Adiwirya, Muhammad Sulaiman Kusumah
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Orthodontic Management of Maxillary Canine-first Premolar Transposition by Unilateral Extraction Adiwirya, Muhammad Sulaiman Kusumah; Purwanegara, Miesje Karmiati
Journal of Dentistry Indonesia Vol. 26, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction: Transposition is an extreme and unique form of ectopic eruption. Orthodontic correction of transposed teeth in permanent dentition comprises the following treatment options: teeth alignment in the transposed position, orthodontic tooth movement into correct teeth order, or extraction on one of the transposed teeth followed by orthodontic correction. Case report: A 20-years-old male presented severe crowding and dental midline shift on both arches, followed by complete transposition of maxillary left canine – first premolar. A supernumerary tooth was also revealed between maxillary lateral and first premolar on the left side. The patient was treated with a pre-adjusted edgewise fixed appliance system. Extraction of supernumerary tooth and unilateral first premolars on the left side were performed to relieve crowding and to achieve stable occlusion. Improvement of smile aesthetic, correction of midline shift, and also an ideal class I of canine and posterior interdigitation were achieved after 22 months of treatment. Conclusion: Definitive treatment of transposition depends on the occlusion, degree of crowding, aesthetics, root position of the transposed teeth, and specific needs of the patient. Care must be taken to prevent midline shift and development of arch asymmetry during orthodontic correction of transposition involving unilateral extraction.
Public Elementary School Bumi Agung Lampung Students' Perceptions About Maloclusions and The Need for Orthodontic Treatment Krisnawati, Krisnawati; Widayati, Retno; Adiwirya, Muhammad Sulaiman Kusumah; Soegiharto, Benny Mulyono; Kusumadewy, Widya; Pratiwi, Dwita
Journal of Indonesian Dental Association Vol 7 No 1 (2024)
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v7i1.1107

Abstract

Introduction: Based on Indonesia Basic Health Research in 2018, it is known that 47% of Lampung people experience tooth decay and only 51% of them regularly go to the dentist. The need for orthodontic treatment is quite high among students. Epidemiological studies in Japan show that around 40% of teenagers aged 15-18 years need orthodontic treatment, 27%-36% in England aged 10-15 years, while in South Jakarta (2004) is 48.5%. Brook and Shaw introduced the Index of Orthodontic Treatment Need (IOTN), to assess the need for orthodontic treatment in England. IOTN has been applied by Agusni, T to measure the treatment needs of urban and rural children in Surabaya. Objective: Aims to determine the perceptions of elementary school students in Lampung regarding Malocclusion and the need for Orthodontic treatment. Method: A cross-sectional study was conducted in May 2023, carried out on students at public Elementary School Bumi Agung who met the inclusion criteria, namely aged 9-13 years, had never and were not currently undergoing orthodontic treatment, and were willing to take part in the research. 130 people were selected using a purposive sampling technique. Questionnaires were used to obtain sociodemographic data and general knowledge about Dental and Oral Health and Malocclusion. Assessment of the need for orthodontic treatment was carried out using the AC IOTN by the subject and operator. Results: 90% of students answered the questionnaire correctly, and 42% of students needed orthodontic treatment. A Pearson Chi-Square analysis test was carried out and found that there was a statistical difference in the perception of the need for orthodontic treatment by students and operators (p-value <0.05). Conclusion: Students at SDN Bumi Agung, Kalianda, Lampung, have very good general knowledge about Dental and Oral Health and Malocclusion. However, this is unsubstantiated by the perception of the need for orthodontic treatment.