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"A reimplantation case of maxillary second incisive with periapical (radicular) cyst is reported. A 37 years old female who suffered periapical cyst on her maxillary second incisive requested conventional endodontic treatment in order to avoid to avoid tooth extraction. The tooth was treated with a conventional root canal treatment at the first visit. After the first treatment, the patient suffered a post endodontic treatment pain but was afraid to be operated with apex resection. On the second visit, the maxillary second incisive was extracted. On the third visit the patient requested periapical cyst removal after she received advices from her older sister (who was a medical doctor) about the important of removing cyst capsule in order to avoid cyst recurrency. The patient also requested her tooth reimplantation. Following her request, on her extracted maxillary second incisive, root canal filling and apex resection were done out side her mouth, followed by periapical curettage in the maxillary second incisive region. Then reimplantation was finally performed. Seven months later, the patient told that since her maxillary second incisive apex resection and reimplantation, she never suffered from any pain or swelling. Pain on the tooth percussion and palpation were negative. Tooth mobility was on level 2. There was no sign that periapical radiolucency was growing wider, eventhough it was not getting smaller at that moment. We classified the result of our treatment as "not fail" since we still need a longer time ensure wether or not the result will be able to be classified as "successful". Eventhough radiographic healing was still "uncertain", there was a hope that the patient will gain a "complete healing" after 2 years."

"It has been shown that more than 40 percent of the apical radiolucencies are radicular cyst, numerous endodontist claims that from 85 to 90 percent of apical lesions disappear or become reduced in size following conservative endodontic treatment and do not required surgical intervention. Maxillary anterior teeth are more frequently susceptible to trauma and there are numerous morphologic anomalies associated with maxillary incisors especially lateral incisors its call palato-radiocular groove (PRG), its caused non vital have been implicated in formation of periapical lesions. Periapical lesions can be cured by conventional endodontic treatment used Ca(OH)2 as an intracanal medication. One case with radicular cyst on the maxillary lateral incisors because of trauma 2 years ago will be presented. Fifteenth months during treatment showed that the cyst reduced in size and symptomless."

"ABSTRAKLatar Belakang: Konstriksi apikal adalah bagian sistem saluran akar dengan diameter terkecil dan merupakan titik acuan yang paling sering digunakan dokter gigi sebagai penghentian apikal untuk pembersihan, pembentukan, dan pengisian saluran akar untuk perawatan endodontik. Tujuan: Mengetahui variasi ukuran, lokasi, dan bentuk konstriksi apikal pada gigi premolar 1 mandibula dan gigi premolar 2 maksila. Metode: Penelitian ini menggunakan 66 sampel gigi yang telah diekstraksi dengan akar telah terbentuk sempurna tanpa tanda-tanda resorpsi eksternal. Sampel dipindai menggunakan micro-CT Bruker SkyScan 1173 dengan resolusi 50 m. Gigi dibuat menjadi transparan untuk menampilkan morfologi sistem saluran akar secara tiga dimensi. Analisis ukuran, lokasi, dan bentuk konstriksi apikal dilakukan menggunakan perangkat lunak Fiji ImageJ, CT Vox, CT An, dan CT Vol. Data dianalisis menggunakan uji T satu sampel. Hasil: Rerata jarak antara konstriksi apikal dan foramen apikal pada gigi premolar 1 mandibula adalah 0,619 mm dan pada gigi premolar 2 maksila adalah 0,647 mm dengan lokasi konstriksi apikal terbanyak yaitu lebih ke apikal. Bentuk konstriksi apikal terbanyak pada gigi premolar 1 mandibula dan gigi premolar 2 maksila adalah konstriksi apikal konvergen dan konstriksi apikal bercabang dua. Kesimpulan: Variasi ukuran, lokasi, dan bentuk konstriksi apikal harus menjadi pertimbangan dokter gigi dalam melakukan perawatan endodontik.

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ABSTRACTBackground Apical constriction is the smallest diameter of root canal system and also the most commonly used reference point by clinicians as the apical termination for cleaning, shaping, and obturation for root canal treatment. Objective This study aim to know the variation of size, location, and shape of apical constriction in mandibular first premolar and maxillary second premolar. Methods Total 66 samples of extracted premolar teeth with perfectly formed root and without sign of external resorption were collected. Each tooth was scanned using a Bruker Skyscan 1173 micro CT at a resolution of 50 m. The teeth were made transparent in order to reveal the root canal system morphology in three dimensions. The size, location, and shape of apical constriction was analyzed using Fiji ImageJ, CT Vox, CT An, and CT Vol software. Data were analyzed statistically by One sample T test. Result The average distance between apical constriction and apical foramen in mandibular first premolar is 0,619 mm and in maxillary second premolar is 0,647 mm with the most location of apical constriction inclining to apically. Most of apical constrictions shape in mandibular first premolar and maxillary second premolar is convergent apical constriction and branched apical constriction. Conclusion The variation of size, location, and shape of apical constriction should be considered by dentist in performing endodontic treatment."

"Latar Belakang : Kista dentigerous adalah kista yang berasal dari pemisahan folikel di sekitar gigi yang belum erupsi. Kisaran umur untuk kasus kista dentigerous sangat bervariasi. Menurut Neville, Cawson, dan Regezi kista dentigerous paling sering terjadi pada pasien dengan usia 10-30 tahun (dekade hidup kedua dan ketiga). Sedangkan menurut Fonseca dan Langlais kista ini biasanya terjadi sebelum usia 20 tahun dan lebih sering terjadi pada pria. Berdasarkan tinjauan diatas, penulis ingin mengetahui data terbaru mengenai distribusi Kista Dentigerous berdasarkan usia di Jakarta khususnya di Poli Gigi RSUPN Cipto Mangunkusumo periode 1 November 2002 ? 31 Oktober 2008.Tujuan : Penelitian ini bertujuan untuk mengetahui kisaran usia yang paling sering mengalami kista dentigerous di Poli Gigi RSUPN Cipto Mangunkusumo periode 1 November 2002?31 Oktober 2008.Metode : Penelitian ini berjenis observasi deskriptif dan merupakan studi retrospektif dengan menggunakan data sekunder yang didapat dari kartu status pasien Klinik Bedah Mulut Poli Gigi Rumah Sakit Umum Cipto Mangunkusumo periode 1 November 2002 - 31 Oktober 2008 yang di dalamnya tercantum biodata, hasil foto panoramik serta hasil diagnosis patologi anatomi.Hasil : frekuensi distribusi menggunakan tabel dan pie chart yang menggambarkan berapa banyak kista dentigerous menurut usia yang terjadi.Kesimpulan : Distribusi dan frekuensi kista dentigerous paling banyak terjadi pada kelompok umur 21-30 tahun.

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Background : Dentigerous Cyst is a cyst that arise from follicle separation that surrounding an unerupted tooth. The age range of dentigerous cyst is variant. According to Neville, Cawson,and Regezi, dentigerous cyst occur most frequent in patient age 10-30 years old (second and third decade of life). While according to Fonseca and Langlais this cyst usually occur before age of 20 and occur more frequent on men. Reposing the observation above, the author want to discover the latest data about distribution of dentigerous cyst based on age in Jakarta, especially in Poli Gigi RSUPN Cipto Mangunkusumo period 1 November 2002 - 31 October 2008.Purpose : to find age range of dentigerous cyst that occur most frequent in Poli Gigi RSUPN Cipto Mangunkusumo periode 1 November 2002 - 31 October 2008.Method : The type of this study is descriptive observation - retrospective by using secondary data from medical record of the oral and maxillofacial surgery patients in Poli Gigi Rumah Sakit Umum Cipto Mangunkusumo within period of time of 1 November 2002 - 31 October 2008, which is the content of the medical records is patient?s data, panoramic radiograph results, and also pathology anatomy results.Results : Distribution and frequency use table and pie chart and also bar chart to describe how many dentigerous cyst that occur based on sex.Conclusion : Distribustion and frequency of dentigerous cyst occur most frequent on group of age 21-30 years old."

"Latar Belakang: Kista dentigerous merupakan hasil pembesaran folikel, berasal dari akumulasi cairan antara epitel email tereduksi dan email gigi impaksi. Mayoritas berhubungan dengan gigi yang paling sering impaksi, seperti molar tiga mandibula, kaninus maksila, molar tiga maksila, dan premolar dua mandibula. Setiap elemen gigi impaksi memiliki potensi yang sama mengalami pembentukan Kista Dentigerous. Untuk mencegah hal tersebut maka dibutuhkan perawatan yang tepat dan pencegahan sedini mungkin sehingga kemungkinan morbiditas lebih lanjut dapat dihindari. Berdasarkan tinjauan di atas, penulis ingin mengetahui data terbaru mengenai distribusi dan frekuensi Kista Dentigerous berdasarkan lokasi kelainan di Poli Gigi RSUPN Cipto Mangunkusumo periode 1 November 2002 - 31 Oktober 2008.Tujuan: Penelitian ini bertujuan untuk mengetahui regio yang paling sering mengalami Kista Dentigerous pada pasien Poli Gigi RSUPN Cipto Mangunkusumo periode 1 November 2002 - 31 Oktober 2008.Metode: Penelitian ini berjenis observasi deskriptif dan merupakan studi retrospektif menggunakan data sekunder berasal dari kartu status pasien Poli Gigi RSUPN Cipto Mangunkusumo periode 1 November 2002 - 31 Oktober 2008 yang di dalamnya tercantum biodata, foto panoramik, dan hasil pemeriksaan histopatologis.Hasil: Didapatkan 49 kasus dan 48 elemen gigi. Distribusi dan frekuensi menggunakan tabel dan pie chart yang menggambarkan berapa banyak kista dentigerous berdasarkan lokasi kelainan yang terjadi.Kesimpulan: Distribusi dan frekuensi kista dentigerous paling banyak disebabkan oleh gigi Caninus maksila impaksi dan lokasi kelainan Kista Dentigerous paling banyak terjadi pada regio kaninus - kaninus maksila.

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Backgroud: Dentigerous cyst is a result of folicle swelling, arise from fluid accumulation between the reduced enamel epithelium and the enamel of the impaction tooth. Most often they involve mandibular third molars, maxillary canines, maxillary third molars, and mandibular second premolars. Every single impaction tooth have same potency to grow a Dentigerous Cyst formation. In order to prevent a Dentigerous Cyts formation, we need a certain treatment and prevention must be done as soon as posible so that probability of next morbidity can be prevent. Based on the theory, the author wants to find the latest data about distribution and frequency of Dentigerous Cyst based on causing tooth element and location of cystic lesion in Poli Gigi RSUPN Cipto Mangunkusumo in period of November 1st 2002 - Oktober 31st 2008.Aim: To know the most region that usually have Dentigerous Cyst formation in Poli Gigi RSUPN Cipto Mangunkusumo patients within Period November 1st 2002 - Oktober 31st 2008.Method: The type of this study is descriptive observation - restrospective study by using secondary data from the dental record of Oral and Maxillofacial Surgery Clinic patients in Poli Gigi RSUPN Cipto Mangunkusumo within November 1st 2002 - Oktober 31st 2008 period, which is the content of the dental records is patient`s demographic data, panoramic radiograph, and the result of histopathologic examination.Results: There are 49 cases and involved 48 teeth. Distribution and frequensy use table and pie chart to describe the number of Dentigerous Cyst based on causing tooth element and location of cystic lesion.Conclusions: In this distribution and frequency of Dentigerous Cyst study, the Dentigrous Cyst is usually involve maxillary canine impaction teeth and most often site of Dentigerous Cyst is canine to canine region on maxilla."

"Latar Belakang : Kista dentigerous merupakan kista yang berasal dari separasi bentuk folikel sekitar gigi yang belum erupsi atau impaksi. Biasanya kista ini terjadi sebelum usia 20 tahun dan memiliki predileksi pada pria. Banyak studi yang mengatakan pula bahwa kista dentigerous lebih sering terjadi pada pria dibandingkan wanita. Beberapa laporan-laporan diatas telah memberikan evaluasi yang membandingkan frekuensi dan distribusi kista dentigerous dari beberapa populasi grup yang berbeda. Oleh karena itu, penulis ingin mengetahui data terbaru tentang distribusi Kista Dentigerous berdasarkan jenis kelamin di Jakarta khususnya di Poli Gigi Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo untuk kasus-kasus yang terdapat pada periode 1 November 2002 - 31 Oktober 2008.Tujuan : Penelitian ini bertujuan untuk mengetahui apakah terdapat predileksi jenis kelamin pada kasus kista dentigerous di Poli Gigi RSUPN Cipto Mangunkusumo untuk kasus-kasus yang terdapat pada periode 1 November 2002 - 31 Oktober 2008.Metode : Penelitian ini berjenis observasi deskriptif dan merupakan studi retrospektif dengan menggunakan data sekunder yang didapat dari kartu status pasien Bedah Mulut Poli Gigi Rumah Sakit Umum Cipto Mangunkusumo periode 1 November 2002 - 31 Oktober 2008 yang di dalamnya tercantum biodata, hasil foto panoramik serta hasil diagnosis patologianatomi.Hasil : frekuensi distribusi menggunakan tabel dan pie serta bar chart yang menggambarkan berapa banyak kista dentigerous menurut jenis kelamin yang terjadi.Kesimpulan : Frekuensi distribusi kista dentigerous pada lakilaki lebih tinggi dibandingkan perempuan.

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Background: Dentigerous cyst is a cyst that arise from separation of follicle formation surrounding the unerupted or impaction tooth. Usually this cyst form before age of 20 and have a predilection on men. Many researchs state that dentigerous cysts occur more frequently on men than women. Few of reports above have given an evaluations comparing frequencies and distributions of dentigerous cysts in a couple of different groups. Therefore, the author want to find the latest data about the distribution and frequency of dentigerous cyst based on sex in Poli Gigi Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo in cases period of 1 November 2002 - 31 October 2008.Purpose : To find whether there is a sex predilection on dentigerous cyst cases in Poli Gigi RSUPN Cipto Mangunkusumo in cases period of 1 November 2002 ? 31 October 2008.Method : The type of this study is descriptive observation - retrospective by using secondary data from medical record of the oral and maxillofacial surgery patients in Poli Gigi Rumah Sakit Umum Cipto Mangunkusumo within period of time of 1 November 2002 - 31 Oktober 2008, which is the content of the medical records is patient`s data, panoramic radiograph results, and also pathology anatomy results.Results : Distribution and frequency use table and pie chart and also bar chart to describe how many dentigerous cyst that occur based on sex.Conclusions : Dentigerous cyst cases have a higher distribution and frequency on men than a women."

"The purpose of the study to seek the differences of cell proliferation index among dentigerous cyst. dentigerous with ameloblastoma and ameloblastoma plexiform. This study utilized retrospective methode,which was achieved by collecting data from medical record in oral surgery clinic. Cipto Mangunkusumo Hospital and Pathology Anatomy Laboratory at Faculty of Medicine University of Indonesia from January 1998 to April 2002. Histological examination were prepared from 34 samples; consist of 15 dentigerous cysts, 11 ameloblastoma and 8 dentigerous cyst which arise with ameloblasroma. ln each case, intra-nuclear AgNOR dots were counted in 100 consecutive basal nuclei. Statistic analysis using ANOVA show the difference among study objects (p<0.05). AgNOR an ameloblastoma is significantly higer than in dentigerous cyst. The differences may indicate the variation of metabolic, proliferation of transcriptional activities of the cell. The study found the difference of AgNOR count in cell proliferation index among dentigerous cyst, dentigerous cyst which arise with ameloblastoma and ameloblastoma. The finding can be used to determine the diagnoses in doubtfull cases where dentigerous and ameloblastoma cannot be distinguished clinically and pathologically."

"Latar Belakang: Kista dan tumor odontogenik merupakan aspek yang sering dibahas dan cukup penting dalam bidang bedah maupun patologi oral dan maksilofasial. Secara radiografi gambaran kista dentigerous, odontogenic keratocyst (OKC), dan ameloblastoma unikistik memiliki kemiripan berupa lesi radiolusen unilocular. Pada hasil pemeriksaan histopatologi dengan pewarnaaan hematoksilin eosin ketiga lesi ini dapat dibedakan, namun banyak ahli patologi yang mengalami misdiagnosa dikarenakan kemiripannya. Calretinin merupakan protein pengikat kalsium yang sudah banyak digunakan untuk penanda keganasan pada jaringan tubuh manusia, dikarenakan perannya dalam apoptosis sel yang menyebabkan terjadinya proliferasi sel. Tujuan: untuk melihat dan membandingkan ekspresi Calretinin pada kista dentigerous, OKC, dan ameloblastoma unikistik. Metode: 34 blok parafin kista dentigerous, OKC dan ameloblastoma unikistik didapatkan secara consecutive sampling dari data rekam medik di Divisi Bedah Mulut RSCM yang telah dilakukan konfirmasi hasil histopatologinya di Departemen Patologi Anatomi RSCM selama periode 2015- 2019. Seluruh sampel dilakukan pemeriksaan imunohistokimia menggunakan antibodi Calretinin. Hasil: didapatkan 13 sampel kista dentigerous (38,2%), 6 sampel OKC(17,6%), dan 15 sampel ameloblastoma unikistik(44,2%). Yang terintepretasi positif Calretinin sebanyak 1 sampel kista dentigerous (2,9%) dan 11 sampel ameloblastoma unikistik(32,3%), namun tidak ada sampel OKC (0) yang terintepreatsi positif. Secara statistik dengan uji chi-square didapati hasil berbeda bermakna(p=0,001) dengan odd ratio (OR) sebesar 49,5 antara kelompok ameloblastoma unikistik dan kelompok bukan amleoblastoma unikistik. Kesimpulan: Calretinin terekspresi pada kista dentigerous dan ameloblastoma unikistik dengan persentase yang berbeda, namun tidak pada OKC. Calretinin dapat dijadikan penanda spesifik untuk ameloblastoma unikistik.

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Background: Odontogenic cysts and tumors are aspects that often discussed and quite important in the field of either oromaxillofacial surgery or pathology. Radiographically, the dentigerous cyst, odontogenic keratocyst (OKC), and unicystic ameloblastoma have a similar appearance in the form of unilocular radiolucent lesions. As a results of histopathological examination with hematoxylin eosin staining, these three lesions can be distinguished, however, many pathologists are misdiagnosed because of their similarity. Calretinin is a calcium binding protein that has been widely used for markers of malignancy in human tissues, due to its role in cell apoptosis which causes cell proliferation. Objective: This study aims to observe and compare Calretinin expression in dentigerous cysts, OKC, and unicystic ameloblastoma. Methods: 34 paraffin blocks of dentigerous cysts, OKC and unicystic ameloblastoma were obtained by consecutive sampling from medical record data in RSCM, Oral Surgery Division which had confirmed histopathological results at the Department of Anatomical Pathology RSCM during the period 2015-2019. All samples were subjected to immunohistochemical staning using Calretinin antibodies. Results: 13 samples of dentigerous cysts, 6 samples of OKC, and 15 samples of unicystic ameloblastoma were obtained. The positive interpretation of Calretinin was 1 sample of dentigerous cyst and 11 samples of unicystic ameloblastoma. Conclusion: Calretinin was expressed in dentigerous cysts and unicystic ameloblastoma with different percentages, but not in OKC. Calretinin can be used as a marker for unicystic ameloblastoma"

"ABSTRAKBentuk oval pada sepertiga apikal saluran akar gigi premolar dua dan molar satu rahang atas serta molar satu rahang bawah seringkali tidak dapat terpreparasi dan dapat menyebabkan kegagalan. Tujuan: Mengetahui prevalensi variasi penampang melintang sepertiga apikal saluran akar gigi premolar dua dan molar satu rahang atas serta molar satu rahang bawah. Metode: Penelitian ini menggunakan 80 sampel gigi, di-scan menggunakan micro-CT Bruker SkyScan 1173. Masing-masing sepertiga apikal saluran akar dipotong dengan perangkat lunak DataViewer. Rasio diameter maksimum dan minimum dihitung dengan perangkat lunak Fiji ImageJ dan dikategorikan: bulat, oval, long oval, flat. Hasil: Prevalensi penampang melintang saluran akar premolar dua rahang atas, oval 66,7 , long oval 24,6 , flat 7 , bulat 1,7 . Molar satu rahang atas akar mesiobukal, oval 68,2 , long oval 22,7 , flat 9,1 ; distobukal, oval 94,1 , long oval 5,9 ; palatal oval 100 . Molar satu rahang bawah akar mesiobukal, long oval 47,4 , oval 36,8 , dan flat 15,8 ; mesiolingual oval 100 ; dan distal, oval 68,4 , long oval 21,1 , flat 10,5 . Kesimpulan: Penampang melintang oval pada sepertiga apikal saluran akar gigi premolar dua dan molar satu rahang atas serta molar satu rahang bawah ditemukan paling banyak, kecuali pada akar mesiobukal gigi molar satu rahang bawah ditemukan long oval 47,4 .

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ABSTRACTOval shaped in apical one third maxillary second premolars, maxillary first molars, and mandibular first molars often can rsquo t be cleaned and shaped, and could cause failure in the process. Objective To know the prevalence variation of apical one third cross section in root canals of maxillary second premolars, maxillary first molars, and mandibular first molars. Methods This research used 80 tooth samples, were scanned using micro CT Bruker SkyScan 1173. Each of apical one third root canal were sectioned using DataViewer software. Maximum and minimum diameter ratio was calculated using the Fiji ImageJ software and categorized round, oval, long oval, and flat. Results Prevalence of apical one third root canal cross section shape in maxillary second premolar, oval 66,7 , long oval 24,6 , flat 7 , round 1,7 . Maxillary first molar mesiobuccal root, oval 68,2 , long oval 22,7 , flat 9,1 distobuccal, oval 94,1 , long oval 5,9 and palatal oval 100 . Mandibular first molar mesiobuccal root, long oval 47,4 , oval 36,8 , flat 15,8 mesiolingual oval 100 and distal, oval 68,4 , long oval 21,1 , flat 10,5 . Conclusion Oval shape in cross section of apical one third in root canals of maxillary second premolars, maxillary first molars, and mandibular first molars were most found, except in mesiobuccal root in mandibular first molar was found long oval 47,4 . "

"Penggunaari desain sirkumferensial pada kasus kehilangan gigi 8765/5678 sering menimbulkan gaya ungkit yang menyebabkan gerak gigi penjangkaran ke distal, dan kemudian diikuti oleh goyangnya gigj tersebut. Masalah ini terjadi karena dukungan gigi tiruan terdiri dari dua jenis jaringan, yaitu jaringan keras berupa gigi dengan jaringan periodontalnya, dan jaring lunak yaitu mukosa yang menutupi daerah tak bergigj, dengan derajat kekenyalan yang berbeda. Untuk mencegah hal ini, perlu diperhatikan agar tekanan yang disalurkan ke gigi penjangkaran sekecil mungkin,sehingga tidak dapat rnerusak gigi penjangkaran.Cengkeram dengan desain sirkumferensial dapat dibuatdari logam cor keseluruhannya, atau dapat dikombinasi dengan kawat di bagian lengan bukal. Dalam penelitian ini ingin diketahui cengkeraman manadan dua cengkeram tersebut yang rnenyebabkan gerak distal gigi penjangkaran yang lebih kecil. Untuk itu dilakukan penelitian laboratorik mengenai pengaruh cengkeram kombinasi dan cengkeram cor sirkumferensial terhadap gerak distal gigi penjangkaran. penelitian dilakukan dengan mengukur gerak distal gigi penjangkaran dengan dial gauge, bila beban seberat 2,5 kg dijatuhkan pada sadel di regio molar pertama, pada gigi tiruan sebagian lepas ekstensi distal yang memakai cengkeram kombinasi dan cengkeram cor sirkumferensial. Hasil penelitian menunjukkan bahwa cengkeram kombinasi menyebabkan gerak fistal gigi penjangkaran yang lebih kecil dibandingkan dengan cengkeram cor sirkumferensial"