Sianiwati Goenharto
Department Of Orthodontic Dentistry, Faculty Of Dental Medicine, Universitas Airlangga

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COMPARISON BETWEEN REMOVABLE AND FIXED ORTHODONTIC RETAINERS Goenharto, Sianiwati; Rusdiana, Elly; Khairyyah, Ida Nurul
Journal of Vocational Health Studies Vol. 1 No. 2 (2017): November 2017 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V1.I2.2017.82-87

Abstract

Background: There are two kinds of retainers: removable retainer and fixed retainer. Removable retainer is an orthodontic retainer which can be inserted and removed by the patient, whereas fixed retainer is bonded permanently on teeth, it cannot be removed by the patient. It is important to know which retainer that most effective based on the existing case. Purpose: To identify the comparison between removable and fixed retainers in orthodontic treatment. Review: Hawley retainer, Beggs retainer, clip on retainer, Kesling'stooth positioners and invisible retainer  are removable retainers whereas fixed retainers include banded retainer, bonded retainer and band & spur type retainer. Comparison between removable and fix retainer can be evaluated from several aspects such as: cost, aesthetics, fabrication process, durability, occlusion, hygiene and convenience of use. Conclusion: Whether removable or fixed retainers can be effectively used to prevent relapse post orthodontic treatment depending onthe existing case.
VARIATION OF FIXED TONGUE CRIB FOR CORRECTING TONGUE THRUSTING HABIT Rusdiana, Elly; Goenharto, Sianiwati; Asdika, Rere Gathi
Journal of Vocational Health Studies Vol. 1 No. 3 (2018): March 2018 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V1.I3.2018.136-133

Abstract

Background: Tongue thrusting is a behavior pattern in which the tongue protrudes through the anterior incisors and pushes the anterior teeth at rest position, during speech or swallowing. This bad habit causes malocclusion, but removable or fixed tongue crib appliance can be used to eliminate it. Purpose: To know various kinds of fixed tongue crib that can be used to overcome tongue thrust habit. Review: Habit is a repeated behavior pattern in the normal development stage. Tongue thrust makes oral muscle imbalance which eventually resulted in malocclusions such as incisor protruded and open bite. Several efforts can be done to overcome this habit including speech therapy, myofunctional therapy, tongue exercise and tongue crib orthodontic appliance usage. Tongue crib is used to returns the tongue to the normal position. Various forms of tongue crib are almost the same in the way they are made by soldering the crib to the maxillary first molar band. Conclusion: Tongue thrust habit can be corrected with fixed or removable tongue crib appliances such as hybrid habit correcting appliance, tongue crib with cold cured acrylic tongue shield, fixed palatal crib with transpalatal arch, fixed tongue loops, tongue fence, and upper hay rake.
VARIOUS LABIAL BOW MODIFICATION IN REMOVABLE ORTHODONTIC APPLIANCE Dewi, Ajeng Firliana; Rusdiana, Elly; Goenharto, Sianiwati
Journal of Vocational Health Studies Vol. 3 No. 1 (2019): July 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1819.451 KB) | DOI: 10.20473/jvhs.V3.I1.2019.40-46

Abstract

Background: In several dental malposition cases, removable orthodontic component modifications are needed in order to obtain maximum end result, and comfortable to use. One of the active components which can be modified is the labial arch. Purpose: To identify various labial bow modifications in the removable orthodontic appliance. Review: Labial bow can be modified according to patient need. The modification can be used to correct dental arches, canine retraction, and correcting teeth extrusion. The variations include labial arch with M-loop, labial arch with canine retraction loop, labial arch with loop on canine, and labial arch with Andresen loop. Another modification is a labial bow with the addition of soldered hook and coil to put an elastic. Conclusion: Labial bow has various modifications in a removable orthodontic appliance according to the function required.
FABRICATION OF MAYNE'S SPACE MAINTAINER FOR PREMATURE LOSS OF DECIDUOUS TEETH Goenharto, Sianiwati; Haula Robbi, M. Kautsar; Inayati, Eny; Setyowati, Okti; Kusdarjanti, Endang; Laksmi Lita Rosa, Mia; Sujati; Wahjuni, Sri; Redjeki, Sri; Nur Halimah, Anisa
Journal of Vocational Health Studies Vol. 7 No. 2 (2023): November 2023 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V7.I2.2023.121-125

Abstract

Background: Premature loss for deciduous teeth is defined as the teeth that fall out before approaching the time of eruption of their replacement permanent teeth regardless of the reason for the loss of the teeth. The premature loss of deciduous teeth can cause the teeth next to the edentulous area to shift and lose arch space causing permanent teeth to grow abnormally. Prevention can be done by using Mayne's space maintainer so that the negative impact of premature loss does not occur. Purpose: Report the fabrication of Mayne's space maintainer in premature loss case. Case analysis: The laboratory accepted a working model with a case of premature loss in tooth 74 and was asked to make the Mayne's space maintainer. Result: This appliance consists of a molar band attached to tooth 75 with a 0.9 mm loop that is soldered on the buccal of the molar band. Conclusion: It is concluded that fabrication of Mayne's space maintainer in the case of premature loss of tooth 74 includes the preparation of a working model, adjustment of the molar band on tooth 75, making the loop, followed by soldering the loop to the molar band, finally the finishing and polishing.
PROCESSING REMOVABLE ORTHODONTIC APPLIANCE FOR SINGLE TOOTH ANTERIOR CROSSBITE USING EXPANSION SCREW Rusdiana, Elly; Goenharto, Sianiwati; Nirmala Ratna Harda, Sasadhara; Wahjuni, Sri; Indiani, Sri Redjeki
Journal of Vocational Health Studies Vol. 6 No. 3 (2023): March 2023 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V6.I3.2023.180-184

Abstract

Background: Anterior crossbite is a case that when upper anterior are positioned palatally than lower anterior teeth in centric occlusion. Orthodontic appliances using expansion screw could be solution for tooth anterior crossbite treatment. Purpose: To figure out the optimal fabrication process of orthodontic appliances in single tooth anterior crossbite case using expansion screw. Case analysis: Dental laboratory provided the maxillary dental appliance with single tooth anterior crossbite on teeth 21. Dental technician also received orthodontic appliance using expansion screw. Result: Orthodontic appliance design was Adams claps on teeth 16, 26, labial bow on teeth 13, 12, 11, 21, 22, 23. Additional posterior bite plane, also expansion screw was located on maxillary left first incisor, palatal section. Conclusion: Design and making orthodontic appliances using expansion screw begins with drawing design, positioning Adams clasps and labial bow sectional screw mini mounting, then acrylic packing. Final step was finishing polishing acrylic plate.
FABRICATION OF SIMPLE SPACE REGAINER FOR SPACE LOSS CASE Goenharto, Sianiwati; Rusdiana, Elly; Rahmadani, Annisa; Inayati, Eny; Ratwita, Rr. Dwiyanti Feriana; Setyowati, Okti; Wahjuni, Sri; Halimah, Anisa Nur; Sujati; Kusdarjanti, Endang
Journal of Vocational Health Studies Vol. 6 No. 3 (2023): March 2023 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V6.I3.2023.185-189

Abstract

Background: Anterior crossbite is a case that when upper anterior are positioned palatally than lower anterior teeth in centric occlusion. Orthodontic appliances using expansion screw could be solution for tooth anterior crossbite treatment. Purpose: To figure out the optimal fabrication process of orthodontic appliances in single tooth anterior crossbite case using expansion screw. Case analysis: Dental laboratory provided the maxillary dental appliance with single tooth anterior crossbite on teeth 21. Dental technician also received orthodontic appliance using expansion screw. Result: Orthodontic appliance design was Adams claps on teeth 16, 26, labial bow on teeth 13, 12, 11, 21, 22, 23. Additional posterior bite plane, also expansion screw was located on maxillary left first incisor, palatal section. Conclusion: Design and making orthodontic appliances using expansion screw begins with drawing design, positioning Adams clasps and labia bow sectional screw mini mounting, then acrylic packing. Final step was finishing polishing acrylic plate.
FABRICATION OF ALL PORCELAIN CANTILEVER BRIDGE RESTORATION IN CASES OF GINGIVA RECESSION USING ZIRCONIUM DIOXIDE MATERIAL WITH ADDITIONAL RETENSION Pauline, Yobellivia; Inayati, Eny; Goenharto, Sianiwati; Setyowati, Okti; Kusdaryanti, Endang; Redjeki Indiani, Sri; Mia Laksmi Lita Rosa
Journal of Vocational Health Studies Vol. 8 No. 2 (2024): November 2024 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V8.I2.2024.148-154

Abstract

Background: Aesthetic and functional dental restoration is a hope for people who have lost teeth, especially in the anterior region. Missing tooth 13 with more than 2 mm gingival recession can be made into a cantilever bridge restoration with the addition of porcelain gingiva. Gingival recession is when the tooth root surface is exposed due to periodontal tissue loss. Zirconia is a dental restoration material often used because of its biocompatibility, strength, and aesthetics. Purpose: To determine the procedure for making all porcelain cantilever bridge restorations in cases of gingival recession using zirconia material. Case analysis: The dental laboratory received a dental cast model of a 39-year-old female patient missing tooth 13 and had gingival recession on tooth 14 of more than 2 mm. Order in the form of restoration of all porcelain cantilever bridges from zirconia. Result: The cantilever bridge coping was made from zirconium dioxide and then layered with feldspathic porcelain to achieve optimal strength and aesthetics. A rest is made on tooth 12 to provide additional retention. Conclusion: The procedure for making all porcelain cantilever bridge restorations includes making diagnostic wax-up, scanning, coping design, milling, sintering, fitting, sandblasting, layering, anatomy, and glazing. Things that must be considered are the design, thickness of the coping, and connectors to achieve a restoration that is strong, resistant to fracture, and has good aesthetics. Porcelain gingiva was added in the cervical area of tooth 14 restorations to cover the recession
MAKING DIAGNOSTIC WAX UP OF MAXILLARY ANTERIOR TEETH IN CROSS BITE CASES Sri Redjeki Indiani; Sianiwati Goenharto; Anisa Nur Halimah; Widiya Ulfa; Narta Nikita Sari; Winda Kusumawardani; Dinda Nur Agustin
Journal of Vocational Health Studies Vol. 9 No. 1 (2025): July 2025 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V9.I1.2025.70-76

Abstract

Background: An anterior crossbite is a type of malocclusion in which one or more maxillary anterior teeth are positioned lingually to the mandibular anterior teeth, compromising aesthetics and reducing patient confidence. A thorough understanding of the patient's chief complaint is essential for developing an effective treatment plan. A diagnostic wax-up is recommended to improve predictability and facilitate the modification of maxillary and mandibular relationship ultimately enhancing aesthetic outcome. Purpose: To describe the procedure for creating a diagnostic wax-up of the maxillary anterior teeth in an anterior crossbite case for aesthetic purposes. Case analysis: Maxillary and mandibular working models were received, showing an anterior reverse bite malocclusion, with an overjet of -3 mm and an overbite of 2 mm. The dentist requested a diagnostic wax-up of the maxillary anterior teeth to achieve optimal aesthetic results. Result: The master model was received, marked, occluded, and mounted on an articulator. Wax was then applied and shaped to refine the anatomy of tooth 21, with the point and line angles adjusted toward the center to create a smaller appearance while carefully considering the height and convexity. Wax restorations were made covering 6 anterior teeth from maxillary left canine to maxillary right canines with the occlusal relationships adjusted to approximate a normal appearance. Conclusion: The diagnostic wax-up procedure involves preparing the working models, establishing the median line, mounting the models on an articulator, and sequentially waxing teeth numbers 11 and 21 first, followed by teeth 12 and 22, and finally teeth 13 and 23. The overjet is increased to achieve a more normal maxillomandibular occlusion, followed by careful evaluation.
MAKING UV-BOX STERILIZER FOR PREVENTING COVID-19 WHEN REPAIRING DENTURES IN KEDIRI: PEMBUATAN STERILISATOR UV-BOX UNTUK PENCEGAHAN COVID-19 SAAT REPARASI GIGI TIRUAN DI KEDIRI Kusdarjanti, Endang; Setyowati, Okti; Nur Halimah, Anisa; Goenharto, Sianiwati; Inayati, Eny; Redjeki I, Sri; Sujati; Laksmi LR, Mia
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 6 No. 1 (2024): JUNE 2024
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/dc.V6.I1.2024.70-75

Abstract

Background: Dental technicians are individuals with unique qualities who collaborate with dentists. The quality of information and abilities must be improved on a regular basis. However, because there is no additional education accessible for dental technicians, many find it difficult to refresh their knowledge and abilities on modern dental technology. Dental technicians who are members of the Indonesian Association of Dental Technicians (PTGI) in Kediri City have not yet fully understood the consequences of Covid 19 infection when working on the process of making and repairing dentures, therefore, it is very necessary to be given training on how to make a simple UV sterilizer. box that can kill the Covid-19 virus. Objective: This training aims to provide dental technicians who are members of partners with information on how to prevent Covid-19 and construct a basic sterilizer. Method: Counseling and workshops for dental technicians affiliated with the Indonesian Dental Technicians Association (PTGI) in Kediri City, including information on how to prevent Covid-19 and how to make a simple UV-Box sterilizer. Results: Based on the training participants' pre-test and post-test results, it is clear that the average (mean) post-test score (86,957) is greater than the average pre-test score (58,152). Conclusion: The findings of the pre-test and post-test calculations indicate that the training participants' knowledge enhanced after attending counseling and training.
TEKNIK PEMBUATAN FIXED FIXED BRIDGE PFM PADA KEHILANGAN GIGI 41, 31, DAN 32, PADA RESORPSI ALVEOLAR DAN RONGAK KECIL Alga Meisha Purwanto; Winda kusumawardani; Sri Redjeki Indiani; Sianiwati Goenharto; Anisa Nur Halimah; Narta Nikita Indiani; Widya Ulfa
Dentin Vol 9, No 3 (2025)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentin.v9i3.17919

Abstract

ABSTRACT Background: Tooth loss is often accompanied by alveolar bone resorption and reduced edentulous space, leading to changes in bone morphology and imbalance of the dental arch. Alveolar resorption refers to the reduction in bone volume and height in the area of missing teeth, while reduced edentulous space is defined as a narrower space than the ideal dimension for prosthetic replacement. One method to restore function and aesthetics in cases of tooth loss is the fabrication of a fixed-fixed bridgeusing Porcelain Fused to Metal (PFM). Objective: To describe the fabrication technique of a fixed-fixed PFM bridge for the replacement of missing teeth 41, 31, and 32 associated with alveolar bone resorption and reduced edentulous space. Case: The working model presented missing teeth 41, 31, and 32 accompanied by alveolar bone resorption and reduced edentulous space, for which a fixed-fixed PFM bridge was planned. Conclusion: The fabrication of a fixed-fixed Porcelain Fused to Metal bridge for the replacement of teeth 41, 31, and 32 with alveolar bone resorption and reduced edentulous space begins with receiving the working model, followed by wax-up of the coping to cover the resorbed area. The line angles are slightly shifted toward the proximal surfaces to create the visual impression of wider teeth. This is followed by metal coping finishing and subsequent application of slurry, opaque, dentin, enamel, translucent, and pink ceramic at the cervical pontic area. The process is completed with staining and glazing to enhance porcelain color and luster, and final polishing of the collar to achieve a smooth and esthetic result.Keywords : alveolar bone resorption, fixed-fixed bridge, narrow space, pink ceramic, porcelain fused to metal (PFM) ABSTRAK  Latar Belakang: Kehilangan gigi sering disertai resorpsi tulang alveolar dan rongak kecil yang menyebabkan perubahan bentuk tulang dan ketidakseimbangan lengkung rahang. Resorpsi alveolar adalah penurunan volume dan tinggi tulang di area gigi yang hilang. Rongak kecil adalah jarak edentulous yang lebih sempit daripada ukuran ideal. Salah satu cara mengembalikan fungsi dan estetika pada gigi yang hilang adalah dengan pembuatan gigi tiruan jembatan fixed-fixed bridge dengan bahan Porcelain Fused to Metal (PFM). Tujuan: Untuk menjelaskan teknik pembuatan teknik pembuatan gigi tiruan jembatan PFM pada kehilangan gigi 41, 31, dan 32 yang disertai resorpsi alveolar dan rongak kecil. Kasus: Pada model kerja terdapat kehilangan gigi 41, 31, dan 32 disertai resorpsi tulang alveolar dan rongak kecil yang akan dibuatkan fixed-fixed bridge PFM. Kesimpulan: Tahapan pembuatan gigi tiruan jembatan fixed fixed bridge dengan bahan Porcelain Fused to Metal pada kehilangan gigi 41, 31, dan 32 yang mengalami resorpsi alveolar dan rongak kecil diawali dengan penerimaan model kerja, pembuatan wax-up coping menutupi area yang mengalami resorpsi dan line angle dibuat sedikit ke arah proksimal guna memberikan kesan gigi lebih lebar secara visual, finishing pada koping logam, kemudian dilanjutkan dengan pengaplikasian slurry, opaque, dentin, enamel, translucent, dan pink ceramic pada area servikal pontik. Setelah itu dilakukan proses staining dan glazing untuk menyempurnakan warna dan kilap porselen, lalu tahap akhir berupa pemolesan pada collar hingga diperoleh hasil yang halus dan estetis. Kata kunci : fixed-fixed bridge, pink ceramic, porcelain fused to metal (PFM), resorpsi tulang alveolar, rongak kecil