Analisis radiograf periapikal menggunakan software imageJ pada abses periapikal setelah perawatan endodontik

Dominica Dian Saraswati Sumantri(1*), Ria Noerianingsih Firman(2), A. Azhari(3)

(2) Departemen Radiologi Dentomaksilofasial, Fakultas Kedokteran Gigi, Universitas Padjadjaran, Bandung, Jawa Barat
(3) Departemen Radiologi Dentomaksilofasial, Fakultas Kedokteran Gigi, Universitas Padjadjaran, Bandung, Jawa Barat
(*) Corresponding Author


Periapical abscess radiography analysis using imageJ after endodontics treatment. The visual assessment to measure the lesion of periapical abscesses on the radiograph interpretation has the distinction of periapical in intra observer and inter observer which caused by the subjectivity of observer. The assessment on abscess periapikal after endodontic treatment commonly has been seen visually from the reduced size of the lesion periapical abscess. On this research, the measurement of periapical abscesses lesion is done with measuring the number of particles, the extensive of lesions, and the extensive of particle on the radiograph after endodontic treatment on digitally. The purpose of this research is to knowing the extensive of lesions, the number of particles and the extensive particles of trabeculae bones after endodontic treatment on periapical abscess through digitization periapical radiograph using ImageJ software. This research have a form of observational analysis. Samples was taken as many as 31 on each radiograph before and after treatment of endodontic patients with diagnosis of periapical abscess at RSGM Padjadjaran University Bandung. The radiograph will digitized using ImageJ software to get the extensive of lesions, the number of particles and the particle of extensive in periapical abscess. The results of this research found that of the 31 pairs of radiograph before and after endodontic treatment there is decrease in the average area of lesions from 12.44 ± 2.29 mm2 into 2.72 ± 1.86 mm2, increase in the average number of particles of 56.22, to 79.61, an increase in the average particles area of 8.93 ± 2.55 mm2, being 11.42 ± 2.61 mm2. The summary of this research is there is a decrease in the size of the lesions, which are affected by the increase in the number of particulate matter and particles on the radiograph of the extensive of lesions periapical abscess after endodontic treatment.


Penilaian secara visual pada abses periapikal pada radiograf periapikal, memiliki perbedaan interpretasi secara intra dan inter observer yang diakibatkan subjektitas penilaian. Penilaian pada abses periapikal setelah perawatan endodontik secara visual umumnya dilihat dari berkurangnya ukuran abses periapikal. Pada penelitian ini pengukuran abses periapikal dilakukan dengan mengukur luas lesi, jumlah partikel, dan luas partikel pada radiograf setelah perawatan endodontik secara digital. Tujuan penelitian ini untuk mengetahui luas lesi, jumlah partikel dan luas partikel trabekula tulang setelah perawatan endodontik pada abses periapikal melalui digitalisasi radiograf periapikal menggunakan software ImageJ. Penelitian bersifat analisis observasional. Sampel diambil sebanyak masing-masing 31 radiograf sebelum dan setelah perawatan endodontik pasien dengan diagnosa abses periapikal di RSGM Universitas Padjadjaran Bandung. Radiograf di digitalisasi menggunakan software ImageJ untuk mendapatkan hasil luas lesi, jumlah partikel dan luas partikel abses periapikal. Hasil penelitian ditemukan bahwa dari 31 pasang radiograf sebelum dan setelah perawatan endodontik terdapat penurunan rata-rata luas lesi dari 12,44 ± 2,29 mm2 menjadi 2,72 ± 1,86 mm2, peningkatan rata- rata jumlah partikel dari 56,22 buah, menjadi 79,61 buah, peningkatan rata-rata luas partikel dari 8,93 ± 2,55 mm2, menjadi 11,42 ± 2,61 mm2. Simpulan penelitian ini adalah analisis radiograf abses periapikal menggunakan software imageJ ditemukan penurunan ukuran luas lesi, yang dipengaruhi oleh kenaikan jumlah partikel dan luas partikel setelah perawatan endodontik.


periapical abscess; digitization of periapical radiograph; software imageJ

Full Text:



Suyambukesan. Analyzing periapical lesions on intraoral periapical radiographs: incongruity in diagnosis. Journal of Indian Academy of Oral Medicine and Radiology. 2013; 25(1): 5 – 9.

Taguchi A, Tanimoto E, Akagawa Y, Suei Y, Wada O, Rohlin Ì. Trabecular bone pattern of the mandible. Comparison of panoramic radiography with computed tomography. Dentomaxillofacial Radiology. 1997; 26: 85 – 89.

Ingle, John I, Bakland, Leif K, Baumgartner J. Craig. Ingle’s Endodontics. Edisi ke-6. Ontario: BC Decker; 2008. 175 – 198.

Neville, BW, Damm, Douglas D, White, Dean K. Color atlas of clinical oral pathology. 4thed. London; BC. Decker; 2016. 93.

Hargreaves KM, Cohen S. Cohen’s pathways of the pulp. Edisi ke-10. Missouri: Mosby; 2011; 552 – 555, 602 – 612.

Walton RE, Torabinejad M. Principles and practice of endodontics. 4thed. Philadelphia: Saunders; 2009; 57.

White, P. Oral radiology principle and interpretation. Edisi ke-7. Missouri: Mosby; 2014; 91 – 95.

Huang CC, Chen JC, Chang YC, Jeng JH, Chen CM. A fractal dimensional approach to successful evaluation of apical healing. Int Endod J. 2013; 46: 523 – 529.

Estrela C, Decurcio DA, Silva JA, Mendonca EF, Estrela CR. Persistent apical periodontitis associated with a calcifying odontogenic cyst. Int Endod J. 2009; 42(6): 539 – 545.

Carnerio LS, Nunes CA, Silva MA, Leles CR, Mendoca EF. In vivo study of pixel grey measurement in digital subtraction radiography for monitoring caries remineralization. Dentomaxillofacial Radiology. 2009; 38: 73 – 78.

Saeed SS, Ibraheem UM, Alnema MM. Quantitative analysis by pixel intensity and fractal dimensions for imaging diagnosis of periapical lesions. International Journal of Enhanced Research in Science Technology & Engineering. 2014; 3(5): 138 – 144.

Amer ME, Suk Heo M, Brooks SL, Beavides E. Anatomical variations of trabecular bone structure in intraoral radiographs using fractal and particles count analyses. Imaging Science in Dentistry. 2012; 42: 5 – 12.

Benca e Silva J, Leles CR, Alencar AHG, Nunes CABCM, Mendonc¸a EF. Digital subtraction radiography evaluation of the bone repair process of chronic apical periodontitis after root canal treatment. International Endodontic Journal. 2010; 43: 673 – 680.

Angerame D, De Biasi M, Sossi D, Marigo L, Castagnola R, Somma F, Castaldo A. Periapical healing after simplied endodontic treatments: A digital subtraction radiography study. Giornale Italiano di Endodonzia. 2013; 27: 74 – 79.

Sogur E, Baks BG, Gr€ondahl HG, B. Hakan, Sen BH. Pixel Intensity and Fractal Dimension of Periapical Lesions Visually Indiscernible in Radiographs. J Endod. 2013; 39: 16 – 19.

Chen SK, Chen CM. The effects of projection geometry and trabecular texture on estimated fractal dimensions in two alveolar bone models. Dentomaxillofac Radiol. 1998; 27: 270 – 274.

Pornprasertsuk S, Ludlow JB, Webber RL, Tyndall DA, Yamauchi M. Analysis of fractal dimensions of rat bones from lm and digital images. Dentomaxillofac Radiol. 2001; 30: 179 – 183.


Article Metrics

Abstract views : 8777 | views : 18443


  • There are currently no refbacks.

Copyright (c) 2017 Majalah Kedokteran Gigi Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Currently, Majalah Kedokteran Gigi Indonesia indexed by:







 View My Stats

time web analytics