ANALISIS PENGULANGAN RADIOGRAFI PERIAPICAL DI INSTALASI RS PKU MUHAMMADIYAH KOTA YOGYAKARTA
Keywords:
Repetition Analysis, Periapical Radiographs, PKU Muhammadiyah Hospital Yogyakarta CityAbstract
Periapical radiography is essential for comprehensively assessing the condition of teeth and supporting tissues. However, suboptimal image quality often leads to retakes, which increase radiation dose and reduce service efficiency. Based on preliminary observations, the retake rate of periapical radiographs at the Radiology Department of PKU Muhammadiyah Hospital Yogyakarta City was relatively high and had not been analyzed between August and October 2024. According to Ministry of Health Decree No. 129/Menkes/SK/II/2008, the acceptable retake limit is ≤2%. This study aims to identify the factors causing periapical radiograph retakes, calculate the retake percentage, and evaluate radiographers’ understanding of the criteria for optimal image quality. Method: This study employed a mixed-method design. Data were collected through direct observation, interviews, questionnaires, and documentation of radiograph retake records from August to October 2024 at the Radiology Department of PKU Muhammadiyah Hospital Yogyakarta City. The research subjects consisted of 3 radiographers for interviews and 10 radiographers for questionnaires, focusing on the percentage of retakes, contributing factors, and their understanding of periapical dental image quality criteria. Data were analyzed by calculating the retake rate and frequency distribution by cause category, as well as assessing radiographers’ knowledge of the criteria for producing accurate periapical dental images. Results: Out of 269 examinations, 51 periapical radiograph retakes were recorded (18.95%), exceeding the limit set by Decree No. 129/2008 (≤2%). The main cause was film positioning errors (60.78%), while equipment errors were the least frequent factor (3.92%). Although 60% of radiographers demonstrated strong theoretical knowledge, 50% showed strong practical skills, and 70% were able to evaluate optimal images, inconsistencies between theory and practice remained. Efforts to reduce retakes included patient education and the implementation of periodic retake analysis programs. Conclusion: The high retake rate indicates the need for improvements in technical and procedural aspects, patient education, equipment calibration, refresher training, optimization of supporting tools, and regular repeat analysis evaluations to enhance accuracy and minimize retakes
References
Agustini, N. W. S., Priadi, D., & Atika, R. V. (2022). Profil Kimia dan Aktivitas Antibakteri Fraksi Aktif Nannochloropsis sp. sebagai Senyawa Penghambat Bakteri Penyebab Gangguan Kesehatan Mulut. Jurnal Pascapanen Dan Bioteknologi Kelautan Dan Perikanan, 17(1), 19. https://doi.org/10.15578/jpbkp.v17i1.781
Ahn, J.-J., Bae, E.-B., Lee, W.-S., Cho, W.-T., & Huh, J.-B. (2020). Comparison of clinical fit of three-unit zirconia fixed prostheses fabricated using chairside and labside CAD/CAM systems. Journal of Dental Sciences, 15(2), 239–242.
Arief, T., & Dewi, L. (2017). Manajemen Mutu Informasi Kesehatan. Analytical Biochemistry, 11(1), 1–5. https://doi.org/10.1080/07352689.2018.1441103
Botirovna, J. S., Shuhratovna, R. Z., & Rustambekovna, S. A. (2021). Tooth pulpitis. Texas Journal of Medical Science, 3, 40–41. https://zienjournals.com/index.php/tjms/article/view/472/366
Fajarrissetyo, I. J., Nurcahyo, P. W., & Aryani, A. I. (2015). Analisis Penolakan dan Pengulangan Citra Radiografi pada Modalitas Computed Radiography AGFA CR 35-X di Instalasi Radiologi RSUD DR. R. Goeteng Taroenadibrata Purbalingga. Jurnal Imejing Diagnostik (JImeD), 1(2), 78–81. https://doi.org/10.31983/jimed.v1i2.3159
Fredy, R. T. W., Resti, I., & Rahmaningseh, F. (2024). Persentase Pengulangan Foto Radiografi Periapikal di Rumah Sakit Gigi dan Mulut Pendidikan Baiturrahmah. Jurnal Kedokteran Gigi Universitas Baiturrahmah, 11(1), 31–36. https://jurnal.unbrah.ac.id/index.php/bdent/index
Gupta, A., Devi, P., Srivastava, R., & Jyoti, B. (2014). Intra oral periapical radiography - basics yet intrigue: A review. Bangladesh Journal of Dental Research & Education, 4(2), 83–87. https://doi.org/10.3329/bjdre.v4i2.20255
Isnaini, M., Afgani, M. W., Haqqi, A., & Azhari, I. (2025). Teknik Analisis Data Uji Normalitas. J-CEKI: Jurnal Cendekia Ilmiah, 4(2), 1377–1384.
Iswanto, H., Titien S, I., & Rahardjo, R. (2015). Penatalaksanaan Impaksi Kaninus Kiri Atas dengan Posisi Horisontal pada Anak. Majalah Kedokteran Gigi Klinik, 1(2), 92. https://doi.org/10.22146/mkgk.11961
Kementrian Kesehatan Republik Indonesia. (2008). Keputusan Menteri Kesehatan Republik Indonesia Nomor 129/Menkes/SK/II/2008 tentang Standar Pelayanan Minimal Rumah Sakit. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementrian Kesehatan Republik Indonesia. (2009). Keputusan Menteri Kesehatan Republik Indonesia Nomor 1250/Menkes/SK/XII/2009 tentang Pedoman Kendali Mutu (Quality Control) Peralatan Radiodiagnostik. Jakarta: Kementerian Kesehatan Republik Indonesia.
Manurung, D., Utama, H., & Rosidah, S. (2014). Analisa Penolakan Foto Gigi Intra Oral di Instalasi Radiologi Rumah Sakit Umum Daerah Muntilan Kabupaten Magelang. Jurnal Ilmu Dan Teknologi Kesehatan, 5, No 1(2086-8510 (Print) , 2655-5875 (Online)), 5–8. https://doi.org/https://doi.org/10.33666/jitk.v5i1
Papp, Jeffrey, PhD, R. (2019). Quality Menagement In The Imaging Science, Sixth Edition. 384.
Presotto, N. D., Teixeira, F. C., Morosolli, A. R. C., & Rockenbach, M. I. B. (2020). Errors in the periapical radiographic technique. International Journal of Applied Dental Sciences.
Reski, M. A., & Sugianto, I. (2022). Identifikasi Kesalahan Radiografi Periapikal Digital Teknik Bisecting: Literature Review. Sinnun Maxillofacial Journal, 4(02), 104–112.
Riolina, A., & Yulia Indarti, G. (2021). Gambaran Pengetahuan Mahasiswa Non Fakultas Kesehatan Tentang Gingivitis Description of Non Health Faculties Student Knowledge About Gingivitis. Biomedika, 13(1), 19–26. https://doi.org/10.23917/biomedika.v13i1.10810
Sudarta. (2022). Dental X Ray Radiologi Lanjut Fungsi Dan Komponen. 16(1), 1–23.
Sugiarti, T., & Santik, Y. D. P. (2017). Kejadian periodontitis di Kabupaten Magelang. HIGEIA (Journal of Public Health Research and Development), 1(4), 97–108.
Sugiyono, S. (2018). Metode Penelitian Pendidikan Pendekatan Kualitatif, Kuantitatif dan R & D. Alfabeta, Bandung, 4.
Sukmana, B. I. (2019). Radiografi Di Bidang Kedokteran Gigi. Journal of Chemical Information and Modeling, 53(9), 22–24.
Sukmana, B. I., & Rijaldi, F. (2022). Buku Ajar Kedokteran Gigi Forensik. In Angewandte Chemie International Edition, 6(11), 951–952. (Vol. 3, Issue 1). https://medium.com/@arifwicaksanaa/pengertian-use-case-a7e576e1b6bf
Whitley, S., Jefferson, G., Holmes, K., Sloane, C., Anderson, C., & Hoadley, G. (2015). Clark’s Positoning in Radiography. https://onlinelibrary.wiley.com/doi/full/10.1002/jmrs.184
Widayati, N. (2014). Factors associated with dental caries in children aged 4-6 years old. Jurnal Berkala Epidemiologi, 2(2), 196. https://doi.org/10.20473/jbe.v2i22014.196-205
Yen, M., & Yeung, A. W. K. (2023). The Performance of Paralleling Technique and Bisecting Angle Technique for Taking Periapical Radiographs: A Systematic Review. Dentistry Journal, 11(7), 1–13. https://doi.org/10.3390/dj11070155
Zewdu, M., Kadir, E., & Berhane, M. (2017). Analysis and Economic Implication of X-Ray Film Reject in Diagnostic Radiology Department of Jimma University Specialized Hospital, Southwest Ethiopia. Ethiopian Journal of Health Sciences, 27(4), 421–426. https://doi.org/10.4314/ejhs.v27i4.13j
