e-Journal Persatuan Dokter Gigi Indonesia (PDGI)
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Variation of normal condyle shape based on gender in panoramic radiographs
No full textObjectives: To find out information about variations in the normal shape of the condyles based on gender using panoramic radiographic observations and to find out the frequency data for variations in the normal shape of the condyles.
Materials and Methods: This is a descriptive observational research using 122 panoramic radiographs as secondary data. The panoramic image consisted of 61 male samples and 61 female samples. The condyles were observed by describing the condyle shapes on the right and left sides. Observation of the shape of the condyle was carried out by three observers. Then, the data were tested for reliability by using the Intraclass Correlation Coefficient to equalize the perceptions of the three observers.
Results: The reliability test using ICC obtained a score > 0.9 which means very good reliability. The most commonly found condyles shape is round and there are differences in shape between the right and left condyles in both males and females.
Conclusion: The most common variation of the normal shape of the condyle found in both males and females is round on the right and left sides
Maxillary bone analysis in dentate and edentulous men through panoramic radiographs
No full textObjectives: This study aims to analyze the height of maxillary bone in dentate and edentulous men through panoramic radiographs.
Materials and Methods: This research is an analytic descriptive design with a cross-sectional approach. This study used 40 samples of panoramic radiography images, divided into groups of 20 edentulous men and groups of 20 dentate men as a control group. Maxillary bone height is measured by drawing a vertical line from the lowest point of the infraorbital ridge to the maxillary alveolar crest.
Results: The result showed that the mean value of the dentate group samples was greater than that of the edentulous group.
Conclusion: Dentate men have a higher maxillary bone height than edentulous men, as analyzed using panoramic radiography. There were significant differences in maxillary bone in edentulous and dentate men
Factors Associated with Skeletal Maturation at the Growth Spurt Period Using a Cervical Vertebrae Maturation Stage: Study of Orthodontic Patients Aged 9-11 Years at RSGM-P FKG USAKTI
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Introduction: The growth spurt period is the right time to optimize various aspects of orthodontic treatment. The period of growth spurt in a person can be assessed through biological age which can be determined based on skeletal maturation. Skeletal maturation can be determined by assessing the development of the cervical vertebrae on the lateral cephalogram, namely by using the Cervical Vertebrae Maturation Stage (CVMS) based on the Baccetti method. This simple and widely used method is inserted into the first to sixth stages of the cervical. This method focuses on the second, third, and fourth cervical vertebrae. Objective: To determine the factors associated with skeletal maturation in orthodontic patients aged 9-11 years at RSGM-P FKG USAKTI using the Cervical Vertebrae Maturation Stage (CVMS). Methods: This analytic observational study was conducted by tracing 96 lateral cephalograms of patients aged 9-11 years at RSGM-P FKG USAKTI to determine skeletal maturation using the Cervical Vertebrae Maturation Stage (CVMS) based on the Baccetti method. Chi-Square test is used to determine the relationship between the level of skeletal maturation with gender and age. Results: The majority of skeletal maturation levels in patients aged 9-11 years were in the second cervical stage, 36 patients (37.5%), with female patients in the second cervical stage, 20 samples (41.7%) and the majority of male patients occurred in the first cervical stage with a total of 17 samples (35.4%). In this study there was no relationship between gender and the level of skeletal maturation (p>0.05), but there was a relationship between age and the level of skeletal maturation (p<.05). Conclusion: This study concluded that age is a factor that can be related to the level of skeletal maturation (p<0.05)
Rehabilitation of Maxillary defect using Removable Maxillary Cast Partial Denture Hollow Prosthesis for managing Mucomycosis patient: A Clinical Case Report
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Introduction: Mucormycosis is the fungal infection which especially affects immunocompromised patients. Case Report: In this case report, prosthetic rehabilitation of maxillary defect due to past mucormycosis in an uncontrolled diabetic patient was discussed by means of lightweight prosthesis by attaching a hollow occlusal shim to cast partial denture framework as absence of alveolar ridge on the defect side tends to increase the weight of the prosthesis which would have compromised the retention of the prosthesis. Conclusion: This technique is simple, economical and less time-consuming
Panoramic radiograph measurement of upper mandibular ramus breadth for sex determination
No full textObjectives: This research is aimed to see the difference of the upper mandibular ramus breadth between male and female patients in Rumah Sakit Gigi dan Mulut Pendidikan (RSGMP) Fakultas Kedokteran Gigi Universitas Trisakti, West Jakarta according to radiomorphometry.
Materials and Methods: This research uses observational analytical design on 166 digital panoramic radiographs, 83 male radiographs and 83 female radiographs, of patients aged 18 and above from the Installation of Dental Radiology in RSGM-P FKG Universitas Trisakti. The measurement was performed on left upper mandibular ramus breadth using the computer software i-Dixel version 2.2.0.3 (Morita Japan). The data is analyzed using comparative independent t-tests to see the difference between the genders.
Results: The result of this study shows the mean value of the left upper mandibular ramus breadth in male (31.55 ± 2.66 mm ) is higher than female (29.42 ± 2.58 mm) with p-value = 0.000.
Conclusion: The upper mandibular ramus breadth measurement shows significant difference between genders
Radiographic appearance of ossifying fibroma in the left mandible: a case report
No full textThis 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
Unique benign soft tissue tumor suspected pyogenic granuloma in a young female hard palate: a case report
No full textObjectives: This case aims to report the finding of a unique lesion in the maxilla in a young female patient.
Case Report: The patient, a 21-year-old female, presented with a painless swelling on the left palate for the past 3 months, causing discomfort during eating. On intra-oral examination, there was visible swelling in the left hard palate area, extending from teeth 23 to 26 and extending to the middle of the palate. The patient was referred for a CBCT examination. The aim of writing this article is to assess the findings of a unique case of benign tumor of the palate. The results of the CBCT examination showed radiolucent lesions in the palatal mucosal area without bone resorption. The density of the lesion was higher than that of the surrounding mucosa. The lesion does not damage the tissue of the surrounding area. This is unique because swelling of this size is usually accompanied by extensive bone resorption. Based on its nature, this lesion was diagnosed as a benign soft tissue tumor with differential diagnoses of pyogenic granuloma, pleomorphic adenoma, leiomyoma, and desmoplastic fibroma.
Conclusion: The lesion found was a soft tissue tumor lesion at the time; it was found to have a non-aggressive and non-expansive nature, making it difficult to determine a specific radiodiagnosis. The differential diagnosis of this case has been established as follows: Pleomorphic adenoma, pyogenic granuloma and leiomyoma, and pyogenic granuloma, were the options for establishing a provisional radiodiagnosis
The Role of The Immune and Endocrine Function in Burning Mouth Syndrome Patient with Moderate Depressive Episode Accompanied by Gastro-Esophageal Reflux Disease
No full textBackground: Burning mouth syndrome (BMS) is a chronic disease characterized by taste change and burning feeling of clinically normal oral mucosa. This case report was to discuss the role of immune and endocrine function in BMS. Patient had moderate depressive episode and her general health was worsening by Gastro-Esophageal Reflux Disease (GERD). Case: A 19-year-old female complained about burning feeling in her entire mouth shortly after had chili sauce. She already felt the burning sensation episodes for four months. She also complained about the same burning feeling in her chest especially when eating spicy and sour food. She also had another complaint of anxiety and stress. After a thorough history, physical and supportive examinations and followed by filling out Depression Anxiety Stress Scale 42 (DASS 42), patient was referred to ENT, internist and psychiatrist. The diagnosis was concluded as BMS in moderate depressive episode patient with GERD. To reduce the oral symptoms, patient was advised to avoid spicy and sour food. She was also prescribed with chlorine dioxide oral mouthwash and sterile soda bicarbonate water. At the same time, the internist prescribed lansoprazole and braxidin, while the psychiatrist prescribed sertraline and clobazam. Conclusion: The etiology of BMS in this case is not fully understood, but it is thought to be multifactorial with local, systemic and psychological factors. A thorough work-ups and follow-ups were important to build patient’s trust and contribute to the successful of the treatment plan. In the management of BMS, recognition and elimination of GERD as triggering factors in this case were crucial, which eventually reduce intensity, recurrence and frequency of the burning sensation
Effect of Different Types of Denture Cleansers on Hardliner Surface Roughness
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Introduction: Hard liner is a denture relining material which can be used directly at the chairside in brief time. The characteristic of the hardliner is its susceptibility towards porosity which consequently resulting biofilm accumulation and Candida albicans colonization. Thus, there is a need for denture cleaning. Alkaline peroxide is a type of denture cleanser which is widely used, but it could affect the physical properties of hard liner. One of the traditional ingredients that have the potential to be used as an alternative to denture cleanser is cinnamon. Objective: This study aimed to evaluate the effect of different types of denture cleansers on the surface roughness of hard liner. Method: Twelve cylindrical hard liner specimens (15mm x 10mm, ASTM: D-2240 64T) were divided into three groups: group I (immersed in distilled water), group II (immersed in alkaline peroxide) and group III (immersed in 1.5% extract cinnamon). All specimens were soaked for 15 minutes/day for 7 days. Surface roughness was measured using surface roughness tester (Handysurf E-MC-S24B Japan). Data were analysed using one-way ANOVA and post hoc Bonferroni (α=0.05). Results: The highest average of surface roughness was shown on specimens immersed in alkaline peroxide, followed by specimens immersed in 1.5% cinnamon extract and distilled water, respectively. There were a significant difference in surface roughness values in all groups (p<0.05). Conclusion: There is an effect of type of denture cleanser on the surface hardness of hard liner