e-Journal Persatuan Dokter Gigi Indonesia (PDGI)
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Comparison of Interceptive Orthodontic Treatment Need by Professionals and Parents
No full textIntroduction:
Malocclusion is the arrangement of the teeth that is not ideal according to the dental arch. Interceptive orthodontic treatment aims to correct malocclusion during the mixed dentition period. Orthodontic index is a measuring tool to assess the severity of malocclusion, one of the indexes that can be used is Indeks Kebutuhan Perawatan Ortodonti Interseptif oleh Orang Tua (IKPOI-OT) for early detection of malocclusion in children aged 8-11 years during the mixed dentition period that can be used by parents.
Objective:
To determine whether there is a difference in the measurement results of the need for interceptive orthodontic treatment with IKPO-I by dentists and IKPOI-OT measured by parents at SDN Jelambar Baru 07 so that this index can be used by parents for early detection of maloclussion in children aged 8-11 years (mixed dentition period).
Methods:
This research is an analytical observational study with a cross-sectional design. The data obtained from the research was subjected to a statistical comparison test using the Mann Whitney test.
Results:
Total participants were 84 students and parents of SDN Jelambar Baru 07, the results of parent's examination showed that 55 children (65,5%) needed consultation with a dentist or orthodontist, meanwhile, the results of the dentist's examination showed that all of the children needed orthodontic treatment, 42 children (50%) needed interceptive orthodontic treatment and 42 children (50%) requires corrective orthodontic treatment.
Conclusion:
There is a difference in the measurement results of the need for interceptive orthodontic treatment with IKPO-I by dentists and IKPOI-OT measured by parents.
Keywords:
IKPO-I, IKPOI-OT, Interceptive orthodontic, Malocclusio
The Effect of Celery Leaf Juice (Apium graveolens Linn.) on Surface Hardness of Hot Polymerized Acrylic Resin Denture Base
No full textBackground: Hot polymerized acrylic resin is the most commonly used denture base material. Surface hardness is an important mechanical property of acrylic resin to resist abrasion of the denture base during routine cleaning procedures. Celery leaf juice at 50% concentration is effective as a denture cleaner. The ideal denture cleaning solution has bactericidal and fungicidal properties, is easy to use, and does not damage the materials used in making the denture. Objective: This study aims to determine the effect of celery leaf juice (Apium graveolens Linn.) on the surface hardness of hot polymerized acrylic resin denture bases. Methods: This study was a laboratory experimental study with a pre-test and post-test with control group research design. A total of 24 hot polymerized acrylic resin samples measuring 65mm x 10mm x 2.5mm were divided into 4 groups, namely 50% concentration celery leaf juice, 75% concentration celery leaf juice, alkaline peroxide, and distilled water which were immersed for 5 days. Surface hardness was measured with Vicker's Hardness Tester. Statistical tests were performed with paired T-test, One Way ANOVA parametric test and Post hoc LSD test. Results: The paired T-test showed that 3 groups, namely celery leaf juice 50% concentration, celery leaf juice 75% concentration, and alkaline peroxide had a significant decrease in surface hardness (p<0.05). Conclusion: There is an effect of celery leaf juice (Apium graveolens Linn.) on the surface hardness of hot polymerized acrylic resin denture bases. However, the hardness value is still within the tolerance limit according to ANSI/ADA specification No. 12.
Keywords: hardness, celery leaf juice, hot polymerization acrylic resi
Relationship between Smoking Habit and Nicotine Level with Salivary Flow Rate and pH
No full textIntroduction: High nicotine levels from smoking can affect salivary composition and function, which in turn can contribute to oral health problems such as dental caries and periodontal disease. Objective: The purpose of this study was to investigate the relationship between smoking habits and nicotine levels with salivary flow rate and pH in students of the Faculty of Engineering, Universitas Syiah Kuala. Methods: This study was a cross-sectional research design and examined 100 students of the Faculty of Engineering, Syiah Kuala University. Saliva collected by the spitting method. Results: The results of research on students of the Faculty of Engineering, Universitas Syiah Kuala, show that smoking habits and nicotine levels have a significant on the flow rate and pH of saliva in student smokers. Conclusion: There is a significant relationship between smoking habits and nicotine levels in cigarettes, with flow rate and salivary pH in smoking students. The habit of smoking affects the decrease in salivary flow rate and changes in salivary pH, with a moderate to strong strength of relationship
Assessment of submandibular sialolithiasis with panoramic and occlusal radiographs: diagnostic relevance in a clinical case
No full textObjectives: This case report aims to describe the radiographic appearance of sialolithiasis on occlusal and panoramic radiographs.
Case Report: A 27-year-old female patient came to RSGMP UNHAS with complaints of a lump under her right tongue. Before the lump appeared, the patient complained of pain under his right tongue. The swelling began approximately one week ago, initially about the size of a green bean. It has progressively increased in size until the present time. On occlusal radiography imaging, an irregular round radiopaque focus was found, and on panoramic radiography of the right mandibula zone, a well-defined radiopaque image in the form of an elongated oval/cylindrical shape was found. Case management: After clinical examination and panoramic and occlusal radiographs, a sialolithectomy was performed under general anesthesia in the right sublingual area.
Conclusion: This case report is to describe radiographically the appearance of sialolithiasis on panoramic radiographs and occlusal radiographs, which is clearly visible in this case.
Keywords: Radiography, panoramic; salivary glands; sialolithiasis; submandibular glan
Large radicular cyst compressing the mandibular canal: a case report
No full textObjectives: To describe radicular cysts and differentiate them from radiographically similar cysts such as odontogenic keratocysts.
Case Report: A 21-year-old female patient presented to the Dental and Oral Hospital with a primary complaint of residual root fragments in the left mandibular region, for which she requested extraction. Extraoral clinical examination revealed no facial asymmetry, swelling, or tenderness, and the region was asymptomatic upon palpation. The patient reported no relevant systemic medical history. Panoramic radiographic examination demonstrated a well-defined unilocular radiolucent lesion extending from the apical third of tooth 36 to the periapical areas of teeth 35, 37, and 38. Given the limitations in diagnostic detail offered by conventional periapical radiography, a Cone-Beam Computed Tomography (CBCT) scan was subsequently performed. Multiplanar reconstruction images from the CBCT revealed a radiolucent lesion extending from the periapical area of tooth 35, with evidence of compression on the mandibular canal.
Conclusion: Radicular cysts are the most common type of odontogenic cyst and are associated with dental inflammation. Radicular cysts and OKCs have a similar radiographic appearance, leading to confusion between the two. Cone Beam Computed Tomography (CBCT) offers three-dimensional imaging that allows a comprehensive assessment of the lesion's size, extent, and relationship to adjacent anatomic structures, allowing the characteristics of both radicular lesions and OKCs to be clearly demonstrated. The characteristics of each lesion can be clearly described, making CBCT a very helpful modality in these cases.
Keywords: Cone Beam Computed Tomography, odontogenic cyst, radicular cys
Florid osseous dysplasia with chronic suppurative osteomyelitis in Asian female: an incidental finding on Panoramic and CBCT examination
No full textObjectives: In a previous case study, we reported an incidental finding of florid osseous dysplasia with osteomyelitis, which was identified on panoramic and CBCT imaging.
Case Report: A 53-year-old female patient came to the Radiology Department of Dental Hospital Padjadjaran Bandung with the chief complaint of recurrent pain one year ago; there was swelling from the cheek to the left mandible; the swelling reappeared one week ago with clinical pus mixed with blood in the swelling area. The patient had previously seen an oral surgeon and was referred for panoramic and CBCT radiographs. The results of the panoramic radiographs were that there was an irregular radiopaque lesion with ill-defined borders in the posterior region affecting 4 quadrants; in the sinister mandibular region, there was cortical destruction, root resorption, and the lesion appeared to extend to the canalis mandibular area. The CBCT examination showed multiple globular radiopaque lesions affecting 4 quadrants in the posterior area. There were sequestra with lytic lesions on the sinistra mandible resulting in buccal and lingual cortical bone discontinuity and buccal-lingual expansion. Expansion of the lesion area resulted in discontinuity of the canals mandibular sinistra and decreased bone density of the trabeculae up to the mandibular ramus; there was apical resorption trabecula bone density. From the Panoramic examination and CBCT results, the suspect radiodiagnosis was Florid osseous dysplasia associated with osteomyelitis.
Conclusion: An examination of panoramic and CBCT images revealed FOD that had been secondarily infected with chronic diffuse osteomyelitis
The role of CBCT in diagnosing and managing cleft lip and palate
No full textObjectives: Cleft lip and palate (CLP) are one of the most common types of congenital maxillofacial lesions. Cleft lip and palate patients often deal withspeech, masticatory and hearing problems, dental and craniofacial anomalies, and psychosocial issue. The aim of this study is to determine the role of cone beam computed tomography (CBCT) in diagnosing CLP.
Case Report: A 25-year-old female was referred to dentomaxilllofacial radiology department in Universitas Padjadjaran Dental Hospital for a CBCT examination of a cleft palate. Three-dimensional image analysis provides superior and more detailed information compared with conventional plain two-dimensional (2D) radiography, with the added benefit of 3D printing for preoperative treatment planning and regenerative therapy. The result showed a radiolucent area between teeth 21 and 23, agenese teeth 22. These findings led to cleft palate unilateral complete at sinistra region. CBCT imaging provides a detailed picture of the cleft in three dimensions view that can helps for determining the treatment plan based on the classification of cleft lip and palate.
Conclusion: Available evidence implies that 3D imaging methods not only can be used for documentation of CLP patients, but also can determining the treatment plan. 3D CBCT radiograph are more informative than conventional 2D
Cone-Beam CT, CT and MRI for odontogenic tumors: a narrative review of imaging characteristics
No full textObjectives: This review article aims to examine the role of cone-beam computed tomography (CBCT) in the diagnosis and management of odontogenic tumors. Additionally, it evaluates CBCT's efficacy in the assessment of both benign and malignant odontogenic tumors, including ameloblastoma, odontoma, and odontogenic myxoma.
Review: This narrative review provides an in-depth analysis of CBCT imaging characteristics in the most common odontogenic tumors. The review highlights key CBCT features such as localization, peripheral structure, and internal architecture, emphasizing their impact on surrounding tissues. It compares the utility of CBCT with that of CT and MRI for the diagnosis of common odontogenic tumors, focusing on the strengths and weaknesses of each modality. The research questions addressed in this review include how CBCT can enhance diagnostic accuracy, what imaging characteristics are critical for differentiation between benign and malignant tumors, and how CBCT compares with traditional imaging methods in the context of maxillofacial tumor diagnostics.
Conclusion: CBCT’s three-dimensional imaging capabilities provide clinicians with enhanced visualization of odontogenic tumor characteristics, aiding in accurate lesion localization, differentiation of tumor types, and treatment planning. CBCT is particularly useful for assessing the internal structure and peripheral boundaries of odontogenic tumors, improving the ability to distinguish between benign and malignant lesions. However, its limitations in soft tissue resolution underscore the continued importance of CT and MRI in comprehensive maxillofacial imaging
Incidental findings of suspect multiple odontomas and impacted supernumerary teeth on panoramic radiograph: a case report
No full textObjectives: This case report aimed to describe radiographic features of suspect multiple odontomas in an incidental case.
Case Report: A 32-year-old man non syndromic patient was referred to the Dental Radiology Unit of RSGM Unpad for panoramic examination. He was complaining about a pain in lower mandible and was clinically diagnosed with an impacted 48. Radiographic findings appeared irregular radiopaque with radiodensity that resembles enamel and dentin, surrounded by a thin radiolucent capsule in the left and right regions body of the mandible. Additionally, there is radiopaque that resembles a para premolar supernumerary tooth, inferior from the lesion to the mandibular cortical bone.
Conclusion: In this case, irregular radiopaque areas with radiodensity that resembles enamel and dentin, surrounded by thin radiolucent capsules, were found as the radiographic features that led the radiodiagnosis of odontomas
Recurrent follicular ameloblastoma of the maxilla: a case report
No full textObjectives: This report aims to describe the clinical and radiological characteristics of ameloblastoma. This benign odontogenic tumor rarely occurs in the upper jaw, and to emphasize the importance of using panoramic radiography in confirming the diagnosis.
Case Report: A 52-year-old female patient presented with a lump in the right upper jaw that had been present for three months. She reported that a small lump first appeared four years earlier and had gradually increased in size. The patient had a history of surgery to remove a lump and extraction of a right maxillary tooth in 2021, with histopathological analysis (HPA) revealing ameloblastoma. She also reported tenderness in the area and the presence of a salty discharge from the mouth. Panoramic radiography and CT scan revealed a unilocular, homogeneous radiolucent lesion, ovoid with well-defined margins, located in the edentulous posterior right alveolar ridge. The lesion extended superiorly toward the base of the right maxillary sinus and inferiorly toward the crest of the alveolar ridge. The patient underwent an excisional biopsy, with a histopathological examination confirming the diagnosis of a bone tumor (ameloblastoma). This was followed by a segmental maxillectomy in the region of teeth 12–15 under general anesthesia. Ameloblastoma has a high tendency to recur, particularly when conservative management fails to completely remove the tumor. In this case, pathological examination, along with panoramic and CT imaging, confirmed recurrent ameloblastoma.
Conclusion: The diagnosis of recurrent follicular ameloblastoma of the maxilla was established through a combination of clinical evaluation, radiographic imaging, and histopathological examination