Canalis sinuosus approximation on an impacted maxillary canine: a case report

Objectives: This case report is aimed to report the finding of canalis sinuosus on an impacted maxillary canine using cone beam computed tomography (CBCT) examination. Case Report: A 21-year-old male was referred from orthodontic department to radiology department UNPAD Dental Hospital for CBCT to determine the treatment of malalignment asymptomatic maxillary canine. The case revealed the presence of canalis that was identified as a canalis sinuosus, a branch of the anterior superior alveolar nerve that rarely known by a practitioner, at the apex of impacted right maxillary canine. Conclusion: The information of this anatomical variation is important for professionals due to damage that may be caused during treatment. The use of advanced imaging examination is recommended to acknowledge the individual anatomical variation before determining the proper treatment planning.

Panoramic and periapical radiographs utilization in Disaster Victim Identification (DVI): narrative review

Objectives: The purpose of this narrative review is to discover radiographic images in panoramic and periapical radiographs that are used as identifiers and to compare the use of panoramic and periapical radiographs in identification based on DVI. Review: The databases used in this narrative review are Google Scholar, PubMed, and Science Direct. A total of 1258 search results appeared based on keywords. The search results were selected by title and abstract according to their relevance to the review topic, then results are selected again based on the inclusion and exclusion criteria. Total of 38 literatures were reviewed. This review shows radiographic identifiers used in panoramic radiographs are tooth restorations, crown, Root Canal Treatment (RCT), dental bridge, dental implants, maxillary sinus, rectilinear metal plate, orthodontic brackets, tooth anomaly, and root morphology. The radiographic identifiers used in periapical radiograph are tooth restorations, PSA, tooth anomaly, and root morphology. In this review, 53.8% of the literatures used panoramic radiograph for identification, whereas 46.2% used periapical radiograph. Conclusion: This review concluded that the most used radiographic identifier in panoramic radiograph is tooth restoration (57,1%) whereas in periapical radiograph is RCT (83,3%). Panoramic radiography were used in 53,8% of the literatures in this review, it was used more than periapical radiography.

Sensitivity of panoramic radiographs in diagnosing maxillary sinusitis: a scoping review

Objectives: The purpose of this study was to determine the sensitivity of using this panoramic radiograph in diagnosing maxillary sinusitis. Review: Scoping Review with article searches was carried out through NCBI's PubMed database, Science Direct, and EbscoHost from January 2020 to March 2021, with the inclusion criteria being articles published in 2010-2020. Conclusion: Panoramic radiographs were found to be less sensitive for diagnosing maxillary sinusitis, but due to the low availability and accessibility of CBCT and CT, and related to their expensive cost and high radiation, panoramic radiographs are considered to be quite optimal.

Distribution of CBCT-3D examination referrals at Dental Hospital Universitas Airlangga

Objectives: This study aims to find out the distribution of CBCT-3D examination referrals at Dental Hospital Universitas Airlangga based on the origin of referral, specialist field, age and gender. Materials and Methods: This descriptive research is using the total sampling method. Secondary data from the medical records of any referral patients for CBCT-3D examination at Dental Hospital Universitas Airlangga from July 2015 to March 2020 were included in this study. Furthermore, data references were tabulated and presented in the form of a pie chart. Results: The distribution of CBCT-3D examination referrals at Dental Hospital Universitas Airlangga was as high as 323 (77.64%) coming from within the hospital and as much as 93 (22.36%) from outside of the hospital. Based on the dental specialties who made the referral, six of seven departments have referred their patients for CBCT examination with varying proportions and indications. The distribution of referrals was also divided into gender (male or female) and several age categories based on the Indonesian Ministry of Health, such as toddlers (ages 0-5 years), children (ages 5-11 years), adolescents (ages 12-25 years), adults (ages 26-45 years), elderly (ages 46-65 years) and seniors (over 65 years). Conclusion: Referrals for CBCT-3D radiography examinations at Dental Hospital Universitas Airlangga are mostly from within the hospital, from the Department of Oral and Maxillofacial Surgery. Female patients and the elderly (46 years and older) were found to be the most frequently referred.

Crown root fracture imaging on Cone Beam Computed Tomography

Objectives: This case report is aimed to describe the features of CBCT in assessing tooth fracture. Case Report: A 50-year-old man came with complaints of discomfort in the right lower jaw area, especially when used for chewing. The results of the percussion test were positive. CBCT examination showed that there was a radiolucent image of the enamel in the middle of the crown root to the 1/3 apical of the mesial and distal roots of tooth 47 which resembled a fracture line. The fracture line also appears to have reached the pulp. In addition, there is a well-defined radiolucent appearance with an irregular shape along the root from the buccal to lingual alveolar crest and accompanied by a decrease in the alveolar crest. The fracture that occurred in this case was from the enamel to the apical and involved the pulp, thus the radiodiagnosis on tooth 47 was a complicated crown root fracture with lateral periodontal cyst. Conclusion: CBCT can be used to help identify tooth fractures by obtaining a more accurate and useful value in differentiating conditions associated with fractures. CBCT provides data on the size and length of the fracture line and the size of the lesion.

Analysis of osteoblast, osteoclast levels and radiographic patterns in the healing process of bone fractures (preliminary research)

Objectives: The healing process of a bone fracture goes through many phases. The hard callus phase was critical where the original structure was conducted. The hard callus growth depends on osteoblasts and osteoclasts active, and this condition can be analyzed on the radiograph. This study aimed to examine the analysis of bone fracture healing between osteoblasts and osteoclast numbers and radiographic patterns. Materials and Methods: The study used 12 male Wistar rats with an incomplete fracture in the right femur made by a dental tapered bur with 0.3 mm in length and 0.2 mm in depth. Digital radiographic examinations were carried out on days 0, 5, 10, 17, and 25 after fracturing in a lateral position. Furthermore, a radiographic analysis was performed using Image-J to obtain changes in the value of length and depth in the healing area. The research was conducted to find the radiopaque and radiolucent patterns and the number of osteoblasts and osteoclasts. Results: This study resulted in a change in the radiograph pattern. Callus formation resulted in fracture areas with a smaller distance from day 0 to day 25. The bone healing process begins with granulation tissue formation, followed by the gradual replacement of the connective tissue and bone. This process is comparable to the increase in osteoblasts up to day 25, which blocks bone resorption. Osteoclasts regulate bone resorption, and their number increases after 10 and 17 days to replace bone formation. Osteoclasts decline after 25 days because osteoblasts inhibit them, which control bone formation. Conclusion: The conclusions were obtained there are changes in the radiograph pattern. The radiopaque increased while the radiolucent decreased; the osteoclast pattern tended to be stable and lowered while the osteoblasts increased during the fracture healing process. The correlation of all the factors is very closely related.

Progressive systemic sclerosis with unilateral osteolysis of the mandible: a unique case report and review

Objectives: This case report is aimed to discuss case findings of Progressive Systemic Sclerosis (PSS), an overview of the characteristics in the form of osteolysis on one side of the mandible, and a theoretical review. Case Report: A 30-year old male patient came to an oral surgeon after tooth extraction. Clinical extraoral examination revealed hyperpigmentation on the right side of the face. A radiological study showed widening periodontal space on posterior teeth, and the angles of the mandibular arch, the jaw branch and the mandibular condyle neck were dissolved in the form of bone resorption. Conclusion: Characteristics of Progressive Systemic Sclerosis (PSS) in radiographs appear in the form of expansion of the periodontal space and osteolysis of the mandibular angle, branch, and even condyle. This disease is caused by an autoimmune disease that affects the entire body, but it can manifest on one side of the body.

CBCT of maxillary central incisor with internal resorption: a case report

Objectives: The aim of this case report is to report the radiographic features of an internal resorption in maxillary central incisor and to emphasize the benefits of CBCT in this case. Case Report: A 14-year-old male went to Universitas Padjadjaran Dental Hospital with a discoloration of his fracture upper anterior teeth. The anamnesis revealed that the patient had history of a fall in about 6 years ago. Patient didn’t complain about pain when examination happened and wanted to have his teeth treated. Periapical radiograph showed an internal resorption in maxillary central incisor. Cone beam computed tomography (CBCT) was used to see other findings before determining the treatment plan. Conclusion: Internal resorption gives a characteristic appearance on the radiograph. CBCT modalities provide more information than conventional ones so that the use of this modality is not only to establish a diagnosis, but also can be used in determining the right treatment plan.

Prevention of infective endocarditis in dental procedures for tetralogy of fallot patients

Objectives: Tetralogy of Fallot (ToF) is a congenital heart defect that is often found in children. Complication that can occur is infective endocarditis caused by bacteria that are often found in the oral cavity. Children with ToF are in a high risk of caries, especially in primary dentition. Preparation of the oral cavity must be done before the cardiac surgery. A proper examination and diagnosis of caries is required in determining the dental treatment to reduce the risk of infective endocarditis. Case Report: A boy aged 4 years, weighing 20 kg came to the pediatric dentistry clinic in Surabaya on a referral from Kediri. The patient had ToF with high caries index and will undergo cardiac corrective surgery. Through a brief anamnesis, it was found that this patient's fingernails and lips easily turn blue (cyanosis) if the patient is in an anxious condition. The panoramic photo shows teeth 51, 52, 54, 61, 62, 74, 84 showing radiolucent images from the enamel to the pulp chamber. Conclusion: Prophylactic antibiotics should be given to ToF patients before procedures involving the gingiva and pulp. Radiographs are needed to help establish the diagnosis and plan treatment. Proper oral and dental care must be taken to prevent the occurrence of infective endocarditis. Errors in determining the diagnosis can lead to errors in the treatment plan and increase the risk of infective endocarditis.

Imaging of odontogenic keratocyst of the jaw by panoramic radiography: a scoping review

Objectives: This review article is aimed to determine the imaging of odontogenic keratocyst of the jaw by panoramic radiography. Review: This research is a descriptive research using the scoping review method based on the Preferred Reporting Items for Systematic Review and Meta-analysis Scoping Review (PRISMA-Scr) which was conducted from February 2021 to April 2021. The search for literature related to the research topic was carried out through database of scientific articles on PMC NCBI, Pubmed NCBI, and Garuda as well as hand searching. The identified articles were screened by checking for duplicates, reading the titles and abstracts, and reading the entire articles. A total of 16 articles were included out of 161 articles in total. Conclusion: Imaging of odontogenic keratocyst of the jaw by panoramic radiography is most commonly found in the 1st and 2nd decades of life and in males, the lesions are unilocular or multilocular radiolucent and have an envelopmental shape in which the outline of the cyst surrounds the entire unerupted tooth. OKCs have well-defined with sclerotic or scalloped margins, most often occur in the posterior mandible and often associated with impacted 3rd molars, root resorption was a rare occurrence.