Proporsi gambaran radiografis lesi periapikal gigi nekrosis pada radiograf periapikal  Radiographic image proportion of necrotic teeth periapical lesions on periapical radiographs

Istri Dwi Utami; Farina Pramanik; Lusi Epsilawati

doi:10.24198/pjdrs.v3i1.22306

Proporsi gambaran radiografis lesi periapikal gigi nekrosis pada radiograf periapikal
Radiographic image proportion of necrotic teeth periapical lesions on periapical radiographs

Istri Dwi Utami, Farina Pramanik, Lusi Epsilawati

Abstract

Pendahuluan: Karies merupakan penyakit yang paling banyak terjadi. Pada tahun 2013 kerusakan gigi masyarakat Indonesia adalah 460 buah gigi per 100 orang. Jika dibiarkan tidak dirawat akan berkembang mengarah pada kematian pulpa dan akan menyebar menyebabkan infeksi periapikal. Tahun 2010 penyakit pulpa dan periapikal menempati posisi ke 7 dari 10 penyakit terbanyak pada pasien rawat jalan di rumah sakit di Indonesia. Teknik radiograf yang dapat digunakan untuk diagnosis penyakit pulpa dan periapikal adalah teknik radiografi periapikal. Tujuan penelitian adalah mendapatkan informasi mengenai proporsi gambaran radiografis lesi periapikal gigi nekrosis di RSGM Unpad. Metode: Jenis penelitian deskriptif. Populasi penelitian adalah seluruh radiograf periapiakal gigi nekrosis dengan lesi periapikal pada bulan November 2018 – Januari 2019 di Instalasi Radiologi Kedokteran Gigi RSGM Unpad. Sampel penelitian ditentukan dengan metode purposive sampling. Jumlah sampel sebanyak 54 radiograf periapikal. Hasil: Proporsi gambaran radiografis lesi periapikal yaitu abses periapikal sebanyak 42 kasus (77,78%), granuloma periapikal 8 kasus (14,81%) dan kista periapikal 4 kasus (7,40 %). Simpulan: Proporsi gambaran radiografis lesi periapikal gigi nekrosis di RSGM Unpad didapatkan proporsi tertinggi adalah abses periapikal diikuti granuloma periapikal dan yang terakhir adalah kista periapikal.

Kata Kunci: Gigi nekrosis, lesi periapikal, radiograf periapikal

ABSTRACT

Introduction: Caries is the most common disease. In 2013, tooth decay of Indonesian people was 460 teeth per 100 people. If left untreated, it will develop, leading to pulp death and will spread, causing periapical infection. In 2010, pulp and periapical diseases were ranked 7^th out of the ten most diseases in outpatients of the hospitals in Indonesia. A radiographic technique that can be used for the diagnosis of pulp and periapical disease is a periapical radiographic technique. This study was aimed to obtain information about the radiographic image proportion of necrotic teeth periapical lesions at Universitas Padjadjaran Dental Hospital. Methods: This study was descriptive, with study population was all radiographs of the necrotic teeth periapical lesions in November 2018 - January 2019 at Dentomaxillofacial Radiology Installation of Universitas Padjadjaran Dental Hospital. The research sample was determined by purposive sampling method. The number of samples was 54 periapical radiographs. Results: The radiographic image proportion of necrotic teeth periapical lesions, namely periapical abscesses in 42 cases (77.78%), periapical granuloma in 8 cases (14.81%) and periapical cysts in 4 cases (7.40%). Conclusion: The radiographic image proportion of necrotic teeth periapical lesions at Universitas Padjadjaran Dental Hospital mostly are periapical abscesses, followed by periapical granuloma, and the least is periapical cysts.

Keywords: Necrotic teeth, periapical lesions, periapical radiographs

Keywords

Gigi nekrosis, lesi periapikal, radiograf periapikal, necrotic teeth, periapical lesions, periapical radiographs

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References

Whaites E, Drage N. Essentials of Dental Radiography and Radiology. 5th ed. St. Louis, Missouri: Elsevier; 2013. 85-86; 255-256; 274-277 p.

Kementrian Kesehatan Republik Indonesia. Riset Kesehatan Dasar. 2013. 10-11 p.

Walton RE, Torabinejad M. Principles and Practice of Endodontics. 5th ed. St. Louis, Missouri: Elsevier Saunders; 2015. 48-54; 56-63; p.

Aliya AM, Kamizar, Usman M. Distribusi Penyakit Periapikal berdasarkan Etiologi dan Klasifikasi di RSKGM Fakultas Kedokteran Gigi Universitas Indonesia Tahun 2009-2013. Universitas Indonesia; 2014.

Tong D, Love RM. Radiolucent inflammatory jaw lesions : a twenty- year analysis. Int Endod J. 2010;859–65.

Koivisto T, Bowles WR, Rohrer M. Frequency and Distribution of Radiolucent Jaw Lesions : A Retrospective Analysis of 9 , 723 Cases. J Endod [Internet]. 2012;38(6):729–32. Available from: http://dx.doi.org/10.1016/j.joen.2012.02.028

Sugiyono. Metode Penelitian Pendidikan (Pendekatan Kuantitatif, Kualitatif dan R&D). Cetakan ke. Bandung: Alfabeta; 2016. 124 p.

Akinyamoju AO, Gbadebo SO, Adeyemi BF, Pathology O, Dentistry r. Periapical lesions of the jaws : a review of 104 cases in ibadan. Ann Ibadan Postgraduated Med. 2014;12(2):115–9.

Berlinck T, Monnerat JM. Epidemiological evaluation of apical periodontitis prevalence in an urban Brazilian population. Braz Oral Res. 2015;29(1):1–7.

Wei LX, How F, Min P, Zafri S, Syed B, Khaw E, et al. Radiographic Assessment of Apical Root Resorption in Inflammatory Periapical Pathologies. J Indian Acad Oral Med Radiol. 2018;30(2):132–6.

Kamberi B, Hoxha V, Stavileci M, Dragusha E, Kuçi A, Kqiku L. Prevalence of apical periodontitis and endodontic treatment in a Kosovar adult population. BMC Oral Health. 2011;11(32):1–6.

Rahmadhany P. Pengaruh Umur dan Jenis Kelamin Terhadap Kejadian Nekrosis Pulpa dengan Abses Periapikal. Universitas Sebelas Maret; 2015.

Rehman K, Khan H, Ali SS. Frequency of Class II Type Carious Lesions in First Permanent Molars and Their Association with Pulp. Pakistan Oral Dent J. 2009;29(November):119–22.

Pine CM, Harris R. Community oral health [Internet]. London; Chicago: Quintessence Pub.; 2007. Available from: http://books.google.com/books?id=6epsAAAAMAAJ

Nelson SJ, Ash MM. Wheeler’s Dental Anatomy, Physiology, and Occlusion. Edition 9th, editor. St. Louis, Missouri: Saunders Elsevier; 2010. 31-32 p.

Kaval ME, Tekin U, Unal T. Radiographic and histological evaluation of persistent periapical lesions associated with endodontic failures after apical microsurgery. Int Endod J. 2016;49:1011–9.

Tavares D, Rodrigues J, Santos T. Clinical and radiological analysis of a series of periapical cysts and periapical granulomas diagnosed in a Brazilian population. J Clin Exp Dent. 2017;9(1):129–35.

DOI: https://doi.org/10.24198/pjdrs.v3i1.22306