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Overview of the frontal sinus anteroposterior size based on against lateral cephalometric radiographs chronological age as forensic identification Marsya, Georgiana; Sasmita, Inne Suherna; Oscandar, Fahmi
Padjadjaran Journal of Dentistry Vol 29, No 2 (2017): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Introduction: One part of the most important individual identification procedure is approximate age can be done on an individual living or dead. Judging from some of the methods that have been there, have not found a method forecasts age through the frontal sinuses, particularly research conducted in Indonesia. The frontal sinus can be used for identification because the frontal sinuses began to evolve and look at radiographs at the age of 7 years and did not change after the age of 20 years, it reveals the existence of differences in the size of the frontal sinuses with age. Objective: To asses of the frontal sinus anteroposterior size based on against lateral cephalometric radiographs chronological age as forensic identification. Methods: A number of samples are 502 lateral cephalometric patient data from secondary data of patients aged 7-20 years, 335 pieces of lateral cephalometric. Purpose of of the study was to asses the frontal sinus anteroposterior size chronological age as forensic identification. Radiograph female patients and 167 pieces in male patients. Data anteroposterior size of the frontal sinus is obtained by pulling the longest line perpendicular to the line of Sh-Sl. Results: The results showed that at the age of 7 years the average size of the frontal sinus anteroposterior 4.20 mm and 5.05 mm which is the smallest size, while the average size of the biggest, by 8.46 mm in women and men at the age of 11.37 mm 20 years. Conclusions: In women, the fastest increase occurred at the age of 7-8 years, males at the age of 16-18 years. The frontal sinuses anteroposterior size increases with age, both men and women.

Overhanging approximal restoration: Clinical and radiography features at Tarogong Public Health Service Indonesia Muryani, Anna; A., Amaliya; Garna, Devy Firena; Oscandar, Fahmi; Sukartini, Endang
Padjadjaran Journal of Dentistry Vol 28, No 2 (2016): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Introduction: Overhanging approximal restoration may causes gingival inflammation, periodontal tissue destruction, decreases alveolar bone height, and caries reccurence. Overhanging restoration can be detected clinically and by radiography image. Overhang restorations can occur due to the poor filling procedures, one of which is the limitation of supporting tools. Restoration of teeth done in Puskesmas often found unavailability constraints supporting tools so that in cases of approximal caries often experience overhang. The aim of this study was to evaluate the incidence of overhanging proximal restoration at Tarogong Public Health Centre in Garut Regency West Java Indonesia. Methods: This study was a descriptive cross sectional for the incidence on patient with overhanging approximal restoration who visited at Dental Unit Tarogong Public Health Center in Garut Regency. Intraoral clinical examination was conducted to examine visually and by tactile for the overhang restoration. Periapical radiography examination was taken and became supporting examination. Results: Collected data were 43 cases of overhanging approximal restoration from total 57 patients. The incidence of overhanging approximal restoration were 75,4. Conclusion: The conclusion of this study by radiography was the incidence of overhanging restoration was 75.4 which showed that overhanging restoration approksimal more than good restoration aproksimal at Tarogong Public Health Centre in Garut Regency West Java Indonesia.

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

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.Â One characteristic of the pulp can be seen from the density value through the 3D Cone Beam Computed Tomography (3D CBCT). Methods: The studyÂ was Â conducted Â with Â a Â simple Â descriptive Â method. Â 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 pulpsÂ 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.

Determination of pulp necrosis based on periapical digital radiography histogram and pulp histopathology Khoironi, Emi; Firman, Ria Noerianingsih; A, Azhari; Oscandar, Fahmi
Padjadjaran Journal of Dentistry Vol 29, No 3 (2017): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Introduction: Radiographic examination is needed to determine the diagnosis of pulp necrosis in addition to a clinical examination. Visual observation was limited in seeing the colour change degree and hence an effort taken by assessing the histogram value. The purpose of this study was to obtain the pulp chamber histogram pattern which reveals its grey scale value, trend, intensity average, histogram variation, and histograms maximum regional of interest (ROI) through digital periapical radiograph. Methods: This study was a descriptive study of the total of nine pulp chamber periapical radiograph data samples. The samples were divided into three groups, the 1st group was the data taken prior to the tooth extraction, the 2nd group was the data collected after the teeth extraction, and the 3rd group was the data of priorly pulpless teeth. Results: There was a tendency of histogram graphic shifting to the left side, likely towards the radiolucent area on ROI of the pulp at the apical region, whilst histopathologically, a massive infiltration of a round PMN cells was found in the area. This finding supported the determination of pulp necrosis diagnose. Conclusion: The tooth with a pulp necrosis showed a tendency that led to radiolucency on periapical radiograph histogram, and histopathologic examination showed massive infiltration of a round PMN cells, thus supported the pulp necrosis diagnose.

Manajemen instalasi forensik di rumah sakit POLRI sebagai acuan pembentukan instalasi forensik kedokteran gigi di Rumah Sakit Gigi dan MulutManagement of forensic installations at POLRI Hospital as a reference for the establishment of forensic odontology installation at the Oral Hospital Munandar, Firstady Widyarnan; Oscandar, Fahmi; Malinda, Yuti; Dardjan, Murnisari
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 28, No 3 (2016): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Instalasi Forensik seharusnya terdapat bukan hanya di rumah sakit umum, tetapi juga di Rumah Sakit Gigi dan Mulut untuk menindaklanjuti kasus yang membutuhkan ilmu forensik kedokteran gigi. Tujuan penelitian adalah mempelajari gambaran unsur manajemen instalasi forensik di Rumah Sakit Kepolisian Pusat R.S Sukanto, Rumah Sakit Bhayangkara Sartika Asih serta Laboratorium dan Klinik Odontologi Kepolisian sebagai acuan pembentukan Instalasi Forensik Kedokteran Gigi di RSGM. Metode: Penelitian ini lakukan secara deskriptif dengan metode observasi. Lokasi penelitian di Rumah Sakit Kepolisian Pusat R.S Sukanto, Rumah Sakit Bhayangkara Sartika Asih, Laboratorium dan Klinik Odontologi Kepolisian. Hasil: Dari hasil penelitian menunjukan Instalasi Forensik Rumah Sakit Kepolisian Pusat Tk. I R.S Sukanto, Rumah Sakit Bhayangkara Sartika Asih serta Laboratorium dan Klinik Odontologi Kepolisian memiliki banyak kesamaan dari aspek unsur manajemen. Simpulan: Semua Instalasi Forensik yaitu Rumah Sakit Kepolisian Pusat R.S Sukanto, Instalasi Forensik Rumah Sakit Bhayangkara Sartika Asih serta Instalasi Forensik Odontologi Laboratorium dan Klinik Odontologi Kepolisian memiliki banyak kesamaan dari segi unsur manajemen dan dapat menjadi acuan untuk pembentukan unsur manajemen instalasi forensik kedokteran gigi di RSGM.Â ABSTRACTIntroduction: Forensic installations should be available not only in public hospitals, but also at the Dental and Oral Hospital to follow up on cases that require dental forensic science. The purpose of the study was to study the description of elements of forensic installation management at the Sukanto Hospital, Central Police, Bhayangkara Sartika Asih Hospital and the Police Odontology Laboratory and Clinic as a reference for the establishment of a Dentistry Forensic Installation at RSGM. Methods: This research is done descriptively by observation method. Research locations at Sukanto Hospital, Central Police Department, Bhayangkara Sartika Asih Hospital, Police Odontology Laboratory and Clinic. Results: From the results of the study showed the Forensic Installation of the Central Police Hospital. I R. Sukanto, Bhayangkara Sartika Asih Hospital and the Police Odontology Laboratory and Clinic have a lot in common with aspects of management. Conclusion: All Forensic Installations, Sukanto Hospital Central Police Hospital, Bhayangkara Sartika Asih Hospital Forensic Installation and the Odontology Laboratory Odontology Forensic Installation and Police have many similarities in terms of management elements and can be used as a reference for the management of dentistry forensic installations at RSGM .Keywords: Management elements, forensic installation, odomtology forensic installation.

Identifikasi usia berdasarkan metode Al Qahtani melalui radiograf panoramik di RSGM FKG UNPADAge identification based on Al Qahtani method through panoramic radiograph at the Dental Hospital of Universitas Padjadjaran Rusydiana, Fitri; Oscandar, Fahmi; Sam, Belly
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 28, No 3 (2016): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Perkiraan usia dilakukan untuk mengetahui usia seseorang. Saat ini perkiraan usia banyak digunakan, kepentingannya adalah untuk forensik dan bidang kedokteran gigi. Tujuan dari penelitian ini adalah mengetahui apakah Metode Al Qahtani mampu mengidentifikasi usia melalui radiograf panoramik di RSGM FKG Unpad. Metode: Penelitian ini dilakukan secara deskriptif sederhana dengan menggunakan software atlas Metode Al Qahtani, dengan melihat perkembangan gigi dan tingkat erupsi dari masing-masing radiograf panoramik. Hasil: Sebanyak 94 sampel yang diteliti, hanya 66 sampel dengan hasil usia gigi berdasarkan Metode Al Qahtani yang sama dengan usia pasien, sedangkan dari sisanya terdapat 28 sampel dengan usia gigi Metode Al Qahtani yang berbeda dengan usia pasien. Simpulan: Metode Al Qahtani dapat mengidentifikasi sebagian besar (70.21%) usia melalui radiograf panoramik di RSGM FKG Unpad dengan hasil usia yang bervariasi pada kelompok usia anak.Â ABSTRACTIntroduction: Estimated age is done to determine someones age. At present age estimates are widely used, its importance is for forensics and the field of dentistry. The purpose of this study was to determine whether the Al Qahtani Method was able to identify age through panoramic radiographs at RSGM FKG Unpad. Methods: This study was carried out in a simple descriptive manner using the atlas software of the Al Qahtani Method, by observing the development of teeth and the eruption rate of each panoramic radiograph. Results: A total of 94 samples were studied, only 66 samples with dental age results based on the Al Qahtani Method which were the same as the patients age, whereas of the remaining 28 samples with teeth age, the Al Qahtani Method was different from the patients age. Conclusion: Al Qahtani method can identify the majority (70.21%) of age through panoramic radiographs at RSGM FKG Unpad with varying age results in the age group of children.Keywords: Age identification, Al Qahtani method, panoramic radiograph.

Prevalensi suspek sinusitis maksilaris odontogenik ditinjau dari radiograf panoramik di instalasi radiologi RSGM UNPADPrevalence of odontogenic maxillary sinusitis suspects based on the panoramic radiographs at Universitas Padjadjaran Academic Dental Hospital Dentomaxillofacial Radiology Installation Romadhona, Shabrina; Sam, Belly; Oscandar, Fahmi
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 28, No 3 (2016): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Sinus maksilaris, yang disebut juga Antrum Highmore merupakan sinus yang sering terinfeksi. Satu di antara penyebabnya adalah karena sinus ini merupakan sinus paranasal yang terbesar dan bentuknya bervariasi di setiap individu. Radiografi panoramik merupakan satu di antara teknik radiografi yang dapat melihat gambaran kedua sinus dan hubungannya terhadap gigi serta relatif aman karena paparan radiasinya tidak sebesar teknik radiografi lain. Penelitian mengenai prevalensi sinusitis maksilaris odontogenik telah banyak dilakukan tetapi peneliti belum menemukan adanya penelitian serupa di wilayah Bandung, Jawa Barat. Penelitian ini bertujuan untuk mengetahui prevalensi suspek sinusitis maksilaris odontogenik ditinjau dari radiograf panoramik di RSGM FKG Unpad. Metode: Jenis penelitian ini adalah deskriptif. Pemilihan sampel dilakukan dengan teknik purposive sampling. Hasil: Hasil penelitian dari 44 sampel yang diteliti, terdapat suspek radiologis sinusitis maksilaris odontogenik sebanyak 16 radiograf. Simpulan: Simpulan dari penelitian ini adalah bahwa prevalensi suspek kasus sinusitis maksilaris odontogenik pada arsip radiograf panoramik pasien yang mengalami infeksi pulpo apikal yang datang ke Instalasi Radiologi RSGM Unpad pada periode Juli-September 2013 adalah sebesar 36,36 % dengan suspek kasus banyak terdapat pada populasi usia dewasa muda dan lanjut, dengan proporsi jumlah yang sama pada populasi perempuan dan laki-laki, dan lebih banyak melibatkan infeksi dari gigi molar pertama dan kedua. Â ABSTRACTIntroduction: Maxillary sinus, also called Antrum Highmore, is a sinus that is often infected. One of the causes is because this sinus is the largest paranasal sinus and its shape varies in each individual. Panoramic radiography is one of the radiographic techniques that can see both sinus images and their relationship to teeth and is relatively safe because exposure to radiation is not as large as other radiographic techniques. Research on the prevalence of odontogenic maxillary sinusitis has been carried out but researchers have not found similar studies in the Bandung, West Java region. This study aims to determine the prevalence of odontogenic maxillary sinusitis suspicions from panoramic radiographs at RSGM FKG Unpad. Methods: This type of research is descriptive. Sample selection is done by purposive sampling technique. Results: The results of the 44 samples studied were radiological suspects of 16 radiographs of odontogenic maxillary sinusitis. Conclusion: The conclusions of this study are that the prevalence of odontogenic maxillary sinusitis cases in panoramic radiographs of patients who have apical pulpo- rine infection who came to the Radiology Hospital Unpad installation in the period of July-September 2013 was 36.36% with many cases suspected in the population. young and advanced adulthood, with the same proportion of women and men, and more involving infections from first and second molars.Keywords: Panoramic, prevalence, maxillary sinus, odontogenic.

Association between Direction Patterns of Palatal Rugae and Thumbprints: Implications for Forensic Identification Setiadi, Desyani; Syukriani, Yoni Fuadah; Supian, Sudradjat; Oscandar, Fahmi; Malinda, Yuti; Nugraha, Alhana
Journal of Dentistry Indonesia
Publisher : UI Scholars Hub

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Palatal rugae have been proven to be useful as a means of individual identification. As there are no antemortem data about palatal rugae, they have to be connected with other indicators, such as fingerprints with available antemortem data. Objectives: To assess the association of the direction patterns of palatal rugae prints and thumbprints in the Deutero-Malay sub-race to improve forensic identification. Methods: Palatal rugae intraoral photos and thumbprints scans were from 193 Deutero-Malay individuals aged between 18–25 years (170 female, 23 male). ImageJ and Adobe software was used to identify direction patterns of the palatal rugae and thumbprints. Results: An antero-posterior direction was the most common direction pattern among right (64.17%) and left (49.26%) palatal rugae and right (58.12%) and left (56.02%) thumbprints. An association with small effect size was found between first right palatal rugae and right thumbprint (p-value = 0.024; Cramer’s V = 0.181) and with medium effect size between second left palatal rugae and left thumbprint (p-value = 0.000; Cramer’s V = 0.332). Conclusion: There is a significant association between the direction patterns of palatal rugae and thumbprints. This finding may lead to the development of a new effective technique in forensic odontology identification.

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