Objectives: Ameloblastoma is classified as unicystic, multicystic and solid based on its characteristic. This article is aimed to report a case of ameloblastoma in posterior mandibula, analyze its radiographic appearance and emphasize on describing its other available variations. Case Report: A 39-years-old male patient came to Dadi Keluarga Hospital Purwokerto with complaint of swelling on the posterior lower jaw. The swelling was painless and has been felt since 4 years ago. Asymmetrical face was discovered. On panoramic radiograph, a well-defined radiolucent mass appears with radiopaque septation in the posterior region, the teeth were depressed, the lesion has expanded to the left coronoid process and mandibular notch. Conclusion: Based on panoramic radiographic examination the image of ameloblastoma in this case is seemed as multilocular in the posterior region, expanding to the left posterior and imaging of multilocular ameloblastoma on the left posterior region showing destruction of coronoid process and mandibular notch with soap-bubble pattern.

Objectives: The purpose of this study was to determine the differences in the number of micronuclei between the gingival mucosa and the buccal mucosa due to exposure to digital panoramic radiography. Material and Methods: This study used 10 healthy individuals aged 18-25 years. Exfoliated epithelial cell samples from the gingival and buccal mucosa were taken from the patient on the 10th day after exposure to digital panoramic radiography. The coloring method used is Feulgen-Rossenbeck. Results: The micronucleus calculation was performed by the method of assessing 1000 cells per slide using a binuclear light microscope with a magnification of 400x. The results of the analysis by unpaired T test showed that the difference in the increase in the number of micronuclei was statistically significant (p <0.05). The average difference in the increase in the number of micronuclei was 3.5 ± 0.767. There is a significant difference in the increase in the number of micronuclei between the gingival mucosa and the buccal mucosa due to exposure to digital panoramic radiography with an increase in the number of micronucleus in the buccal mucosa higher than the gingival mucosa. Conclusion: The conclusion of this study is that digital panoramic radiography can cause genotoxic effects on the gingival and buccal mucosa. Digital panoramic radiography is used if needed.

Objectives: The purpose of this study was to determine alveolar bone density in patients with chronic periodontitis and aggressive periodontitis through panoramic radiography . Material and Methods: The method used in this study was descriptive. This study was conducted on populations that met all criteria. The sampling method used was purposive sampling technique, so that 31 panoramic radiographs were diagnosed with chronic periodontitis and 7 panoramic radiographs were diagnosed with aggressive periodontitis. Results: The study showed that bone density in chronic periodontitis had an average of bony trabeculae 28.6% and marrow spaces 71.4% while bone density in aggressive periodontitis had an average bony trabeculae 20.2% and marrow spaces 79.8% Conclusion: Based on the results of the study it can be concluded that bone density in patients with chronic periodontitis and aggressive periodontitis has a low bone density value. The average bone density in patients with chronic periodontitis and aggressive periodontitis has different values, where the bone density in chronic periodontitis is greater than aggressive periodontitis.

Objectives: The purpose of this study is to obtain measurements of dentate and edentulous corpus mandibulae height on RSGM Unpad patients through digital panoramic radiograph. Material and Methods: This research is using descriptive method. Population in this research is digital panoramic radiograph from RSGM Unpad patient’s database. The technique used is purposive sampling, and obtained 50 panoramic digital panoramic radiograph samples. Results: The results shows the highest dentate corpus mandibulae height is in men 38,1 mm age 65-85 on left side of corpus and the highest edentulous corpus mandibulae height is in men 26,3 mm age 55-64 on right side of corpus. Conclusion: To summarize, the highest dentate corpus mandibulae height on the right side is in men age 45-54, on the left side is in men age 65-85, the highest edentulous corpus mandibulae on the right and left side is in men age 55-64, and overall corpus mandibulae height on the right and left side on women is lower than men in all ages.

Objectives: The aim of this case report is to explain further about radiograph on impacted right maxillary third molar and canine using CBCT 3D. Case Report: A 18 year old female patient came with swelling on her upper right posterior gum. The condition was associated with pus contained in the gum. Physical examination revealed no exact abnormalities condition on her teeth. Panoramic radiograph examination showed radiopaque image surrounded by radiointermediate image in maxillary sinus. The result of 3D CBCT radiograph exhibited radioopaque image resembling tooth 18 surrounded by unilocular radiointermediate filling 2/3 maxillary sinus with well-defined border. Conclusion: CBCT is a supported examination which may help in establishing diagnosis more accurately.

Objectives: The aim of this case report is to provide further information on the radiological features of a solid type ameloblastoma suspected on a 3D CBCT radiograph. Case Report: A patient came referred by a dentist for CBCT 3D radiography with suspected clinical diagnosis of a maxillary anterior dentigerous cyst. The results of the CBCT 3D radiographic examination showed a radiointermediate with a clear border on the anterior maxilla and in the right maxillary sinus accompanied by the impact of two supernumerary teeth. Radiological features of ameloblastoma generally show a multilocular radiolucent picture and have a radiopaque septa bone internal structure such as a soap bubble appearance or honey combed appearance. This case showed a clearly demarcated radiointermediate image because a solid type ameloblastoma contains tissue that is histologically formed from cells hat are follicular or plexiform and derived from the results of a degenerative process at the center of the Langerhans islands. Conclusion: Radiographic examination with high modality such as CBCT 3D is very important in helping to establish a diagnosis, especially for cases that sometimes show differences in the radiographs.

Objectives: The aim of this case report is to describe radiographic characteristic of keratocyst odontogenic tumor (KCOT) in maxilla using CBCT. Case Report: A 20 year-old women patient was referred to the Oral Maxillofacial Radiology Department of Padjadjaran University with the chief complaint of swelling, painless in the anterior of the upper jaw. In this presented case, we used cone beam computed tomography (CBCT) to find out the margin of the cortical extension, and diameter of the lesion. The CBCT examination shows radiolucent, well-defined lesion in 12-14 region with displacement of 12. The size of the lesion is about 20x15x19mm extended posterior-superiorly near to nasal cavity and it shows less degree of bone expansion. Based on radiographic and clinical examination, the diagnosis was keratocyst odontogenic tumor (KCOT). Conclusion: KCOT has some radiographic characteristic distinguishable with another odontogenic lesion. Therefore, CBCT examination is recommended for the diagnosis of odontogenic keratocyst and proper surgical planning.

Objectives: The aim of this report is to present a case of florid osseous dysplasia and understand its characteristics from panoramic radiography. Case Report: A 47-years-old female patient came to the oral and maxillofacial radiology department at Dental and Oral Hospital of Universitas Padjadjaran to take panoramic radiography. Patient’s chief complaints were pain on tooth 46 after being extracted about 4 days ago with numbness on the extraction area. Panoramic radiograph showed radioopaque lesions in the extraction area surrounded by a thin radiolucent area. In the periapical region of tooth 36 and 47 showed the same radiopaque image as tooth 46. The radiodiagnostic suspect of the lesions was bilateral florid osseous dysplasia in the posterior region of the mandible. Conclusion: The images of florid osseous dysplasia from panoramic radiography are radioopaque, well-defined, sclerotic border, and having soft tissue capsule when the lesion is immature condition. The most common condition of FOD affect both upper and lower jaw, but if the lesion only occur in one jaw, the lesion commonly happen in mandible with exact location is more posterior than canine teeth.

Objectives: Dense Bone Island (DBI) is one of the lesions that are usually visualized on a panoramic radiographs in the form of total radiopaque in the periapical area of the mandibular premolar or molar but most of them are not directly related to the dentition. This case report is aimed to give summaries about the description of 3 DBI cases. Case Report: Three panoramic radiographs of patients with asymptomatic well-defined radiopaque lesions which was found incidentally in the periapical area of the left mandibular first premolar with two of them showing the lesions located exactly in the 1/3 apical of the root and one of them seen as root resorption like. From clinical information, all three cases reported no clinical symptoms and affected teeth are still vital. Conclusion: Incidental findings of well-defined radiopaque lesion in the periapical area of the premolar and molar of mandible that mostly do not damage the surrounding teeth lead to the diagnosis of dense bone island.

Objectives: Endodontic lesions and periodontal lesions that appear together in the same tooth are called endo-perio lesions. This study is aimed to explain further on radiography characteristics of endo-perio lesions. Case Report: Case 1, A 21-year-old male patient came to RSGM with a lower left lower back pain complaint. The tooth was once cursed 1 year ago. In the radiographic picture there is a large radiolucent lesion on the alveolar bone around the distal root. Case 2, A 25-year-old female patient came to the Installation of Dental Conservation Specialist RSGM FKG Padjadjaran University complained that the lower left molar was sore and swollen gums had been 3 days. The tooth has been treated by a dentist in another city, but the treatment is not completed. Patients have taken the drug of mefenamic acid and amoxicillin each one grain. Conclusion: Periapical radiography is one of diagnostic imaging tools to help establish a more accurate diagnosis of endo-perio lesions.

Objectives: This scientific paper discusses aspects of biological bone and radiograph examination in helping diagnose systemic diseases with a decrease in bone quality more accurately. Literature Review: Osteoporosis often occurs in postmenopausal women because of reduced estrogen. Sign analysis is related to four important factors to assess bone quality, namely bone density, bone turnover, bone size and bone architecture. Mineral Bone Examination Density is a gold standard examination by the World Health Organization for the diagnosis of osteoporosis and bone biomarkers can provide an overview of the renovation process being carried out. Conclusion: Panoramic radiographs are expected to be a potential checkpoint for early detection of systemic diseases that manifest in the maxillofacial region with bone conversations characterized by bone enlargement, changes in bone microstructure and trabeculae that indicate changes in bone quality.