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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.
Distribution of panoramic radiograph examination among pediatric patients at Dental Hospital of Hasanuddin University: Distribusi pemeriksaan radiografi panoramik pada pasien anak di RSGMP Universitas Hasanuddin Nisrina, Nur Asmy; Yunus, Barunawaty
Makassar Dental Journal Vol. 14 No. 2 (2025): Volume 14 Issue 2 August 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i2.957

Abstract

Panoramic radiographs are used to diagnose oral diseases, monitor dentofacial development, and evaluate treatment proce-dures. This article discusses panoramic radiographs in paediatric patients under 6 years of age according to age, gender, di-sease diagnosis at RSGMP Universitas Hasanuddin. In this descriptive observational study, cross-sectional data collection was used on all paediatric patients who underwent panoramic radiography from January to December 2023. The reasons for taking panoramic radiographs were categorised as early childhood caries, oral pathologies, dentoalveolar fractures, developmental ano-malies, and others. A total of 202 panoramic radiographs were taken from paediatric patients aged 2-6 years; 82 children aged 5 years were the most common. Girls accounted for 107 of the patients. The most common case diagnosis was early childhood caries with 167 children. It was concluded that the use of panoramic radiographs in paediatric patients is not intended as a gene-ral screening. It should be limited to children under 6 years of age unless absolutely necessary.
Co-Authors Alfina, Risca Anam, Mukhtar Nur Ariestiana, Yossy Yoanita Arnawansah, Rakhmat Putra Guru Dwiputri, Gavrila Samitra Faisal Faisal Gazali, Mohammad Hajar, Hasmawati Hidayat, Muhammad Fadil Irfan Sugianto, Irfan Marini Arisandy Muliaty Yunus, Muliaty Musmar, Aisyah Nisrina, Nur Asmy Prawira, Ade Rahman, Fadhlil UA. Rahman, Fadhlil Ulum A Rahman, Fadhlil Ulum Abdul Rasul, Irfan Rony, Zahara Tussoleha Tenrilili, Andi Nurul Azizah Uke, Waode Anita Wulanduri Wulansari, Dwi Putri