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En Masse Retraction in Bimaxillary Protrusion and Molar Mesialization: A Case Report Sitasari, Putri Intan; Susanto, Henny; Wahyuningtyas, Erdiarti Dyah; Ardani, I Gusti Aju Wahju
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 22 No. 1 (2026): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v22i1.13572

Abstract

Introduction: Successful orthodontic treatment of bimaxillary protrusion requires effective anchorage control to enable anterior retraction without unwanted posterior tooth movement. Loss of molars can compromise anchorage, leading to mesial drift, space reopening, and loss of vertical control. Temporary Anchorage Devices (TADs) provide a reliable solution for achieving maximum anchorage. This case report describes the use of TADs for en masse retraction and third molar mesialization. Case: A 20-year-old female presented with a hyperdivergent profile and lip incompetence. Clinical examination revealed maxillary and mandibular incisor proclination. A gangrenous radix was present in the lower left region. Cephalometric analysis showed Class I skeletal malocclusion with a convex profile. Case Management: Based on clinical and radiographic findings, extraction therapy was planned due to arch length discrepancy. Anchorage was compromised following extraction of the lower left molar. TADs were placed to provide maximum anchorage, allowing en masse retraction of anterior teeth and controlled mesialization of the third molar. This approach minimized unwanted tooth movement and maintained vertical control throughout treatment. Conclusion: The use of TADs enabled effective anchorage control, facilitating precise en masse retraction and third molar mesialization, resulting in improved facial profile and occlusal outcomes.
Dental Implant sebagai Stabilisasi Gigi Tiruan Lengkap Rahang Bawah: Laporan Kasus Hasudungan, Dian Samuel; Ramaniasari, Sheryn Marcha; Wahyuningtyas, Erdiarti Dyah; Hendrawan, Cindy; Hidayati, Nurul
Journal of Educational Innovation and Public Health Vol. 4 No. 2 (2026): April: Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i2.9004

Abstract

Edentulism is a condition of total tooth loss that has a significant impact on the efficiency of mastics, phonetics, and facial aesthetics. This case report presents the rehabilitation of a 72-year-old female patient with a condition of total mandible edentulus using two standard-diameter implants that support the overdenture with a locator retention system. Treatment procedures include clinical evaluation, radiographic analysis, implant placement, prosthesis placement, as well as follow-up evaluation to assess function and comfort. The results of the treatment showed an increase in patient retention, stability, and comfort in daily activities. In addition, patients reported improved confidence and quality of life after the use of implant-based overdentures. These findings confirm that overdenture with mandibular implant support is a predictive, effective, and reliable rehabilitation method in treating total edentulism. The success of this case provides clinical evidence that implant-based approaches are able to overcome the limitations of conventional prostheses, as well as being a solution that supports the functional and psychosocial aspects of elderly patients. Thus, implant-based overdenture can be recommended as the primary therapeutic option in the rehabilitation of mandibular edentulism.