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All Journal Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Annisa Putri
Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Dentistry Energy Health Professions Medicine & Pharmacology Physics

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Comparative analysis of impacted maxillary canine and dentigerous cyst diagnosis using panoramic and CBCT imaging Muhammad Rakhmat Ersyad Muchlis; Annisa Putri; Lusi Epsilawati; Azhari Azhari
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 1 (2022): 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.v6i1.742

Abstract

Objectives: This report is aimed to compare diagnostic accuracy of impacted maxillary canine and dentigerous cyst in determining its dimension and position using panoramic and CBCT (cone beam computed tomography) imaging. Case Report: A 30-year-old woman was referred to Department of Dental and Maxillofacial Radiology with the suspect of upper right impacted canine. She had chief complaint of swelling pain in the palate for ± 3 months. Panoramic showed 13 impacted superiorly to the maxillary sinus and surrounding with a radiolucent lesion attached on cementoenamel junction. However, panoramic has limitations in assessing the labio-palatal position of impacted canine and lesion extension. CBCT revealed the tooth located closer to palate and no sign of direct contact with sinus. The radiolucent lesion has destructed anteroposterior aspect of cortical plate which explain the reason of swelling and pain. Conclusion: Precise dimension and position are important to avoid mistakes since impacted maxillary canine accompanied with dentigerous cyst required invasive management. In our case, panoramic and CBCT contributed to guide the diagnosis and help the referrer determining the exact site of surgery.
Bilateral radicular cyst mimicking dentigerous cyst: a case report Khamila Gayatri Anjani; Annisa Putri; Lusi Epsilawati
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 3 (2022): 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.v6i3.918

Abstract

Objectives: The aim of this case report is to describe radiographically the specific features of periapical cysts to differentiate them from dentigerous cyst lesions despite their similar clinical appearance. Case Report: A 21-year-old female patient came to Dental Hospital in Bandung with a referral for a cone-beam computed tomography (CBCT) examination with a clinical diagnosis of suspected right mandibular dentigerous cyst and left mandibular periapical cyst. The patient said that during the past month, swelling had appeared on both sides of the jaw, which was getting bigger, the pain was intermittent, and it was disturbing when eating. Intraoral examination showed gingival enlargement, muccobucal fold disappeared. Extraoral examination, facial asymmetry was found due to unilateral swelling. Radiographic examinations showed both lesions were oval, unilocular, radiolucent internal structures with an average density of 4.7-32 HU resembling soft tissue density, corticated or radiopaque borders, caused expansion of the mandibular corpus buccally and lingually and to mesial and distal, cortical thinning and displacement of the inferior mandibular canal. Conclusion: Lesions on the jaws have almost the same clinical appearance, but through CBCT examination the type of lesion can be well determined. Periapical cyst lesion with large size has a clinical appearance like dentigerous lesions, but radiographically will show a different specific picture.
Co-Authors Azhari Azhari Khamila Gayatri Anjani Lusi Epsilawati Muhammad Rakhmat Ersyad Muchlis