agung Feranasari
Praktisi Radiologi Kedokteran Gigi, Denpasar, Bali, Indonesia

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Fitur radiografis ameloblastoma pada CBCT dan panoramikRadiographic feature of ameloblastoma on CBCT and panoramic Anak Agung Istri Agung Feranasari; Lusi Epsilawati; Farina Pramanik
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.18062

Abstract

Pendahuluan: Ameloblastoma adalah neoplasma agresif yang timbul dari sisa-sisa lamina dentalis dan enamel organ (epitel odontogenik). Pemeriksaan radiografi yang dilakukan, yaitu radiografi CBCT dan panoramik sebagai pemeriksaan penunjang untuk melihat lesi ameloblastoma. Tujuan laporan kasus untuk membantu menegakkan diagnosa dan menganalisis gambaran ameloblastoma dilihat dari radiograf CBCT dan panoramik. Laporan kasus: Pasien laki-laki usia 16 tahun datang ke RSGM Instalasi Radiologi Kedokteran Gigi RSGM UNPAD untuk dilakukan pemeriksaan radiografi CBCT dan panoramik. Hasil anamnesa menunjukkan ± 2 minggu yang lalu pasien mengeluh adanya rasa sakit pada regio kiri rahang bawah. Keadaan umum pasien menunjukkan baik dan tidak mempunyai penyakit sistemik. Hasil pemeriksaan intra oral menunjukkan adanya kemerahan, sakit pada regio gigi 37 dan gigi 38 belum tumbuh. Hasil pemeriksaan ekstra oral menunjukkan sakit, bengkak pada pipi kiri, wajah asimetris. Hasil radiograf menunjukkan adanya gambaran radiolusen, well defined, corticated, multilokuler serta perluasan lesi pada posterior maksila dan mandibula kiri. Radiograf CBCT dan panoramik dapat dijadikan sebagai pemeriksaan penunjang dalam menegakkan diagnosa. Simpulan: Gambaran radiograf ameloblastoma pada kasus ini menunjukkan radiolusen, well defined, corticated, multilokuler, serta perluasan lesi pada posterior maksila dan mandibula kiri.Kata kunci: Ameloblastoma, CBCT, panoramik.  ABSTRACTIntroduction: Ameloblastoma is aggressive neoplasm rose from the rest of the lamina dental and enamel organ (odontogenic epithelium). Radiographic examination was performed with CBCT and panoramic technique as supportive examination to observe the ameloblastoma lesion. The purpose of this report was to describe the diagnosis and analysis of the features of ameloblastoma observed from CBCT and panoramic radiographs. Case report: A 16-years-old male patient came to the radiology installation of Universitas Padjadjaran Dental Hospital to obtain CBCT and panoramic examination. The medical records showed ± two weeks prior, the patient complained of pain in the left jaw region. The general condition of the patient was good, with no systemic disease. Intraoral examination results showed redness, pain in the tooth region 37, and unerupted tooth number 38. The results of the extraoral examination showed pain, swelling in the left cheek, and asymmetrical face. Radiographic results showed radiolucent, well-defined, corticated, multilocular features and lesions extended posteriorly to the maxilla and left mandible. CBCT and panoramic radiograph thus can be used as investigations tools for diagnosis. Conclusion: Radiographic feature of ameloblastoma in this case shows radiolucent, well defined, corticated, multilocular, as well as the extended lesion in the posterior maxillary and left mandible.Keywords: Ameloblastoma, CBCT, panoramic.
Temuan insidental dense bone island pada radiograf panoramik Anak Agung Istri Agung Feranasari; Ria Noerianingsih Firman; Farina Pramanik
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 1 (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.v4i1.478

Abstract

Objectives: The aim of this study is to increase knowledge about Dense Bone Island diagnosis and differential diagnosis as well as emphasize on radiographic characteristics of this lesion. Case Report: A male 24 years came to the Dentomaxillofacial Radiology Installation, Faculty of Dentistry Dental Hospital Universitas Padjajaran referred for radiographic examination from the Periodontics Department. The patient will be paired dental implants in the second premolar in the right mandible. Patients had no inflammation and pain. The patient then were take radiography examinations as indicated dental implant, that were periapical, panoramic and CBCT, then one of the radiographic examination was done, the panoramic which shows radiopaque, well-defined, rounded irregularly shaped lesion with a diameter of approximately 6 mm, which is located around apical first premolar teeth in the right mandible. Mandible first premolar is still vital. Conclusion: Dense bone Island is an increased bone density that occurs in the maxilla or mandible especially around the root of a tooth, and is often asymptomatic. Cases that occur in these patients have no clinical complaints either before or after the installation of dental implant.