Odontoma merupakan tumor odontogenik yang memiliki sifat klinis jinak. Odontoma terdiri dari dua jenis yaitu compound dan complex odontoma. Perbedaan diantara keduanya adalah compound odontoma berbentuk seperti struktur gigi, sedangkan complex odontoma tersusun atas massa enamel dan dentin yang tidak teratur dan tidak memiliki kemiripan anatomi. Tujuan laporan kasus untuk menganalisis gambaran radiograf panoramik pada kasus complex odontoma. Laporan kasus: Pasien perempuan berusia 24 tahun datang ke klinik Bedah Mulut RSUD Arifin Achmad Pekanbaru dengan keluhan pembengkakan pada rahang bawah bagian kiri. Pembengkakan tidak disertai rasa sakit. Hasil pemeriksaan radiograf panoramik menunjukkan lesi radioopak homogen, well-defined yang dikelilingi halo radiolucent. Suspek radiodiagnosis adalah complex odontoma yang berhubungan dengan impaksi gigi permanen molar. Radiograf panoramik dapat digunakan untuk menganalisis gambaran complex odontoma. Simpulan: Gambaran radiografi complex odontoma umumnya radioopak homogen yang dikelilingi halo radiolucent dengan batas jelas (well-defined, soft tissue capsule border).
Objectives: The aim of this report is to present a case of florid osseous dysplasia and understand its characteristics from panoramic radiography. Case Report: A 47-years-old female patient came to the oral and maxillofacial radiology department at Dental and Oral Hospital of Universitas Padjadjaran to take panoramic radiography. Patient’s chief complaints were pain on tooth 46 after being extracted about 4 days ago with numbness on the extraction area. Panoramic radiograph showed radioopaque lesions in the extraction area surrounded by a thin radiolucent area. In the periapical region of tooth 36 and 47 showed the same radiopaque image as tooth 46. The radiodiagnostic suspect of the lesions was bilateral florid osseous dysplasia in the posterior region of the mandible. Conclusion: The images of florid osseous dysplasia from panoramic radiography are radioopaque, well-defined, sclerotic border, and having soft tissue capsule when the lesion is immature condition. The most common condition of FOD affect both upper and lower jaw, but if the lesion only occur in one jaw, the lesion commonly happen in mandible with exact location is more posterior than canine teeth.
Objectives: The purpose of this case report was to report the finding of styloid process morphology in patients with TMD. Case Report: A 22-years-old female patient came to the radiology installation of Rumah Sakit Gigi dan Mulut Unpad Bandung for a Cone Beam Computed Tomography – 3 Dimension (CBCT-3D) examination with a clinical diagnosis of temporomandibular joint disorders (TMD). CBCT-3D examination results showed a change in the shape and position of the right and left condyle head. The length of the styloid process from the sagittal view on the right side was 34,0 mm and the left side 35,0 mm with the elongation type styloid process according to Langlais et al on the right and the left sides were elongated (type I). The styloid process undergoes bilateral elongation with the same type of elongation between the right and the left sides. Angulation of the styloid process from the coronal view on the right side was 68,6° and the left side 55,9°. There was a change in the shape of the right and left styloid processes from the axial view at the temporal base, middle and the tip of styloid process. Conclusion: TMD provides an abnormality in elongation of styloid process, CBCT is an effective diagnostic imaging modalities in evaluation of styloid process length.
Latar Belakang: Odontoma adalah tumor odontogenik yang memiliki sifat klinis jinak, dianggap sebagai kelainan perkembangan (hamartoma) dan bukan merupakan tumor sejati (true neoplasm). Tumor odontogenik ini terdiri dari jaringan email, dentin, sementum dan pulpa. Odontoma terdiri dari dua jenis yaitu compound dan complex odontoma. Compound odontoma sering terjadi pada regio insisivus-kaninus maxilla. Tumor ini berhubungan dengan erupsi gigi yang tertunda, impaksi dan persistensi gigi sulung.Tujuan: Untuk mendeteksi gambaran radiograf panoramik dan CBCT pada kasus compound odontoma.Laporan kasus: Pasien perempuan berusia 10 tahun bersama orang tuanya datang ke bagian Pedodonsia Rumah Sakit Gigi dan Mulut Universitas Padjadjaran Bandung dengan keluhan gigi depan rahang atas kiri belum tumbuh. Kemudian pasien dirujuk ke bagian radiologi untuk dilakukan pemeriksaan panoramik dan Cone Beam Computed Tomography (CBCT). Hasil radiograf panoramik dan CBCT menunjukkan lesi dengan struktur densitas multiple radioopak berbentuk seperti gigi pada rongga radiolusen dengan batas well-defined corticated . Suspek radiodiagnosis adalah compound odontoma yang berhubungan dengan impaksi gigi insisivus sentral.Simpulan: Radiograf panoramik dan CBCT dapat digunakan untuk mendeteksi gambaran compound odontoma.
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