RADIOLOGI KEDOKTERAN GIGI 5

TUJUAN PEMBELAJARAN
Mahasiswa dapat : Menginterpretasi kondisi dan posisi dari gigi impaksi dari foto radiografis Menginterpretasi anomali gigi dan rahang dari foto radiografis Menginterpretasi infeksi rahang dari foto radiografis Menginterpretasi kista rahang dari foto radiografis

TUJUAN PEMBELAJARAN
Mahasiswa dapat : Menginterpretasi tumor rahang baik jinak maupun ganas pada foto radiografis Menginterpretasi penyakit tulang yang bermanifestasi pada tulang rahang pada foto radiografis Menginterpretasi penyakit sistemik yang memberikan manifestasi di rahang pada foto radiografis Menginterpretasi fraktur gigi dan rahang pada foto radiografis Menginterpretasi kelainan/penyakit sinus paranasal, radiologi kelenjar saliva, dan TMJ pada foto radiografis

BUKU REFERENSI
1. Oral Radiology : Principles and Interpretation. 6th Ed. White and Pharoah. Mosby. 2009. 2. Essential of Dental Radiography and Radiology. 4th Ed. Eric Whaites. ChurchillLivingstone. 2007. 3. Color Atlas of Dental Medicine : Radiology. Friedrich A Fasler. Thieme. 1993. 4. Panoramic Radiology : Seminar on Maxillofacial Imaging and Interpretation. Editor : Alan G Farman. Springer. 2007. 5. Radiographic Imaging for the Dental Team. 4th Ed. Miles, Van Dis, Williamson, Jensen. Elsevier. 2009 6. Radiology for Dental Professional. 9th Ed. Frommer, Stabulas-Savage. Mosby. 2011

BUKU REFERENSI
7. Essential of Dental Radiography for Dental Assistants and Hygienists. 9th Ed. Evelyn M. Thomson, Orlon N Johnson. Pearson. 2012 8. Pocket Atlas of Dental Radiology. Friedrich A Pasler, Heiko Visser. Thieme. 2007 9. Radiography and Radiology for Dental Care Professionals. 2nd Ed. Eric Whaites. Churchill Livingstone. 2009 10. Textbook of Dental and Maxillofacial Radiology. 2nd Ed. Freny R Karjodkar. Jaypee. 2009 11. Textbook of Dental Radiology. 2nd Ed. Pramod John R. Jaypee. 2011

Jadwal Perkuliahan
No.
1. 2. 3. 4. 5. 6.

Tanggal
30 Oktober 2013 6 November 2013 13 November2013 20 November 2013 27 November 2013 4 Desember 2013

Materi
Pengarahan Impaksi gigi - Anomali gigi dan rahang - Infeksi rahang Kista rahang Tumor rahang - Penyakit pada tulang yang bermanifestasi di tulang rahang - Penyakit sistemik yang bermanifestasi di tulang rahang - Fraktur gigi dan rahang - Kelainan/penyakit sinus paranasal , radiologi kelenjar saliva dan TMJ Review dan Kuis

Dosen
drg. Shanty Chairani, M. Si. drg. Adiprabowo, Sp BM drg. Shanty Chairani, M. Si. drg. Shanty Chairani, M. Si. drg. Shanty Chairani, M. Si. drg. Arya Prasetya Beumaputra, Sp. Ort.

7.

11 Desember 2013

drg. Adiprabowo, Sp BM

8.

18 Desember 2013

drg. Shanty Chairani, M. Si.

TUGAS INDIVIDU
Ketentuan umum Mahasiswa harus membuat tugas makalah mengenai gambaran radiografik kelainan oromaksilofasial Tugas diketik dalam bentuk microsoft Word kertas A4, font 12 times new roman, spasi 1,5, minimal 8 halaman, maksimal 12 halaman, semua hardcofy dan softcopynya (dalam bentuk 1 cd) dikumpulkan pada tanggal 18 Desember 2013. Tiap topik antar mahasiswa harus berbeda

TUGAS INDIVIDU
Ketentuan khusus Sumber kepustakaan HARUS berasal dari text book atau jurnal ilmiah dalam 10 tahun terakhir, penulisan daftar pustaka dengan metode Vancouver Jurnal dapat berupa hasil penelitian, case report, diacckan terlebih dahulu min 2 buah. Dalam makalah, mahasiswa harus menjelaskan :
Definisi dari kelainan/penyakit Epidemiologi/predileksi kelainan/penyakit Gambaran klinis Teknik radiografis yang dapat digunakan untuk melihat kelainan/penyakit tersebut dan gambaran radiografisnya (50% dari isi makalah)

RADIOGRAPHIC IMAGE

Understanding the nature of the radiographic image and interpreting the information contained within, it requires a knowledge of: The radiographic shadows The three-dimensional anatomical tissues The limitations imposed by a two-dimensional picture and superimposition.

Radiographic Interpretation
1. Recognize the type of radiography being interpret 2. Recognize the position of patient, film and tube X-ray 3. Recognize the radiographic appearances of

normal anatomical structures (including anatomy variance or physiologic changes) 4. Recognize the typical patterns and appearances of different diseases

Systematic Approach Of Radiographic Interpretation

Radiographic Interpretation
A systematic description of a lesion in radiographic image should include its: 1. Localize the abnormality :
a. Localized or generalized If generalized a metabolic or endocrine abnormalities of bone If localized : unilateral or bilateral

Radiographic Interpretation
1. Localize the abnormality b. Position in the jaw In soft tissue or within the jaw? Maxilla or mandible? Anterior or posterior? Wheres the epicenter of the lesion?

If its coronal to a tooth or above inferior alveolar canal (IAC) odontogenic in origin If its below IAC non odontogenic in origin If its within IAC neural/vascular in origin

c. Single or multiple d. Size

Radiographic Interpretation
2. Assess the periphery and shape a. Well defined or ill defined If well defined :
A punched-out border : a sharp boundary in which no bone reaction adjacent to the lesion A corticated margin : a thin, fairly uniform radiopaque line of reactive bone at the periphery of a lesion A sclerotic margin : a wide, radiopaque border of reactive bone, that usually is not uniform in width A radiopaque lesion may have a soft tissuse capsule radiolucent line at the periphery of lesion

If ill defined mostly in acute infection, malignant lesions

Radiographic Interpretation
2. Assess the periphery and shape b. Shape Particular shape or irregular? Circular or scalloped?

Radiographic Interpretation
3. Analiyze the internal structure a. Totally radiolucent b. Totally radiopaque c. Mixed radiolucent and radiopaque Posibble internal structure :
Septa multilocular A difference in the number, length, width, and orientation of the trabeculaer ex. fibrous dysplasia Sementum has a homogeneous,dense, amorphous structure, usually round and oval shapes Tooth structure : internal density is equivalent to tooth structure and greater than the surrounding bone

Radiographic Interpretation
4. Analiyze the effect of the lesions on adjacent surrounding structures
Teeth, lamina dura, and periodontal membrane space displacement, destruction, widening? Surrounding bone density and trabecular pattern corticated, sclerotic? Inferior alveolar nerve canal and mental foramen widening, displacement? Outer cortical bone and periosteal reactions expansion, destruction, widening?