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CHARACTERISTICS OF RADIOLUCENT LESIONS ASSOCIATED WITH IMPACTED TEETH AT RSGM UNPAD Putri, Jihan Nahdatul; Hadikrishna, Indra; Lita, Yurika Ambar
Dentino: Jurnal Kedokteran Gigi Vol 9, No 2 (2024)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v9i2.20410

Abstract

Background: Impacted teeth occur when teeth fail to erupt or cannot fully erupt along the dental arch in the normal pattern of dental growth. Untreated impacted teeth can cause pain, tooth decay, inflammatory lesions, odontogenic cysts, and tumors. Pathological lesions in impacted teeth that are not clinically visible are usually found on routine radiographic examinations. Panoramic radiography is used as an initial imaging technique to evaluate impacted teeth and associated lesions. Purpose: This study aims to see the characteristics of radiolucent lesions associated with impacted teeth based on panoramic radiographic archives of patients at RSGM Unpad. Methods: This is an observational descriptive study with purposive sampling technique using secondary data of panoramic radiographs from the Dental Radiology Installation RSGM Unpad. The radiographs were inverted to enhance the visualization of characteristics such as location, shape, borders and associations. The data is presented in the table of frequency and distribution. Results: 346 samples of radiolucent lesions associated with impacted teeth were obtained from 8034 impacted teeth. There were 323 (93,4%) pericoronal lesions, 344 (99,4%) monolocular lesions, 218 (63%) had well-defined borders, and 345 (99,7%) lesions caused bone destruction. The prevalence of radiolucent lesions associated with impacted teeth is 4.3%. Conclusion: The characteristics of radiolucent lesions associated with impacted teeth at the Dental Radiology Installation RSGM Unpad most common are pericoronal lesions, monolocular shape, well-defined borders, and the effect on the surrounding structure is bone destruction.Impacted, Panoramic Radiograph, Radiolucent Lesion
Case report: Detection of maxillary sinusitis with inverted impacted teeth using Cone-beam Computed Tomography Damayanti, Merry Annisa; Dhiaulhaq, Rifarana Inayah; Muchlis, Muhammad Rakhmat Ersyad; Epsilawati, Lusi; Sam, Belly; Pramanik, Farina; Lita, Yurika Ambar
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 1 (2024): 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.v8i1.1175

Abstract

Objectives: The aim of this case report is to describe radiographically the specific features of maxillary sinusitis on CBCT radiograph. Case Report: A 20-year-old female patient came to RSGM UNPAD with a consul letter from Oral Surgery specialist for a CBCT radiography examination to see impacted teeth. The results showed radiointermediate images in the maxillary sinus which showed thickening of the sinus mucosa and an inverted impacted teeth on the right maxillary. Conclusion: Maxillary sinusitis could be assessed using extra oral radiography and CBCT. CBCT examination was used in determining the source of the lesion, the extent of the lesion, and the thickness of the maxillary sinus mucosa.
Correlation between human chronological age and dentin volume of maxillary canine Pandji, Alisha Zuchraini; Lita, Yurika Ambar; Yohana, Winny
Padjadjaran Journal of Dentistry Vol 34, No 3 (2022): November 2022
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no3.43211

Abstract

ABSTRACTIntroduction: One of the identification methods in forensic odontology is to estimate age through tooth characteristics. With age, odontoblast cells that line the pulp cavity will continue the process of secondary dentin deposition at a lower rate. Generally, maxillary canines are teeth that can survive in the oral cavity until old age and are less likely to wear out. This study aimed to determine the correlation between human chronological age and the dentin volume of the maxillary canines using CBCT radiographs. Methods: An analytic study of the Pearson correlation test was conducted on 114 samples of CBCT radiographs of the maxillary canines from the Radiology Unit of the Rumah Sakit Gigi dan Mulut, Faculty of Dentistry, Universitas Padjadjaran. The inclusion criteria for this study were canines with closed apex, no caries, no attrition, no restorations, no orthodontic treatment, and generally good health. Maxillary canine dentin volume was measured using the application ITK-SNAP version 3.8.0. The results of dentin volume were analyzed using the Pearson correlation test using SPSS IBM Statistics 25. Results: Pearson correlation analysis showed the correlation coefficient value (r= 0.270 and (r = 0.427) for the male and female samples, respectively. Conclusion: The correlation between chronological age and maxillary canine dentin volume in this study was not strong enough to be used as a single parameter in the age estimation method. Future research is expected to expand the sample size with a homogenous age distribution to obtain more consistent and accurate results.Keywords: age estimation; dentin volume; maxillary canines; ITK-SNAP; CBCT.
Human age estimation based on pulp volume of canines for chronological age estimation: Preliminary research Hidayat, Septian Rahmat; Oscandar, Fahmi; Malinda, Yuti; Sasmita, Inne Suherna; Dardjan, Murnisari; Murniati, Nani; Lita, Yurika Ambar
Padjadjaran Journal of Dentistry Vol 30, No 3 (2018): November 2018
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.681 KB) | DOI: 10.24198/pjd.vol30no3.19302

Abstract

Introduction: Age estimation has an important role in the process of human identification and needs to be performed in an efficient, fast, and accurate ways. Age estimation based on the pulp cavity volume of canines was referring to the theory stated that the apposition of secondary dentine during human life could be determined as an age indicator. This study was aimed to estimate the human age based on the pulp volume of canines for chronological estimation. Methods: Forty-one canine teeth from Cone Beam Computed Tomography (CBCT) 3D image sample from Dental Hospital of the Faculty of Dentistry Universitas Padjadjaran segmented into dental pulp and enamel were prepared for measurement of pulp volume using the ITK SNAP volumetric software. Descriptive analysis of pulp volume and regression equations were generated from regression analysis of pulp volume and tested for age estimation. Result: Dentine thickness was found to be increased from adolescence age range until adulthood age range. Logarithmic regression between pulp volume was statistically significant (p < 0,001). The coefficient of determination (R2) was 0.753 with a standard deviation of 8.421. Mathematics model for estimating age was: Age = 79.523 – (18.194 x ln(Pulp Volume)). The pulp cavity and dentine thickness were decreasing along the age. The same equation was also used in the same sample. There were several differences between chronological age and estimated age approximately 8.4 years following the regression result of R2 (75.3%). The rest of the sample (24.7%) have a big difference, and this could be affected by modifying variables such as occlusal force and human error measurement procedures. Conclusion: The human age can be estimated by the pulp volume of canines.Keywords: Age estimation, pulp volume, canine, ITK-SNAP, CBCT.
Diagnosis determination of chronic periapical abscess case using imaging radiography software and microbiological examination in female patients Prisinda, Diani; Malinda, Yuti; Lita, Yurika Ambar; Tjahajawati, Sri
Padjadjaran Journal of Dentistry Vol 31, No 1 (2019): March 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7429.37 KB) | DOI: 10.24198/pjd.vol31no1.15974

Abstract

Introduction: Diagnosis determination of chronic periapical abscess can be achieved by subjective, objective, and other examination such as radiographic and microbiological examination based on clinical finding and differences intensity at the periapical area with healthy bone suspected to be chronic abscess periapical. A microbiological examination performed to obtain the predominant bacteria that involved to determine an adequate medicament to succeed endodontic treatment. This study was aimed to compare intensity abscess lesion segmentation image reconstruction and surrounding bone for determine the diagnosis of periapical abscess more accurately and to determine the characteristic of bacteria colony from a periapical abscess tooth. Methods: The study sampling method was consecutive sampling (6 female) consisted of inclusion criteria patient with a periapical lesion in anterior maxillary that diagnosed based on clinical signs and symptoms. CBCT 3D scan of the maxillofacial region taken from of patients was measured image intensity periapical lesion and surrounding bone using semi-auto segmentation with ITK-SNAP 3.6.0. Samples from the root canals taken using three sequential sterile paper points. The samples were plated, and microorganisms were then isolated and identified by the colony characteristics. Results: There was a significant difference between the mean content of lesion intensity of (n = 6,256.710 ± 81.930 and 636.022 ± 79.981 lesion boundary. The two-tailed p-value = 0.0050, this difference was considered to be very statistically significant. The mean of group lesion minus group surrounding bone equals to 163.715. 95% confidence interval of this difference from 75.542 to 251.888. Conclusions: Demineralisation of periapical bone can be determined by voxel intensity value in CBCT 3D radiograph using semi-auto segmentation ITK SNAP, could be recommended as a quantitative interpretation for detection periapical lesion and chronic periapical abscesses is a poly-microbial disease. Keywords: Chronic periapical abscess, endodontic, microbiology, radiograph CBCT
Impacted Lower Third Molar Profile at Dental Hospital of Padjadjaran University Akbar, Muhammad Fauzi; Hadikrishna, Indra; Riawan, Lucky; Lita, Yurika Ambar
Journal of Indonesian Dental Association Vol 5 No 2 (2022): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v5i2.902

Abstract

Introduction: Impacted teeth are teeth that erupt incompletely in the normal eruption period. This situation can be caused by hard or soft tissue obstructions or a lack of arch jaw. Objectives: This study aimed to determine the impacted lower third molar teeth profile by age, sex, class, angulation, treatment, and anesthesia at RSGM UNPAD in 2017-2019. Methods: The study was conducted from February 8, 2020, to March 8, 2020. The study represents the impacted lower third molar teeth profile of patients referred to Outpatient Installation, Central Surgical Installation, and the Radiology Installation. Classification of tooth impaction was based on Pell & Gregory and Winter classifications using ImageJ application, while Intraclass Correlation Coefficient (ICC) was used to confirm data validity. Results: There were 146 impacted dental cases, with a total case of 62 (42.5%) for males and 84 (57.5%) for females. Most impacted teeth occurred in the 12-25 years age group up to 72 (49.3%). A total of 177 impacted teeth mostly occurred in 48 teeth, as many as 91 (51.4%). Impaction class Pell & Gregory class B with 110 (62.1%) cases were found the most. Based on the anterior border of ramus, class II with 164 (91.1%) cases was found the most. Horizontal (79 cases, 44.6%) became the most frequent angulation. The procedures taken were all odontectomy 177 (100%) with more use of local anesthesia 136 (93.2%) compared to general anesthesia 10 (6.8%). Conclusion: Cases of impacted lower third molar teeth at RSGM UNPAD in 2017-2019, were most common in females and mostly in the 12-25 years age group, with Pell & Gregory class IIB classification and Winter horizontal angulation classification, all procedures performed were odontectomy, majority using local anesthesia.