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Alveolar Bone Loss Analysis on Dental Digital Radiography Image Fitriananda, Aulia Karina; Kiswanjaya, Bramma; Bachtiar-Iskandar, Hanna H
Makara Journal of Health Research Vol. 25, No. 2
Publisher : UI Scholars Hub

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Background: Periodontal disease is the second most common tooth and mouth disease in Indonesia. Moreover, radiographic examination is the most useful tool to evaluate alveolar bone loss and diagnose periodontal diseases. This study aimed to analyze radiographically the relationship between alveolar bone loss and age among patients with chronic periodontitis. Methods: A total of 192 digital periapical images of patients aged 25–40 years were collected. Four regions were selected, including the maxillary and mandibular central incisors and maxillary and mandibular first molars. Alveolar bone loss was measured in the mesial and distal surfaces. Results: The mean and standard deviation for alveolar bone loss in age categories 1 (age 25–32 years) and 2 (age 33–40 years) were 4.03 ± 1.46 and 5.23 ± 2.5 (mm), respectively. Alveolar bone loss demonstrated a significant relationship with patient’s age (p < 0.001, Mann–Whitney U test). Conclusions: The mean and standard deviation of alveolar bone loss reduction in patients with chronic periodontitis was 4.87 ± 0.2 (mm). The alveolar bone loss on the mandibular central incisors’ mesial surface is the highest among other regions.

Lateral cephalometric radiograph analysis on obstructive sleep apnea patients Resky Mustafa; Menik Priaminiarti; Hanna Huzaima Bachtiar Iskandar; Bramma Kiswanjaya
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 2 (2022): 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.v6i2.862

Objectives: This review article is aimed to investigate changes in anatomical factors in Obstructive Sleep Apnea (OSA) patients through means of a cephalometric radiograph, which covers relation and size. Review: This literature review used online databases (PubMed and Scopus) discussing obstructive sleep apnea (OSA) in adults aged 18-80 years, using cephalometric analysis, and several keywords such as “obstructive sleep apnea and cephalometry” were employed to do the literature search. The search was limited to full-text articles written in English and published during the 2011-2021 period. Articles were selected by complying with literature review guidelines. Conclusion: Dentists can detect OSA early through lateral radiograph, which is originally an early screening tool, by paying attention to patients’ position during exposure, irradiation condition (kV, mA and Sec) and patient position in OSA diagnosis in regards to hard and soft tissue being evaluated. The specific craniofacial morphological variable could be a reliable parameter in determining the existence of OSA.

Osteoporosis detection using radiomorphometric examination and fractal dimensions through cone-beam computed tomography Efie Mariyam Nursari; Bramma Kiswanjaya; Menik Priaminiarti; Hanna H Bachtiar-Iskandar
Majalah Kedokteran Gigi Indonesia Vol 8, No 2 (2022): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.74535

Cone-beam computed tomography (CBCT) is becoming more widely used in the field of dentomaxillofacial radiography, but its utility for bone quality assessment is still limited. This study was conducted to describe the use of radiomorphometric examination and fractal dimensions (FDs) for osteoporosis risk detection through CBCT in elderly patients. Medical databases (PubMed, Scopus, Elsevier, and Directory of Open Access Journals (DOAJ)) were searched using the keywords osteoporosis, radiomorphometric, fractal dimension, and fractal analysis. The search limits applied were available full-text articles, publication years 2012-2021, and articles published available in English. Then, the articles included were systematically reviewed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A total of four studies were included in this review. Seven radiomorphometric indices were used, and most indices were adopted from panoramic radiographs, such as the computed tomographycortical index, computed tomography mental index, computed tomography index, and four other indices along the mandible, which are the S (symphysis), A (anterior), M (molar), and P (posterior) indices. All of the radiomorphometric studies show similar results. These indices can identify osteoporosis-related changes and are useful as osteoporosis screening tools on CBCT. However, all FD studies show different methods and discover heterogeneous results. Radiomorphometric measurement methods in CBCT can be used to detect patients at risk for osteoporosis. The FD analysis method still finds heterogeneous research results, so it is recommended to standardize the method in terms of the shape, size, and location of the region of interest.

Gambaran cone-beam computed tomography pada kasus Cleidocranial Displasia Efie Mariyam Nursari; Menik Priaminiarti; Bramma Kiswanjaya; Eva Fauziah; Hanna H Bachtiar-Iskandar
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 8, No 3 (2022)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.81954

Cleidocranial dysplasia (CCD) merupakan kelainan herediter yang mempengaruhi tulang dan gigi serta diwariskan secara autosomal. Meskipun radiograf dua dimensi dapat memberikan informasi diagnosis CCD, namun memiliki keterbatasan distorsi geometrik dan superimposisi. Laporan kasus ini memaparkan dua kasus CCD yang berbeda dan mengevaluasi gambaran radiograf dengan menggunakan modalitas pencitraan Cone-Beam Computed Tomography (CBCT) dengan tujuan untuk memberikan gambaran radiografis lengkap melalui CBCT sebagai salah satu alatpenunjang diagnosis yang memberikan rekonstruksi akurat, sehingga diharapkan dapat membantu dalam menegakkan diagnosis dan menentukan rencana perawatan. Dua orang pasien berusia dua belas dan sembilan tahun dikonsultasikan dari bagian Ilmu Kedokteran Gigi Anak untuk melakukan pemeriksaan pencitraan 3D CBCT. Temuan radiografik gigi multiple supernumerary di rahang atas dan bawah serta keterlambatan pertumbuhan gigi-gigi permanen pada kedua pasien, serta adanya kelainan tumbuh kembah pada struktur kranium, tulang-tulang wajah, maksila dan mandibula. CBCT mengatasi kelemahan atau kekurangan pada radiograf dua dimensi, khususnya evaluasi dalam arah bukolingual. Pencitraan 3D CBCT memungkinkan rekonstruksi yang akurat dan dari beberapa pandangan sagital, koronal dan aksial dari gigi supernumerari sehingga dapat dengan tepat menentukan jumlah, posisi, morfologi mahkota dan juga hubungannya dengan gigi permanen yang berdekatan sehingga memudahkan dalam menentukan rencana perawatan.

Correlation of clinical and radiographic severity of periodontitis with furcation involvement: Evaluation of periapical radiographs and Cone-beam Computed Tomography Syurri Innaddinna Syahraini; Hanna Huzaima Bachtiar Iskandar; Bramma Kiswanjaya; Fatimah Maria Tadjoedin
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 7 No 2 (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.v7i2.1070

Objectives: To analyze the correlation of clinical and radiographic features in periodontitis with furcation involvement. Materials and Methods: Cross-sectional analytic study of 30 mandibular molars from 13 patients (8 males and 5 females), who had periodontitis with furcation involvement, with purposive sampling. Clinical, periapical and CBCT examination were then carried out . Assessment for clinical dan CBCT based on modified Glickman classification. Correlation test was performed with Kendall's Tau_b. Results: There was a significant difference between subjects of non CBCT group (clinical (p=0,01) and periapical (p=0,026)), with subjects examined by CBCT. However there was no difference between the clinical and periapical group. There is a correlation between furcation involvement on CBCT and periapical group (r=0,528; p=0,003). Conclusion: There was no correlation between furcation involvement on clinical examination with periapical radiographs and CBCT. The correlation is only seen between periapical radiographs and CBCT.

Regional odontodysplasia melibatkan dua kuadran pada anterior rahang atas Syahraini, Syurri Innaddinna; Priaminiarti, Menik; Bachtiar-Iskandar, Hanna Huzaima; Kiswanjaya, Bramma; Rizal, Mochamad Fahlevi; Rizal, Rezki Viona
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 9, No 1 (2023)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.82270

Regional odontodyplasia (RO) merupakan anomali yang terjadi secara lokal, nonherediter developmental abnormality dengan kerusakan parah pada pembentukan enamel, dentin serta pulpa. Gambaran radiografis menunjukkan kamar pulpa besar dengan lapisan enamel dan dentin yang sangat tipis serta penurunan densitas sedangkan ukuran gigi normal atau sedikit lebih kecil daripada normal sehingga tampilan gambaran tersebut tampak seperti “ghost teeth”. Kompleksitas abnormalitas yang membutuhkan visualisasi gambaran hubungan gigi dan skeletal dapat dilakukan dengan pemeriksaan Cone Beam Computed Tomography (CBCT). Laporankasus berikut memaparkan gambaran radiografik CBCT pasien RO melibatkan regio anterior kanan rahang atas dan insisivus sentral kiri rahang atas. Pasien anak laki-laki usia 8 tahun 8 bulan dengan gigi depan atas kanan permanen belum tumbuh. Pada panoramik reconstruction tampak kehilangan gigi 51, 52, 53 dan gigi 61 resorpsi akar mencapai 1/3 apikal. Benih gigi 11, 12, 13, 21 berukuran kecil dan belum erupsi. Diagnosis banding kasus ini adalah dentinogenesis imperfekta dan segmental odontomaxillary dysplasia. Perawatan yang dilakukan berupapembuatan gigi tiruan sebagian lepasan akrilik regio 51, 52, 53. RO yang melibatkan dua regio sangat jarang terjadi. Pada laporan kasus ini dilakukan evaluasi menggunakan CBCT dengan tampilan Multiplanar reformatted (MPR), panoramic Volume Rendering (VR) pada potongan axial, panoramic view, transaxial-sagittal, and 3D view sehingga dapat dilakukan evaluasi perkembangan benih gigi secara menyeluruh dalam segala aspek. Gambaran radiografik yang khas dari RO menunjukkan bahwa pemeriksaan radiografik merupakan metode diagnostik utama dalam menegakkan diagnosis yang penting dalam menentukan rencana perawatan yang tepat.

Gambaran lesi ossifying fibroma mandibula pada CBCT Mustafa, Resky; Priaminiarti, Menik; Julia, Vera; Bachtiar, Hanna
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 9, No 2 (2023)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.82273

Ossifying fibroma (OF) merupakan suatu neoplasma jinak berkapsul yang dianggap sebagai jenis lesi fibroosseous (FOL) yang terdiri dari berbagai jumlah tulang yang terkalsifikasi dan menyerupai sementum dalam stroma fibrosa. Lesi ini biasanya ditemukan pada wanita dengan rentan segala usia namun paling sering terjadi pada decade ketiga dan ke empat kehidupan. Secara radiografik gambaran lesi OF yang bervariasi tergantung pada tingkat mineralisasi dan waktu perkembangan lesi. Lesi radiolusen unilocular dengan densitas campuran atau lesi radiopak dengan batas yang jelas atau radiolusen tipis seperti kapsul fibrosa yang dapat mengakibatkan ekspansi. Seorang pasien wanita berusia 20 tahun, datang dengan keluhan utama gigi bungsu atas dan bawah tidak tumbuh sempurna. Gusi kanan bawah kadang dirasakan sakit dan ada keterbatasan membuka mulut. Pasien menyadari ada asimetri wajah ± 3 bulan yang lalu. Pada pemeriksaan klinis menunjukkan adanya benjolan di corpus mandibula kanan yang minimal, tidak terasa sakit dan tidak tampak tanda-tanda peradangan. Pada pemeriksaan intraoral didapatkan #47 erupsi sebagian. Dilakukan eksisi biopsi dan ekstraksi #47. Diagnosis pasien ini adalah ossifying fibroma jenis juvenile yang terjadi pada usia dewasa muda dengan rencana perawatan eksisi biopsy dan ekstraksi #47. Pemeriksaan CBCT dapat memperlihatkan secara komprehensif gambaran lesi dan pembahasan diagnosis banding lesi.

Field of view and voxel size considerations in cone-beam computed tomography: a systematic review Syahraini, Syurri Innaddinna; Kiswanjaya, Bramma; Priaminiarti, Menik; Bachtiar-Iskandar, Hanna H
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.221-240

Background: Several factors must be considered when selecting the appropriate field of view (FOV) and voxel size for good image quality on Cone Beam Computed-Tomography (CBCT). The purpose of this study is to determine the factors that must be considered in selecting the appropriate FOV and voxel size to achieve good image quality according to the purpose of the examination. Method: Articles in Q1 and Q2 journals published within the period from January 2016 to September 2021 were searched from Scopus and PubMed online using the keywords field of view/FOV in CBCT, voxel size in CBCT, and FOV and voxel size in CBCT. On the basis of the article selection criteria, 13 journals were included in the study. Also included in the study were several types of three-dimensional (3D) CBCT machines: Planmeca ProMaxÂ® 3D ProFaceTM, i-Cat Cone Beam 3D, Picasso Trio CBCT: Carestream unitÂ® CS 9300 CBCT, and Accuitomo F17D 3D CBCT. Result: It is generally recommended that a 0.2 mm voxel size be used to detect periodontal disease, secondary caries, fractures, external resorption, and endodontic complications. Meanwhile, for root fractures with an intracanal metallic post and an anatomic isthmus in the root canal, a 0.1 mm voxel size is recommended to be used, and for evaluating the implant, 0.3 mm and 0.4 mm voxel sizes are recommended. Conclusion: It was found in the review that most of the selected studies recommended using the smallest FOV available in the CBCT unit to detect pathological conditions and important anatomical structures.

Field of view and voxel size considerations in cone-beam computed tomography: a systematic review Syahraini, Syurri Innaddinna; Kiswanjaya, Bramma; Priaminiarti, Menik; Bachtiar-Iskandar, Hanna H
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.221-240

Background: Several factors must be considered when selecting the appropriate field of view (FOV) and voxel size for good image quality on Cone Beam Computed-Tomography (CBCT). The purpose of this study is to determine the factors that must be considered in selecting the appropriate FOV and voxel size to achieve good image quality according to the purpose of the examination. Method: Articles in Q1 and Q2 journals published within the period from January 2016 to September 2021 were searched from Scopus and PubMed online using the keywords field of view/FOV in CBCT, voxel size in CBCT, and FOV and voxel size in CBCT. On the basis of the article selection criteria, 13 journals were included in the study. Also included in the study were several types of three-dimensional (3D) CBCT machines: Planmeca ProMaxÂ® 3D ProFaceTM, i-Cat Cone Beam 3D, Picasso Trio CBCT: Carestream unitÂ® CS 9300 CBCT, and Accuitomo F17D 3D CBCT. Result: It is generally recommended that a 0.2 mm voxel size be used to detect periodontal disease, secondary caries, fractures, external resorption, and endodontic complications. Meanwhile, for root fractures with an intracanal metallic post and an anatomic isthmus in the root canal, a 0.1 mm voxel size is recommended to be used, and for evaluating the implant, 0.3 mm and 0.4 mm voxel sizes are recommended. Conclusion: It was found in the review that most of the selected studies recommended using the smallest FOV available in the CBCT unit to detect pathological conditions and important anatomical structures.

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