Barunawaty Yunus
Department of Dental Radiology, Faculty of Dentistry, Universitas Hasanuddin

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Radiographic imagery of aggressive plexiform-type ameloblastoma in the mandible: a case report Arnawansah, Rakhmat Putra Guru; Yunus, Barunawaty; Rahman, Fadhlil Ulum Abdul; Ariestiana, Yossy Yoanita; Mubarak, Husni
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 7 No 3 (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.v7i3.954

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Objectives: This case report aims to describe the radiographic characteristics of plexiform ameloblastoma and its impact on surrounding tissues in a middle-aged female patient using panoramic radiography and CBCT, along with case management. Case Report: A 43-year-old female patient presented to the Dental Radiology Unit of RSGMP UNHAS with a panoramic referral letter, diagnosed clinically with anterior mandibular ameloblastoma. Extraoral examination revealed an asymmetrical facial appearance with anterior mandibular enlargement. Intraoral examination showed mucus membrane enlargement in the anterior mandible region (teeth 37-45), soft consistency, absence of crepitus, no palpation tenderness, and mobility in several anterior mandibular teeth. The first panoramic radiograph (March 16, 2022) exhibited a unilocular radiolucent lesion, well-defined, with scalloped margins in the anteroposterior mandibular region. The second panoramic examination (May 23, 2022) indicated a more aggressive lesion expansion, with evidence of root resorption and destruction of the inferior mandibular cortex approaching the mandibular angle. CBCT findings demonstrated a hypodense/radiolucent lesion extending anteroposteriorly, superiorly, and inferiorly, leading to displacement, root resorption, and destruction of the inferior mandibular cortex in the inferior direction. Conclusion: Based on the characteristics and structure of the lesion observed through various radiographic examinations, a unilocular ameloblastoma was suspected. Histopathological examination confirmed the plexiform-type ameloblastoma.
Accuracy of Cone-beam Computed Tomography in diagnosing root canal configuration: a literature review Nisrina, Nur Asmy; Yunus, Barunawaty
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 2 (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.v8i2.1184

Abstract

Objectives: This review article aims to describe the accuracy of cone-beam computed tomography (CBCT) in diagnosing root canal configuration. Review: This study is a literature review consisting of English articles about the accuracy of cone-beam computed tomography in diagnosing root canal configuration, published in 2013 – 2023. The article search databases used were Pubmed and Science Direct with the keyword “(cone-beam computed tomography[MeSH Terms]) AND (configuration, root canal[MeSH Terms]).” The selected articles were screened by checking the publication year, duplicating articles, reading the titles and abstracts, and the entire article's contents. The total search results for articles based on keywords obtained were 205 and only seven were included. In order to successfully perform root canal treatment, thorough knowledge of the root canal configuration is essential. Cone-beam computed tomography (CBCT) can improve our understanding of root canal configuration. The development of CBCT has brought to light the disadvantages of conventional radiography, which include the compression of three-dimensional anatomy, geometric distortion, and anatomical noise. Conclusion: Radiology is essential in treatment planning, disease monitoring, and assessmen t of treatment outcomes. The development of cone-beam computed tomography (CBCT) offers three-dimensional accuracy with a reasonable cost, no geometric distortion and anatomical noise, and the ability to create cross-sectional images, revolutionizing the imaging of dentomaxillofacial structures. This imaging system has been shown to overcome some of the limitations of conventional radiography.
CBCT-3D radiographic analysis of an infected radicular cyst of the upper jaw: a case report Prawira, Ade; Yunus, Barunawaty; Rahman, Fadhlil Ulum Abdul; Anam, Mukhtar Nur
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 1 (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.v8i1.1130

Abstract

Objectives: The purpose of this case report is to find out the function of CBCT that can analyze in detail a radicular cyst case where CBCT has the ability to determine the density of a lesion. An overview of the density pattern of a radicular cyst can help determine the lesion and its margins. Case Report: : A 40-year-old patient complained of swelling in the palate that had been felt for about a year with a history of trauma due to an accident fifteen years ago. The patient underwent CBCT examination with the results of a hypodense area compared to the surrounding bone in the maxillary anterior area involving teeth 11,21,22 to 23 accompanied by a discontinuity of the cortical plate of the palatal bone and extending to involve the base of the nasal cavity. Part of the lesion is clearly demarcated, while the other side is diffuse. The suspected radiodiagnosis of the case was a moderately aggressive radicular cyst with a differential diagnosis of an odontogenic tumor. Conclusion: The final diagnosis of this case was a radicular cyst with chronic granulomatous inflammation, based on a combination of radiographic findings, clinical findings, and histopathological examination.
Ameloblastoma radiographic imaging on 3D CBCT: a literature review Uke, Waode Anita Wulanduri; Yunus, Barunawaty
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 2 (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.v8i2.1273

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Objectives: This review article is aimed to provide an overview of 3D CBCT in determining the diagnosis of ameloblastoma. Review: This study is a literature review consisting of English articles about the ameloblastoma radiographic imaging on 3D CBCT, published 2013-2023.The article search databases used were Google scholar, Ebsco, Pubmed .The total search results for articles based on keywords obtained were 552 articles, and only 9 articles were include. Ameloblastoma is a persistent and locally invasive tumor; with aggressive but docile growth characteristics. Ameloblastoma is generally associated with impacted teeth, so it requires a more detailed radiographic examination. Computed cone-beam tomography (CBCT) is a more advantageous imaging system with a lower radiation dose and smaller area requirements. 3D CBCT is a radiographic examination with a high modality, so it is very important in helping to establish a diagnosis, especially for cases that show radiographic differences. Ameloblastoma is divided into several types based on the radiological picture. Odontogenic Keratosis Cysts and ameloblastoma may exhibit similar radiographic features, which make diagnosis difficult. Conclusion: 3D CBCT examination is helpful in diagnosing and validating the treatment of ameloblastoma.
Simultaneous lesions of complex odontoma associated with dentigerous cyst: case report and critical review in CBCT Hidayat, Muhammad Fadil; Tenrilili, Andi Nurul Azizah; Yunus, Barunawaty
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 2 (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.v8i2.1231

Abstract

Objectives: To our knowledge, there is limited evidence reporting cystic lesions associated with odontoma. Therefore, this case report aims to describe the clinical, histological, and particularly the characteristic cone beam computed tomography (CBCT) diagnostic features . Case Report: A 20-year-old male patient presented with a complaint of a lump in the upper right jaw. There was no history of systemic disease. A panoramic radiograph showed a solid radio-opaque mass surrounded by an osteolytic lesion with a radio-opaque margin causing impaction of the maxillary canine. Given the limitations of panoramic radiography in assessing lesion extent, a CBCT examination was performed. Multiplanar reconstruction revealed a well-defined unilocular hyperdense lesion with a hypodense encapsulation and corticated margin, measuring 31.5 x 32 mm, expanding the buccal cortical plate and pushing the upper right canine tooth into the maxillary sinus cavity. The extensive expansion of the lesion required histopathological analysis to confirm the final diagnosis. The histopathological examination concluded a dentigerous cyst. Conclusion: Several reports in the literature discuss the development of cysts and tumors in the jaw, but some cases are very difficult to identify. The variability of lesions can complicate pattern identification, leading to misinterpretation of conventional radiographs, thus requiring additional CBCT evaluation.
Prevalence of condensing osteitis on panoramic radiographic at the Department of Radiology RSGMP Hasanuddin University in 2023: Prevalensi condensing osteitis pada radiografi panoramik di Departemen Radiologi RSGMP Universitas Hasanuddin Tahun 2023 Musmar, Aisyah; Yunus, Barunawaty
Makassar Dental Journal Vol. 13 No. 3 (2024): Volume 13 Issue 3 Desember 2024
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v13i3.865

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The most common radiopaque lesion in the jaws is condensing osteitis (CO), which occurs in 4-7% of the general population. The hallmark of CO consists of a solid radiopaque mass adjacent to the apex of the tooth and has well-defined edges and a faint tran-sition to the surrounding bone. This study examined the prevalence of CO on panoramic radiographs at the Radiology Department of Dental Hospital Hasanuddin University in 2023. Descriptive observational study with cross-sectional design through panoramic radiography data in January-December, then the results were entered into distribution tables. The CO was mostly found at the age of 21-30 years as much as 33.0%, with female gender as much as 62.1%, and in the lower jaw as much as 72.8%. It was concluded that the prevalence of CO in the oral cavity was high due to the low level of knowledge and public awareness of oral health maintenance and suboptimal oral health services.
Assesment impacted canines of two-dimensional and three-dimensional radiographic techniques: Penilaian impaksi gigi kaninus dari teknik radiografi dua dimensi dan tiga dimensi Marini Arisandy; Yunus, Barunawaty
Makassar Dental Journal Vol. 13 No. 3 (2024): Volume 13 Issue 3 Desember 2024
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v13i3.1012

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Canine tooth impaction plays an important role in smile aesthetics and functional occlusion, and can cause dental and skeletal malocclusion. Treatment planning for canine tooth impaction cases is complex and is influenced by various factors, including the inclination, angle, position, depth of impaction, as well as the surrounding bone density. For a more precise evaluation, imaging is the recommended tool, which includes 2D radiographs, as well as 3D imaging using. This literature review presents current information on the assessment of canine tooth impaction by considering appropriate diagnostic imaging options to support more adequate treatment planning with consideration of radiation dose. It is concluded that although conventional radiographic modalities are able to provide accurate diagnosis regarding the morphology of the apex, apex location, and inclination of canine tooth impaction, cone beam computed tomography (CBCT) offers a higher degree of accuracy in determining other parameters associated with canine tooth impaction. Therefore, the use of CBCT may be the preferred option for a more comprehensive and accurate evaluation of canine tooth impaction cases.
Edukasi Pemanfaatan dan Pencegahan Dampak Negatif Radiasi pada Masyarakat di Kota Makassar Yunus, Barunawaty; Tenrilili, Andi Nurul Azizah; Hidayat, Muhammad Fadil; Prawira, Ade; Arnawansah, Rakhmat Putra Guru; Sugianto, Irfan; Yunus, Muliaty; Rahman, Fadhlil Ulum A; Wulansari, Dwi Putri
Jurnal Pengabdian Masyarakat Kesehatan Gigi FOKGII (JPMKG FOKGII) Vol. 2 No. 1 (2025): Februari 2025
Publisher : Forum Komunikasi Kedokteran Gigi Islam Indonesia

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

Abstract

Pemanfaatan teknologi radiologi dalam kedokteran gigi telah meningkatkan akurasi diagnosis dan keberhasilan perawatan secara signifikan. Namun, penggunaan radiasi pengion secara tidak bijak dapat menimbulkan risiko kesehatan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan literasi masyarakat Kota Makassar terkait pemanfaatan radiologi dalam kedokteran gigi serta pencegahan dampak negatif radiasi. Melalui penyuluhan langsung, media interaktif, dan layanan kesehatan gratis yang diselenggarakan di area Car Free Day, kegiatan ini berhasil menjangkau 200 peserta dari berbagai kalangan usia. Materi yang disampaikan meliputi manfaat radiologi dalam diagnosis dan perawatan gigi, protokol keselamatan radiasi, serta cara mencegah risiko paparan radiasi. Hasil kegiatan menunjukkan peningkatan pemahaman peserta mengenai topik tersebut. Antusiasme peserta yang tinggi dalam mengikuti sesi tanya jawab dan memanfaatkan layanan kesehatan gratis mengindikasikan keberhasilan kegiatan dalam meningkatkan kesadaran masyarakat akan pentingnya menjaga kesehatan gigi dan mulut serta keselamatan radiasi. Kegiatan ini membuktikan bahwa pendekatan edukasi yang berbasis komunitas dan partisipatif dapat menjadi model yang efektif dalam meningkatkan literasi kesehatan masyarakat.
Radiological analysis and postoperative evaluation of multilocular ameloblastoma in young patient through panoramic radiograph: a case report Rahman, Fadhlil UA.; Yunus, Barunawaty; Rasul, Irfan; Faisal, Faisal
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1407.21 KB) | DOI: 10.20956/jcrdm.v1i3.99

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Objective: Radiographic examination is the main supporting modality in helping to establish the diagnosis of lesion in the jaw.This paper aimed to describe how panoramic radiograph used to analyze the diagnosis and evaluate the results of treatment of ameloblastoma lesions.Methods: Panoramic radiographic examination was performed on an 18-year-old female patient with a chief complaint of swelling of the left mandible which caused the asymmetrical face. In addition to panoramic radiographs, CT scans were also added.Results: Radiograph panoramic showed a sizable well-defined multilocular radiolucency in left mandibular body area to the ramus extend to incisura of the mandible The lesion border had curved-corticated and scalloped border. The internal structure of the lesion was totally radiolucent with the presence of internal septa creating multilocular appearance. Effect the lesions on surrounding structures was destruction inferior cortical of mandible and root resorption. 3-dimensional CT scan was also performed and showed a pattern of lingual and buccal cortical involvement. Based on clinicoradiograph pattern this lesion was diagnosed as ameloblastoma.Conclusion: Panoramic radiographic examination is an important modality not only to help establish the diagnosis of ameloblastoma but also can be used to evaluate the results of lesion elimination by surgical intervention.Keywords: multilocular ameloblastoma, panoramic radiograph, postoperative evaluation
Prevalensi dan Gambaran Radiografis Ameloblastoma di RSGM Universitas Hasanuddin: Sebuah Studi Retrospektif Tahun 2023 Dwiputri, Gavrila Samitra; Yunus, Barunawaty
Makassar Dental Journal Vol. 14 No. 1 (2025): Volume 14 Issue 1 April 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i1.974

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Latar Belakang: Ameloblastoma merupakan tumor odontogenik yang sebagian besar terjadi pada mandibula. Ameloblastoma biasanya terjadi pada dekade ketiga hingga kelima kehidupan. Secara radiografis, penampilan lesi bervariasi dan unik karena variasi anatominya. Tujuan: Untuk menganalisis kasus ameloblastoma, dengan penekanan pada prevalensi dan gambaran radiografi. Bahan dan Metode: Penelitian deskriptif ini menggunakan pendekatan retrospektif dan desain cross-sectional. Sampel diambil secara purposive sampling. Penelitian ini menggunakan data sekunder yang diambil dari Rumah Sakit Gigi Universitas Hasanuddin pada periode Januari 2023–Desember 2023. Sebanyak 13 kasus yang terdiagnosis secara klinis dan radiografis diikutsertakan dalam penelitian ini. Hasil: Penelitian ini menunjukkan bahwa pasien yang terkena ameloblastoma berada pada kelompok usia 15-67 tahun. Pasien yang berusia antara 20 dan 29 tahun merupakan kelompok yang paling terkena dampak (46,15%). Rasio laki-laki: perempuan adalah 1,2:1. Semua kasus terjadi di mandibula dan memiliki keterlibatan unilateral (100%). Ameloblastoma tipe multilokular dan unilokular tercatat masing-masing sebanyak 8 kasus (61,54%) dan 5 kasus (38,46%). Gambaran soap-bubble (62.5%), spider-web-like pattern (25%), and honeycomb (12.5%) terlihat pada varietas multilokular. Resorpsi akar dengan derajat yang bervariasi terlihat jelas pada 8 kasus (61,54%). Kesimpulan: Ameloblastoma paling sering muncul pada dekade ketiga kehidupan, lebih sering terjadi pada laki-laki dibandingkan perempuan, dan dominan bersifat multilokular. Radiografi merupakan bantuan penting untuk diagnosis berbagai jenis lesi mulut, terutama yang melibatkan tulang.