ABSTRAKPenilaian secara visual pada abses periapikal pada radiograf periapikal, memiliki perbedaan interpretasi secara intra dan inter observer yang diakibatkan subjekti tas penilaian. Penilaian pada abses periapikal setelah perawatan endodontik secara visual umumnya dilihat dari berkurangnya ukuran abses periapikal. Pada penelitian ini pengukuran abses periapikal dilakukan dengan mengukur luas lesi, jumlah partikel, dan luas partikel pada radiograf setelah perawatan endodontik secara digital. Tujuan penelitian ini untuk mengetahui luas lesi, jumlah partikel dan luas partikel trabekula tulang setelah perawatan endodontik pada abses periapikal melalui digitalisasi radiograf periapikal menggunakan software ImageJ. Penelitian bersifat analisis observasional. Sampel diambil sebanyak masing-masing 31 radiograf sebelum dan setelah perawatan endodontik pasien dengan diagnosa abses periapikal di RSGM Universitas Padjadjaran Bandung. Radiograf di digitalisasi menggunakan software ImageJ untuk mendapatkan hasil luas lesi, jumlah partikel dan luas partikel abses periapikal. Hasil penelitian ditemukan bahwa dari 31 pasang radiograf sebelum dan setelah perawatan endodontik terdapat penurunan rata-rata luas lesi dari 12,44 ± 2,29 mm 2 menjadi 2,72 ± 1,86 mm 2 , peningkatan ratarata jumlah partikel dari 56,22 buah, menjadi 79,61 buah, peningkatan rata-rata luas partikel dari 8,93 ± 2,55 mm 2 , menjadi 11,42 ± 2,61 mm 2 . Simpulan penelitian ini adalah analisis radiograf abses periapikal menggunakan software imageJ ditemukan penurunan ukuran luas lesi, yang dipengaruhi oleh kenaikan jumlah partikel dan luas partikel setelah perawatan endodontik.Kata kunci: abses periapikal; digitalisasi radiograf periapikal; software imageJ ABSTRACT: Periapical abscess radiography analysis using imageJ after endodontics treatment. The visual assessment to measure the lesion of periapical abscesses on the radiograph interpretation has the distinction of periapical in intra observer and inter observer which caused by the subjectivity of observer. The assessment on abscess periapikal after endodontic treatment commonly has been seen visually from the reduced size of the lesion periapical abscess. On this research, the measurement of periapical abscesses lesion is done with measuring the number of particles, the extensive of lesions, and the extensive of particle on the radiograph after endodontic treatment on digitally. The purpose of this research is to knowing the extensive of lesions, the number of particles and the extensive particles of trabeculae bones after endodontic treatment on periapical abscess through digitization periapical radiograph using
ABSTRAKPenilaian tingkat keberhasilan perawatan endodontik pada gigi yang mengalami granuloma periapikal, saat ini masih menggunakan metoda konvensional yaitu dengan menggunakan viewer sebagai alat bantu dan diinterpretasi secara subjektif oleh dokter gigi. Keadaan ini mengakibatkan peluang terjadinya perbedaan penilaian cukup besar secara inter dan intra-observer. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan gambaran dan hubungan nilai luas lesi, jumlah dan luas partikel trabekula pada kasus granuloma periapikal sebelum dan sesudah perawatan endodontik melalui digitalisasi radiograf periapikal menggunakan software ImageJ. Penelitian ini dilakukan dengan menggunakan metode analisis observasional. Sampel yang digunakan dalam penelitian ini terdiri dari 30 data sebelum perawatan endodontik dan 30 data sesudah perawatan endodontik yang telah dilakukan digitalisasi. Hasil penelitian ini adalah terjadi penurunan rata-rata luas lesi granuloma periapikal dari 16.400 ± 2.2924 mm 2 menjadi 13.860 ± 2.1250 mm 2 , peningkatan rata-rata jumlah partikel dari 70.167 ± 7.2258 menjadi 99.733 ± 7.4089 dan peningkatan luas partikel dari 14.033 ± 1.4452 mm 2 menjadi 19.017 ± 1.4223 mm 2 . Simpulan dari penelitian ini adalah terdapat perbedaan gambaran dan hubungan nilai luas lesi, jumlah dan luas partikel trabekula pada kasus granuloma periapikal sebelum dan sesudah perawatan endodontik melalui digitalisasi radiograf periapikal menggunakan software ImageJ.Kata kunci: digitalisasi radiograf periapikal; granuloma periapikal; software ImageJ ABSTRACT: Analysis of periapical radiographs using ImageJ software on periapical granuloma in endodontic treatment. The assessment of the success rate of endodontic treatment on teeth with periapical granuloma is currently still using the conventional method, that is using a viewer as the tool which is then interpreted subjectively by dentist. This may lead to the possibility of signi cant differences in the assessment between inter and intra-observers. The objective of this study was to demonstrate the differences in picture and the relationship of lesion size, and the number and size of trabecular particles on periapical granuloma cases before and after endodontic treatment with digitized periapical radiographs using ImageJ software. This study was conducted using observational analysis method.
Kista dentigerous atau kista folikuler merupakan kista odontogenik yang terbentuk selama perkembangan gigi dan terbentuk karena akumulasi cairan di rongga folikuler pada gigi yang belum erupsi. Lokasi gigi-gigi yang sering berhubungan dengan kista dentigerous adalah gigi M3 rahang bawah, C rahang atas, P rahang bawah dan jarang pada gigi M3 rahang atas. Kista dentigerous yang berkaitan dengan gigi supernumerari dan sinus maksilaris sangat jarang ditemukan. Panoramik dan CBCT dapat dilakukan untuk melihat kasus kista dentigerous. Tujuan laporan kasus ini untuk melihat temuan kista dentigerous di rahang atas yang meluas sampai ke kavum nasi dan sinus maksilaris melalui gambaran CBCT dan panoramik radiograf. Laporan kasus: Seorang pasien laki-laki berusia 27 tahun datang ke RSGM Unpad untuk dilakukan CBCT-3D. Keluhan pasien yaitu bengkak di daerah langit-langit lebih dari 1 tahun yang lalu, bengkak meluas ke pipi sejak 1-2 bulan yang lalu. Keluhan bengkak tidak terasa nyeri. Konsistensi massa keras dan terasa nyeri saat ditekan. Hasil pemeriksaan CBCT dan histopatologi menyatakan bahwa lesi merupakan kista dentigerous. Simpulan: Kista dentigerous pada CBCT menunjukkan perluasan lesi ke kavum nasal dan sinus maksilaris serta tepi yang lebih jelas dibandingkan dengan radiograf panoramik. Kata kunci: CBCT, panoramik, kista dentigerous, kavum nasal, sinus maksilaris. Maxillary dentigerous cyst finding with expansion of the nasal cavity and maxillary sinus through the CBCT and panoramic radiographs ABSTRACT Introduction: Dentigerous cysts or follicular cysts are odontogenic cysts that form during tooth development and formed from the accumulation of fluid in the follicular cavity of an unerupted tooth. The teeth locations often associated with dentigerous cysts are the mandibular M3, the maxillary C, the mandibular P, and rarely occurred in the maxillary M3. Dentigerous cysts associated with supernumerary teeth and maxillary sinuses are extremely rare. Panoramic and CBCT can be performed to observe dentigerous cysts cases. This case report was aimed to examine the findings of a maxillary dentigerous cyst with expansion of the nasal cavity and maxillary sinus through CBCT and panoramic radiographs. Case report: A 27-yearsold male patient came to Universitas Padjadjaran Dental Hospital for CBCT-3D examination. The patient's complaint was swelling in the palate from more than one-year prior, extended to the cheek from 1-2 months prior. Complaints of swelling was not painful, although, when pressed, then a solid, painful mass will be felt. The results of CBCT and histopathological examination confirmed that the lesion was a dentigerous cyst. Conclusion: Dentigerous cyst on CBCT showed expansion of the lesion to the nasal cavity and maxillary sinus as well as more apparent margins compared to panoramic radiographs.
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.
Pendahuluan: Pemeriksaan radiografi dalam bidang kedokteran gigi sangat membantu klinisi dalam penegakkan diagnosis. Diketahui bahwa teknik radiografi yang paling sering digunakan di Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) adalah teknik intraoral periapikal bisektris. Kualitas radiograf dipengaruhi oleh proses pemeriksaan radiografi. Kualitas radiograf sangat berpengaruh terhadap penentuan penegakkan diagnosis, rencana perawatan, dan evaluasi pasca perawatan. Tujuan dari penelitian ini adalah untuk mengetahui kualitas radiograf periapikal dengan teknik bisektris di RSGM Unpad. Metode: Jenis penelitian ini adalah deskriptif. Populasi dalam penelitian ini adalah radiograf periapikal dengan teknik bisektris sepanjang tahun 2018. Sampel dalam penelitian ini adalah radiograf periapikal dengan teknik bisektris periode November sampai Desember 2018. Jumlah sampel yang digunakan yaitu sebanyak 90 radiograf. Hasil: Kriteria kualitas yang paling banyak terpenuhi adalah kriteria kontras dan distorsi bentuk dengan 97,78%, dan mayoritas radiograf bisektris, yaitu pada rating 1 dengan 85,56%. Simpulan: Kualitas radiograf periapikal dengan teknik bisektris di RSGM Unpad secara umum berada pada rating 1 berdasarkan National Radiological Protection Board (NRPB), yaitu sempurna yang berarti tidak ada kesalahan pada persiapan pasien, pemaparan sinar, pemosisian film, dan pengolahan film.Kata kunci: Kualitas radiograf, teknik periapikal bisektris, rating NRPB. ABSTRACTIntroduction: Radiographic examination in the field of dentistry is beneficial for clinicians in establishing the diagnosis. It is known that the radiographic technique most commonly used at the Universitas Padjadjaran Dental Hospital (RSGM Unpad) is bisecting intraoral periapical technique. The radiographic inspection process influences the quality of the radiograph. Quality of the radiograph profoundly affecting determination of diagnosis, treatment plan, and post-treatment evaluation. The purpose of this study was to determine the quality of periapical radiographs with the bisecting technique at Universitas Padjadjaran Dental Hospital. Methods: This research was descriptive. The population of this study was periapical radiographs with the bisecting technique throughout 2018. The sample of this study was periapical radiographs with bisecting technique from November to December 2018. The number of samples used was 90 radiographs. Results: The most fulfilled quality criteria were contrast criteria and shape distortion with 97.78%, and the majority of bisecting radiographs, namely at rating 1 with 85.56%. Conclusion: The quality of periapical radiographs with bisecting technique at Universitas Padjadjaran Dental Hospital in general is ranked 1 based on the National Radiological Protection Board (NRPB), which is categorised as perfect, which means that there are no errors in patient preparation, exposure to light, film positioning, and film processing.Keywords: Radiograph quality, post-treatment periapical technique, NRPB rating.
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 1 st group was the data taken prior to the tooth extraction, the 2 nd group was the data collected after the teeth extraction, and the 3 rd 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.
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.
Radiographic examination is one of the examinations required in determining the treatment plan and evaluating thesuccess of dental implant placement. Cone beamcomputed tomography3D(CBCT 3D)is a tool that produce radiographicimaging in three dimensions that can meet the information needed by dentists/specialists in dental implant placement.This report discusses the role of interpretating the CBCT 3D bone area, indication of dental implant with give a sight3D, measure the distance and position of the implant and to assess the quality of the bone at dental implant placement.Interpretation of CBCT 3D case is the size of the dental implant alveolar bone morphometric teeth region 46 and 37qualified radiographically for dental implants. The conclusion of this paper is a CBCT 3D can be a determinant of thesuccess of dental implant placement as capable of being able to analyze a complete, clear and more accurate measurementthrough a 3D picture, the analysis of the size/3D morphometric, density analysis, and histogram/ trabecular analysis.
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