Flap surgery with bone graft and periodontal membrane in generalized chronic periodontitis patient

Objectives: The aim of this case report is to present a flap surgical procedure with bone graft and periodontal membrane in generalized chronic periodontitis patients. Case Report: A 51-years-old male patient came to RSGM Saraswati bringing a referral from a colleague for dental and periodontal treatment. The patient came with complaints that the lower left gingiva often feels swollen, pain and mobility. Clinical examination revealed edema, sulcus exudate and positive percussion on tooth 36, the deepest pocket depth of 13 mm on the disto-buccal site. X-ray and blood laboratory examinations were carried out before surgery. Flap surgery is performed by internal bevel, sulcular and horizontal incisions with opening of the envelope flap, cleaning and smoothing of bone defects, application of collagen bone grafts and periodontal membranes, suturing with absorbable suture on the periodontal membrane and nylon on the gingiva flap. Conclusion: Flap surgery with bone graft and periodontal membrane is one of the options for reconstructive surgery to repair periodontal tissue in cases of generalized chronic periodontitis. The results showed the repair of periodontal tissue both soft tissue and alveolar bone of tooth 36

Dentigerous cyst associated with impaction of right maxillary third molar on panoramic radiograph and CBCT: a case report

Objectives: The aim of this case report is to description of a dentigerous cyst associated with impaction of right maxillary third molar on panoramic radiographs and cone-beam computed tomography (CBCT). Case Report: A 61-year-old male patient came to the Radiology Installation of RSGM Saraswati Denpasar to do perform a panoramic radiograph examination of tooth 15 which had cavities, pain and swelling of the upper right cheek. The results of panoramic radiograph examination showed tooth 15 had caries reaching the pulp and there was a radiolucent lesion at the apikal  tooth 15, there was a radiolucent lesion from the mesio-distal CEJ on the crown of the maxillary right third molar that had not erupted, the borders were well-defined, corticated, unilocular, involving the apical of teeth 15,16 and 17. A few days later the patient came back to do CBCT to see more clearly the boundaries, diameter of the lesion and see the relationship of the lesion with surrounding structure. Conclusion: Panoramic radiography and CBCT can be used as a supporting examination in making a diagnosis. The dentigerous cyst associated with impacted right maxillary third molar is clearly visible on the panoramic radiograph and CBCT so that it can assist in planning the appropriate treatment for the patient. &nbsp

Temuan insidental dense bone island pada radiograf panoramik

Objectives: The aim of this study is to increase knowledge about Dense Bone Island diagnosis and differential diagnosis as well as emphasize on radiographic characteristics of this lesion. Case Report: A male 24 years came to the Dentomaxillofacial Radiology Installation, Faculty of Dentistry Dental Hospital Universitas Padjajaran  referred for radiographic examination from the Periodontics Department. The patient will be paired dental implants in the second premolar in the right mandible. Patients had no inflammation and pain. The patient then were take radiography examinations as indicated dental implant, that were periapical, panoramic and CBCT, then one of the radiographic examination was done, the panoramic which shows radiopaque, well-defined, rounded irregularly shaped lesion with a diameter of approximately 6 mm, which is located around apical first premolar teeth in the right mandible. Mandible first premolar is still vital. Conclusion: Dense bone Island is an increased bone density that occurs in the maxilla or mandible especially around the root of a tooth, and is often asymptomatic. Cases that occur in these patients have no clinical complaints either before or after the installation of dental implant. &nbsp

<p>Fitur radiografis ameloblastoma pada CBCT dan panoramik</p><p>Radiographic feature of ameloblastoma on CBCT and panoramic</p>

Pendahuluan: Ameloblastoma adalah neoplasma agresif yang timbul dari sisa-sisa lamina dentalis dan enamel organ (epitel odontogenik). Pemeriksaan radiografi yang dilakukan, yaitu radiografi CBCT dan panoramik sebagai pemeriksaan penunjang untuk melihat lesi ameloblastoma. Tujuan laporan kasus untuk membantu menegakkan diagnosa dan menganalisis gambaran ameloblastoma dilihat dari radiograf CBCT dan panoramik. Laporan kasus: Pasien laki-laki usia 16 tahun datang ke RSGM Instalasi Radiologi Kedokteran Gigi RSGM UNPAD untuk dilakukan pemeriksaan radiografi CBCT dan panoramik. Hasil anamnesa menunjukkan ± 2 minggu yang lalu pasien mengeluh adanya rasa sakit pada regio kiri rahang bawah. Keadaan umum pasien menunjukkan baik dan tidak mempunyai penyakit sistemik. Hasil pemeriksaan intra oral menunjukkan adanya kemerahan, sakit pada regio gigi 37 dan gigi 38 belum tumbuh. Hasil pemeriksaan ekstra oral menunjukkan sakit, bengkak pada pipi kiri, wajah asimetris. Hasil radiograf menunjukkan adanya gambaran radiolusen, well defined, corticated, multilokuler serta perluasan lesi pada posterior maksila dan mandibula kiri. Radiograf CBCT dan panoramik dapat dijadikan sebagai pemeriksaan penunjang dalam menegakkan diagnosa. Simpulan: Gambaran radiograf ameloblastoma pada kasus ini menunjukkan radiolusen, well defined, corticated, multilokuler, serta perluasan lesi pada posterior maksila dan mandibula kiri. Kata kunci: Ameloblastoma, CBCT, panoramik.   ABSTRACT Introduction: Ameloblastoma is aggressive neoplasm rose from the rest of the lamina dental and enamel organ (odontogenic epithelium). Radiographic examination was performed with CBCT and panoramic technique as supportive examination to observe the ameloblastoma lesion. The purpose of this report was to describe the diagnosis and analysis of the features of ameloblastoma observed from CBCT and panoramic radiographs. Case report: A 16-years-old male patient came to the radiology installation of Universitas Padjadjaran Dental Hospital to obtain CBCT and panoramic examination. The medical records showed ± two weeks prior, the patient complained of pain in the left jaw region. The general condition of the patient was good, with no systemic disease. Intraoral examination results showed redness, pain in the tooth region 37, and unerupted tooth number 38. The results of the extraoral examination showed pain, swelling in the left cheek, and asymmetrical face. Radiographic results showed radiolucent, well-defined, corticated, multilocular features and lesions extended posteriorly to the maxilla and left mandible. CBCT and panoramic radiograph thus can be used as investigations tools for diagnosis. Conclusion: Radiographic feature of ameloblastoma in this case shows radiolucent, well defined, corticated, multilocular, as well as the extended lesion in the posterior maxillary and left mandible. Keywords: Ameloblastoma, CBCT, panoramic