Klasifikasi impaksi gigi molar ketiga melalui pemeriksaan radiografi sebagai penunjang odontektomi

Objectives: Odontectomy is a common procedure in the extraction of third molars. Assessment of the difficulty level of extraction of third molars can be evaluated based on the classification of impaction. This article aims to discuss how the classification of impaction in third molars evaluates the difficulty of odontectomy treatment through radiographic examination. Literature Review: Literature search was carried out from various electronic databases with article inclusion criteria that discussed the validity of third molar impaction classification through radiography. Conclusion: Based on the findings of this review, it can be concluded that various stratified classifications are suggested as index that can be considered and recommended in the assessment of the difficulty level of third molar odontectomy. &nbsp

Impacted Lower Third Molar Profile at Dental Hospital of Padjadjaran University

  Introduction: Impacted teeth are teeth that erupt incompletely in the normal eruption period. This situation can be caused by hard or soft tissue obstructions or a lack of arch jaw. Objectives: This study aimed to determine the impacted lower third molar teeth profile by age, sex, class, angulation, treatment, and anesthesia at RSGM UNPAD in 2017-2019. Methods: The study was conducted from February 8, 2020, to March 8, 2020. The study represents the impacted lower third molar teeth profile of patients referred to Outpatient Installation, Central Surgical Installation, and the Radiology Installation. Classification of tooth impaction was based on Pell & Gregory and Winter classifications using ImageJ application, while Intraclass Correlation Coefficient (ICC) was used to confirm data validity. Results: There were 146 impacted dental cases, with a total case of 62 (42.5%) for males and 84 (57.5%) for females. Most impacted teeth occurred in the 12-25 years age group up to 72 (49.3%). A total of 177 impacted teeth mostly occurred in 48 teeth, as many as 91 (51.4%). Impaction class Pell & Gregory class B with 110 (62.1%) cases were found the most. Based on the anterior border of ramus, class II with 164 (91.1%) cases was found the most. Horizontal (79 cases, 44.6%) became the most frequent angulation. The procedures taken were all odontectomy 177 (100%) with more use of local anesthesia 136 (93.2%) compared to general anesthesia 10 (6.8%). Conclusion: Cases of impacted lower third molar teeth at RSGM UNPAD in 2017-2019, were most common in females and mostly in the 12-25 years age group, with Pell & Gregory class IIB classification and Winter horizontal angulation classification, all procedures performed were odontectomy, majority using local anesthesia

ANALYSIS OF DENTIGEROUS CYST, AMELOBLASTOMA, AND ODONTOGENIC KERATOCYST PANORAMIC RADIOGRAPH AND CBCT: A SCOPING REVIEW

Background: The radiographic images similarity of a dentigerous cyst, ameloblastoma, and odontogenic keratocyst can lead to misdiagnosis. The radiographic images of these lesions can be analyzed using panoramic radiographs and CBCT with quantitative and qualitative methods of analysis. The purpose of this study was to find out what radiographic methods is better to used on panoramic radiograph and cbct to analysis these lesions so that the diagnose could be more objective, to determine the characteristics of these lesions, and to determine the use of CBCT and panoramic radiography in establishing radiodiagnosis of these lesions.Method: This research was conducted using a scoping review, through searching for articles related to the research topic in Pubmed, EBSCOHost, and Google Scholar. Result: Fifty-eight studies and case reports were reviewed in this study. This study analyzed these lesions using quantitative methods based on buccolingual size, density, and lesion volume using CBCT. Qualitative methods were used to analyze border and shapes, associations, internal structures, and locations using panoramic radiography and CBCT. Based on the cases studied, size, border, and shape of these lesions were the least optimal characteristics analyzed by panoramic radiography and CBCT.Conclusion: Ameloblastoma has a higher incidence of multilocular forms than OKC and dentigerous cysts and causes tooth resorption, while dentigerous cysts often cause tooth displacement. CBCT can be a gold standard in analyzing dentigerous cyst, ameloblastoma, and odontogenic keratocyst. Analysis of CBCT images could be more objective because it can be carried out using quantitative methods for calculating the density, volume, and size of the buccolingual expansion. Based on the case reports reviewed, size, border, and shape are the least used in determining suspected radiodiagnosis

CHARACTERISTICS OF UPPER THIRD MOLAR IMPACTION IN BANDUNG CITY POPULATION

Background: The third molars (M3) are the most frequently impacted teeth because they are the last to erupt, so they often don’t get enough space to erupt. The characteristics of impacted M3 teeth can be different for each person. This study aims to provide a description of maxillary M3 impaction based on age, sex, classification, treatment, and anesthesia in Bandung City population. Method: This was a descriptive study using secondary data from medical records and panoramic radiographs at RSGM UNPAD with a purposive sampling technique. Determination of the characteristic impaction using a classification based on Archer, Shiller, Jung and Cho, and Killy and Kay, analyzed with ImageJ software by interobserver and intraobserver, and tested using Kappa statistics for reliability.Result: There were 134 impacted teeth from 102 impacted patients with 67 females (66.34%) and most cases occurred in 17-25 years old (60.4%); Class B, 82 cases (60.9%); distoangular angulation, 76 cases (56.72%); Class 3, 76 cases (52.24%); and one fused roots, 83 cases (64.93%). The most common procedure performed was odontectomy (87.25%) with local anesthesia (63.73%)Conclusion: Characteristics of upper M3 impaction in terms of position, angulation, and its relation to age and sex is needed for the diagnosis, so the management plan by the clinician is better and safer. Panoramic radiography can still be used to determine classification and diagnosis in preparing a treatment plan even though it has limitations

Analisis gambaran radiologis suspek ameloblastoma tipe solid pada radiograf CBCT 3D

Objectives: The aim of this case report is to provide further information on the radiological features of a solid type ameloblastoma suspected on a 3D CBCT radiograph. Case Report: A patient came referred by a dentist for CBCT 3D radiography with suspected clinical diagnosis of a maxillary anterior dentigerous cyst. The results of the CBCT 3D radiographic examination showed a radiointermediate with a clear border on the anterior maxilla and in the right maxillary sinus accompanied by the impact of two supernumerary teeth. Radiological features of ameloblastoma generally show a multilocular radiolucent picture and have a radiopaque septa bone internal structure such as a soap bubble appearance or honey combed appearance. This case showed a clearly demarcated radiointermediate image because a solid type ameloblastoma contains tissue that is histologically formed from cells hat are follicular or plexiform and derived from the results of a degenerative process at the center of the Langerhans islands. Conclusion: Radiographic examination with high modality such as CBCT 3D is very important in helping to establish a diagnosis, especially for cases that sometimes show differences in the radiographs

Aspek radiografis dan biologis tulang dalam penilaian kualitas tulang pada osteoporosis

Objectives: This scientific paper discusses aspects of biological bone and radiograph examination in helping diagnose systemic diseases with a decrease in bone quality more accurately. Literature Review: Osteoporosis often occurs in postmenopausal women because of reduced estrogen. Sign analysis is related to four important factors to assess bone quality, namely bone density, bone turnover, bone size and bone architecture. Mineral Bone Examination Density is a gold standard examination by the World Health Organization for the diagnosis of osteoporosis and bone biomarkers can provide an overview of the renovation process being carried out. Conclusion: Panoramic radiographs are expected to be a potential checkpoint for early detection of systemic diseases that manifest in the maxillofacial region with bone conversations characterized by bone enlargement, changes in bone microstructure and trabeculae that indicate changes in bone quality. &nbsp

Spatial ability and anatomy learning performance among dental students

Purpose Spatial perception is an essential skill for professional dentists. The objective of this study was to observe the spatial ability, as well as anatomy module grades, of dental students at a dental education center in Indonesia and relate these to gender and cohort. Methods A cross-sectional study was carried out where dental students in years (cohorts) 1, 2, 4–6 were invited to take the Revised Purdue Spatial Visualization Test (PSVT-R) and the redrawn Vandenberg and Kuse Mental Rotation Test (MRT) in order to assess spatial ability. In addition, the 1st- and 2nd-year dental students carried out gross anatomy assessments. Spatial ability test results were compared using an independent t-test to detect gender differences, one-way analysis of variance to inspect cohort differences, and correlation relative to anatomy module scores. Results A total of 326 dental students voluntarily participated. Statistically significant gender differences were found in both spatial ability tests in the overall sample (PSVT-R: p<0.001; MRT: p=0.001). When the 1st- and 2nd-year dental students were pooled, significant gender differences were detected, in which males scored higher than females in both spatial ability tests (PSVT-R: p<0.001; MRT: p=0.003). In anatomy, however, females scored higher than the males (p=0.005). In addition, there were weak to moderate, but significant correlations between spatial ability tests and anatomy scores. Conclusion This study indicated that spatial ability may not be the only factor predicting the academic performance of dental students. However, dental students with low spatial ability scores may need supplementary educational techniques when learning specific spatial tasks

<strong>Correlation between human chronological age and dentin volume of maxillary canine</strong>

ABSTRACT Introduction: One of the identification methods in forensic odontology is to estimate age through tooth characteristics. With age, odontoblast cells that line the pulp cavity will continue the process of secondary dentin deposition at a lower rate. Generally, maxillary canines are teeth that can survive in the oral cavity until old age and are less likely to wear out. This study aimed to determine the correlation between human chronological age and the dentin volume of the maxillary canines using CBCT radiographs. Methods: An analytic study of the Pearson correlation test was conducted on 114 samples of CBCT radiographs of the maxillary canines from the Radiology Unit of the Rumah Sakit Gigi dan Mulut, Faculty of Dentistry, Universitas Padjadjaran. The inclusion criteria for this study were canines with closed apex, no caries, no attrition, no restorations, no orthodontic treatment, and generally good health. Maxillary canine dentin volume was measured using the application ITK-SNAP version 3.8.0. The results of dentin volume were analyzed using the Pearson correlation test using SPSS IBM Statistics 25. Results: Pearson correlation analysis showed the correlation coefficient value (r= 0.270 and (r = 0.427) for the male and female samples, respectively. Conclusion: The correlation between chronological age and maxillary canine dentin volume in this study was not strong enough to be used as a single parameter in the age estimation method. Future research is expected to expand the sample size with a homogenous age distribution to obtain more consistent and accurate results. Keywords: age estimation; dentin volume; maxillary canines; ITK-SNAP; CBCT