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DENTOMAKSILOFASIAL
ERWIN SETYAWAN, DRG., SP.RKG
Lesi memiliki gambaran radiograf yang mirip
Anamnesa
Pemeriksaan klinis
Lesi dikategorikan :
Struktur internal
Radiolusen
Mixed
Radiopak
Batas
Jelas
Tidak jelas
Sifat pertumbuhan
Benign/slow growing/non agressive
Malignant/fast growing/agrressive
DESKRIPSI SISTEMATIS DARI SUATU LESI
Site or anatomical position
Size
Shape
Outline/edge or periphery
Relative radiodensity and internal structure
Effect on adjacent surrounding structures
Time present, if known
Generalized, affecting:
both jaws
and/or other bones multiple lesions may also affect the :
cranial vault
long bones
cervical spine
Originating from a point or epicentre relative to
surrounding structures, e.g.:
in bone or soft tissue
above or below the inferior dental canal
in or outside the inferior dental canal
in or outside the maxillary antrum
inside or outside a tooth follicle
at a tooth root apex.
SIZE
Pengukuran dalam satuan ukuran (mm, cm)
Penggambaran area lesi
Contoh : lesi radiolusen berada di angulus mandibula dengan ukuran
mulai dari apikal 47 sampai sigmoid, dan dari batas anterior ramus
mandibula sampai inferior dental canal
SHAPE
Unilocular
Multilocular
Pseudolocular
Round
Oval
Scalloped or undulating
Irregular
OUTLINE / EDGE OR PERIPHERY
RADIODENSITY AND INTERNAL STRUCTURE
Uniformly radiolucent
Radiolucent with patchy opacities within (mixed)
Radiopaque
EFFECTS ON ADJACENT SURROUNDING STRUCTURES
Expansion:
Step II
Anatomi normal
Artefak
Patologis
Step III
Jika lesi adalah patologis/kelainan dapatan, kelompokan mnrt jenis
penyakitnya
Step IV
Cari kemungkinan diagnosanya sesuai klasifikasi
Step V
Bandingkan dgn gambaran lesi2 yg mirip
KLASIFIKASI KISTA & TUMOR WHO 2005
15
16
KLASIFIKASI LESI BERDASARKAN VARIASI RADIOPAKNYA
17
18
19
KLASIFIKASI LESI BERDASARKAN DENSITAS RADIOPAK
20
CONTOH LESI RADIOPAK
Compound odontome
Complex
odontome
irregular exostoses
Cementoblastom
a
compact osteoma
cementoma
CONTOH LESI RADIOLUSEN
Unilocular
ameloblastoma
Multilocular
ameloblastoma
REFERENSI
White SC, Pharoah, MJ. Oral Radiology Principles and Interpretation 6th Ed.
Philadelphia: Mosby Co; 2009.