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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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