Agatha Rufina Putriyanti*, Pingky Krisna Arindra**🖂 , Poerwati Soetji Rahajoe**
Maxillary impacted canines associated dentigerous cysts can lead to bone defects. Autotransplantation with autograft offers a viable treatment. Postoperative evaluation of bone density changes is crucial for assessing the success of the bone graft. This analysis examines the use of ImageJ software for assessing relative bone density from Orthopantomograms (OPGs). It emphasizes the role of ImageJ software in evaluating relative bone density changes in the recipient site after autotransplantation of an impacted maxillary canine associated a dentigerous cyst, using autograft. This case report presents an 11 years old girl with a maxillary left impacted canine associated dentigerous cyst. The canine was autotransplanted to the prepared site after cyst enucleation, and the defect was augmented with an autograft harvested from the mandibular symphisis. Postoperative OPGs were taken pre operative, 3, and 6 months. ImageJ software was used to analyse the grey values in the region of interest (ROI), representing bone density at the transplant site. ImageJ analysis allowed for a quantitative assessment of relative bone density changes over time. The grey values in the ROI progressively increased, indicating improved bone density at the recipient site. This method provided an objective measurement that complemented clinical and radiographic evaluation. ImageJ provides a readily available and user-friendly tool for analysing bone density from OPGs. ImageJ analysis of OPGs is a valuable tool for evaluating relative bone density changes following autotransplantation of impacted canines associated cysts with autograft. It allows for objective assessment of bone healing and graft integration, aiding in treatment outcome evaluation.
Keywords: Autograft, Autotransplantation, Bone density, ImageJ, Orthopantomogram