Ari Triwardhani
Faculty Of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

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Management of impacted maxillary canine with surgical exposure and alignment by orthodontic treatment Meralda Rossy Syahdinda; Alexander Patera Nugraha; Ari Triwardhani; Tengku Natasha Eleena binti Tengku Ahmad Noor
Dental Journal Vol. 55 No. 4 (2022): December 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v55.i4.p235-239

Abstract

Background: Maxillary canines play a critical point in creating an aesthetic smile as they support the part of facial muscle. Canines are also the second most frequently impacted teeth after the third molars. In some cases, it is possible to retract canines into their correct position by orthodontics treatment. Purpose: This article highlighted a treatment option with surgical exposure, in which a maxillary canine was impacted. It presented gradual steps from pre-surgical to post-surgical orthodontic treatment. Case: A 16 years old female patient referred to Orthodontic Department by Oral Surgeon for pre-surgical orthodontic treatment of her impacted maxillary canine. Case Management: After pre-surgical orthodontic treatment, the impacted canine was surgically exposed by closed technique since open surgical exposure might need excessive removal of the surrounding bone. Traction was given through a gold chain which attached to the palatal surface of the impacted canine. The tooth was ideally positioned with fixed orthodontic appliances. The permanent right maxillary canine was successfully positioned into proper alignment with the remaining teeth. Aesthetic smile was improved. Conclusion: Malocclusion with impacted canine was successfully treated with MBT orthodontic prescription combined with gold chain that can retract the impacted canine into its physiological position and the patient was satisfied with the aesthetic result.
Management of Angle Class I malocclusion with crowding and anterior crossbite by unilateral premolars extraction: Penanganan maloklusi Angle Class I disertai crowded dan anterior crossbite dengan ekstraksipremolar unilateral Putri Intan Sitasari; Meralda Rossy Syahdinda; Ari Triwardhani
Makassar Dental Journal Vol. 12 No. 2 (2023): Volume 12 Issue 2 Agustus 2023
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v12i2.763

Abstract

Crowdedteethhave a major negative influence on the dentomaxillary system. In addition toaesthetic concerns, which arethe main motivating factor for requesting dentaltreatment,there areother functionalconsequences that canbe factors favoringthe onset anddevelopment ofperiodontaldisease.This articlereportsthe treatmentofsevere crowding anddeepbite withpremolar extraction.A 20-year-old female presented withsevere crowding of the upper and lower anterior teeth. Thepatient complain- edabout facialaesthetics and convexprofile, andhadboth lower first molars extracted about 2 years ago. There was agenitionof the right upper first premolar,deep bite and anterior crossbite. Clinicalexamination showed a Class I relationship forthe teeth and cephalometric measurementsshowed a Class IIskeletal tendency.The left upper first premolar was extracted for anterior crowding correction andoverbitecorrection. Thespace ofthe missing lower first molar was used for correction oflower crowd- ing.A two-step extraction technique was used to correct the patient's verticalplaneandprofile. It is concludedthat upper first premolar extraction is one of the options in the treatment of crowding. Unilateral extraction treatment can be performed to achieve an aesthetically pleasing and functionally stable occlusion.
Comparison of Tungsten Carbide and Arkansas Stone For Adhesive Removal On Enamel Surface After Debonding Procedure Noviyanti Putri, Aditya Kartika; Hamid, Thalca; Triwardhani, Ari
Indonesian Journal of Dental Medicine Vol. 1 No. 1 (2018): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.026 KB) | DOI: 10.20473/ijdm.v1i1.2018.59-65

Abstract

Background: Debonding aims to remove orthodontic appliances from the patient's teeth and cleanse all residual adhesive material on the surface of the tooth to restore surface conditions such as before orthodontic treatment. Damage may occur after debonding process. Removal of the remaining adhesive material has a major effect on the enamel surface conditions, the researcher wants to know the effect of cleaning adhesive material using Tungsten carbide 12 flute burs, Arkansas stone bur on the enamel surface Purpose: To determine the effect of cleaning the remaining adhesive material using Tungsten carbide 12 flute burs and Arkansas stone bur Against the Surface of the Enamel. Method: This study was experimental laboratory (in vitro study) with 4 groups division, first control group was tooth before bracket was installed, group 2 was done debonding without cleaning of residual adhesive, group 3 was done adhesive cleansing with Arkansas stone and group 4 was done adhesive cleaning with tungsten carbide 12-flutted Result: Showing that the use of 12-flutted tungsten carbide was able to clean enamel surfaces with the most delicate results and did not cause cracks or cracks on enamel surface Conclusions: The best method to clean the remaining adhesive is using 12-flutted tungsten carbide bur using contra angle high speed and with adequate water flow and sprays to prevent increasing of temperature that damage dental pup.
Benefits and Risks of Orthodontic Treatment: A Systematic Review Hamid, Thalca; Triwardhani, Ari; Wardhana, Louis Krisna
Indonesian Journal of Dental Medicine Vol. 5 No. 1 (2022): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v5i1.2022.18-26

Abstract

Background: Malocclusion is one of the main problems of oral and dental health, ranked third after caries and periodontal diseases. In Asian population, the percentage of class II and III Angle malocclusion is 21.42% and 5.76% respectively. Thus, orthodontic treatment is still needed by the people. However, not every patient knows the potential risks that orthodontic treatment, and whether the treatment will bring them benefits they want to achieve. Purpose: this study aimed to describe benefits and risks of orthodontic treatment on the patient and operator through scooping review. Review(s): The search of literatures show that orthodontic treatment increases patient's oral health related quality of life, reducing the risk of traumatic dental injuries in children with large overjet, and reducing the incident of muscle tenderness, and myofascial pain. However, orthodontic treatment poses the risk of damage to the teeth, oral and mucosal pain, speech problems, allergic reactions, and orthodontics relapse. Conclusion: Orthodontic treatment can provide benefits to patients' oral health related quality of life, as well as reducing the incidence of temporomandibular disorder and traumatic dental injuries in children with large overjet. But these benefits must outweigh the risks that can occur in the patient such as teeth damage, oral and mucosal pain, speech problems, allergic reactions, and the probability of relapse must also be minimized.
Bolton Analysis on Class I, II, and III Malocclusion Cases Triwardhani, Ari; Alida, Alida; Aulia, Vini Nur
Indonesian Journal of Dental Medicine Vol. 5 No. 1 (2022): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v5i1.2022.27-31

Abstract

Background: Tooth size discrepancy is defined as an imbalance in size between each tooth. To obtain good occlusion with overbite and overjet, the maxillary and mandibular teeth must be of the appropriate size. One of the causes of malocclusion is the mismatch of the mesiodistal size of the teeth to the arch of the jaw. The relation of teeth with a large maxillary mesiodistal size while the mandibular mesiodistal size is small, it is impossible to get an ideal occlusion. This condition is known as tooth size discrepancy and can be a problem when determining the orthodontic treatment plan and when achieving the final orthodontic treatment outcome. Purpose:  this study aimed to describe Bolton's analysis in cases of Class I, II, and III malocclusions. Review(s): The literature sources used in preparing the review were through databases PubMed and Google Scholar with the keywords tooth size discrepancy, Bolton analysis, and Class I, II, and III malocclusions.  From the results of the researchers' measurements on malocclusions in the Angle Classification Class I and II, The anterior ratio was different in several cases, while in Class III the results were greater than the Bolton ratio, where the size of the lower jaw teeth was larger than the maxillary teeth, especially in the anterior ratio. Conclusion: Bolton's analysis can be applied to all cases regardless of the type of malocclusion, gender, or race, and remains an important investigation before starting treatment for post-treatment arch stability.
Orthodontic Study Model Discrepancy Analysis on Mixed Dentition: A Narrative Review Triwardhani, Ari; Putranto, Ananda Firman; Utami, Raihan Nadia
Indonesian Journal of Dental Medicine Vol. 5 No. 2 (2022): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v5i2.2022.46-49

Abstract

 Background: Attention in the form of dental treatment should be given to the phase of children's teeth that are still in the growth and development stage. The analysis of mixed dentition phase arch is an important criterion in determining the orthodontic treatment plan. Ideally, there is sufficient space so that unerupted teeth can erupt into the oral cavity and not cause crowding of teeth. Several analyzes are needed to confirm the orthodontic diagnosis, one of which is the analysis of the study model. The most widely used alternating mixed dentition analysis is the analysis of the Moyers prediction table and the analysis of the Tanaka-Johnston equation. Both analyzes came from populations of Northern European ancestry but proved unapplicable to populations of various races. Purpose: The purpose of this study aims to determine whether the analysis of the Moyers prediction table and the analysis of the Tanaka-Johnston equation is an accurate analysis if used in several populations through narrative review. Review: Based on the results of the research that has been done, certain populations showed higher prediction results than the actual value. Conclusion: The analysis of the Moyers prediction table and the Tanaka-Johnston equation is not suitable if applied to certain populations, because the results differ from the actual value with the predicted value.
Dental caries status among elementary students at Medowo III Elementary School, Kandangan, Kediri, East Java Pramusita, Adya; Triwardhani, Ari; Putranti, Nurul Aisyah Rizky; Rahmawati, Dwi; Nugraha, Alexander Patera; Devitha, Maria; Megantara, Riizko Wira Artha; Noor, Tengku Natasha Eleena binti Tengku Ahmad
Indonesian Journal of Dental Medicine Vol. 7 No. 1 (2024): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v7i1.2024.1-5

Abstract

Background: Dental caries is frequently observed in children. Increasing the awareness of oral health among school-age children is anticipated to decrease the occurrence of dental caries. Purpose: The aim of this study was to determine the prevalence of dental caries among students in Medowo III elementary school using dmft/DMFT index. Methods: A cross-sectional descriptive study was carried out among the entire student at Medowo III elementary school. The dental caries of each student were assessed using the dmft and DMFT indices. The assessment of variable distribution was conducted using the Shapiro-Wilk test. The dmft/DMFT values were compared between different age groups and genders using either the Student's t-test or the Mann-Whitney test. The data was processed using a significance level of p < 0.05. Results: The study included a total of 43 students. The average caries index in primary dentitions was markedly greater than in permanent dentitions. According to WHO, the prevalence of dental caries was very high in the primary dentition of students aged 7-9 years. No notable disparities were detected between female and male students in relation to the caries index of both primary and permanent teeth. However, the average caries index of primary teeth was considerably higher in middle-childhood students compared to preadolescence students. Conclusion: The dental caries prevalence among students in Medowo III elementary school were still high. Therefore, oral health prevention program was needed in order to enhance the community's awareness toward dental caries.
Prevalence of malocclusion and craniofacial morphological variations among 7-13-year-old children in Elementary School, Kediri Triwardhani, Ari; Winoto, Ervina Restiwulan; Alida, Alida; Pramusita, Adya; Iskandar, Regina Purnama Dewi; Jordana, Jesslyn; Noor, Tengku Natasha Eleena binti Tengku Ahmad
Indonesian Journal of Dental Medicine Vol. 7 No. 2 (2024): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v7i2.2024.60-63

Abstract

Background: Craniofacial morphological variations can influence malocclusion. Mesocephalic head tends to form mesoprosopic face and class I malocclusion. Dolicocephalic head tends to form leptoprosopic face and class II malocclusion. Brachycephalic head tends to form euryprosopic face and class III malocclusion. Emphasizing the importance of malocclusion early treatment, research on malocclusion prevalence and craniofacial morphology variations in growing children is needed. Purpose: To determine malocclusion prevalence and craniofacial morphological variations among 7-13-year-old children at Medowo III Elementary School, Kediri. Methods: This descriptive study used 44 samples of Medowo III Elementary School, Kediri students. Head and face length and width were measured using a spreading caliper. The cephalic and facial indices were then determined for the classification of head and facial types. Results: The dominant craniofacial morphological variations in the samples were hyper-brachycephalic head (39 samples) and euryprosopic face (14 samples). The highest prevalence of malocclusion among individuals with hyper-brachycephalic head type was Angle’s class I malocclusion. Class II malocclusion was found in 1 sample, and class III malocclusion in 3 samples. Among the samples with this head type, the most common malocclusion variations were anterior crowding (36 samples), followed by deep bite (15 samples). Conclusion: The highest prevalence of malocclusion among Medowo III Elementary School, Kediri students was Angle class I malocclusion, characterized by specific craniofacial morphological variations, namely hyper-brachycephalic head type and euryprosopic face.