Diagnostic accuracy of periapical radiolucency using periapical radiography and cone-beam computed tomography

Objectives: This research is aimed to compare the accuracy of periapical radiography in detecting periapical radiolucency with that of Cone-beam Computed Tomography (CBCT) and to assess the additional information that CBCT provides. Materials and Methods: 96 patients with a primary diagnosis of endodontic problem had been studied retrospectively. Each root was examined for the presence or absence of periapical lesions according to the Periapical Index (PAI) Score. Roots and root canals identified through perapical radiography and CBCT were recorded. Additional information from CBCT regarding effects of lesions in cortical bone and maxillary sinus was also noted. Sensitivity, specificity, positive predictive value, and negative predictive value were analyzed. Results: The result showed that accuracy of periapical radiography as expressed by its sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) was 0.65, 0.90, 0.86, 0.75, respectively. Conclusion: Periapical radiography has a low sensitivity in detecting periapical lesions compared to CBCT. CBCT also provides more detailed information that is useful in endodontic treatment

Kelebihan dan kekurangan penggunaan radiasi dosis rendah (Low Doses Radiation: advantages and disadvantages)

Objectives: To inform and discuss the benefits and harms of low dose radiation. Literature Review: Low dose radiation (LDR) was often used, including for services in the field of dentistry. Several studies have studied this for a long time but the results are still not conclusively agreed. Some researchers found a variety of side effects that are not beneficial to the body, but some found no association with the body damage caused by this, and even some found that LDR has beneficial effects on the body. Conclusion: low doses of radiation cause significant changes in the body, although this condition is met with an adaptive reaction which is considered a beneficial response by the body. Therefore, no matter how small the radiation is given, it will still have an impact on the body so it is better to be wise in its use. &nbsp

Konsultasi Dan Edukasi Masalah Kesehatan Gigi Dan Mulut Serta Protokol Kesehatan Selama Masa Pandemi Covid-19 Secara Online Melalui Teledentistry

ABSTRAK Covid-19 merupakan penyakit jenis baru yang ditemui pertama kali di Wuhan China pada Desember 2019. Wabah tersebut dinyatakan sebagai pandemi oleh WHO pada Maret 2020 menyebabkan perubahan tatanan kehidupan termasuk kedokteran gigi. Tindakan kedokteran gigi beresiko besar menjadi penyebaran  SARS-CoV2 sebagai penyebab Covid-19 karena banyak berhubungan dengan produksi aerosol dan droplet. Hal tersebut menyebabkan banyak praktek dokter gigi tutup atau hanya menangani tindakan emergency. Di sisi lain memasuki kehidupan era baru di masa pandemi Covid-19 masyarakat perlu diedukasi mengenai penerapan protokol kesehatan untuk mencegah penyebaran SARS-Cov 2. Tujuan pengabdian ini adalah melakukan konsultasi dan edukasi masalah kesehatan gigi dan mulut serta protokol kesehatan di masa pandemi ini agar tetap aman. Metode yang digunakan adalah melalui teledentistry yaitu komunikasi jarak jauh dengan menggunakan platform “surbo chat “ whatsapp TanyaPepsodent dan “dashboard”. Hasil dari kegiatan ini sebanyak 112 orang masyarakat mengikuti kegiatan ini dengan kasus terbanyak adalah gigi nyeri dan berlubang. Peserta terbanyak berasal dari Kota Denpasar dan semua peserta belum pernah mengikuti kegiatan teledentistry sebelumnya. Simpulan dari kegiatan ini adalah teledentistry dapat memfasilitasi dalam memberi konsultasi dan edukasi kepada masyarakan di masa pandemi Covid-19. Kata kunci: konsultasi dan edukasi, teledentistry , pandemi Covid-19   ABSTRACT Covid-19 is a new type of disease that was first discovered in Wuhan China in December 2019. The outbreak was declared a pandemic by the WHO in March 2020, causing changes in the order of life including dentistry. Dental action has a big risk of spreading SARS-CoV2 as the cause of Covid-19 because it has a lot procedures with aerosol and droplet production. This causes many dentist practices to close or only handle emergency treatment. Entering a new era of life during the Covid-19 pandemic, publics needs to be educated on the application of health protocols to prevent the spread of SARS-Cov 2. The purpose of this activity is to consult and educate on oral health issues and health protocols during this pandemic. The methode used is through teledentistry, long-distance communication using the "surbo chat" whatsapp TanyaPepsodent and "dashboard" platform. The results of this activity were as many as 112 people participating in this activity with the most cases being tooth pain and cavities. Most of the participants came from Denpasar City and all participants had never participated in previous teledentistry activities. The conclusion of this activity is that teledentistry can facilitate providing consultation and education to the community during the Covid-19 pandemic. Keywords: consultation and education, teledentistry, the Covid-19 pandemi

Radiomorphometric of the Jaw for Gender Prediction: A Digital Panoramic Study

Background. Gender identification by using skeletal identificati on is an important tool in forensic, medico-legal, bioarkeology, and anthropology. Traditional morphological methods depended on the anthropologist subjectivity that caused a significant difference among the observer. This study aims to develop the discriminant function for gender prediction in a Surabaya-Indonesia population age ranges 15-25-year-olds by using a panoramic radiograph. This research used 273 panoramic radiographs consisted of 129 male panoramic radiographs and 144 female panoramic radiographs. The researchers measured 11 parameters of the jaw such as two gonial angles, two mandibular ramus heights, two mandibular ramus widths, two mandibular corpus lengths, two nasal line maxilla, and anterior mandibular corpus heights. The researchers analyzed the data by using the discriminant analysis of the IBM SPSS statistic 24. Results. the result of our study shows there were significant differences in the jaw morphometry between males and females, except the mandibular ramus widths. The jaw size in males was larger than that of the female. The biggest dimorphism variables based on the Wilks lambda value were gonial angles, mandibular ramus heights, mandibular corpus lengths, and nasal lines. While the smallest dimorphism variables were mandibular ramus widths. The accuracy of discriminant analysis for each variable ranges from 47.3% to 93.8%. Conclusion. This preliminary study in Surabaya-Indonesia population age ranges 15-25-year-olds by using panoramic radiograph shows the highest accuracy of gender prediction by using discriminant function was obtained from the combination of the nine jaw parameters