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Aga Satria Nurrachman
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agasatrian@gmail.com
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Ikatan Radiologi Kedokteran Gigi Indonesia Departemen Radiologi Kedokteran Gigi Fakultas Kedokteran Gigi Universitas Padjadjaran Jl. Sekeloa Selatan No. 1, Bandung
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Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
ISSN : 26850249     EISSN : 26861321     DOI : https://doi.org/10.32793/jrdi
Core Subject : Health, Science,
JRDI is designated as a publication platform of scientific knowledge, mainly publishing research articles, case reports, literature reviews and accepting any other kind of evidence-based submissions: systematic reviews, meta-analysis, etc. JRDI receives manuscripts particularly in the area of Dentomaxillofacial Radiology, such as oral and maxillofacial radiology, radiograph interpretation and techniques, radiopathology, radioanatomy, digital radiography, technologies and modalities in radiology, teledentistry, radiation effect and protection.
Articles 158 Documents
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.
Indications for CBCT examination in pediatric patients: a cross-sectional study Arisandy, Marini; Wulansari, Dwi Putri; Rahman, Fadhlil Ulum Abdul
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.v9i1.1276

Abstract

Objectives: This study aims to portray the characteristic of cone beam computed tomography (CBCT) indication on pediatric patients based on age, gender, specialist field, clinical indications, and radiation doses. Materials and Methods: CBCT images of 55 pediatric patients were investigated retrospectively. CBCT images were obtained with three categories field of view (FOV). CBCT indications were categorized as dental anomalies, impacted teeth, orofacial cleft, orthodontic needs, endodontics, osseous pathological lesion, dentoalveolar trauma, and temporo mandibular disorder. The effect of age, sex, and FOV were evaluated. Results: The most common indication for using CBCT is impacted teeth (45%), osseous pathological lesion (17%), and dentoalveolar trauma (11%). There were not significant association between sex, age group, and FOV to CBCT indication. Conclusion: CBCT examination at Dental Hospital of Hasanuddin University is needed in pediatric patients mainly to diagnose oral pathology, impacted teeth, and dentoalveolar trauma. Determining CBCT for pediatric patients should be indicative-oriented suitably with as low as diagnotically achievable being indication-oriented and patient-specific (ALADAIP) principles.
Incidental findings of suspect multiple odontomas and impacted supernumerary teeth on panoramic radiograph: a case report Munasyifa, Tazkia; Pramanik, Farina
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.v9i1.1285

Abstract

Objectives: This case report aimed to describe radiographic features of suspect multiple odontomas in an incidental case. Case Report: A 32-year-old man non syndromic patient was referred to the Dental Radiology Unit of RSGM Unpad for panoramic examination. He was complaining about a pain in lower mandible and was clinically diagnosed with an impacted 48. Radiographic findings appeared irregular radiopaque with radiodensity that resembles enamel and dentin, surrounded by a thin radiolucent capsule in the left and right regions body of the mandible. Additionally, there is radiopaque that resembles a para premolar supernumerary tooth, inferior from the lesion to the mandibular cortical bone. Conclusion: In this case, irregular radiopaque areas with radiodensity that resembles enamel and dentin, surrounded by thin radiolucent capsules, were found as the radiographic features that led the radiodiagnosis of odontomas.
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.
Description of length, height, and mandibular gonial angle of Kennedy classification class I, II, III, and IV patients Z. Paramitha, Andi Irmaya; Sarifah, Norlaila; Wibowo, Diana; Sukmana, Bayu Indra; Azizah, Aulia
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.v9i1.1189

Abstract

Objectives: This study aimed to describe the length, height, and mandibular gonial angle of Kennedy classification class I, II, III, and IV patients using panoramic radiographs at Ulin Regional Hospital and GHA Oral and Dental Hospital Banjarmasin. Materials and Methods: This study was descriptive with a cross-sectional design. Sampling used the purposive sampling technique. The research sample was an archive of digital panoramic radiographs of Ulin Regional Hospital and GHA Oral and Dental Hospital Banjarmasin patients aged 30-70 with Kennedy classification, recorded in the Radiology Installation from January 2018 to January 2024. Results: The results from 108 samples of Kennedy classification patients showed that the smallest length of the mandible on the left and right sides is in class I Kennedy. The measurement of mandibular height at points II-R is the smallest in class IV, and the smallest at III-L is in class II. At point II-R, the smallest mean is in class IV, and the smallest at II-L is in class I. The largest measurement of the gonial angle on the left and right sides is in class IV. Conclusion: The mandibular length most likely to cause the temporomandibular disorder is Kennedy class I on the left side in 18 samples (17%). The height and gonial angle of the mandible that most likely causes temporomandibular disorder are on the right side for height and the left side for gonial angle in Kennedy class IV as many as 18 samples (17%).
Analysis of four periapical inflammatory lesions findings on periapical radiographs: a case report Muchlis, Muhammad Rakhmat Ersyad; Arsyad, M Aksa; Annisa, Nabila Ainun
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.v9i1.1291

Abstract

Objectives: To analyze four periapical inflammatory lesions on periapical radiographs. Case Report: A 20-year-old male patient came to RSIGMP-UMI, the results of the intraoral clinic examination showed that there was a crown restoration in the area of 13 to 23 that the patient had been using since ± 5 years ago. Discussion: Radiographs are a necessary supporting examination, especially after anamnesis and clinical examination for lesions involving bone tissue and its surrounding structure, periapical inflammatory lesions are the most commonly found pathological condition, defined as the local response of the bone around the dental apical. Conclusion: Periapical radiographic examination is very helpful in determining the exact diagnosis and treatment plan as well as evaluating the treatment results of a case, especially in cases of periapical inflammatory lesions.
The role of CBCT in diagnosing and managing cleft lip and palate Anjani, Khamila Gayatri; Rachmawati, Ika; Epsilawati, Lusi; Pramanik, Farina
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.v9i1.1275

Abstract

Objectives: Cleft lip and palate (CLP) are one of the most common types of congenital maxillofacial lesions. Cleft lip and palate patients often deal withspeech, masticatory and hearing problems, dental and craniofacial anomalies, and psychosocial issue. The aim of this study is to determine the role of cone beam computed tomography (CBCT) in diagnosing CLP. Case Report: A 25-year-old female was referred to dentomaxilllofacial radiology department in Universitas Padjadjaran Dental Hospital for a CBCT examination of a cleft palate. Three-dimensional image analysis provides superior and more detailed information compared with conventional plain two-dimensional (2D) radiography, with the added benefit of 3D printing for preoperative treatment planning and regenerative therapy. The result showed a radiolucent area between teeth 21 and 23, agenese teeth 22. These findings led to cleft palate unilateral complete at sinistra region. CBCT imaging provides a detailed picture of the cleft in three dimensions view that can helps for determining the treatment plan based on the classification of cleft lip and palate. Conclusion: Available evidence implies that 3D imaging methods not only can be used for documentation of CLP patients, but also can determining the treatment plan. 3D CBCT radiograph are more informative than conventional 2D.
A case report of odontogenic cyst by CBCT analysis: a calcifying odontogenic cyst or dentigerous cyst? Agustin, Sylvia; Adawiyah, Jumiatul; Pramanik, Farina; Ramadhan, Fahri Reza
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.v9i1.1227

Abstract

Objectives: Odontogenic cysts are pathologic cavities filled with fluid originating from the odontogenic epithelium remnants forming teeth. Dentigerous and calcifying odontogenic cysts are examples of cysts that form during development. Based on how they form, they are one type of odontogenic cyst. Many lesions have similar characteristics, making it challenging to differentiate them. Case Report: An oral surgeon referred a 19-year-old male patient for a CBCT radiographic examination of the maxilla, which revealed a dentigerous cyst in the patient's clinical report. The patient's overall health was delicate. An intraoral examination revealed no edema, symmetrical, painless facial structure, and no clinical signs of periodontal disease nor dental caries. A panoramic radiograph showed a multilocular, well-defined, and corticated radiolucent lesion that made teeth 11–12 and 21–23 shifted. Conclusion: Clinical and imaging variables play essential roles in the diagnosis and differential diagnosis of odontogenic cysts. CBCT radiography could be a suitable modality for diagnosing odontogenic cysts, although histopathology is the gold standard for a definitive diagnosis.