Azhari Azhari
Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132

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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.
CBCT of maxillary central incisor with internal resorption: a case report Khamila Gayatri Anjani; Fahri Reza Ramadhan; Azhari Azhari
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 3 (2021): 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.v5i3.736

Abstract

Objectives: The aim of this case report is to report the radiographic features of an internal resorption in maxillary central incisor and to emphasize the benefits of CBCT in this case. Case Report: A 14-year-old male went to Universitas Padjadjaran Dental Hospital with a discoloration of his fracture upper anterior teeth. The anamnesis revealed that the patient had history of a fall in about 6 years ago. Patient didn’t complain about pain when examination happened and wanted to have his teeth treated. Periapical radiograph showed an internal resorption in maxillary central incisor. Cone beam computed tomography (CBCT) was used to see other findings before determining the treatment plan. Conclusion: Internal resorption gives a characteristic appearance on the radiograph. CBCT modalities provide more information than conventional ones so that the use of this modality is not only to establish a diagnosis, but also can be used in determining the right treatment plan.
Sensitivity of panoramic radiographs in diagnosing maxillary sinusitis: a scoping review Vera Widyastuti; Azhari Azhari; Lusi Epsilawati
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 3 (2021): 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.v5i3.703

Abstract

Objectives: The purpose of this study was to determine the sensitivity of using this panoramic radiograph in diagnosing maxillary sinusitis. Review: Scoping Review with article searches was carried out through NCBI's PubMed database, Science Direct, and EbscoHost from January 2020 to March 2021, with the inclusion criteria being articles published in 2010-2020. Conclusion: Panoramic radiographs were found to be less sensitive for diagnosing maxillary sinusitis, but due to the low availability and accessibility of CBCT and CT, and related to their expensive cost and high radiation, panoramic radiographs are considered to be quite optimal.
Biomarker of buccal mucosa cells damaged after exposure to panoramic radiography: a literature review Dwi Putri Wulansari; Azhari Azhari
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 1 (2021): 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.v5i1.675

Abstract

Objectives: This review aimed to understand the effect of exposure to panoramic radiographs on exfoliated buccal mucosal cells at the cellular level. Review: The dose of radiation exposure in dentistry, both intraoral and extraoral, has been regulated by The National Radiological Protection Board (NRPB). However, even though it is given in small doses, x-ray radiation due to intraoral and extraoral radiographs still has a radiobiological effect on the exposed tissue. The radiobiological effects of X-ray exposure can cause changes in biological molecules, either directly or indirectly, within hours or days. There are two classification of this radiobiological effect, called deterministic and stochastic effect. The deterministic effect occurs when the dose given exceeds the recommended dose by the NRPB, whereas the stochastic effect does not have any threshold that needs to be exceeded to give some adverse impact to the exposed tissue One method used as a predictor or biomarker of genetic damage due to exposure to physical or chemical mutagenic agents in humans is micronucleus (MN). The biomarker for the cell damaged is the change of nucleus shape and outline, called pycnosis, karyolysis, karyorrhexis. Conclusion: The exposed to x-ray from panoramic could induce cell and genetic damaged. Prescription for panoramic radiographic examination in patients should be as effectively as possible according to the principles of ALADA (as low as diagnostically acceptable) to avoid adverse effects on the exposed tissue.
The position of the mental foramen towards the alveolar crest using digital panoramic radiographs Farina Pramanik; Silmina Rukmana; 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.v6i1.851

Abstract

Objectives: The rate of mandibular anesthesia failures is higher than maxilla, where the highest percentage is the inferior alveolar nerve block. One alternative action in case of failure is a mental nerve block, located in the mental foramen. Thus, knowledge of the mental foramen anatomy is required to avoid failure in anesthesia. The study is to determine the vertical and horizontal position of the mental foramen, which refers to the crest of the alveolar bone, using panoramic radiographs. Materials and Methods: The type of research that is used is descriptive with a purposive sampling method. The object of research is panoramic radiographs of patients who are in Dentistry Radiology Installation of Dental Hospital Universitas Padjadjaran, Bandung with a total sample of 352 panoramic radiographs. This research measured the vertical and horizontal distances between the mental foramen to the alveolar bone crest between 1st premolar teeth and 2nd premolar teeth. Results: The average value of the vertical distance mental foramen to the alveolar bone crest is 13,43 mm. The average value of the horizontal distance from mental foramen to 1st premolar teeth is 6,97 mm and the horizontal distance from mental foramen to 2nd premolar teeth is 2,80 mm. Conclusion: Mental foramen is closer to the 2nd premolar teeth based on the horizontal position and located below the apex based on the vertical position.
Analysis of peri-implant tissue post-implantation using periapical radiograph: a scoping review Lazaro Nehemia Benedict Dilens; Azhari Azhari; Farina Pramanik
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.v6i1.739

Abstract

Objectives: This review article is aimed to review various studies evaluating changes in peri-implant height and bone density post-implantation using periapical radiographs. Review: This scoping review was carried out according to Preferred Reporting Items for Systematic Review and Meta-analysis for Scoping Review (PRISMA-Scr) by reviewing literatures related to the evaluation of peri-implant bone post-implantation using periapical radiographs. PRISMA-ScR is a guide for writing a scoping review to increase the relevance and transparency of methodological and research findings. Literature searches were performed on PubMed NCBI, Science Direct, EBSCOHost, and Clinicalkey databases with the keywords “((dental implant) AND (periapical radiograph)) AND (peri-implant) OR (alveolar bone))”. Literature screening was carried out based on the predetermined inclusion and exclusion criteria that have been set in journals published in 2016-2020. A total of 18 eligible studies were included in this study. The data from the included studies was then synthesized, and the literatures were reviewed. Conclusion: Peri-implant bone generally experiences a decrease in height (marginal bone loss) and an increase in density during the process of bone adaptation to functional loading. The design and placement techniques of the implants have an impact on the extent of the change in bone height.
Analysis of osteoblast, osteoclast levels and radiographic patterns in the healing process of bone fractures (preliminary research) Norlaila Sarifah; Lusi Epsilawati; Azhari Azhari; Mieke Hermiawati Satari; Bambang Pontjo Priosoeryanto; Isnur Hatta; Annisa Fitriyana
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 3 (2021): 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.v5i3.740

Abstract

Objectives: The healing process of a bone fracture goes through many phases. The hard callus phase was critical where the original structure was conducted. The hard callus growth depends on osteoblasts and osteoclasts active, and this condition can be analyzed on the radiograph. This study aimed to examine the analysis of bone fracture healing between osteoblasts and osteoclast numbers and radiographic patterns. Materials and Methods: The study used 12 male Wistar rats with an incomplete fracture in the right femur made by a dental tapered bur with 0.3 mm in length and 0.2 mm in depth. Digital radiographic examinations were carried out on days 0, 5, 10, 17, and 25 after fracturing in a lateral position. Furthermore, a radiographic analysis was performed using Image-J to obtain changes in the value of length and depth in the healing area. The research was conducted to find the radiopaque and radiolucent patterns and the number of osteoblasts and osteoclasts. Results: This study resulted in a change in the radiograph pattern. Callus formation resulted in fracture areas with a smaller distance from day 0 to day 25. The bone healing process begins with granulation tissue formation, followed by the gradual replacement of the connective tissue and bone. This process is comparable to the increase in osteoblasts up to day 25, which blocks bone resorption. Osteoclasts regulate bone resorption, and their number increases after 10 and 17 days to replace bone formation. Osteoclasts decline after 25 days because osteoblasts inhibit them, which control bone formation. Conclusion: The conclusions were obtained there are changes in the radiograph pattern. The radiopaque increased while the radiolucent decreased; the osteoclast pattern tended to be stable and lowered while the osteoblasts increased during the fracture healing process. The correlation of all the factors is very closely related.
Dilacerated distolingual root of mandibular first molar mimicking cementoblastoma: case report by radiographic findings Dwi Putri Wulansari; Ika Rachmawati; Azhari Azhari
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 2 (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.v6i2.879

Abstract

Objectives: This case report aimed to report an extra root number of mandibular first molars that are mimicking benign cementoblastoma in the periapical radiograph and clarified using cone beam computed tomography (CBCT) examination. Case Report: A 22-year-old female patient was referred from private clinic to Radiology Department of Universitas Padjadjaran Dental Hospital for a CBCT examination of the left mandibular first molar with benign cementoblastoma as the provisional diagnosis. Conclusion: It is necessary to consider CBCT examination in order to obtain accurate diagnosis of the presence of distolingual root.
Bone height and width evaluation before dental implant placement on panoramic radiographs: a scoping review Shely Levita Asmarani; Azhari Azhari; Farina Pramanik
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.v6i3.891

Abstract

Objectives: The aim of this study is to evaluate the bone height and its width on panoramic radiography prior to dental implant placement. Review: This study was carried out using scoping review methods. The referenced articles were published between 2010-2021 in English or Indonesian. The search was performed using PubMed and PMC database with keywords “(((Evaluation) AND (Presurgical)) AND (Dental Implant)) AND (Radiograph)) AND (Panoramic)” and Science Direct with keywords "presurgical evaluation dental implant in panoramic radiograph". Preferred Reporting Items for Systematic Review and Meta-analysis Scoping Review (PRISMA-Scr) was utilized to perform the article finding process. It is found that the height of alveolar bone after being assessed by panoramic radiograph is between 7.95-23.42 mm while the alveolar bone width is between 7.04-10.41 mm. Conclusion: Panoramic radiograph can be performed to evaluate bone height and width before the dental implant placement procedure.
Panoramic radiography features of complex odontoma in impacted teeth: a scoping review Anastasya Natalia; Azhari Azhari; Farina Pramanik
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.v6i3.889

Abstract

Objectives: This review article is aimed to determine panoramic radiograph images of complex odontoma images involving impacted teeth. Review: This study is a scoping review consisting of English or Indonesian articles of complex odontoma in impacted teeth and published in 2010 – 2021. The article search databases used were PubMed, Science Direct, EbscoHost, and Clinical Key with the keyword “(((Complex Odontoma) AND Impacted teeth) AND panoramic radiograph).” The selected articles were screened by checking the publication year, duplicating articles, reading the titles and abstracts, and the entire article's contents. The total search results for articles based on keywords obtained were 621 articles, then 11 articles were used. In all articles covered, the number of impacted teeth is 45, dominated by 32 maxillary and mandibular molars. The majority of lesions formed on the maxillary and mandibular posteriors were not associated with other abnormalities. The majority of the lesions affect the growth of the surrounding teeth and extend to the surrounding jawbone. Conclusion: Panoramic radiographs of Complex Odontoma involving impacted tooth in the form of a homogeneous radiopaque lesion with an oval or irregular shape with a lesion density more significant than bone and surrounding tissue. A well-defined radiolucent lesion surrounds this radiopaque lesion in the form of a connective tissue capsule.