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All Journal Journal of Dentistry Indonesia MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Majalah Kedokteran Gigi Indonesia ODONTO Dental Journal Journal of Indonesian Dental Association Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Odonto dental journal
Menik Priaminiarti
Department Of Dentomaxillofacial Radiology, Faculty Of Dentistry, Universitas Indonesia, Jakarta, Indonesia, 10430
Dentistry Energy Health Professions Medicine & Pharmacology Physics

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Pemeriksaan CBCT pada ankilosis unilateral TMJ disertai kecurigaan fibrous dysplasia pada ramus mandibula Asymal, Alhidayati; Priaminiarti, Menik; Handoko, Stefano Aditya; Susanti, Laura
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 10, No 2 (2024)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.82274

Abstract

Ankilosis berasal dari bahasa Yunani yang merujuk pada kondisi “kaku sendi” yang menyebabkan hilangnya sebagian atau seluruh mobilitas TMJ yang disebabkan oleh trauma, infeksi, maupun penyakit sistemik. Ankilosis dapat mempengaruhi kualitas hidup pasien karena keterbatasan pembukaan mulut sehingga mengganggu proses pengunyahan dan fungsi bicara serta meningkatkan resiko terjadinya karies. Ankilosis yang disertai lesi fibro osseous dapat terjadi pada regio TMJ dan merupakan kasus yang langka. Lesi fibro osseous bila mengenai TMJakan menyebabkan ankilosis yang ditandai dengan keterbatasan mobilitas rahang bawah. CBCT merupakan sarana pencitraan yang memiliki kemampuan untuk menampilkan gambaran tiga dimensi dan dapat memberikan kemampuan diagnostik berbagai kelainan pada rahang dengan sangat baik termasuk pada TMJ. Laporan kasus ini bertujuan untuk menggambarkan kelainan ankilosis yang disertai lesi hypodensity (radiolusen) yang ditemukan secara tidak sengajapada ramus mandibula kanan dan kiri. Pasien perempuan berusia 25 tahun datang dengan keluhan utama sering timbul bengkak pada pipi kiri disertai bunyi sendi sisi kiri sejak 4 tahun yang sebelumnya dan tidak bisa membuka mulut lebar sejak 3 bulan yang lalu. Dari anamnesa didapatkan informasi bahwa pasien memiliki riwayat trauma akibat kecelakaan 7 tahun yang sebelumnya. Gambaran CBCT potongan sagital dan koronal menunjukkan adanya penyatuan TMJ kiri serta struktur anatomi TMJ yang tidak dapat diidentifikasi. Hasil pemeriksaan histopatologi (HPA) pada lesi hypodense menunjukkan keping trabekula tulang yang menunjukkan kemungkinan ke arah fibro-osseous lesion.
Cone-Beam Computed Tomography Accuracy for Morphological and Morphometric Evaluation of Mandibular Condyles Using Small FOV and Small Voxel Size Arifin, Sariyani Pancasari Audry; Kiswanjaya, Bramma; Priaminiarti, Menik; Iskandar, Hanna H. Bachtiar
Journal of Indonesian Dental Association Vol 6 No 1 (2023): April
Publisher : Indonesian Dental Association

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

Abstract

The objective of this study is to evaluate the accuracy of cone beam computed tomography (CBCT) in determining and visualizing the morphology and morphometry of the mandibular condyle. Narrative reviews with article searches were carried out through NCBI's PubMed database and Scopus from September 2021–October 2021, with the inclusion criteria articles published in 2011–2021. The temporomandibular joint (TMJ) has a crucial role and is closely related to the masticatory system. The diagnosis of temporomandibular disorder (TMD) is not easy and is complex enough to require a comprehensive clinical and radiographic examination. Pathological changes such as erosion of the condyle, fracture, ankylosis, dislocation, and osteophyte can be well seen using CBCT imaging. CBCT images obtained with smaller field of view (FOV) have smaller a voxel size and a higher image resolution. FOV or scan volume refers to the anatomical area that will be included in the data volume or the area of the patient that will be irradiated. The dimension of FOV depends on the detector size and shape, the beam projection geometry, and the ability to collimate the beam. Voxel size is an important component of image quality, related to both the pixel size and the image matrix. Selection of small FOV and small voxel size is recommended because they provide better visualization and detail for the evaluation of morphology and morphometry of the condyle, especially the detection of erosion and defects on the condyle surface.
Accuracy of digital image processing in radiographic early caries detection Priaminiarti, Menik; Atmadja, Giovanni; Saraswati, Inka; Iskandar, Hanna Huzaima Bachtiar
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.108937

Abstract

Tooth surface with early caries lesion can remineralize into sound tooth surface with early intervention. However, early caries lesion is difficult to detect and frequently goes unnoticed during clinical or radiographic examinations. Image quality enhancement through imaging tools such as filters has the potential to increase the accuracy of early caries lesion detection. To compare the accuracy of original radiographic images to enhanced images with filters on digital dental x-ray for detection of early caries lesions. Five working models were utilized, containing 42 sound tooth surfaces, and 36 surfaces with early caries lesions. Radiographic images were takenusing Vistascan storage phosphor plate system (Dürr Dental, Germany) and enhanced with Fine, Caries 1, Caries 2, and High Diagnostic (HD) filters. Original and enhanced radiographic images were assessed by three observers to record the presence or absence of early caries lesions. Sensitivity, specificity, and overall accuracy were calculated. Sensitivity of HD and Fine filter images were significantly higher (p < 0.05), but Caries 1 and Caries 2 images did not differ significantly from the original images (p > 0.05). There was no significant difference between the specificity of original filter images and filter enhanced images. The overall accuracy of original filter images and filter enhanced images increased significantly only on HD filter (p < 0.05). HD filter had significantly higher overall accuracy than the original images.In addition, it showed the highest sensitivity, specificity, and overall accuracy. Therefore, some filters may be used to enhance early caries lesion detection.
Co-Authors Alhidayati Asymal Amarta, Chairunnisa Arifin, Sariyani Pancasari Audry Atmadja, Giovanni Bachtiar-Iskandar, Hanna H Bramma Kiswanjaya Efie Mariyam Nursari Efie Mariyam Nursari Eva Fauziah Handoko, Stefano Aditya Hanna Bachtiar Iskandar, Hanna Bachtiar Hanna H. Bachtiar Iskandar, Hanna H. Bachtiar Heru Suryonegoro, Heru Inka Saraswati Iskandar, Hanna Huzaima Bachtiar Lidya Irani Nainggolan, Lidya Irani Maureen Antolis Mochamad Fahlevi Rizal Mustafa, Resky Resky Mustafa Rizal, Rezki Viona Susanti, Laura Syahraini, Syurri Innaddinna Vera Julia