Articles
<![CDATA[Comparison of panoramic mandibular cortical bone quality indexes in amlodipine users and healthy individuals ]]>
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Lusi Epsilawati]]>;
<![CDATA[Azhari Azhari]]>;
<![CDATA[Suhardjo Sitam]]>
<![CDATA[ Majalah Kedokteran Gigi Indonesia Vol 7, No 1 (2021): April ]]>
Publisher : <![CDATA[Faculty of Dentistry, Universitas Gadjah Mada ]]>
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DOI: 10.22146/majkedgiind.48490
<![CDATA[Hypertension and osteoporosis are believed to be linked to to each other. Previous studies have suggested that the imbalance of calcium metabolism in hypertensive condition and the use of calcium channel blockers such as amlodipine may lower the density and quality of bone. Panoramic radiography has been widely used as a reliable tool in assessing bone quality. One indicator of bone quality in panoramic radiograph is the macrostructure evaluation of mandibular cortical bone by using various indexes such as mandibular cortical index (MCI) and antegonial index (AI). This research aimed to compare the bone quality of hypertensive patients with amlodipine and healthy individuals using MCI and AI. In this study we used sixty panoramic radiographs of hypertensive patients with amlodipine and healthy individuals, thirty for each group, with various aspects of demography. The MCI analysis was done by dividing the mandibular cortical shape into three different qualitative categories and the AI analysis was done quantitatively by measuring the width of mandibular cortical bone in antegonial region using ImageJ software. There were statistically significant differences in the results between the two groups in terms of both AI (p = 0.000) and MCI (p = 0.001) in which hypertensive group had lower score. Based on this research, there were differences of mandibular bone quality of hypertensive patients with amlodipine and healthy individuals, particularly in its macrostructure.]]>
<![CDATA[MANDIBULAR BONE QUALITY OF PANORAMIC RADIOGRAPHS IN HIV-INFECTED CHILDREN ]]>
<![CDATA[Ria Noerianingsih Firman]]>;
<![CDATA[Irna Sufiawati]]>;
<![CDATA[Risti Saptarini Primarti]]>;
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Merry Annisa Damayanti]]>
<![CDATA[ Dentino : Jurnal Kedokteran Gigi Vol 5, No 1 (2020) ]]>
Publisher : <![CDATA[FKG Unlam ]]>
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DOI: 10.20527/dentino.v5i1.8129
<![CDATA[Background: People living with HIV may have several pathologic conditions in its body and bone is one of the organs affected by HIV infection. HIV-infected patients have been associated frequently with osteoporosis and lower bone mineral density (BMD) which may lead to the increasing risk of bone fracture. This situation may become more complicated in children and young age as it will affect the long-term bone quality and development later in life until the peak BMD is reached. Objectives: The aim of this study was to measure the mandibular bone quality using the mandibular cortical index (MCI) and panoramic mandibular index (PMI) in panoramic radiographs of HIV-infected children. Method: This study used descriptive cross sectional research design which analyzed panoramic radiographs of HIV-infected children and measured its mandibular bone quality. Total 43 panoramic radiographs of HIV-infected children were observed and analyzed qualitatively using mandibular cortical index (MCI) and panoramic mandibular index (PMI) were used for the quantitave measurement, as it have been widely used for assesing mandibular bone quality in previous studies. Mandibular cortical index (MCI) has 3 categories of cortical bone quality: C1 (normal cortex), C2 (mildly to moderately eroded cortex), and C3 (severely eroded cortex), while the normal ratio of mental foramen-inferior border of mandible to mandibular cortical length in panoramic mandibuIar index is about 0.3. Result: Mandibular cortical index (MCI) of 43 HIV-infected children consist of 4 samples in C1, 38 in C2, 1 in C3, while the panoramic mandibular index (PMI) of 43 HIV-infected children consist of 23 less than normal, 5 normal, 15 more than normal. Conclusions: The most number of mandibular cortical index (MCI) was C2 (mildly to moderately eroded cortex) and the most number of panoramic mandibular index (PMI) was less than normal of HIV-infected children.]]>
<![CDATA[Gambaran multilokular ameloblastoma dengan pola soap-bubble dan kajian pustaka mengenai variasi gambaran radiografi ameloblastoma ]]>
<![CDATA[Jatu Rachel Keshena]]>;
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Azhari Azhari]]>
<![CDATA[ Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 3 No 2 (2019): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) ]]>
Publisher : <![CDATA[Ikatan Radiologi Kedokteran Gigi Indonesia ]]>
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DOI: 10.32793/jrdi.v3i2.489
<![CDATA[Objectives: Ameloblastoma is classified as unicystic, multicystic and solid based on its characteristic. This article is aimed to report a case of ameloblastoma in posterior mandibula, analyze its radiographic appearance and emphasize on describing its other available variations. Case Report: A 39-years-old male patient came to Dadi Keluarga Hospital Purwokerto with complaint of swelling on the posterior lower jaw. The swelling was painless and has been felt since 4 years ago. Asymmetrical face was discovered. On panoramic radiograph, a well-defined radiolucent mass appears with radiopaque septation in the posterior region, the teeth were depressed, the lesion has expanded to the left coronoid process and mandibular notch. Conclusion: Based on panoramic radiographic examination the image of ameloblastoma in this case is seemed as multilocular in the posterior region, expanding to the left posterior and imaging of multilocular ameloblastoma on the left posterior region showing destruction of coronoid process and mandibular notch with soap-bubble pattern.]]>
<![CDATA[Gambaran border dan periosteal reaction lesi rahang pada radiograf ]]>
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Farina Pramanik]]>;
<![CDATA[Azhari Azhari]]>;
<![CDATA[Lusi Epsilawati]]>
<![CDATA[ Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 1 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) ]]>
Publisher : <![CDATA[Ikatan Radiologi Kedokteran Gigi Indonesia ]]>
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DOI: 10.32793/jrdi.v4i1.477
<![CDATA[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.]]>
<![CDATA[Benign tumor finding in Temporomandibular Joint: Cone Beam CT application and radiographical features of suspected condylar osteochondroma ]]>
<![CDATA[Indri Kusuma Dewi]]>;
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Lusi Epsilawati]]>
<![CDATA[ Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 1 (2021): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) ]]>
Publisher : <![CDATA[Ikatan Radiologi Kedokteran Gigi Indonesia ]]>
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DOI: 10.32793/jrdi.v5i1.677
<![CDATA[Objectives: This case report is aimed to present a finding of a benign tumor at the Temporomandibular Joint (TMJ) area involving the condylar head of the mandible that radiographically showed the typical features of osteochondroma using and emphasizing on the application of Cone Beam CT (CBCT) imaging. Case Report: A 24-year-old female patient came to the Radiology Department of Unpad Dental Hospital as referred from her previous dental surgeon to get CBCT examination of her entire right side of mandible with a provisional diagnosis of mandibular hyperplasia. Conclusion: Osteochondroma and condylar hyperplasia are often clinically difficult to differentiate, CBCT imaging can easily distinguish the enlargement of condylar head in condylar hyperplasia with irregular condylar mass and altered trabecular pattern in osteochondroma. CBCT may be helpful in establishing the diagnosis of condylar tumors originating from bone.]]>
<![CDATA[An uncovered extensive fusion of two separated periapical lesions in CBCT imaging: the importance of multiplanar radiographic appraisal ]]>
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Norlaila Sarifah]]>;
<![CDATA[Eha Renwi Astuti]]>
<![CDATA[ Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 1 (2022): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) ]]>
Publisher : <![CDATA[Ikatan Radiologi Kedokteran Gigi Indonesia ]]>
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DOI: 10.32793/jrdi.v6i1.751
<![CDATA[Objectives: This report is aimed to present a case of an uncovered fusion of two seemingly separated periapical rarefying osteitis lesions on two adjacent teeth through Cone Beam Computed Tomography (CBCT) imaging and to describe the significance of a comprehensive multiplanar appraisal in interpreting CBCT radiographs. Case Report: An 18-year-old female patient came to Universitas Airlangga Dental Hospital for a CBCT examination of her right central maxillary incisor (tooth 11) as referred by her dentist. Based on the clinical report provided, the patient had a slight palpable swelling of the labial gingival anterior maxilla with sign of crepitus. Caries lesions were found on teeth 11 and 12 in which the vitality tests showed negative responses. Thus, it was provisionally suspected as a periapical inflammatory lesion. CBCT was done and the 3D-reconstructed images of the bone showed there were two neighboring radiolucent ovoid lesions attached on one-third apical of teeth 11 and 12, separated by a firm-apparent cortex. It was later discovered that the two lesions were actually fused as one elongated and extensive lesion through the multiplanar appraisal of three orthogonal views provided in CBCT application. Conclusion: CBCT 3D-reconstructed and panoramic reformatted images should be used with caution, either for linear measurement or diagnostic purposes, as they should only be used to illustrate the diagnosis and/or provide a better understanding of the problem to the patients and their treatment plans. A comprehensive multiplanar appraisal is required to provide a diagnostically complete interpretation.]]>
<![CDATA[Gambaran squamous cell carcinoma posterior mandibula pada radiograf panoramik ]]>
<![CDATA[Gunawan Gunawan]]>;
<![CDATA[Ria Noerianingsih Firman]]>;
<![CDATA[Farina Pramanik]]>;
<![CDATA[Aga Satria Nurrachman]]>
<![CDATA[ Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 1 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) ]]>
Publisher : <![CDATA[Ikatan Radiologi Kedokteran Gigi Indonesia ]]>
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DOI: 10.32793/jrdi.v4i1.479
<![CDATA[Objectives: This study is aimed to report a case of mandibular left posterior squamous cell carcinoma on panoramic radiographs. Case Report: A 61 years male patient came to the RSGM UNPAD Radiology Installation carrying a referral letter to have panoramic examination. The patient had his molars extracted one year ago, but then six months later he complained of swelling. Since one week ago he has been feeling pain and difficulty opening my mouth, premedication of amoxicillin and paracetamol has been given. Extra oral examination showed facial asymmetry, swelling, intra-oral examination of swelling, redness accompanied by ulceration. A panoramic radiograph showed loss of left molar teeth, radiointermediate area in the left posterior region of the mandible ± 5 cm, radiolucent ill-defined non-corticated, irregular in the posterior mandibular body. Conclusion: Panoramic radiographs can be used as a supportive examination of SCC cases which show the presence of an ill-defined non-corticated radiointermediate area, irregular bone invasion]]>
<![CDATA[Paradigma baru konsep proteksi radiasi dalam pemeriksaan radiologi kedokteran gigi: dari ALARA menjadi ALADAIP ]]>
<![CDATA[Fadhlil Ulum Abdul Rahman]]>;
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Eha Renwi Astuti]]>;
<![CDATA[Lusi Epsilawati]]>;
<![CDATA[Azhari Azhari]]>
<![CDATA[ Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 2 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) ]]>
Publisher : <![CDATA[Ikatan Radiologi Kedokteran Gigi Indonesia ]]>
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DOI: 10.32793/jrdi.v4i2.555
<![CDATA[Objectives: This article is aimed to widely share information and discuss further about the emerging transformation theories of the traditional radiation protection concept of ALARA into some more modern proposed concepts, particularly in dentomaxillofacial radiology. Literature Review: The concept of radiation protection in the use of X-ray modalities in the medical field has developed along with the development of science over past decades. The concept of ALARA which has been widely known for a long time and is used as a basic of theory or main reference in radiation protection policies in several countries or at the international level now becomes a traditional, conservative and invalid principle to apply. There are several emerging theories which are considered to be more valid and representative to replace the ALARA principle. Conclusion: Newer concepts of radiation protection that have developed, ALADAIP, are considered to be more precise and specific to be the main principle of radiation protection at this time, especially in the field of dentomaxillofacial radiology.]]>
<![CDATA[Bentuk dan posisi kondilus sebagai marker pada Temporomandibular Disorder (TMD) melalui radiografi panoramik ]]>
<![CDATA[Khamila Gayatri Anjani]]>;
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Fadhlil Ulum Abdul Rahman]]>;
<![CDATA[Ria Noerianingsih Firman]]>
<![CDATA[ Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 3 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) ]]>
Publisher : <![CDATA[Ikatan Radiologi Kedokteran Gigi Indonesia ]]>
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DOI: 10.32793/jrdi.v4i3.609
<![CDATA[Objectives: The purpose of writing this literature review is to describe the condyle shape and position parameters in panoramic radiographs to be used as markers in diagnosing a TMD case. Literature Review: There are several classifications of both normal and pathological condyles in terms of panoramic radiographs, however these require more detailed observation. Panoramic radiographs that are only two-dimentional and only performed when the teeth are biting edge to edge so that they only show the position of the condyle movement and the shape of the condyle from the lateral view. Panoramic radiograph also have limitations in imaging soft tissues such as articular disc which are vital anatomy in analyzing a TMD case. Conclusion: Assessment of the shape and position of the condyles on a panoramic radiograph can be used as an early diagnosis of TMD. 2-dimensional modalities such as TMJ conventional lateral and frontal or 3-dimensional modalities such as CBCT or CT can be used for further assessment of a TMD case, while MRI or ultrasound can be used for soft tissue abnormalities.]]>
<![CDATA[Penilaian kualitas kortikal mandibula pasien diabetes mellitus tipe 2 dengan analisis radiomorfometrik pada radiograf panoramik ]]>
<![CDATA[Annisa Putri]]>;
<![CDATA[Aga Satria Nurrachman]]>;
<![CDATA[Lusi Epsilawati]]>;
<![CDATA[Azhari Azhari]]>
<![CDATA[ Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 1 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) ]]>
Publisher : <![CDATA[Ikatan Radiologi Kedokteran Gigi Indonesia ]]>
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DOI: 10.32793/jrdi.v4i1.463
<![CDATA[Objectives: This research aims to evaluate radiological finding on bone of patients with T2DM (type 2 Diabetes Mellitus) by evaluating mandibular cortical quality using radiomorphometric assessment specifically MCI (Mandibular Cortical Index) and AI (Antegonial Index). Material and Methods: This research is a descriptive analytic cross-sectional study, populations and samples using secondary data radiographs of T2DM patients that have been proven by medical statement from a doctor and normal sample were selected according to specified criterias. Results: It showed between group consisting of patients with T2DM and another one with normal patients, both have dominant result of MCI assessment type C2. While the result of Antegonial Index assessment there were a difference of cortical thickness between two groups. The average AI value from normal patients were 4,179 with standard deviation of 0.420, while another group with T2DM were 3,641 with standard deviation of 0.477. Conclusion: Based on the results of the study, it was found that there has been a significance difference of cortical bone qualities between two groups of samples which can be seen from the result of Antegonial Index, a T2DM patients has average values lower than normal patients, while for the results of MCI assessment between two groups have similar types.]]>
