ANALISIS GAMBARAN ODONTOMA COMPOUND MENGGUNAKAN

RADIOGRAFI

Analysis Description of Compound Odontoma using Radiography

ABSTRAK
Odontoma merupakan tumor odontogenik yang tersusun oleh epitelium dan ektomesenkim odontogenik
dengan atau tanpa pembentukan jaringan mineral gigi. Odontoma diklasifikasikan menjadi dua jenis yaitu
odontoma compound dan complex. Odontoma compound merupakan lesi unilokuler yang terlihat radiopak,
memiliki struktur mirip gigi berukuran mini, dikenal sebagai dentikel. Penegakkan diagnosis disimpulkan
dengan pemeriksaan klinis dan penunjang meliputi pemeriksaan radiologi dan patologi. Evaluasi radiografi
merupakan prosedur diagnostik yang penting. Penggunaan Three-Dimensional Cone Beam Computerized
Tomography (3D CBCT) memiliki kemampuan pencitraan tiga dimensi dengan distorsi minimum dan dosis
radiasi rendah. Tujuan laporan adalah untuk menganalisis gambaran odontoma pada radiograf 3D CBCT. Pada
laporan kasus, pasien mengeluhkan gigi berlebih. Ditemukan gambaran mesiodens di antara gigi 11 dan 21 pada
radiografi panoramik dan ditemukan terdapat gambaran lesi radiopak unilokuler berbatas jelas pada bagian
apikal gigi 21 yang disuspek radiodiagnosis sementara sebagai gambaran dari odontoma. Pada pemeriksaan
radiografi 3D CBCT didapatkan bahwa suspek radiodiagnosis dari lesi adalah odontoma compound yaitu berupa
gambaran radiopak unilokuler berbatas jelas disertai area radiolusen pada bagian tengah lesi menyerupai
gambaran radiografi jaringan gigi dengan diagnosis bandingnya adalah ossifying fibroma, periapical osseus
dysplasia, dan dense bone island. Gambaran radiografi dari odontoma dapat terlihat jelas pada radiograf 3D
CBCT yang memiliki gambaran tiga dimensi.
Kata kunci: CBCT, odontoma, mesiodens.

ABSTRACT
Odontoma is an odontogenic tumor composed by epithelium and odontogenic ectomesenchyme with or without
formation of mineralized dental tissues. Odontoma are classified into two types, compound and complex
odontoma. Compound odontoma are unilocular lesions containing multiple radiopaque, miniature tooth-like
structures known as denticles. The diagnosis is concluded with a clinical and supportive examination which
includes radiology and pathology examination. Radiographic evaluation is an important diagnostic procedure.
The use of Three-Dimensional Cone Beam Computerized Tomography (3D CBCT) has a three-dimensional
imaging capability with minimum distortion and low radiation dose. The purpose of this report is to analyze
odontoma imaging on 3D CBCT radiographs. In this case report, the patient complained of excess teeth.
Mesiodens were found between teeth 11 and 21 on panoramic radiographs and there was also a clearly
demarcated unilocular radiopaque lesion on the apical of tooth 21 that was temporarily diagnosed with a
radiographic diagnosis as a picture of odontoma. On the 3D CBCT radiographic examination it can be
concluded that the suspected radiodiagnosis of the lesion is compound odontoma in the form of a clearly
demarcated unilocular radiopaque with radiolucent area at the center of the lesion resembling a radiographic
picture of dental tissue and the differential diagnosis are ossifying fibroma, periapical osseus dysplasia, and
dense bone island. The conclusion is that radiographic images of odontomas can be seen clearly on 3D CBCT
radiographs that have a three-dimensional picture of a clearly.
Keyword: CBCT, odontoma, mesiodens.