Gambaran peri-implantitis pada CBCT (Cone-Beam Computed Tomography)

Objectives: This paper is aimed to report a case of peri-implantitis which is diagnosed using CBCT. Case Report: A 61 year old male was referred to a dental radiology unit for CBCT examination. The patient complained of pain in the area of ​​the tooth where the implant was attached. CBCT results show there is inflammation around the implant that has been inserted, characterized by a visible radiolucent area in 1/3 of the cervical implant on the mesial, distal, buccal / labial and palatal sides with varying sizes on each side. Based on the radiograph findings, the diagnosis of peri-implantitis was confirmed. Conclusion: Peri-implantitis is inflammation around the implant which results in a condition in the form of bone loss around the implant that is placed. Radiographic examination such as CBCT can be an excellent choice to help diagnose peri-implantitis by seeing a clearer 3-dimensional radiograph. &nbsp

Panoramic radiography features of complex odontoma in impacted teeth: a scoping review

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. &nbsp

Non-syndromic multiple odontogenic keratocyst finding with Cone-beam Computed Tomography (CBCT): A rare case report

Objectives: The aim of this case report is to describe the radiograph pattern of non-syndromic multiple odontogenic keratocyst (OKC). The oral and maxillofacial region was frequently affected by the developmental odontogenic cyst known as OKC, which develops from the dental lamina or its remnants.  The nevoid basal cell carcinoma syndrome (NBCCS) or the Gorlin-Goltz syndrome was typically associated with multiple OKC; however, in about 5% of patients, there were many cysts without a concurrent syndromic presentation. Case Report:  A 38- year-old female came to the dental radiology installation of the Dental and Oral Hospital, Universitas Padjadjaran, who had been referred for a CBCT examination. She had a history with a dentist about 1 month ago, complaining of dislodged fillings on anterior mandible teeth and complaints of missing several posterior mandible teeth. The patient had a previous panoramic examination; multiple radiolucent lesions were found incidentally. She has no pain, and clinical features showed no evidence of swelling; then, the dentist recommended a CBCT examination with a suspect dental cyst on a posterior mandible dextra. Conclusion: Based on the examination results, it was concluded that the cone beam computed tomography examination showed the radiolucent lesion, well-defined with a scallop border; this case was radiodiagnosis as  suspected non-syndromic multiple odontogenic keratocyst

Bone height and width evaluation before dental implant placement on panoramic radiographs: a scoping review

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

Radiographic appearance of ossifying fibroma in the left mandible: a case report

This article reports on ossifying fibroma (OF) which was established based on panoramic radiographic, CBCT and histopathological examination and treatment performed on a 31 years old male patient. The diagnosis is made by comparing with existing theories in the literature. Case Report: A 31 years old man was referred to the Oral Surgery Department of Al Ihsan Hospital. The patient complained of swelling in the lower left jaw. On palpation it feels hard and cannot be moved. Panoramic radiograph examination showed loss of teeth 34-35 and a radiolucent lesion mixed with radiopaque in the left mandible which resulted in a shift in the position of teeth 36 and 37 more superiorly. The CBCT examination performed revealed a mixed radiolucent and radiopaque lesion of teeth 33-38. Histopathological examination also showed the presence of cellular fibrous with a mineralized component. The patient has been treated in the form of excision of the lesion. Conclusion: CBCT can be used as a reliable supporting examination in helping to diagnose cases of benign neoplasms involving hard bone tissue such as ossifying fibroma. OF has distinctive features on radiographs, one of which is the presence of mixed radiolucent and radiopaque lesions with wispy septa which result in resorption and displacement of the teeth involved. The accuracy of the diagnosis of OF can be enforced by a combination of clinical, radiographic and HPA examinations, so that the treatment given to patients is according to the procedure

AGE ESTIMATION OF PAWON MEN THROUGH TEETH IDENTIFICATION USING JOHANSON METHOD THROUGH CBCT 3D RADIOGRAPH

Abstrak. Estimasi Usia Manusia Pawon melalui Identifikasi Gigi dengan Metode Johanson pada Radiograf CBCT 3D.Manusia Pawon merupakan manusia prasejarah yang ditemukan di Gua Pawon. Di dalamnya, terdapat sisa tulang yang telah rapuh dan gigi yang masih tertanam pada tulang alveolar meskipun telah tertimbun tanah ribuan tahun lamanya. Gigi tersebut kemudian dijadikan sebagai alat identifikasi primer dalam penelitian forensik odontologi. Tujuan penelitian ini adalah untuk mengetahui estimasi usia Manusia Pawon melalui identifikasi gigi menggunakan metode Johanson pada radiograf CBCT 3D. Jenis penelitian yang dilakukan adalah deskriptif. Pengambilan sampel menggunakan purposive sampling. Sampel sebanyak 21 gigi yang tertanam pada tulang alveolar dan tidak terdapat pada garis fraktur. Pengukuran estimasi usia dengan metode Johanson dilakukan dengan perangkat lunak Ez-Implant menggunakan teknik non-invasif CBCT 3D. Hasil penelitian pada Rangka I (R.I) menghasilkan estimasi usia dengan kisaran antara 32,00-33,92 tahun, Rangka III (R.III) dengan estimasi usia 32,94-36,28 tahun, Rangka IV (R.IV) dengan estimasi usia 34,42 tahun, dan Rangka V (R.V) dengan estimasi usia 27,36-31,35 tahun. Simpulan penelitian menunjukkan estimasi usia Manusia Pawon dengan metode Johanson pada radiograf CBCT 3D berkisar antara 27,36-36,28 tahun. Abstract.Pawon men are prehistoric humans who lived in Pawon cave. The skeletons found in the cave consist of remains of brittle bones and teeth which are still attached to alveolar bone even though it had been buried in soil since thousands of years ago. The teeth are then used as primary identification in forensic odontology research. This research’s aim is to compare the existing age estimation of Pawon men with more recent method, namely Johanson method through CBCT 3D Radiograph. Previously, the age estimation was only based on visual observation of posterior molars’ attrition by Brothwell method. This research is a descriptive study using purposive sampling. The samples are 21 teeth that are intact and attached to the alveolar bone without any fracture line. The age estimation with Johanson method using Ez-Implant software is non-invasive age measurement by Cone Beam Computed Tomography 3D radiograph. The results showed that the age of the first Pawon man is 32-33.92 years old, the third Pawon man is 32.935-36.275 years old, the fourth Pawon man is 34.42 years old, and the fifth Pawon man is 27.36-31.35 years old. The second Pawon man is not included in sampling criteria. The measurement using Johanson method through CBCT 3D is more specific and detailed in yielding the age estimation compared to the Brothwell method

Gambaran radiografi impaksi ektopik molar tiga disertai kista dentigerous dalam sinus maksilaris pada radiograf CBCT 3D

Objectives: The aim of this case report is to explain further about radiograph on impacted right maxillary third molar and canine using CBCT 3D. Case Report: A 18 year old female patient came with swelling on her upper right posterior gum. The condition was associated with pus contained in the gum. Physical examination revealed no exact abnormalities condition on her teeth. Panoramic radiograph examination showed radiopaque image surrounded by radiointermediate image in maxillary sinus. The result of 3D CBCT radiograph exhibited radioopaque image resembling tooth 18 surrounded by unilocular radiointermediate filling 2/3 maxillary sinus with well-defined border.  Conclusion: CBCT is a supported examination which may help in establishing diagnosis more accurately. &nbsp

Estimasi usia prajurit TNI AL berdasarkan Tooth Coronal Index pada digital radiograf panoramik

Objectives: The purpose was to determine the estimated chronological age difference between Indonesian Navy soldiers (TNI-AL) and dental age based on the Tooth Coronal Index on panoramic digital radiographs, which are used as antemortem data for the purposes of identifying Indonesian Navy soldiers if they have an accident while on duty or on the battlefield where only tooth remains. Material and Methods: The method used was a cross-sectional observational survey with the sampling technique using purposive sampling. This study used 86 digital panoramic radiographs of Indonesian Navy soldiers who were assigned abroad from 2015-2017 at the Dental Radiology Installation of Ladokgi TNI AL R.E. Martadinata. The teeth measured were mandibular first molars with the Tooth Coronal Index (TCI) method, which is a method of estimating age based on secondary dentin deposition and tooth pulp size on dental radiographs. Results: The results of the chronological age difference with the dental age of Indonesian Navy soldiers using the Tooth Coronal Index (TCI) method on a panoramic digital radiograph performed on mandibular first molars were an average of 6.3 years. Conclusion: The dental age of Navy soldier is higher than chronological age

The value of Mental Index (MI) and Gonial Index (GI) in hypertension patients on its correlation with serum calcium and cortisol level

Objective: This research was aimed to analyze the mandibular cortical width based on a mental index (MI) and gonial Index (GI) in hypertension patients correlated with serum calcium and cortisol levels. Materials and Methods: This study was an analytic-observational study with 31 hypertension patients aged 41-79. All of the patients have checked their serum calcium and cortisol level. The panoramic radiograph was taken and analyzed using Image-J Fiji software. The mandibular cortical width was then measured with Mental Index (MI) and Gonial Index (GI) and correlated with the serum calcium and cortisol level. Results: The data obtained from examining serum calcium and cortisol levels and the measurement of Mental Index (MI) and Gonial Index (GI) showed varying results but tended towards normal values. The results of the correlation test between mental index and gonial index with cortisol and serum calcium showed no correlation with p>0.05. Conclusion: There was no correlation between serum calcium and cortisol level in the value of MI and GI in hypertension patients