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CHARACTERISTICS OF UPPER THIRD MOLAR IMPACTION IN BANDUNG CITY POPULATION Alifya Fahira; Indra Hadikrishna; Lucky Riawan; Yurika Ambar Lita
ODONTO : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.0.57-68

Background: The third molars (M3) are the most frequently impacted teeth because they are the last to erupt, so they often don’t get enough space to erupt. The characteristics of impacted M3 teeth can be different for each person. This study aims to provide a description of maxillary M3 impaction based on age, sex, classification, treatment, and anesthesia in Bandung City population. Method: This was a descriptive study using secondary data from medical records and panoramic radiographs at RSGM UNPAD with a purposive sampling technique. Determination of the characteristic impaction using a classification based on Archer, Shiller, Jung and Cho, and Killy and Kay, analyzed with ImageJ software by interobserver and intraobserver, and tested using Kappa statistics for reliability.Result: There were 134 impacted teeth from 102 impacted patients with 67 females (66.34%) and most cases occurred in 17-25 years old (60.4%); Class B, 82 cases (60.9%); distoangular angulation, 76 cases (56.72%); Class 3, 76 cases (52.24%); and one fused roots, 83 cases (64.93%). The most common procedure performed was odontectomy (87.25%) with local anesthesia (63.73%)Conclusion: Characteristics of upper M3 impaction in terms of position, angulation, and its relation to age and sex is needed for the diagnosis, so the management plan by the clinician is better and safer. Panoramic radiography can still be used to determine classification and diagnosis in preparing a treatment plan even though it has limitations.

ANALYSIS OF DENTIGEROUS CYST, AMELOBLASTOMA, AND ODONTOGENIC KERATOCYST PANORAMIC RADIOGRAPH AND CBCT: A SCOPING REVIEW Monica Siregar; Suhardjo Sitam; Yurika Ambar Lita; Indra Hadikrishna
ODONTO : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.0.115-130

Background: The radiographic images similarity of a dentigerous cyst, ameloblastoma, and odontogenic keratocyst can lead to misdiagnosis. The radiographic images of these lesions can be analyzed using panoramic radiographs and CBCT with quantitative and qualitative methods of analysis. The purpose of this study was to find out what radiographic methods is better to used on panoramic radiograph and cbct to analysis these lesions so that the diagnose could be more objective, to determine the characteristics of these lesions, and to determine the use of CBCT and panoramic radiography in establishing radiodiagnosis of these lesions.Method: This research was conducted using a scoping review, through searching for articles related to the research topic in Pubmed, EBSCOHost, and Google Scholar. Result: Fifty-eight studies and case reports were reviewed in this study. This study analyzed these lesions using quantitative methods based on buccolingual size, density, and lesion volume using CBCT. Qualitative methods were used to analyze border and shapes, associations, internal structures, and locations using panoramic radiography and CBCT. Based on the cases studied, size, border, and shape of these lesions were the least optimal characteristics analyzed by panoramic radiography and CBCT.Conclusion: Ameloblastoma has a higher incidence of multilocular forms than OKC and dentigerous cysts and causes tooth resorption, while dentigerous cysts often cause tooth displacement. CBCT can be a gold standard in analyzing dentigerous cyst, ameloblastoma, and odontogenic keratocyst. Analysis of CBCT images could be more objective because it can be carried out using quantitative methods for calculating the density, volume, and size of the buccolingual expansion. Based on the case reports reviewed, size, border, and shape are the least used in determining suspected radiodiagnosis.

Klasifikasi impaksi gigi molar ketiga melalui pemeriksaan radiografi sebagai penunjang odontektomi Yurika Ambar Lita; Indra Hadikrishna
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.v4i1.467

Objectives: Odontectomy is a common procedure in the extraction of third molars. Assessment of the difficulty level of extraction of third molars can be evaluated based on the classification of impaction. This article aims to discuss how the classification of impaction in third molars evaluates the difficulty of odontectomy treatment through radiographic examination. Literature Review: Literature search was carried out from various electronic databases with article inclusion criteria that discussed the validity of third molar impaction classification through radiography. Conclusion: Based on the findings of this review, it can be concluded that various stratified classifications are suggested as index that can be considered and recommended in the assessment of the difficulty level of third molar odontectomy.

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

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.

Analisis gambaran radiologis suspek ameloblastoma tipe solid pada radiograf CBCT 3D Farina Pramanik; Lusi Epsilawati; Yurika Ambar Lita; Erna Herawati
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.v3i2.492

Objectives: The aim of this case report is to provide further information on the radiological features of a solid type ameloblastoma suspected on a 3D CBCT radiograph. Case Report: A patient came referred by a dentist for CBCT 3D radiography with suspected clinical diagnosis of a maxillary anterior dentigerous cyst. The results of the CBCT 3D radiographic examination showed a radiointermediate with a clear border on the anterior maxilla and in the right maxillary sinus accompanied by the impact of two supernumerary teeth. Radiological features of ameloblastoma generally show a multilocular radiolucent picture and have a radiopaque septa bone internal structure such as a soap bubble appearance or honey combed appearance. This case showed a clearly demarcated radiointermediate image because a solid type ameloblastoma contains tissue that is histologically formed from cells hat are follicular or plexiform and derived from the results of a degenerative process at the center of the Langerhans islands. Conclusion: Radiographic examination with high modality such as CBCT 3D is very important in helping to establish a diagnosis, especially for cases that sometimes show differences in the radiographs.

SPATIAL ABILITY IN MEDICAL AND DENTAL EDUCATION: SCOPING REVIEW Nabilla Riadi Nur Ramadhani; Dani Rizali Firman; Erli Sarilita; Yurika Ambar Lita
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 3 (2022): September
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.67176

Background: the ability to mentally manipulate 3D objects and understanding the relationships between structures is essential in many fields of medical and dental specialties. This scoping review of the literature on spatial ability in medical and dental education was conducted to provide a map of the literature and identify where gaps still exist for future research.Methods: the study was conducted using a scoping review method with guidelines from the Arksey and O'Malley framework to identify literatures related to the research topic. Searches was performed from February to May 2021 in PubMed, Cochrane, CINAHL and Google Scholar using keywords related to spatial ability, medical education and dental education. Literatures was also identified using snowballing technique. PRISMA-ScR analysis for study selection was performed.Results: fifteen articles were selected for review. Spatial ability correlates with performance in studying anatomical knowledge of medicine and dentistry, and surgery. 3D anatomical models are more effective when conveying complex spatial relationships than traditional 2D models. The Mental Rotation Test (MRT) is the most widely used test for measuring spatial abilities. The results of the measurement of spatial ability showed the superiority of males over females.Conclusion: spatial ability and learning in medical and dental education provide mutual benefits for both aspects. Additional spatial abilities module may be added to medical and dental education curricula to improve learning success

CHARACTERISTICS OF UPPER THIRD MOLAR IMPACTION IN BANDUNG CITY POPULATION Alifya Fahira; Indra Hadikrishna; Lucky Riawan; Yurika Ambar Lita
Odonto : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: The third molars (M3) are the most frequently impacted teeth because they are the last to erupt, so they often don’t get enough space to erupt. The characteristics of impacted M3 teeth can be different for each person. This study aims to provide a description of maxillary M3 impaction based on age, sex, classification, treatment, and anesthesia in Bandung City population. Method: This was a descriptive study using secondary data from medical records and panoramic radiographs at RSGM UNPAD with a purposive sampling technique. Determination of the characteristic impaction using a classification based on Archer, Shiller, Jung and Cho, and Killy and Kay, analyzed with ImageJ software by interobserver and intraobserver, and tested using Kappa statistics for reliability.Result: There were 134 impacted teeth from 102 impacted patients with 67 females (66.34%) and most cases occurred in 17-25 years old (60.4%); Class B, 82 cases (60.9%); distoangular angulation, 76 cases (56.72%); Class 3, 76 cases (52.24%); and one fused roots, 83 cases (64.93%). The most common procedure performed was odontectomy (87.25%) with local anesthesia (63.73%)Conclusion: Characteristics of upper M3 impaction in terms of position, angulation, and its relation to age and sex is needed for the diagnosis, so the management plan by the clinician is better and safer. Panoramic radiography can still be used to determine classification and diagnosis in preparing a treatment plan even though it has limitations.

ANALYSIS OF DENTIGEROUS CYST, AMELOBLASTOMA, AND ODONTOGENIC KERATOCYST PANORAMIC RADIOGRAPH AND CBCT: A SCOPING REVIEW Monica Siregar; Suhardjo Sitam; Yurika Ambar Lita; Indra Hadikrishna
Odonto : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: The radiographic images similarity of a dentigerous cyst, ameloblastoma, and odontogenic keratocyst can lead to misdiagnosis. The radiographic images of these lesions can be analyzed using panoramic radiographs and CBCT with quantitative and qualitative methods of analysis. The purpose of this study was to find out what radiographic methods is better to used on panoramic radiograph and cbct to analysis these lesions so that the diagnose could be more objective, to determine the characteristics of these lesions, and to determine the use of CBCT and panoramic radiography in establishing radiodiagnosis of these lesions.Method: This research was conducted using a scoping review, through searching for articles related to the research topic in Pubmed, EBSCOHost, and Google Scholar. Result: Fifty-eight studies and case reports were reviewed in this study. This study analyzed these lesions using quantitative methods based on buccolingual size, density, and lesion volume using CBCT. Qualitative methods were used to analyze border and shapes, associations, internal structures, and locations using panoramic radiography and CBCT. Based on the cases studied, size, border, and shape of these lesions were the least optimal characteristics analyzed by panoramic radiography and CBCT.Conclusion: Ameloblastoma has a higher incidence of multilocular forms than OKC and dentigerous cysts and causes tooth resorption, while dentigerous cysts often cause tooth displacement. CBCT can be a gold standard in analyzing dentigerous cyst, ameloblastoma, and odontogenic keratocyst. Analysis of CBCT images could be more objective because it can be carried out using quantitative methods for calculating the density, volume, and size of the buccolingual expansion. Based on the case reports reviewed, size, border, and shape are the least used in determining suspected radiodiagnosis.

Perbedaan densitas email normal dengan email yang diremineralisasi secara in vitro menggunakan sediaan NaF, CPP-ACP, dan karbonat apatit: studi eksperimental Paquita, Elissa; Hidayat, Opik Taofik; Fatriadi, Fajar; Lita, Yurika Ambar
Padjadjaran Journal of Dental Researchers and Students Vol 7, No 2 (2023): Juni 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v7i2.44293

ABSTRAKPendahuluan: Penurunan densitas gigi terjadi ketika komponen mineral dalam gigi mengalami demineralisasi akibat asam organik yang menempel pada permukaan gigi. Hal ini dapat menyebabkan terjadinya karies gigi yang sampai sekarang masih menjadi masalah kesehatan gigi di sebagian besar Negara. Penelitian ini bertujuan menganalisis perbedaan densitas jaringan email normal dengan hasil tindakan remineralisasi secara in vitro menggunakan sediaan NaF, CPP-ACP, dan karbonat apatit pada sampel gigi premolar rahang atas yang telah didemineralisasi buatan. Metode: Jenis penelitian eksperimental murni menggunakan tiga puluh gigi premolar rahang atas yang dipotong di CEJ untuk menyisakan bagian mahkota. Sampel ditanam tegak lurus pada kubus akrilik berukuran 2x2 cm. Demineralisasi buatan dilakukan dengan cara merendam sampel di larutan asam sitrat 1% selama 24 jam. Sampel kemudian dibagi secara acak menjadi tiga kelompok dengan masing-masing berisi 10 sampel yang akan dioles menggunakan NaF, CPP-ACP, dan karbonat apatit dan dibiarkan selama 4 menit. Tindakan remineralisasi diulang selama 28 hari. Radiografi periapikal digunakan untuk melihat densitas mineral dengan melakukan foto radiografi sampel sebelum demineralisasi, setelah demineralisasi, dan setelah remineralisasi. Hasil foto akan dianalisis densitasnya menggunakan software ImageJ. Hasil: Nilai Rerata densitas email setelah remineralisasi adalah sebesar 10,955%, 12,369%, dan 11.297% untuk bahan NaF, CPP-ACP, dan karbonat apatit secara berurutan. Analisis data dengan uji one-way ANOVA menunjukkan perbedaan yang signifikan (p=0.043). Simpulan: Aplikasi topikal NaF, CPP-ACP, dan karbonat apatit dapat secara signifikan meningkatkan densitas email yang terdemineralisasi melalui proses remineralisasi, dan yang paling baik diantaranya adalah CPP-ACP.KATA KUNCI: remineralisasi, densitas email, NaF, CPP-ACP, karbonat apatit.The difference in density between normal enamel and enamel after in-vitro remineralization using readymade NaF, CPP-ACP, and apatite carbonate: Experimental studyABSTRACTIntroduction: Decrease in tooth density occurs when the mineral components in the teeth experience demineralization due to organic acids that adhere onto the tooth surface. This can lead to dental caries which is still a dental health problem in most countries. This study aims to determine the difference in density between normal enamel and enamel after in-vitro remineralization using readymade NaF, CPP-ACP, and apatite carbonate in maxillary premolar samples that have been artificially demineralized. Methods: The method of this study was pure experimental using thirty maxillary premolars which were cut at the CEJ to leave part of the crown. Samples were planted perpendicularly on 2x2 acrylic cubes. Artificial demineralization was done by immersing samples in 1% citric acid solution for 24 hours. They were then divided randomly into three groups that consists 10 samples each which would be smeared with NaF, CPP-ACP and carbonate apatite and left for 4 minutes. The remineralization action was repeated for 28 days. Periapical radiography was used to see mineral density by performing radiographic photographs of samples before demineralization, after demineralization, and after remineralization. The results will be analyzed for density using ImageJ software. Results: The average values of enamel density after remineralization were respectively 10.955%, 12.369% and 11.297% for NaF, CPP-ACP and carbonate apatite. Data analysis using one-way ANOVA test showed a significant difference (p=0.043). Conclusion: Topical application of NaF, CPP-ACP and carbonate apatite can significantly increase the density of demineralized enamel through remineralization process, with the best being CPP-ACP.KEY WORDS: remineralization, enamel density, NaF, CPP-ACP, carbonate apatite.

Asimetri ketinggian kondilus dan gejala temporomandibular disorder pada pasien edentulous: studi observasional Amara, Rauzanya; Sam, Belly; Lita, Yurika Ambar
Padjadjaran Journal of Dental Researchers and Students Vol 7, No 3 (2023): Oktober 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v7i3.48118

ABSTRAKPendahuluan: Asimetri kondilus merupakan keadaan terjadinya disproporsi ketinggian vertikal kondilus kiri dan kanan. Edentulisme, atau keadaan hilangnya gigi, dapat mengganggu fungsi mastikasi, estetik, dan bicara. Migrasi patologis gigi yang disebabkan oleh kehilangan gigi dapat menyebabkan maloklusi, yang selanjutnya memberikan beban berlebih pada TMJ. Beban berlebih telah dihubungkan dengan perbedaan morfologi kondilus kanan dan kiri. Peneliti belum banyak menemukan publikasi mengenai hubungan edentulous dengan asimetri kondilus. Penelitian ini bertujuan untuk mengetahui asimetri kondilus serta gejala TMD pada pasien edentulous. Metode: Penelitian observasional secara potong lintang dilakukan pada pasien edentulous yang datang ke Instalasi Radiologi RSGM Unpad untuk mengambil foto radiograf panoramik. Pasien diminta untuk mengisi kuesioner pertanyaan TMD-DI dan pertanyaan terkait keterangan edentulous pasien. Radiograf panoramik dilakukan pengukuran menggunakan indeks Habets untuk menentukan ada atau tidaknya asimetri kondilus. Hasil: Hasil kuesioner dan data panoramik digunakan untuk membagi kluster sampel. Data ditampilkan dalam distribusi frekuensi. Didapatkan 54 sampel yang mengalami edentulous parsial pada gigi posterior. Asimetri kondilus ditemukan pada 51.85% sampel. Asimetri kondilus lebih sering ditemukan pada sampel perempuan dan sampel di kelompok usia 50-60 tahun. Berdasarkan variabel edentulous, sampel lebih sering mengalami asimetri kondilus pada kelompok kehilangan 6–10 gigi, sampel dengan kehilangan gigi di 4 kuadran, dan sampel dengan durasi edentulous 3 bulan – 1 tahun. Asimetri kondilus juga lebih sering ditemui pada sampel yang mendapatkan hasil skoring TMD-DI negatif. Simpulan: Asimetri kondilus banyak ditemukan pada pasien edentulous. Pasien edentulous dengan gejala TMD tidak banyak ditemui pada penelitian ini.KATA KUNCI: Asimetri kondilus, edentulisme, TMD, radiografi panoramik, indeks Habets Condylar asymmetry and TMD symptoms in edentulous patients: observational studyABSTRACTIntroduction:Condylar asymmetry refers to a disproportion in the vertical height of the left and right condyles. Edentulism can interfere with mastication, esthetics, and speech function. Pathological migration of teeth caused by tooth loss can lead to malocclusion, further overloading the TMJ. Overload of the TMJ has been associated with differences in the morphology of the right and left condyles. The relationship between condylar asymmetry and edentulism is still a subject that is rarely studied. This study aims to look at the asymmetry of the condyle height in edentulous patients along with TMD symptoms. Methods: A cross-sectional descriptive study was performed on edentulous patients who came to the Radiology Installation of Padjadjaran University Dental Hospital to take a panoramic radiograph. Subjects were asked to fill out a questionnaire. The patients’ panoramic radiograph data was taken to evaluate condylar asymmetry using the Habets asymmetry index. Results:The results of the questionnaire and panoramic data were used to divide the sample clusters. 54 samples with posterior edentulism were obtained. Condylar asymmetry was found more commonly in women and samples aged 50 to 60 years. Based on edentulism, samples with 6 to 10 missing teeth, samples with missing teeth in 4 quadrants, and samples with a duration of edentulism for 3 months - 1 year had more condylar asymmetry. Condylar asymmetry was also more prevalent in samples with negative TMD-DI results. Conclusion:The number of edentulous patients with condylar asymmetry is slightly greater than that with condylar symmetry. Only a few samples displayed TMD symptomsKEY WORDS: Condylar asymmetry, edentulism, TMD, panoramic radiography, Habets index

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