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DESCRIPTIONS OF CONDYLE HEAD POSITION IN DIGITAL PANORAMIC RADIOGRAPH OF CLICKING AND NONCLICKING PATIENTS AT RSGM UNPAD DENTAL RADIOLOGY INSTALLATION Meiryndra Syaira Putri; Farina Pramanik; Lusi Epsilawati
Dentino : Jurnal Kedokteran Gigi Vol 4, No 2 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i2.7056

Abstract

Background: Clicking is associated with the movement of condyle head and other predisposing factors. Digital panoramic radiograph may identify such condition by describing the position of head of condyle. Objective: To identify the description of condyle head position in digital panoramic radiograph of clicking and non-clicking patients at RSGM Unpad Dental Radiology Installation. Method: This was a descriptive research employing purposive sampling method to collect 31 samples of digital panoramic radiographs from 11 clicking patients and 20 non-clicking patients.  The measurement method in this research is referring to Ikeda’s (2011). Result: The average position of clicking TMJ was 1.45 mm from posterior aspect and the average position of non-clicking TMJ was 1.64 mm from superior aspect. Conclusion: It can be inferred that head of condyle’s position in digital panoramic radiographs of clicking and non-clicking patients at RSGM Unpad may change from normal position to the majority of head of condyle displacement approaching the glenoid fossa. Clicking TMJ is presented with posterior displacement while non-clicking TMJ demonstrates superior displacement.
RADIOGRAPHIC FEATURES OF INTERNAL STRUCTURE IN JAW LESIONS (Review article) Norlaila Sarifah; Ria N.Firman; Farina Pramanik; Lusi Epsilawati
Dentino : Jurnal Kedokteran Gigi Vol 4, No 1 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i1.6183

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Background: The internal structure of jaw lesions demonstrates different characteristics and distinctions. They may be varied in features such as the four variations of internal structure presented in ameloblastoma. Each type represents distinctive characteristics which depict the natures of respective lesion. Unquestionably required for lesion identification, internal structure becomes an essential radiographic aspect to differentiate the characteristic of a lesion. Several specific attributes of internal structure are utilized to distinguish each diagnosis. Thus, it is necessary to conduct specific assessment to discover the features of internal structure. Objective: To identify different radiographic features of internal structure in jaw lesions. Discussion: This article scrutinizes the internal structure of jaw lesions such as Pattern of Bones Destruction and Septation in Bone Lesions from several article reviews. A number of variances exist in the features of internal structure which later separate them from other lesions. The identification of cyst, benign and malignant tumor lesions may eventually be performed by using specific radiographic features of the lesions. Conclusion: Radiographic features of internal structure in jaw lesions illustrate particular hallmarks and traits which assist the identification of a lesion.
Fitur radiografis ameloblastoma pada CBCT dan panoramikRadiographic feature of ameloblastoma on CBCT and panoramic Anak Agung Istri Agung Feranasari; Lusi Epsilawati; Farina Pramanik
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.18062

Abstract

Pendahuluan: Ameloblastoma adalah neoplasma agresif yang timbul dari sisa-sisa lamina dentalis dan enamel organ (epitel odontogenik). Pemeriksaan radiografi yang dilakukan, yaitu radiografi CBCT dan panoramik sebagai pemeriksaan penunjang untuk melihat lesi ameloblastoma. Tujuan laporan kasus untuk membantu menegakkan diagnosa dan menganalisis gambaran ameloblastoma dilihat dari radiograf CBCT dan panoramik. Laporan kasus: Pasien laki-laki usia 16 tahun datang ke RSGM Instalasi Radiologi Kedokteran Gigi RSGM UNPAD untuk dilakukan pemeriksaan radiografi CBCT dan panoramik. Hasil anamnesa menunjukkan ± 2 minggu yang lalu pasien mengeluh adanya rasa sakit pada regio kiri rahang bawah. Keadaan umum pasien menunjukkan baik dan tidak mempunyai penyakit sistemik. Hasil pemeriksaan intra oral menunjukkan adanya kemerahan, sakit pada regio gigi 37 dan gigi 38 belum tumbuh. Hasil pemeriksaan ekstra oral menunjukkan sakit, bengkak pada pipi kiri, wajah asimetris. Hasil radiograf menunjukkan adanya gambaran radiolusen, well defined, corticated, multilokuler serta perluasan lesi pada posterior maksila dan mandibula kiri. Radiograf CBCT dan panoramik dapat dijadikan sebagai pemeriksaan penunjang dalam menegakkan diagnosa. Simpulan: Gambaran radiograf ameloblastoma pada kasus ini menunjukkan radiolusen, well defined, corticated, multilokuler, serta perluasan lesi pada posterior maksila dan mandibula kiri.Kata kunci: Ameloblastoma, CBCT, panoramik.  ABSTRACTIntroduction: Ameloblastoma is aggressive neoplasm rose from the rest of the lamina dental and enamel organ (odontogenic epithelium). Radiographic examination was performed with CBCT and panoramic technique as supportive examination to observe the ameloblastoma lesion. The purpose of this report was to describe the diagnosis and analysis of the features of ameloblastoma observed from CBCT and panoramic radiographs. Case report: A 16-years-old male patient came to the radiology installation of Universitas Padjadjaran Dental Hospital to obtain CBCT and panoramic examination. The medical records showed ± two weeks prior, the patient complained of pain in the left jaw region. The general condition of the patient was good, with no systemic disease. Intraoral examination results showed redness, pain in the tooth region 37, and unerupted tooth number 38. The results of the extraoral examination showed pain, swelling in the left cheek, and asymmetrical face. Radiographic results showed radiolucent, well-defined, corticated, multilocular features and lesions extended posteriorly to the maxilla and left mandible. CBCT and panoramic radiograph thus can be used as investigations tools for diagnosis. Conclusion: Radiographic feature of ameloblastoma in this case shows radiolucent, well defined, corticated, multilocular, as well as the extended lesion in the posterior maxillary and left mandible.Keywords: Ameloblastoma, CBCT, panoramic.
Korelasi usia kronologis dengan densitas tulang mandibula pada radiograf panoramik pada pasien perempuan usia 5-35 tahunCorellation between chronological age with mandibular bone density on panoramic radiographs of female patients aged 5-35 years Lailatul Rahmi; Belly Sam; Farina Pramanik
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2020): Desember 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.27790

Abstract

Pendahuluan: Tingkat perkembangan dan maturasi seorang pasien tidak dapat diketahui secara pasti dari usia kronologis, dikarenakan adanya variasi waktu percepatan pertumbuhan pubertas pada setiap individu, maka perlu ditentukan usia biologisnya. Usia biologis ini dapat ditentukan dari usia tulang berupa kualitas tulang yang dapat dilihat dari ukuran densitas tulang. Radiograf panoramik dapat menilai kualitas kepadatan (densitas) tulang secara makrostruktur dan mikrostruktur. Penelitian ini menggunakan sampel perempuan karena perempuan cenderung kehilangan densitas mineral tulang lebih cepat daripada laki-laki. Tujuan penelitian ini yaitu menganalisis korelasi usia kronologis dengan densitas tulang pada radiograf panoramik pada pasien perempuan. Metode: Jenis penelitian ini adalah cross-sectional, dengan menggunakan analisis korelasi. Populasi penelitian menggunakan data primer dari seluruh radiograf panoramik pasien perempuan usia 5-35 tahun pada bulan Desember 2016-Januari 2017 di Rumah Sakit Gigi dan Mulut (RSGM) Universitas Padjadjaran dengan jumlah sampel 64 orang. Analisis densitas tulang trabekula mandibula dilakukan dengan menggunakan software ImageJ dengan Region of Interest (ROI) 4x4mm pada tepi distal foramen mentale mandibula. Hasil: Rerata ukuran densitas tulang trabekula pada kelompok usia 5-11 tahun 17,54%, kelompok usia 12-16 tahun 21,06%, kelompok usia 18-25 tahun 24,01%, dan kelompok usia 26-35 tahun 25,96% dengan hasil korelasi Pearson r = 0,827, dan nilai p=0,0001. Simpulan: Terdapat korelasi antara usia kronologis dengan nilai densitas tulang trabekula pada radiograf panoramik pasien perempuan, yaitu semakin bertambahnya usia kronologis maka nilai densitas tulang juga akan semakin meningkat sesuai dengan rentang usia penelitian 5-35 tahun.Kata kunci: Usia kronologis, densitas tulang, radiograf panoramik, software imageJ. ABSTRACTIntroduction: The level of development and maturation of a patient can not be known with certainty from chronological age, due to variations in the time of pubertal growth spurt in each individual, it is necessary to determine the biological age. This biological age can be determined from bone age in bone quality, which can be seen from the bone density measurement. Panoramic radiographs can assess the quality of bone density macrostructure and microstructure. This study used a female sample because female tend to lose bone mineral density faster than male. This study was aimed to analyse the correlation between chronological age and bone density on female patients’ panoramic radiographs. Methods: This research was cross-sectional with correlation analysis. The study population used was the primary data from all panoramic radiographs of female patients aged 5-35 years in December 2016-January 2017 at Universitas Padjadjaran Dental Hospital (RSGM Unpad) with a total sample of 64 people. Mandibular trabecular bone density analysis was performed using ImageJ software with a 4x4mm Region of Interest (ROI) on the mandibular mental foramen’s distal edge. Results: The mean size of trabecular bone density in the 5-11 years age group was 17.54%, the 12-16 years age group was 21.06%, the 18-25 year age group was 24.01%, and the 26-35 years age group was 25.96%; with the results of Pearson correlation r=0.827, and the p-value = 0.0001. Conclusion: There is a correlation between chronological age and the value of trabecular bone density on the panoramic radiograph of female patients, that is, the increasing of chronological age will also increase the value of bone density, according to the age range of the study (5-35 years).Keywords: Chronological age, bone density, panoramic radiographs, image-J software.
Gambaran radiografis panoramik pada evaluasi kasus osteomielitis pasca sequestrectomy disertai temuan florid osseous dysplasiaPanoramic radiographs in the evaluation of osteomyelitis cases after sequestrectomy with findings of florid osseous dysplasia (FOD) Azlina Nuur Sanjaya; Farina Pramanik; Rima Fidayani Rizki
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.22902

Abstract

Pendahuluan: Salah satu terapi pada penanganan osteomielitis adalah sequestrectomy. Sequestrectomy merupakan suatu usaha penghilangan sekuester yang telah terbentuk melalui pembedahan dengan trauma minimal. Evaluasi pasca sequestrectomy dapat dilakukan menggunakan pemeriksaan radiografi panoramik. Radiograf panoramik dapat memperlihatkan gambaran tulang alveolar pasca sequestrectomy pada kasus osteomielitis, serta dapat menemukan kelainan lain yang bersifat asimtomatik seperti florid osseous dysplasia (FOD). Tujuan dari laporan kasus ini adalah untuk menjelaskan lebih lanjut mengenai gambaran radiografis panoramik pasca sequestrectomy kasus osteomielitis yang disertai temuan kelainan lain yang bersifat asimtomatik seperti FOD. Laporan kasus: Pasien datang dengan rujukan radiografi panoramik untuk evaluasi pasca sequestrectomy dengan diagnosis klinis osteomielitis supuratif kronis. Dari hasil foto panoramik didapatkan bahwa masih terdapat gambaran radiolusen dan gambaran radioopak sisa serpihan tulang  (sekuester) dan gambaran FOD pada region lain. Gambaran radiografis panoramik pada kasus ostemielitis pasca sequestrectomy masih menunjukkan gambaran moth-eaten, masih ada sekuester, sisa serpihan tulang, terlihat gambaran radioopak di tengah dan di sekitar pulau radiolusen. Hal ini menandakan bahwa osteomielitis belum sembuh meski telah dilakukan sequestrectomy. Ditemukan pula gambaran lesi radioopak lainnya, yaitu suspek FOD pada region lain. FOD rentan infeksi sehingga memungkinkan terjadinya osteomielitis. Simpulan: Gambaran radiograf panoramik dapat digunakan sebagai metode evaluasi penunjang pasca sequestrectomy pada kasus osteomielitis dan juga dapat digunakan sebagai metode untuk menemukan kelainan yang bersifat asimtomatik seperti FOD.Kata kunci: Osteomielitis, sequestrectomy, florid osseous dysplasia, radiograf panoramik. ABSTRACTIntroduction: One of the osteomyelitis treatments is sequestrectomy, which attempts to remove sequesters formed surgically with minimum trauma. Post-sequestrectomy evaluation can be performed using panoramic radiographs. Panoramic radiographs can show alveolar bone images after sequestrectomy in osteomyelitis cases and can find other asymptomatic disorders such as florid osseous dysplasia (FOD). This case report was aimed to explain the panoramic radiographs after sequestrectomy of osteomyelitis cases accompanied by findings of other asymptomatic abnormalities such as FOD. Case report: A patient was presented with a panoramic radiograph referral for post-sequestrectomy evaluation with a clinical diagnosis of chronic suppurative osteomyelitis. The panoramic photo results found that there were still radiolucent images and radioopaque images of bone debris (sequester) and FOD images in other regions. In the post-sequestrectomy osteomyelitis case, panoramic radiographs still showed moth-eaten, sequesters, remaining bone fragments, radioopaque images in the middle and around the radiolucent islets. This result indicated that osteomyelitis has not healed despite sequestrectomy. There were also features of other radioopaque lesions, namely suspected FOD in other regions. FOD is susceptible to infection, thus allowing osteomyelitis. Conclusion: Panoramic radiographs can be used as a supporting evaluation method after sequestrectomy in osteomyelitis cases and can also find asymptomatic abnormalities such as FOD.Keywords: Osteomyelitis, sequestrectomy, florid osseous dysplasia, radiograph panoramic.
Nilai ketebalan kortikal mandibula pada anak dan remaja terinfeksi HIV Fadhlil Ulum Abdul Rahman; Alongsyah Zulkarnaen Ramadhan; Farina Pramanik; Ria Noerianingsih Firman
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 3 No 3 (2019): 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.v3i3.437

Abstract

Objectives: The aim of this study was to obtain the value of mandibular cortical thickness in HIV-infected children and adolescents based on panoramic radiographs. Material and Methods: This descriptive and cross-sectional study was carried out on 43 panoramic radiographs of HIV-infected children and adolescents. The value of mandibular cortical thickness were measured by three indices regarded as mental index (MI), gonial index (GI), and antegonial index (AGI) using a digital calipers directly on the panoramic radiographs which had been taken previously. Results: Among 43 panoramic radiographs, 18 (41,86%) were boys and 25 (58,14%) were girls. Based on age range, there are 30 samples (69,77%) were categorized as children with age range 5-11 years and 13 samples (30,23%) were categorized as adolescents with age range 12-16 years. The lower value of mandibular cortical thickness based on MI, AGI, and AGI was seen in girls compared to boys. The adolescents have a higher value of mandibular cortical thickness compared with the children. Conclusion: There are different values of mandibular cortical thickness in HIV-infected children and adolescents based on sex and age.
Gambaran border dan periosteal reaction lesi rahang pada radiograf Aga Satria Nurrachman; Farina Pramanik; Azhari Azhari; Lusi Epsilawati
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 1 (2020): 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.v4i1.477

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Objectives: Understanding the differences of general signs and typical characteristics of a lesion in radiograph is constantly important for dentists to determine the nature of a lesion. Some signs that can be observed more specifically were the presence of periosteal reaction and the border of existing lesions. These differences may be taken into consideration to define the diagnosis and type of the lesion. The purpose of this article is to provide an overview of the radiographic features of periosteal reaction and border in jaw lesions. Literature Review: This article is a literature review which discussed several articles relating to the radiographic features of border and periosteal reaction in various jaw lesions. Based on this review, there were different features of border, where each lesion had its own borderline that differs between cystic, benign and malignant properties. While the picture of periosteal reaction indicates the extent to which the lesion involves cortical tissue in the bone. Conclusion: The conclusion is that the border image and periosteal reaction can be one of the typical markers in determining jaw lesions.
The value of Mental Index (MI) and Gonial Index (GI) in hypertension patients on its correlation with serum calcium and cortisol level Dwi Putri Wulansari; Lusi Epsilawati; Farina Pramanik; Suhardjo Sitam
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 2 (2021): 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.v5i2.688

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Objective: This research was aimed to analyze the mandibular cortical width based on a mental index (MI) and gonial Index (GI) in hypertension patients correlated with serum calcium and cortisol levels. Materials and Methods: This study was an analytic-observational study with 31 hypertension patients aged 41-79. All of the patients have checked their serum calcium and cortisol level. The panoramic radiograph was taken and analyzed using Image-J Fiji software. The mandibular cortical width was then measured with Mental Index (MI) and Gonial Index (GI) and correlated with the serum calcium and cortisol level. Results: The data obtained from examining serum calcium and cortisol levels and the measurement of Mental Index (MI) and Gonial Index (GI) showed varying results but tended towards normal values. The results of the correlation test between mental index and gonial index with cortisol and serum calcium showed no correlation with p>0.05. Conclusion: There was no correlation between serum calcium and cortisol level in the value of MI and GI in hypertension patients.
Aspek radiografis dan biologis tulang dalam penilaian kualitas tulang pada osteoporosis Yurika Ambar Lita; Azhari Azhari; Ria Noerianingsih Firman; Lusi Epsilawati; Farina Pramanik
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 3 No 2 (2019): 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.v3i2.490

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Objectives: This scientific paper discusses aspects of biological bone and radiograph examination in helping diagnose systemic diseases with a decrease in bone quality more accurately. Literature Review: Osteoporosis often occurs in postmenopausal women because of reduced estrogen. Sign analysis is related to four important factors to assess bone quality, namely bone density, bone turnover, bone size and bone architecture. Mineral Bone Examination Density is a gold standard examination by the World Health Organization for the diagnosis of osteoporosis and bone biomarkers can provide an overview of the renovation process being carried out. Conclusion: Panoramic radiographs are expected to be a potential checkpoint for early detection of systemic diseases that manifest in the maxillofacial region with bone conversations characterized by bone enlargement, changes in bone microstructure and trabeculae that indicate changes in bone quality.
Florid osseous dysplasia, lesi radiopak bilateral pada radiograf panoramik Ratih Trikusumadewi Lubis; Fitri Angraini Nasution; Azhari Azhari; Farina Pramanik
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 3 No 3 (2019): 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.v3i3.444

Abstract

Objectives: The aim of this report is to present a case of florid osseous dysplasia and understand its characteristics from panoramic radiography. Case Report: A 47-years-old female patient came to the oral and maxillofacial radiology department at Dental and Oral Hospital of Universitas Padjadjaran to take panoramic radiography. Patient’s chief complaints were pain on tooth 46 after being extracted about 4 days ago with numbness on the extraction area. Panoramic radiograph showed radioopaque lesions in the extraction area surrounded by a thin radiolucent area. In the periapical region of tooth 36 and 47 showed the same radiopaque image as tooth 46. The radiodiagnostic suspect of the lesions was bilateral florid osseous dysplasia in the posterior region of the mandible. Conclusion: The images of florid osseous dysplasia from panoramic radiography are radioopaque, well-defined, sclerotic border, and having soft tissue capsule when the lesion is immature condition. The most common condition of FOD affect both upper and lower jaw, but if the lesion only occur in one jaw, the lesion commonly happen in mandible with exact location is more posterior than canine teeth.
Co-Authors - Azhari Achmad Mauludin Adawiyah, Jumiatul Aga Satria Nurrachman Agustin, Sylvia Alongsyah Zulkarnaen Ramadhan Alongsyah Zulkarnaen Ramadhan Anak Agung Istri Agung Feranasari Anastasya Natalia Anjani, Khamila Gayatri Anna Muryani Annisa Permatahati Annisa Putri Aprilia Dian Pertiwi, Aprilia Dian Azhari Azhari Azhari Azhari Azhari Azhari Azhari Azhari Azhari Azlina Nuur Sanjaya Belly Sam Bilqis Quinta Fitriandari Binar Barlian Cahyareni, Firlana Chrisna Ardhya Medika Dhiaulhaq, Rifarana Inayah Dwi Putri Wulansari Elizabeth Elizabeth Elizabeth - Elizabeth Elizabeth, Elizabeth - Erna Herawati Fadhlil Ulum Abdul Rahman Fahmi Oscandar Fahmi Oscandar, Fahmi Fahri Reza Ramadhan Farah Fathiyya Fauziyah, Erlina Firas A. Khairinisa Firas A. Khairinisa Fitri Angraini Nasution Galih Rahmadini Ganesha Wandawa Gunawan Gunawan Gustianto, Yudhy Hanafi, Eva Yulianti Ichda Nabiela Amiria Asykarie Indra Gunawan Indra Gunawan Irmayanti Meitrieka Amri Irna Sufiawati Istri Dwi Utami Johan Harlan Lailatul Rahmi Lazaro Nehemia Benedict Dilens Linda Wahyu Widianti Lusi Epsilawati Lutfi Yondri Lutfi Yondri Lutfi Yondri Magdalena Napitupulu Mahindra Awwaludin Romdlon Medika, Chrisna Ardhya Meiryndra Syaira Putri Merry Annisa Meyta R. Gwen Mirna Febriani Muchlis, Muhammad Rakhmat Ersyad Munasyifa, Tazkia Ni Wayan Nanda Prasanthi Nisa Nur Fathmi Nova Rosdiana Nunung Rusminah Pamungkas, Aries Sugih Budhiana Pei C. Ling Putri Andini, Putri Rachmawati, Ika Rahmi Alma Farah Adang Ramadhan, Fahri Reza Ramzy Ramadhan Ratih Trikusumadewi Lubis Ratna Indriyanti Rellyca Sola Gracea Reni Indah Yolanti Ria N. Firman Ria N. Firman Ria N. Firman Ria N. Firman Ria N.Firman Ria Noerianingsih Firman, Ria Noerianingsih Rima Fidayani Rizki Salsabila Afnia Sarifah, Norlaila Sarifuddin Madenda Shely Levita Asmarani Silmina Rukmana Siska Damayanti Saifuddin Suhardjo Sitam Sukmadewi, Putri Marina Sunny Arief Sudiro Yurika A. Lita Yurika Ambar Lita