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2D PANORAMIC RADIOGRAPHY AND 3D CBCT OF MANDIBULAR CORTICAL LOSS IN SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) PATIENTS OF HASAN SADIKIN HOSPITAL: A CROSS SECTIONAL STUDY: RADIOGRAFI PANORAMIK 2D DAN CBCT 3D DARI HILANGNYA TULANG KORTIKAL MANDIBULAR DI SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) PADA PASIEN DI RUMAH SAKIT HASAN SADIKIN: STUDI CROSS SECTIONAL Boel, Trelia; Lubis, Wilda H; Sofyanti, Ervina; Kartika, Dewi; Gunadi, Wachjudi R
Dentika: Dental Journal Vol. 20 No. 1 (2017): Dentika Dental Journal
Publisher : TALENTA

Systemic Lupus Erythematosus (SLE) is an autoimmune rheumatic disease that involves extensive inflammation of the bone regions. Studies showed that the long-term medication in SLE patientsaffects the quantity and quality of bones.This should be considered in any treatment administered, including dental treatment. This study was conducted to analyze mandibular cortical bone loss in SLE patients with 2D panoramic radiography and 3D Cone Beam Computerized Tomography (CBCT). The research was a cross-sectional study to measure 31 SLE Indonesian female outpatients in Internal Medicine Installationat Hasan Sadikin Hospital, Bandung in 2014. The mean age is 37.65±10.79 years with 5.23 ± 4.37 mg corticosteroid intake history for 2–20 years. There was a significant correlation in the mandibular cortical loss analyzed by 3D CBCT imaging based on corticosteroid dosage (p=0.026). In conclusion, the level of mandibular cortical bone loss observed by panoramic radiography was moderate while 3D CBCT imaging showed a severe level of loss in this study.

ANALYSIS OF ROOT CANAL MORPHOLOGY OF INCISOR TEETH USING PERIAPICAL RADIOGRAPHY BISECTING TECHNIQUE AND CHANGE HORIZONTAL ANGULATION 30º IN SUB RACE PROTO AND DEUTRO MALAY: ANALISIS MORFOLOGI SALURAN AKAR GIGI INSISIVUS MENGGUNAKAN RADIOGRAFI PERIAPIKAL TEKNIK BISEKTRIS DAN PERUBAHAN ANGULASI HORIZONTAL 30º PADA SUB RAS PROTO DAN DEUTRO – MELAYU Kartika, Dewi; Boel, Trelia; Pintauli, Sondang
Dentika: Dental Journal Vol. 21 No. 01 (2018): Dentika Dental Journal
Publisher : TALENTA

The incisor has a variation of root canal morphology, which can be assessed using periapical radiography. Periapical radiography with standard angulation often makes complicates the assessment of the root canal morphology that is branched off in buccal and lingual directions because the radiograph result of the root canal will appear superimposed. Therefore, it is necessary to change horizontal angulation to mesial or distal to help assess the superimposed root canal. Root canal morphology may vary by population. The population in Indonesia consists mainly of the sub-races of Proto and Deutro-Malay. The purpose of this study was to determine the difference of root canal morphology between maxillary and mandibular incisors; between the sub-races of Proto and Deutro-Malay; and between the right and left regions, using twice the radiation projection. This study was an analytical study with cross-sectional method using 55 subjects who come from three previous generations of Proto and Deutro-Malay. On each tooth were performed twice radiations periapical radiography, using standard angulation and altering horizontal angulation toward distal 30º. The results showed that in Proto-Melayu, for maxillary central incisors maxillary teeth were obtained type I (99.1%) and III (0.9%) Vertucci, and maxillary lateral incisors were obtained type I Vertucci (100%). In mandibular central incisors were obtained type I (90%), II (3.6%), III (2.7%) Vertucci and IV Gulabivala (3.6%), and mandibular lateral incisors were obtained type I (87.3 %), II (1.8%), III (7.3%) Vertucci and type IV Gulabivala (3.6%). In Deutro-Malay, maxillary central incisors were obtained 100% Vertucci type I and maxillary lateral incisors were obtained type I (99.1%) and II (0.9%). In mandibular central incisors were obtained type I (85.5%), III (11.8%) Vertucci, IV Gulabivala (1.8%), and other types 1-2-1-2-1 (0.9%), and mandibular lateral incisors were obtained by type I (81.8%) and III (18.2%) Vertucci. The result of chi-square analysis showed there were no significant differences of root canal morphology of maxillary insicors tooth between Proto and Deutro-Malay and between right and left region (p> 0,05), but there were significant differences of root canal morphology between maxillary and mandibular incisors and root canal morphology of the mandibular incisor between Proto and Deutro-Malay (p <0.05). In conclusion, maxillary and mandibular incisors of Proto and Deutro-Malay sub-races have variations in root canal configuration and there were differences found in the mandibular incisors.

Age Estimation Using Schour-Massler Method Compared to the Demirjian Method: Estimasi Usia Menggunakan Metode Schour-Massler Dibandingkan dengan Metode Demirjian Boel, Trelia; Bahri, Tiara Ayustin
Dentika: Dental Journal Vol. 22 No. 1 (2019): Dentika Dental Journal
Publisher : TALENTA

Schour-Massler and Demirjian are methods used to estimate chronological age in dental radiographs by looking at the development of permanent teeth and the maturity of the dental age. Chronological age is based on date of birth. Dental age is the age based on the maturity of the teeth. Both of these methods have been widely used in previous studies, but have never been compared. The purpose of this study was to determine whether there are differences in age estimation using the Schour-Massler and Demirjian methods. This study was an observational analytic study with a cross sectional design. The research sample was 46 patients who came to USU General Hospital at the age of 10-16 years. This research was consist at the Radiology Unit of the Faculty of Dentistry, University of North Sumatra. The results of this study indicate the p value of the Wilcoxon test results with the p value for Schour-Massler p=0.090 > 0.05 and Demirjian p=1,000. Both p values> 0.05, there is no significant difference in assessing the estimated age using both methods, so Ha is accepted. In conclusion, the Schour-Massler and Demirjian methods provide estimates of age that are close to actual age, so there is no significant difference between the two methods.

GAMBARAN KANALIS MANDIBULARIS KIRI SECARA RADIOGRAFI PANORAMIK PADA WARGA MEDAN SELAYANG: IDENTIFICATION OF LEFT MANDIBULAR CANAL USING PANORAMIC RADIOGRAPHY AMONG MEDAN SELAYANG SUBJECTS Trelia Boel; Savena Bala Kumar
Dentika: Dental Journal Vol. 18 No. 2 (2014): Dentika Dental Journal
Publisher : TALENTA

Tujuan penelitian ini adalah untuk mengetahui gambaran kanalis mandibularis dan variasinya melalui radiografipanoramik pada warga di Kecamatan Medan Selayang. Radiografi dalam kedokteran gigi memainkan peran pentingdalam memperoleh informasi diagnostik . Variasi penyebaran kanal mandibula dapat dilihat melalui gambar radiografipanaromik . Hal ini sangat penting bagi semua dokter gigi untuk melakukan perawatan , seperti operasi gigi molar ketiga,implan dan membagi ramus osteotomy. Jenis penelitian ini adalah survei deskriptif dengan pendekatan cross-sectionaldengan 86 sampel, (laki-laki dan perempuan) di Kecamatan Medan Selayang berusia antara 32-72 tahun. Hasil penelitianmenunjukkan yang memiliki kanal mandibula kiri normal 100%. Sebagai kesimpulan, tidak terdapat variasi penjalarankanalis mandibularis kiri pada masyarakat di Kecamatan Medan Selayang berdasarkan gambaran radiografi panoramik.

The Variation of Pulp Canal Configuration in Mandibular Posterior Teeth Using Cone Beam Computed Tomography in Indonesia Subpopulation Mongoloid Race: Konfigurasi Saluran Akar pada Gigi Posterior Mandibula Melalui Cone Beam Computed Tomography pada Ras Mongoloid Indonesia Boel, Trelia; Kartika, Dewi; Dennis
Dentika: Dental Journal Vol. 23 No. 1 (2020): Dentika Dental Journal
Publisher : TALENTA

It is important to understand pulp canal configuration to have a successful endodontic treatment. Cone Beam Computed Tomography (CBCT) radiography is able to assess the pulp canal configuration, especially on the lingual/palatal, compared to the periapical radiography. The objective of the research is to know the prevalence pulp canal configuration of mandibular molar teeth in Indonesia subpopulation Mongoloid race using CBCT radiography. This research is a descriptive survey with a cross-sectional approach, using 38 CBCT radiographs from the patients undergoing dental treatments in hospitals in Medan. The subjects were selected based on research criteria; then their CBCT radiographs were interpreted and analyzed. The result shows the existence of mandibular mesial root type 2-1 (28.94%), 1-2-1 (5.26%), 2-2 (55.26%), 2-1-2-1 (2.64%), 3-2 (5.26%), 3-1 (2.64%), distal root type 1-1 (36.84%), 2-1 (23.68%), 1-2-1 (15.79%), 1-2 (2.63%), 2-2 (13.17%), 2-1-2-1 (5.26%), 1-3-1 (2.63%). The distolingual root of mandibular first molars consisted of type 1-1 (100%). Mesial root of mandibular second molars of type 1-1 (2.63%), 2-1 (50%), 1-2-1 (5.26%), 2-2 (36.85%), 2-1-2-1 (2.63%), 1-2-1-2 (2.63%), distal root type 1-1 (57.89%), 2-1 (15.79%), 1-2-1 (13.16%), 2-2 (10.53%), 2-1-2 (2.63%). This variation of the pulp canal can be influenced by the shape of roots. A flat root usually contains pulp canal configuration type II – VIII Vertucci, similarly to mandibular molar mesial canals. As a summary, there is a variation of pulp canal configuration in mandibular first and second molars on Indonesian Mongoloid race, as seen from the CBCT radiographs.

The Variation of Pulp Canal Configuration in Mandibular Posterior Teeth Using Cone Beam Computed Tomography in Indonesia Subpopulation Mongoloid Race: Konfigurasi Saluran Akar pada Gigi Posterior Mandibula Melalui Cone Beam Computed Tomography pada Ras Mongoloid Indonesia Boel, Trelia; Kartika, Dewi; Dennis
Dentika: Dental Journal Vol. 23 No. 1 (2020): Dentika Dental Journal
Publisher : TALENTA

It is important to understand pulp canal configuration to have a successful endodontic treatment. Cone Beam Computed Tomography (CBCT) radiography is able to assess the pulp canal configuration, especially on the lingual/palatal, compared to the periapical radiography. The objective of the research is to know the prevalence pulp canal configuration of mandibular molar teeth in Indonesia subpopulation Mongoloid race using CBCT radiography. This research is a descriptive survey with a cross-sectional approach, using 38 CBCT radiographs from the patients undergoing dental treatments in hospitals in Medan. The subjects were selected based on research criteria; then their CBCT radiographs were interpreted and analyzed. The result shows the existence of mandibular mesial root type 2-1 (28.94%), 1-2-1 (5.26%), 2-2 (55.26%), 2-1-2-1 (2.64%), 3-2 (5.26%), 3-1 (2.64%), distal root type 1-1 (36.84%), 2-1 (23.68%), 1-2-1 (15.79%), 1-2 (2.63%), 2-2 (13.17%), 2-1-2-1 (5.26%), 1-3-1 (2.63%). The distolingual root of mandibular first molars consisted of type 1-1 (100%).Â Mesial root of mandibular second molars of type 1-1 (2.63%), 2-1 (50%), 1-2-1 (5.26%), 2-2 (36.85%), 2-1-2-1 (2.63%), 1-2-1-2 (2.63%), distal root type 1-1 (57.89%), 2-1 (15.79%), 1-2-1 (13.16%), 2-2 (10.53%), 2-1-2 (2.63%). This variation of the pulp canal can be influenced by the shape of roots. A flat root usually contains pulp canal configuration type II â€“ VIII Vertucci, similarly to mandibular molar mesial canals. As a summary, there is a variation of pulp canal configuration in mandibular first and second molars on Indonesian Mongoloid race, as seen from the CBCT radiographs.

The Difference of Occlusal Cant and Favored Chewing Side in Subjects with Complete Dentition: Perbedaan Kemiringan Dataran Oklusal dan Kecenderungan Sisi Pengunyahan pada Subjek dengan Gigi Lengkap Sofyanti, Ervina; Tambunan, Mirna Rory Yohanita; Boel, Trelia; Siregar, Darmayanti; Aditya Rachmawati
Dentika: Dental Journal Vol. 23 No. 2 (2020): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v23i2.3819

The examination of static and dynamic occlusal relationship are important in orthodontic diagnosis. Thus, this study aims to analysis the difference of occlusal cant and favored chewing side. This is cross-sectional study of 70 healthy dental students Universitas Sumatera Utara with complete dentition and have no orthodontics treatment history. The position of tongue spatula across on occlusal of both first bicuspids to assess the existence and degree of the canting occlusal based on extra-oral photograph. The occlusal cant positive if it coincided to inter pupil as transversal references and sectioned with facial midline as a vertical reference more than 3º. A modified direct method- visual observation was done to assess the favored chewing side. A chi-square test with p level 0.05 in evaluation of the null hypothesis that states there was a difference of occlusal cant and favored chewing side in those subjects. From 36 subjects with cant occlusal positive, there were 26 subjects with and 10 subjects without favored chewing side. Then, from 34 subjects with cant occlusal negative, there were 14 subjects with and 20 subjects without favored chewing side. There was a significant difference (p=0.017) between occlusal cant and favored chewing side. Subjects with complete teeth showed that favored chewing side tendency of 3,714 more often had an occlusal cant positive compared to favored chewing side negative. In conclusion, the significant difference of occlusal cant and favored chewing side in subjects with complete dentition can be considered as a preliminary study in order to understand the complexity of development of mandibular asymmetry.

Mandibular morphology of the Mongoloid race in Medan according to age groups Maria Sitanggang; Trelia Boel
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 2 (2018): June 2018
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v51.i2.p81-85

Background: The mandible constitutes part of the craniofacial bone that plays an important role in determining an individual’s facial profile. The mandible grows and develops throughout life from the prenatal phase up to old age when it becomes and edentulous. Changes in the mandible can be measured using radiographs. These establish several parameters of mandibular morphology, including: ramus height, condylion height, body length, condylion angle, symphysis height, symphysis width and symphysis angle. Purpose: This study aimed to determine differences in the mandibular morphology of members of the mongoloid racial group in Medan according to age as measured by cephalometric radiography. Methods: This investigation constituted analytical research using cross-sectional study with a total sample of 150 individuals divided according to age: group 1 (aged 4-12 years), group 2 (aged 13-24 years, group 3 (aged 25-34 years), group 4 (aged 35-60 years) and group of 5 (aged > 60 years). The parameters were computerized by means of a digital cephalometric radiograph, the resulting data being analized with Oneway ANOVA and LSD. Results: The mean value of the highest to the lowest ramus height, and symphysis height from the five age groups, sequentially, were in group 3, group 4, group 5, group 2, and group 1. The mean value from the highest to the lowest of body length, condylion height, condylion angle, and symphysis width, sequentially, were in group 3, group 4, group 2, group 5, and group 1. The mean value from the highest to the lowest of symphysis angle, sequentially, were in group 1, group 3, group 4, group 2, and group 5. Conclusion: The mandibular morphology of each age group differs in Mongoloid races in Medan based on lateral cephalometric radiography in which changes are may be affected by the state of teeth and age.

Adjunctive radiograph diagnostic in vertical mandibular asymmetry Kirubanandan Sathya Moorthy; Ervina Sofyanti; Trelia Boel; Jesslyn Okto Govanny; Aditya Rachmawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 54 No. 1 (2021): March 2021
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v54.i1.p21-24

Background: The development of radio diagnostics in orthodontics is still a challenge in treating skeletal anomaly with facial asymmetry. The assessment of skeletal symmetry, which can be obtained by frontal radiographs such as panoramic radiograph and posteroanterior cephalograph, is still limited. Purpose: The aim of this study is to evaluate panoramic radiograph and posteroanterior cephalograph in measuring the vertical mandibular asymmetry based on Kjellberg technique. Methods: This study was a cross-sectional study of 43 pre-treatment panoramic radiographs and posteroanterior cephalographs from dental faculty students at Universitas Sumatera Utara between 18–25 years old. The subjects have fully erupted permanent teeth until the second molar and complained about facial asymmetry. The validity and reliability of vertical mandibular asymmetry of Kjellberg technique with Cliniview software in both radiographs used Cohen-K analysis. Results: The measurement of vertical mandibular asymmetry showed no significant differences using panoramic radiograph and posteroanterior cephalograph (0.073-0.321 > 0.05). Conclusion: The vertical mandibular asymmetry analysis with Kjellberg technique in panoramic radiograph is potent as an adjunctive diagnostic tool in vertical mandibular asymmetry.

Health improvement through the teeth and oral health awareness and care of teeth and mouth in children for Panti Guna SLB Melati Aisyiyah Desa Bandar Khalifah Dewi Kartika Kartia; Trelia Boel; Cek Dara Manja; Lidya Irani Nainggolan; Fitri Yunita Batubara
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 1 (2020): ABDIMAS TALENTA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Health is very important to always pay attention to. Healthy behavior can affect the health of everybody. Dental and oral health is a part of general health, and to keep teeth and mouth healthy can be done with the right techniques and ways to brush teeth. Based on Basic Health Research, dental and oral diseases still occur in North Sumatra province, both urban and rural. Therefore, through the Community Service Institution at USU, a community service activity was carried out under the title Improvement of Dental and Mouth Health through the Counseling for Dental and Oral Health Care for Children of Melati Aisyiah SLB Orphanage Homes in Bandar Khalifah. This activity is based on the need to maintain oral health from an early age so that good behavior in maintaining health can be accustomed from childhood. In addition, there are only a few orphanage children who realize correctly the importance of dental health for general health. Counseling on the maintenance of dental and oral health in children of the SLB Melati Aisyiyah Orphanage, Bandar Khalifah can provide a deep understanding of the importance of maintaining oral health by brushing teeth early on.

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