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Resorpsi akar apikal eksternal gigi insisif rahang atas sesudah perawatan ortodonti pada kasus ekstraksi dan non ekstraksi maloklusi dentoskeletal kelas I Ulfah, Khairiyah; Evangelina, Ida Ayu; Mardiati, Endah; Elih, Elih
Padjadjaran Journal of Dental Researchers and Students Vol 7, No 1 (2023): Februari 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v7i1.36006

Abstract

ABSTRAKPendahuluan: Resorpsi akar apikal eksternal merupakan salah satu efek iatrogenik yang tidak diinginkan. Resorpsi ini merupakan kerusakan non infeksius dan asimtomatik dimana terjadi pemendekan apikal akar gigi karena kehilangan permanen sementum dan atau dentin. Etiologi kondisi ini bersifat multifaktorial, merupakan kombinasi dari variabilitas biologi individu dan faktor mekanis perawatan, salah satunya adalah tindakan ekstraksi. Tujuan penelitian menganalisis resorpsi akar apikal eksternal pada gigi insisif rahang atas sesudah perawatan ortodonti kasus ekstraksi dan non ekstraksi maloklusi dentoskeletal kelas I. Metode: Jenis penelitian deskriptif analitik komparatif. Sampel penelitian adalah radiografi panoramik pasien sebelum dan sesudah perawatan ortodonti sebanyak 52 sampel, dibagi dalam kelompok kasus ekstraksi 20 sampel dan non ekstraksi 32 sampel. Resorpsi akar apikal eksternal diukur dari selisih rasio panjang akar mahkota gigi insisif rahang atas sebelum dan sesudah perawatan ortodonti menggunakan software ImageJ. Analisis data diuji dengan t-test. Hasil: Perubahan rasio panjang akar mahkota gigi insisif rahang atas sesudah perawatan ortodonti pada kelompok ekstraksi maupun non ekstraksi menunjukkan perbedaan yang bermakna (p-value < 0,05). Perbedaan selisih rasio panjang akar mahkota gigi insisif rahang atas antara kelompok ekstraksi dan non ekstraksi, sebelum dan sesudah perawatan ortodonti menunjukkan hasil yang tidak bermakna (p-value > 0,05). Simpulan: Terdapat perbedaan resorpsi akar apikal eksternal pada gigi insisif rahang atas baik pada kasus non ekstraksi maupun ekstraksi. Tidak terdapat perbedaan resorpsi akar apikal eksternal gigi insisif rahang atas sesudah perawatan ortodonti di antara kasus ekstraksi dan non ekstraksi maloklusi dentoskeletal kelas I. KATA KUNCIResorps,i akar, insisif, rahang atas,  maloklusi, Angle kelas IExternal apical root resorption of maxillary incisors after class I dentoskeletal malocclusion orthodontic treatment in extraction and non-extraction casesABSTRACTIntroduction: External apical root resorption (EARR) is one of the undesirable iatrogenic effects of orthodontic treatment. EARR is a non-infectious and asymptomatic damage that cause apical shortening of the root structure due to permanent loss of cementum and / or dentin. The etiology is multifactorial, which is a combination of individual biological variability and mechanical factors of treatment such as extraction. The aim of this study was to evaluate EARR of maxillary incisors after class I dentoskeletal malocclusion orthodontic treatment in extraction and non-extraction cases. Methods: This research was using descriptive comparative analytic method. Fifty two panoramic radiograph of patients who have done orthodontic treatment were used in this study. The sample were divided into two groups, twenty for extraction cases and thirty two for non-extraction cases. EARR was measured from the difference in the root-crown ratio of the maxillary incisors before and after orthodontic treatment using ImageJ software. Data analysis was tested using t-test. Results: The change in the root-crown ratio of the maxillary incisors after orthodontic treatment in both non-extraction and extraction groups showed a significant difference (p-value <0.05). The difference in the root-crown ratio of maxillary incisors after orthodontic treatment in the non-extraction group compared to the extraction group showed no significant difference (p-value> 0.05). Conclusion: There was differences between EARR of maxillary incisors in both extraction and non-extraction cases. There was no differences in EARR of maxillary incisors after class I dentoskeletal malocclusion orthodontic treatment between extraction and non-extraction cases.KEY WORDS: Root, resorption, maxillary, incisors, malocclusion, angle class I
Early Management of Pseudo-Class III Malocclusion in a Growing Child with a Reverse Twin Block Appliance: A Case Report Rifki, Ayudia; Yulina, Vera; Ulfah, Khairiyah; Rambe, Sarinah; Fitri, Maida
Journal of Syiah Kuala Dentistry Society Vol 10, No 1 (2025): June
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v10i1.46954

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Background: Pseudo Class III malocclusion is characterized by an anterior crossbite with functional forward mandibular displacement. This malocclusion can prevent maxillary sagittal development, and if not intervened upon promptly, can develop into a skeletal class III malocclusion. Therefore, it is essential to avoid this malocclusion as early as possible. Case Report: A 9-year-old male child presented with the chief complaint of prominent lower teeth. Intra-oral examination showed crossbite anterior, presence of crowding, and malposition 21,22. Right molar relation class 1 and left class III, maxillary space discrepancy 6.4 mm, skeletal Class I, patient in growth and development period. Treatment was performed using a functional appliance, a reverse twin block, with additional bilateral expansion on the maxilla and a Z-spring on teeth 21 and 22. Conclusion: Management of pseudo-class III in growing children with reverse twin block has shown success in correcting the crossbite anterior, tooth malposition, and increasing the maxillary arch width.
Denture Stomatitis with Systemic Disease in Elderly Patient. A Case Report Rambe, Sarinah; Rifki, Ayudia; Ulfah, Khairiyah; Husna, Nurul; As Syifa, Salwa
Journal of Indonesian Dental Association Vol 8 No 2 (2025): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v8i2.1447

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ABSTRACT Introduction: Denture Stomatitis (DS) is a frequent condition that affects people who wear dentures, particularly the elderly. There are several contributing factors to denture stomatitis. Many local and systemic predisposing factors interact with one another. Case report: A 54-year-old female presented to Dental Hospital Universitas Syiah Kuala with a chief complaint of redness of the palate. Dentures currently seem loose and frequently fall out when speaking and chewing. Intraoral examination revealed diffuse erythematous, measuring >2 cm, red in color, number 2 (bilateral), irregular edges, located on the hard palate. Atrophic lesions, flat, measuring ±3x5cm, red in color, multiple, with diffuse borders and irregular edges, located dorsal of the tongue. Laboratory test results showed an increase in blood glucose levels, HbA1c and decrease in Hemoglobin, Hematocrit, Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH). Based anamnesis, clinical features and adjunctive examination was diagnosed Denture stomatitis with Diabetes Mellitus and slight Anemia. The treatment was Nystation oral suspension, Chlorhexidine Gluconate 0.2%, maintained oral health and improved nutrition. Conclusion: Denture stomatitis is a complex disorder that mostly affects the palatal mucosa of the upper jaw. Management of this condition must be comprehensive, starting with a proper diagnosis of the causative and risk factors, then directing treatment to the most significant factors specific to the patient.
Treatment of Multiple Diastema with Fixed Orthodontic Appliance: Case Report Ulfah, Khairiyah; Rifki, Ayudia; Rambe, Sarinah
Journal of Syiah Kuala Dentistry Society Vol 9, No 2 (2024): December 2024
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v9i2.42953

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Background:A diastema is a gap or distance between two or more adjacent teeth. This condition can affect a person's appearance and confidence. Treatment in cases involving aesthetics can be treated by multidisciplinary approach, one of which is orthodontics.Case Report:A 13-year-old boy presented with chief complaints of gap at his front teeth. Intra oral examination showed multiple diastemas on the upper and lower teeth, minimal crowding on the mandibular anterior teeth, and flaring/proclination of the maxillary anterior teeth, class I molar relation on the right and left sides, class I canine relation on the right and left sides, low palate (34.5%), overbite 2.5 mm, overjet 5 mm and maxillary midline shifted to the left by 1 mm. Treatment was performed with Roth system fixed orthodontic appliances for diastema closure.Conclusion:The evaluation of the aetiology of the diastema is an important issue before starting any orthodontic correction. In caseof multiple diastema, treatment with fixed orthodontic is an excellent alternative for diastema closure, especially when the incisors are of normal color, shape and size.
Treatment of Anterior Crossbite with Inverted Bracket Position, Case Report Ulfah, Khairiyah; Mulkhairul, Ilham; Andayani, Ridha
Journal of Syiah Kuala Dentistry Society Vol 9, No 1 (2024): June 2024
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v9i1.38742

Abstract

Background: Anterior crossbite is an abnormality in the sagittal direction of one or more maxillary anterior teeth against the mandibular teeth. Although the incidence of this case is small, it can cause aesthetic problems, tooth abrasion, caries, gingivitis, bone resorption, and gingival recession. Case Report: A 24-year-old female patient presented with her upper front teeth positioned behind her lower teeth and a noticeable gap between her upper front teeth. She exhibited an anterior crossbite involving teeth 22 to 32, a central diastema, and crowding of the upper and lower front teeth. Treatment was carried out using a fixed orthodontic with an MBT system and the bracket placement of 22 in an inverted position to get a labial torque effect on the roots. Conclusion: The use of pre-adjusted brackets with the MBT system and the placement of the lateral incisive bracket in an inverted position successfully corrected the anterior crossbite in these teeth both at the crown and root without additional wire bending or auxiliary spring.
Denture Stomatitis with Diabetes Mellitus and Anemia: A Case Report Rambe, Sarinah; Rifki, Ayudia; Ulfah, Khairiyah; Husna, Nurul; As Syifa, Salwa
Journal of Indonesian Dental Association Vol 8 No 2 (2025): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v8i2.1465

Abstract

Introduction: Denture stomatitis (DS) is a common problem among denture wearers. It usually appears as redness or inflammation of the oral mucosa that encounters the denture base. The causes are often not limited to one factor. Poor denture hygiene, wearing dentures continuously, and ill-fitting dentures are common triggers. However, systemic conditions such as diabetes mellitus can also play a major role by reducing the body’s ability to fight infection. Case Report: A 54-year-old woman presented to the Dental Hospital at Universitas Syiah Kuala with complaints of redness on the hard palate. She mentioned that her denture had become loose and often fell out when she talked or chewed food. Intraoral examination revealed diffuse erythematous, measuring >2 cm, red in color, number 2 (bilateral), irregular edges, located on the hard palate. Atrophic lesions, flat, measuring ±3x5cm, red in color, multiple, with diffuse borders and irregular edges, located on the dorsal surface of the tongue. Blood examination revealed elevated blood glucose and HbA1c levels, along with low hemoglobin, hematocrit, Mean Corpuscular Volume (MCV), and Mean Corpuscular Hemoglobin (MCH) values. Based on the patient’s history, clinical features, and laboratory results, the case was diagnosed as denture stomatitis type II (Newton’s classification) associated with diabetes mellitus and mild anemia. The patient was treated with Nystatin oral suspension and Chlorhexidine Gluconate 0.2%, blood glucose control and improved nutrition were emphasized to support the healing process and enhance systemic health. In addition, the patient was advised to adjust the denture. Conclusion: Management of this condition must be comprehensive, starting with proper diagnosis of the causative and risk factors, then directing treatment to the most significant factors specific to the patient.