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All Journal Journal of Case Reports in Dental Medicine MDJ (Makassar Dental Journal) Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Jurnal Pengabdian Masyarakat Kesehatan Gigi FOKGII
Barunawaty Yunus
Department of Dental Radiology, Faculty of Dentistry, Universitas Hasanuddin
Humanities Dentistry Education Energy Health Professions Medicine & Pharmacology Physics Public Health

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Radiographic finding of sunray appearance as a sign of malignant mandibular lesion: a case report Alfina, Risca; Rahman, Fadhlil Ulum Abdul; Yunus, Barunawaty; Ariestiana, Yossy Yoanita
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 1 (2025): 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.v9i1.1249

Abstract

Objectives: To report the “sunray” appearance on panoramic radiography as a sign of malignancy lesions of the mandible. Case Report: A 40 year old female patient came to the Hasanuddin University Dental Hospital with the main complaint of facial swelling which causes an asymmetrical appearance and hard consistency on palpation. Mucosa around the second right premolar to the third right molar is reddish with an irregular border. The patient was referred to the radiology department for panoramic radiography and MRI. The panoramic radiograph revealed a mixed radiolucent-radiopaque lesion in tooth 35 involving ramus to the coronoid process. PDL space was irregular widening at 36, 37, and 38. The "sunray” appearance was seen from the ramus extending to the coronoid process. On the MRI, a mass on the submandibular gland pushed and narrowed the sublingual, parapharyngeal, and masticator space, destroying the mandible on the left side. These radiologic findings strongly suggest a malignancy involving the jawbone. Conclusion: The findings of a mandibular malignancy in the form of a “sunray” appearance on panoramic radiography need to be confirmed with an MRI examination to determine the consistency and extent of the lesion to the surrounding tissue. A comprehensive examination is necessary to properly diagnose mandibular malignant lesions so that the most suitable treatment plan can be determined.
Recurrent follicular ameloblastoma of the maxilla: a case report Hajar, Hasmawati; Yunus, Barunawaty; Gazali, Mohammad
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 1 (2025): 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.v9i1.1288

Abstract

Objectives: This report aims to describe the clinical and radiological characteristics of ameloblastoma. This benign odontogenic tumor rarely occurs in the upper jaw, and to emphasize the importance of using panoramic radiography in confirming the diagnosis. Case Report: A 52-year-old female patient presented with a lump in the right upper jaw that had been present for three months. She reported that a small lump first appeared four years earlier and had gradually increased in size. The patient had a history of surgery to remove a lump and extraction of a right maxillary tooth in 2021, with histopathological analysis (HPA) revealing ameloblastoma. She also reported tenderness in the area and the presence of a salty discharge from the mouth. Panoramic radiography and CT scan revealed a unilocular, homogeneous radiolucent lesion, ovoid with well-defined margins, located in the edentulous posterior right alveolar ridge. The lesion extended superiorly toward the base of the right maxillary sinus and inferiorly toward the crest of the alveolar ridge. The patient underwent an excisional biopsy, with a histopathological examination confirming the diagnosis of a bone tumor (ameloblastoma). This was followed by a segmental maxillectomy in the region of teeth 12–15 under general anesthesia. Ameloblastoma has a high tendency to recur, particularly when conservative management fails to completely remove the tumor. In this case, pathological examination, along with panoramic and CT imaging, confirmed recurrent ameloblastoma. Conclusion: The diagnosis of recurrent follicular ameloblastoma of the maxilla was established through a combination of clinical evaluation, radiographic imaging, and histopathological examination.
Characteristics and position of maxillary canine impaction using panoramic radiograph at RSGMP UNHAS: a retrospective study Krimadi, Christine Elisabeth; Yunus, Barunawaty; Masyrifah, Nurul
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 2 (2025): 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.v9i2.1323

Abstract

Objectives: To analyze cases of maxillary canine impaction, emphasizing characteristics, positional forms, and radiographic features. Materials and Methods: This descriptive study utilized a retrospective and cross-sectional design approach. Samples were obtained through purposive sampling. Secondary data from the Dental Hospital and Education Clinic (RSGMP) at Hasanuddin University from January to December 2023 were used. A total of 43 clinically and radiographically diagnosed cases were included in this study. Results: This study revealed that patients with maxillary canine impaction were predominantly in the age group of 10–19 years (46.5%), with females comprising 62.8% and males comprising 37.2%, resulting in a male-to-female ratio of 1:1.68. Type II maxillary canine impaction (Yamamoto classification) was the most common case, accounting for 53%. Conclusion: Radiography was a crucial aid for diagnosing various types of oral lesions, especially those involving bones. Keywords: Maxillary, maxillary canine impaction, prevalence, radiographic appearance
Assessment of submandibular sialolithiasis with panoramic and occlusal radiographs: diagnostic relevance in a clinical case Bachtiar, Nini Andriyani; Yunus, Barunawaty; Gazali, Mohammad
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 2 (2025): 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.v9i2.1335

Abstract

Objectives: This case report aims to describe the radiographic appearance of sialolithiasis on occlusal and panoramic radiographs. Case Report: A 27-year-old female patient came to RSGMP UNHAS with complaints of a lump under her right tongue. Before the lump appeared, the patient complained of pain under his right tongue. The swelling began approximately one week ago, initially about the size of a green bean. It has progressively increased in size until the present time. On occlusal radiography imaging, an irregular round radiopaque focus was found, and on panoramic radiography of the right mandibula zone, a well-defined radiopaque image in the form of an elongated oval/cylindrical shape was found. Case management: After clinical examination and panoramic and occlusal radiographs, a sialolithectomy was performed under general anesthesia in the right sublingual area. Conclusion: This case report is to describe radiographically the appearance of sialolithiasis on panoramic radiographs and occlusal radiographs, which is clearly visible in this case. Keywords: Radiography, panoramic; salivary glands; sialolithiasis; submandibular gland
Morphological variations of the mandibular condyle as assessed from panoramic radiographic images: a literature review Masyrifah, Nurul; Yunus, Barunawaty
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 2 (2025): 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.v9i2.1322

Abstract

Objectives: This literature review aims to analyze the morphological variations of the mandibular condyle as observed in panoramic radiographic images. It investigates recent findings on the correlation between condylar morphology and clinical factors, highlights the clinical relevance of these variations in diagnosis and treatment planning, and underscores the importance of early identification of structural abnormalities in dental practice. Review: A comprehensive literature search was conducted using databases including PubMed, ScienceDirect, and Google Scholar. Keywords used were: mandibular condyle, morphological variation, panoramic radiograph, and TMJ. Inclusion criteria comprised peer-reviewed studies published in English from 2015 to 2023 focusing on human panoramic radiographic evaluations of condylar morphology. Exclusion criteria included studies using only CBCT without panoramic comparisons, case reports, and studies on animal subjects. The review synthesized retrospective, cross-sectional, and observational studies with sample sizes ranging from children to older adults to identify common condylar morphologies and their clinical implications. Conclusion: Panoramic radiographs can effectively identify morphological variations of the mandibular condyle, such as round, flat, angled, convex, and rare bifid shapes. These variations are associated with factors like age, gender, dentition status, and occlusion. Understanding these differences is crucial for early diagnosis and proper management of temporomandibular disorders. Keywords: Morphological variations, mandibular condyle, panoramic radiography, temporomandibular joint, TMJ disorders
Characteristics of root resorption in mandibular ameloblastoma using digital radiography Paputungan, Trisutrisno; Yunus, Barunawaty
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.v10i1.1500

Abstract

Objectives: This study aims to provide insights into the characteristics of root resorption associated with ameloblastoma as detected on digital radiography. Review: Root resorption is a pathological process marked by the progressive loss of the root structure, which may result from bacterial infection, traumatic injury, or chemical irritation. Ameloblastoma frequently exhibits distinctive patterns of root resorption, often presenting as blunted or sharply demarcated margins on digital radiographs. Conclusion: Ameloblastoma is known for its high recurrence rate, necessitating comprehensive surgical excision to minimize the likelihood of recurrence. Surgical management often includes the removal of the affected teeth along with the tumor. These treatment decisions are generally guided by histopathological confirmation through incisional biopsy, as several lesions can mimic ameloblastoma despite characteristic radiographic findings such as root resorption.
Incidental radiography findings of variations in root morphology: dens invaginatus or vertucci’s Masyrifah, Nurul; Yunus, Barunawaty; Wulansari, Dwi Putri
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.v10i1.1514

Abstract

Objectives: The objective of this case report is to document the incidental finding in tooth 34 through panoramic radiography and discuss whether it falls into the category of dens invaginatus or Vertucci’s root canal morphology variations. Case Report: A 13-year-old male patient presented to RSGMP UNHAS with complaints of a decayed and painful lower left back tooth. Clinical examination revealed deep caries with perforation in tooth 35, and a periapical abscess was diagnosed. Panoramic and periapical radiographs were taken for diagnostic purposes. Radiographic analysis focused on identifying variations in the root morphology of adjacent teeth, specifically tooth 34. Conclusion: The incidental finding in tooth 34 through panoramic radiography emphasizes the importance of routine radiographic examinations in clinical practice. Early diagnosis and a clear understanding of this dental developmental anomaly are vital to ensuring the patient’s optimal oral health outcomes.
Post-treatment evaluation of combined odontogenic keratocyst and ameloblastoma using fractal dimension analysis: Evaluasi pascaperawatan kombinasi odontogenic keratocyst dan ameloblastoma menggunakan analisis fraktal dimensi M, Uce Ayuandyka; Amalia, Rezky; Liling, Donna Trye; Mulya, Virdha Dwi; Yunus, Barunawaty
Makassar Dental Journal Vol. 15 No. 1 (2026): Volume 15 Issue 1 April 2026
Publisher : Makassar Dental Journal PDGI Makassar

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

Abstract

Odontogenic keratocyst (OKC) and ameloblastoma are common odontogenic lesions, often occurring in the posterior part of the mandible. Panoramic radiogra-phic examination with fractal analysis has been proven very effective in evaluating trabecular bone and assessing disease prognosis by comparing preopera-tive and postoperative images of the lesion. This article evaluates the combined treatment of OKC and ameloblastoma through the application of fractal analy-sis on panoramic radiographs. A 20-year-old female presented with a complaint of swelling in the left mandible that had been ongoing for about three months. Objective examination showed facial asymmetry marked by enlargement of the posterior mandible. Radiographic examination showed multiple irregular ra-diolucent lesions resembling soap bubbles. The case was diagnosed as a combination of OKC and ameloblastoma. It is concluded that the dredging method has been proven effective in the treatment of OKC and ameloblastoma. Fractal analysis calculations have been proven to be very useful in the field of den-tistry for disease monitoring purposes.
Co-Authors Alfina, Risca Anam, Mukhtar Nur Ariestiana, Yossy Yoanita Arnawansah, Rakhmat Putra Guru Bachtiar, Nini Andriyani Dwiputri, Gavrila Samitra Faisal Faisal Gazali, Mohammad Hajar, Hasmawati Hidayat, Muhammad Fadil Irfan Sugianto, Irfan Krimadi, Christine Elisabeth Liling, Donna Trye M, Uce Ayuandyka Marini Arisandy Masyrifah, Nurul Muliaty Yunus, Muliaty Mulya, Virdha Dwi Musmar, Aisyah Nisrina, Nur Asmy Paputungan, Trisutrisno Prawira, Ade Rahman, Fadhlil UA. Rahman, Fadhlil Ulum A Rahman, Fadhlil Ulum Abdul Rasul, Irfan Rezky Amalia, Rezky Rony, Zahara Tussoleha Tenrilili, Andi Nurul Azizah Uke, Waode Anita Wulanduri Wulansari, Dwi Putri