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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.
Polyostotic fibrous dysplasia of the craniofacial bones: a case report Haryono, Derry; Priaminiarti, Menik; Wijanarko, Aloysius Putut; Saraswati, Inka; Ananda, Nissia
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol. 10 No. 1 (2026): 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.v10i1.1419

Abstract

Objectives: This case report is aimed to show the radiographic features of fibrous dysplasia, a rare benign condition of abnormal bone growth that progresses slowly and is marked by uneven bone trabeculae interspersed with excessive proliferation of cellular fibrous connective tissue. Case Report: An 18-year-old female patient with a chief complaint of swelling on the right upper cheek was referred to the Oral and Maxillofacial Department of Universitas Indonesia Hospital. The patient is then referred to the Radiology Department to undergo a panoramic and CT scan examination. On panoramic and CT examination, signs typical of polyostotic fibrous dysplasia were found, namely “ground glass appearance” with ill-defined borders, which extended unilaterally and extended from the maxilla and mandible to the frontal bone. Conclusion: Polyostotic fibrous dysplasia can be identified on panoramic radiographs, a reliable and widely available diagnostic tool. Computed tomography (CT) is an advanced imaging modality for further evaluation of the lesion extension and tissue involvement. Management requires careful consideration of multiple clinical and radiographic factors.
Radiographic features of oral manifestations of secondary hyperparathyroidism with cranial involvement: a rare case report Guswan, I Nyoman; Priaminiarti, Menik; Saraswati, Inka; Julia, Vera
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol. 10 No. 1 (2026): 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.v10i1.1432

Abstract

Objectives: This case report aims to present a rare case of radiographic oral manifestations of secondary hyperparathyroidism associated with chronic kidney disease. Case Report: A 32-year-old female patient came to Universitas Indonesia Hospital with a chief complaint of gradual swelling in her oral cavity for approximately 1 year. Clinical examination revealed swelling in the gum and palate of the upper jaw, the swelling increasing in size, causing difficulty in speaking and eating. There is also face deformity along with the increasing size of the swelling.  The panoramic radiograph and MDCT showed thinning of cortical bone, absence of lamina dura, and ground-glass appearance in the dentomaxillofacial area, including several parts of the skull, which is consistent with characteristics of oral manifestations of secondary hyperparathyroidism (HPT). Conclusion: A rare case of secondary HPT associated with chronic renal illness that manifests with panoramic radiograph, MDCT, and oral characteristics is presented.