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Aspek radiografis dan biologis tulang dalam penilaian kualitas tulang pada osteoporosis Lita, Yurika Ambar; Azhari, Azhari; Firman, Ria Noerianingsih; Epsilawati, Lusi; Pramanik, Farina
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

Abstract

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.
CBCT analysis in osteoradionecrosis case followed by hyperbaric oxygen treatment (a case study) Epsilawati, Lusi
Journal of Dentomaxillofacial Science Vol. 1 No. 1 (2016): (Available online: 1 April 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v1i1.28

Abstract

Osteoradinecrosis is an infectious disease and inflammation that occurs in the jaw after doing radio therapy. Radiographic picture of the disease is visible lesions lucent extensive radio in the jaw. In Clinical condition, seen fistula and abscess in the jaw. One therapy for the treatment of this condition is the Hyperbaric Oxygen. The purpose of this paper is to look casereport work hyperbaric oxygen therapy in treating osteoradionecrosis. Patient age55-year-old, woman, came with complaints of pain in  left and right lower jaw, since one month ago, after doing radiotherapy for 6 months. Patients diagnosed osteoradionecrosis. for the healing, selected medical therapy and patients are advised for doing oxygen hyperbaric therapy in AL Minto Harjo hospital Jakarta. One month after doing hyperbaric oxygen therapies seen change and healing. Lesions that form still has the same broad but disappeared fistula, abscess dries, necrotic tissue disappeared / reduced as well as the formation of new bone matrix. As conclusion, , obviously able to heal lesions caused osteomielitys oxygen therapy hyperbaric osteoradionecrosis.
Gambaran border dan periosteal reaction lesi rahang pada radiograf Nurrachman, Aga Satria; Pramanik, Farina; Azhari, Azhari; Epsilawati, Lusi
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

Abstract

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.
Normal, inflammation and necrosis pulp radiograph image using 3D cone beam computed tomography Pramanik, Farina; Firman, Ria Noerianingsih; Oscandar, Fahmi; Epsilawati, Lusi
Padjadjaran Journal of Dentistry Vol 28, No 2 (2016): July 2016
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.253 KB) | DOI: 10.24198/pjd.vol28no2.13720

Abstract

Introduction: Abnormalities of the dental pulp can have several different diagnoses. Therefore, the dental pulp characteristics must be known in more detail and clear so that diagnosis be established more precisely and accurately.  One characteristic of the pulp can be seen from the density value through the 3D Cone Beam Computed Tomography (3D CBCT). Methods: The study  was  conducted  with  a  simple  descriptive  method.  The population is all the data 3D CBCT of patients who visited the Universitas Padjadjaran Dental Hospital (RSGM Unpad) in 2012. Samples of the research were 75 pulps  with normal, inflammation, and necrosis conditions and calculate the average density value. Results: Density values for dental pulps in the normal teeth between 465 - 775 HU, the inflammation teeth between 243.5 - 396 HU, and necrosis teeth between - 461.5 - -170 HU. Conclusion: There are differences in dental pulp density between the normal pulp, inflammation and necrosis through 3D CBCT.
Normal, inflammation and necrosis pulp radiograph image using 3D cone beam computed tomography Pramanik, Farina; Firman, Ria Noerianingsih; Oscandar, Fahmi; Epsilawati, Lusi
Padjadjaran Journal of Dentistry Vol 28, No 2 (2016): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.253 KB) | DOI: 10.24198/pjd.vol28no2.13720

Abstract

Introduction: Abnormalities of the dental pulp can have several different diagnoses. Therefore, the dental pulp characteristics must be known in more detail and clear so that diagnosis be established more precisely and accurately.  One characteristic of the pulp can be seen from the density value through the 3D Cone Beam Computed Tomography (3D CBCT). Methods: The study  was  conducted  with  a  simple  descriptive  method.  The population is all the data 3D CBCT of patients who visited the Universitas Padjadjaran Dental Hospital (RSGM Unpad) in 2012. Samples of the research were 75 pulps  with normal, inflammation, and necrosis conditions and calculate the average density value. Results: Density values for dental pulps in the normal teeth between 465 - 775 HU, the inflammation teeth between 243.5 - 396 HU, and necrosis teeth between - 461.5 - -170 HU. Conclusion: There are differences in dental pulp density between the normal pulp, inflammation and necrosis through 3D CBCT.
Analisis gambaran histogramdan densitas kamar pulpa pada gigi suspek pulpitis reversibel dan ireversibel dengan menggunakan radiografi cone beam computed tomography (Histogram and density analysis of irreversible and reversible pulpitissuspected tooth using cone beam computed tomography radiography) Epsilawati, Lusi; Sitam, Suhardjo; Belly, Sam; Oscandar, Fahmi
Journal of Dentomaxillofacial Science Vol. 13 No. 2 (2014): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v13i2.401

Abstract

Inflammation of the pulp is most common and difficult to diagnose. For it radiographs is necessary. One attempt to do is to assess its histogram and density. Radiography equipment that has the ability to analyze is cone beam computedtomography (CBCT). The purpose of this study is to analyze radiograph of the pulp chamber histogram: peak value,grayscale and trends, as well as the density on the condition reversible and irreversible pulpitis condition. The populationof this descriptive study is secondary data of CBCT-3D radiographs during 2012-2013. Selected sample of 75 data isreversible pulpitis, irreversible pulpitis 80 data, as well as 20 normal condition data as control. Data were analyzed byone way ANOVAand are presented in tables and graphs. The results showed that the value of the histogram under normalconditions showeda different significance for both the peak value of the reversible or irreversible pulpitis (p= 0.01). It isdifferent with a grayscale value, showed no significant different between normal with reversible pulpitis (p =0.997) and significantly different between normal and pulpitis reversible against pulpitis irrebversible (p= 0.03-0.01). There is a growing trend change is on the right direction of reversible and irreversible pulpitis. It was concluded that the irreversiblepulpitis, density and histogram shows the direction of more luscent compared with normal and reversible pulpitisconditions.
Correlation between mandibular length and third molar maturation based on their radiography appearances Pramatika, Berty; Azhari, Azhari; Epsilawati, Lusi
Padjadjaran Journal of Dentistry Vol 30, No 2 (2018): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.21 KB) | DOI: 10.24198/pjd.vol30no2.18331

Abstract

Introduction: Growth and development is a dynamic process that is influenced by many factors, this is why children of the same age do not have the same growth rate, therefore growth can not  be evaluated only by chronological age, but also by maturation skeletal and dental. Previous research has shown a strong relationship between mandibular length and Cervical Vertebral Maturation (CVM). The aim of the present study was to determine the correlation between mandibular length and mandibular third molar maturation using panoramic radiograph. Methods: This research is an observational analytic cross sectional study. Total 412 panoramic radiographs of 207 male and 205 female aged 9-25 years were evaluated. The mandibular length measured from the point of condylion (Co) to menton (Me). M3 maturation of the mandible was evaluated by Demirjian methods. Results: Spearman non-parametric correlation was used for analysis. A strong correlation was found between mandibular length and third molar development (in males: r=0.705 on the right side and are=0.729 on the left side; in females: are=0.755 on the right side and are=0.707 on the left side) Conclusion: There is a strong correlation between mandibular length and mandibular third molar maturation in both male and female.
Correlation between mandibular length and third molar maturation based on their radiography appearances Pramatika, Berty; Azhari, Azhari; Epsilawati, Lusi
Padjadjaran Journal of Dentistry Vol 30, No 2 (2018): July 2018
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.21 KB) | DOI: 10.24198/pjd.vol30no2.18331

Abstract

Introduction: Growth and development is a dynamic process that is influenced by many factors, this is why children of the same age do not have the same growth rate, therefore growth can not  be evaluated only by chronological age, but also by maturation skeletal and dental. Previous research has shown a strong relationship between mandibular length and Cervical Vertebral Maturation (CVM). The aim of the present study was to determine the correlation between mandibular length and mandibular third molar maturation using panoramic radiograph. Methods: This research is an observational analytic cross sectional study. Total 412 panoramic radiographs of 207 male and 205 female aged 9-25 years were evaluated. The mandibular length measured from the point of condylion (Co) to menton (Me). M3 maturation of the mandible was evaluated by Demirjian methods. Results: Spearman non-parametric correlation was used for analysis. A strong correlation was found between mandibular length and third molar development (in males: r=0.705 on the right side and are=0.729 on the left side; in females: are=0.755 on the right side and are=0.707 on the left side) Conclusion: There is a strong correlation between mandibular length and mandibular third molar maturation in both male and female.
RADIOGRAPHIC FEATURES OF INTERNAL STRUCTURE IN JAW LESIONS (Review article) Sarifah, Norlaila; N.Firman, Ria; Pramanik, Farina; Epsilawati, Lusi
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

Abstract

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.
Temuan abses pada sinus maksilaris paska pemasangan implan gigi melalui Cone Beam Computed TomographyAbscess detection in the maxillary sinus after dental implant placement through the means of Cone Beam Computed Tomography Rachmawati, Noor; Firman, Ria Noerianingsih; Firman, Deddy; P, Sandy; Krisna, Krisna; Epsilawati, Lusi
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 31, No 1 (2019): April 2019
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (957.528 KB) | DOI: 10.24198/jkg.v31i1.21420

Abstract

Pendahuluan: Tindakan implan merupakan salah satu upaya untuk mengganti gigi yang hilang. Pemasangan implan yang baik, mampu memberikan kenyamanan dan aspek estetis yang baik. Pemasangan implan yang penuh dengan resiko dan ketidak hati-hatian pada pemasangan berakibat tidak baik bagi pasien. Tujuan dari penulisan laporan kasus ini adalah untuk melaporkan kasus ketidaknyamanan yang disebabkan timbulnya reaksi inflamasi disertai supurasi pada sinus maksilaris paska pemasangan implan, dan juga untuk melihat kemampuan dari Cone Beam Computed Tomography (CBCT) dalam menganalisa hal tersebut. Laporan  kasus: Perempuan berusia 40 tahun, mengeluhkan adanya rasa tidak nyaman berupa bau mulut dan hidung disertai hidung tersumbat dan pusing kepala. Anamnesa diketahui bahwa pasien telah melakukan pemasangan implan 3 bulan sebelumnya. Pemeriksaan intraoral menemukan adanya implan pada regio posterior, tanpa rasa sakit dan tanda peradangan. Manajemen kasus dilakukan dengan meminta pasien melakukan pemeriksaan CBCT, karena dicurigai rasa tidak nyaman, pusing dan bau disebabkan oleh implan yang saat ini telah terpasang. Setelah dilakukan pemeriksaan CBCT ternyata ditemukan sinus aproksimasi pada ujung implan. Ujung implan masuk ke dalam sinus dengan panjang lebih dari 2 mm. Hal ini menyebabkan infeksi pada dinding sinus dan berkumpulnya nanah pada daerah sinus. Hal ini membuktikan bahwa implan menyebabkan infeksi pada sinus sehingga kasus ini terjadi. Pasien kemudian dirujuk ke bagian bedah untuk dilakukan perbaikan pada implan. Simpulan: Inflamasi sinus disertai supurasi pada sinus maksilaris paska pemasangan dapat terjadi, hal ini terjadi kemungkinan karena respon tubuh terhadap implan yang masuk ke rongga sinus. Analisa dapat dilakukan dengan memanfaatkan radiografi CBCT.Kata kunci: Implan, CBCT, infeksi sinus maksilaris. ABSTRACTIntroduction: Dental implant placement is an attempt to replace missing teeth. Installing the right implant can provide comfort and good aesthetic aspects. However, the installation of implants with full risks and caution will hurt the patient; thus proper planning is needed for implant placement. The purpose of this case report was to report cases of discomfort caused by an inflammatory reaction accompanied by suppuration in the maxillary sinus after implant placement and also to see the ability of Cone Beam Computed Tomography (CBCT) in analysing this. Case report: A 40-years-old woman complains of discomfort in the form of bad breath, nasal congestion, and headache. Anamnesa found that the patient had implant placement 3 months earlier. An intraoral examination found an implant in the posterior region, with no signs of pain and inflammation. Case management was performed by asking the patient to do a CBCT examination due to suspected discomfort, dizziness and bad breath caused by implants that are currently installed. After a CBCT examination found a sinus approximation at the tip of the implant. The tip of the implant goes into the sinus with a length of more than 2 mm. This caused an infection of the sinus wall and the gathering of pus in the sinus area. This proves that the implant caused an infection of the sinuses. The patient was then referred to the surgical section for the implant repairment. Conclusion: Sinus inflammation accompanied by suppuration of the maxillary sinus after installation can be occurred likely due to the body’s response towards the implants entering the sinus cavity. Analysis can be performed using CBCT radiography.Keywords: Implant, CBCT, maxillary sinus infection.