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RADIOLOGI
KEDOKTERAN GIGI 5
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TUJUAN PEMBELAJARAN
Mahasiswa dapat : Menginterpretasi kondisi dan posisi dari gigi
impaksi dari foto radiografis
Menginterpretasi anomali gigi dan rahang darifoto radiografis
Menginterpretasi infeksi rahang dari foto
radiografis
Menginterpretasi kista rahang dari foto
radiografis
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TUJUAN PEMBELAJARAN
Mahasiswa dapat :
Menginterpretasi tumor rahang baik jinak maupun ganas
pada foto radiografis
Menginterpretasi penyakit tulang yang bermanifestasipada tulang rahang pada foto radiografis
Menginterpretasi penyakit sistemik yang memberikan
manifestasi di rahang pada foto radiografis
Menginterpretasi fraktur gigi dan rahang pada fotoradiografis
Menginterpretasi kelainan/penyakit sinus paranasal,
radiologi kelenjar saliva, dan TMJ pada foto radiografis
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BUKU REFERENSI1. 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
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BUKU REFERENSI7. 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
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Jadwal Perkuliahan
No. Tanggal Materi Dosen
1. 30 Oktober 2013 Pengarahan drg. Shanty Chairani, M. Si.
2. 6 November 2013 Impaksi gigi drg. Adiprabowo, Sp BM
3. 13 November2013 - Anomali gigi dan rahang
- Infeksi rahang
drg. Shanty Chairani, M. Si.
4. 20 November 2013 Kista rahang drg. Shanty Chairani, M. Si.5. 27 November 2013 Tumor rahang drg. Shanty Chairani, M. Si.
6. 4 Desember 2013 - Penyakit pada tulang yang bermanifestasi di
tulang rahang
- Penyakit sistemik yang bermanifestasi di tulang
rahang
drg. Arya Prasetya Beumaputra, Sp. Ort.
7. 11 Desember 2013 - Fraktur gigi dan rahang
- Kelainan/penyakit sinus paranasal , radiologi
kelenjar saliva dan TMJ
drg. Adiprabowo, Sp BM
8. 18 Desember 2013 Review dan Kuis drg. Shanty Chairani, M. Si.
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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
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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)
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Radiographic Interpretation
1. Recognize the type of radiography being
interpret
2. Recognize the position of patient, film and tube
X-ray3. Recognize the radiographic appearances of
normal anatomical structures (including
anatomy variance or physiologic changes)
4. Recognize the typical patterns andappearances of different diseases
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Systematic Approach
Of Radiographic Interpretation
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Radiographic Interpretation
A systematic description of a lesion in
radiographic image should include its:
1. Localize the abnormality :
a. Localized or generalized If generalizeda metabolic or endocrine
abnormalities of bone
If localized : unilateral or bilateral
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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 IACnon odontogenic in origin
If its within IACneural/vascular in origin
c. Single or multipled. Size
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Radiographic Interpretation
2. Assess the periphery and shapea. 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 radiopaqueline 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 definedmostly in acute infection,
malignant lesions
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Radiographic Interpretation
2. Assess the periphery and shape
b. Shape
Particular shape or irregular?
Circular or scalloped?
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Radiographic Interpretation
3. Analiyze the internal structure
a. Totally radiolucent
b. Totally radiopaque
c. Mixed radiolucent and radiopaquePosibble internal structure :- Septamultilocular
- A difference in the number, length, width, and orientation of
the trabeculaerex. fibrous dysplasia
- Sementumhas a homogeneous,dense, amorphousstructure, usually round and oval shapes
- Tooth structure : internal density is equivalent to tooth
structure and greater than the surrounding bone
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Radiographic Interpretation
4. Analiyze the effect of the lesions on adjacent
surrounding structures Teeth, lamina dura, and periodontal membrane
spacedisplacement, destruction, widening?
Surrounding bone density and trabecular pattern
corticated, sclerotic?
Inferior alveolar nerve canal and mental foramen
widening, displacement?
Outer cortical bone and periosteal reactionsexpansion, destruction, widening?
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