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All Journal Dental Journal (Majalah Kedokteran Gigi) Jurnal Kedokteran Gigi Universitas Padjadjaran
Arya Brahmanta
Departemen Ortodonsia Fakultas Kedokteran Gigi Universitas Hang Tuah
Dentistry Health Professions

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Orthodontic treatment with skeletal anchorage system Arya Brahmanta; Jusuf Sjamsudin
Dental Journal (Majalah Kedokteran Gigi) Vol. 44 No. 2 (2011): June 2011
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (784.108 KB) | DOI: 10.20473/j.djmkg.v44.i2.p101-105

Abstract

Background: Correction of class I malocclusion with bimaxillary dental protrusion and unilateral free end right upper ridge in adult patient is one of difficult biomechanical case in orthodontics. Due to this case that needs proper anchorage for upper incisor retraction with missing teeth in the right posterior segment. Purpose: The aim of this study to find an effective therapy for correction of bimaxillary protrusion with unilateral free and ridge. Case: A female patient, 36 year old complaining for the difficulty of lip closure due to severe bimaxillary protrusion with incompetence lip. Case management: Firstly correction of the maxillary and mandibular incisor proclination were done by extraction of the mandibular first premolar, the maxillary second premolar on left side and finally placement of miniplates implant in the zygomatic process on right side as an absolut anchorage. Conclusion: Skeletal anchorage system (SAS) can be considered as an effective therapy for corection of bimaxillary protrusion with unilateral free end ridge.Latar belakang: Koreksi dari maloklusi klas I dari penderita dewasa yang disertai protrusi bimaksiler dengan kehilangan gigi posterior pada regio kanan atas merupakan salah satu kasus sulit untuk dikerjakan terutama berhubungan dengan biomekanik pergerakan giginya dalam perawatan ortodonti. Tujuan: Tujuan dari penulisan artikel ini adalah untuk menemukan terapi yang efektif untuk perbaikan protrusi bimaksiler dan kehilangan gigi posterior pada satu sisi. Kasus: Seorang penderita wanita usia 35 tahun datang dengan keluhan utama kesulitan untuk menutup mulut oleh karena gigi rahang atas dan rahang bawahnya maju dan bibirnya tidak kompeten. Tatalaksana kasus: Koreksi pada gigi insisivus rahang atas dan insisivus rahang bawah yang protrusi dilakukan dengan melakukan pencabutan terlebih dahulu pada gigi premolar pertama dirahang bawah sisi kanan dan sisi kiri serta pencabutan pada gigi premolar kedua di rahang atas sisi kiri dan pemasangan miniplate implant di regio prosesus zigomatikus di sisi kanan sebagai penjangkar absolut. Kesimpulan: Sistem penjangkar absolut pada perawatan ortodonti merupakan pilihan terapi perawatan yang efektif pada kasus penderita dewasa dengan protrusi bimaksiler dan kehilangan gigi posterior pada regio kanan atas.
Histological changes during orthodontic tooth movement due to hyperbaric oxygen therapy Arya Brahmanta; Sutjipto Sutjipto; Ida Bagus Narmada
Dental Journal (Majalah Kedokteran Gigi) Vol. 49 No. 2 (2016): June 2016
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.232 KB) | DOI: 10.20473/j.djmkg.v49.i2.p63-66

Abstract

Background: Mechanical force of orthodontics causes changes in periodontal ligament vascularization and blood flow, resulting in biochemical and cellular changes as well as changes in the contour of the alveolar bone and in the thickness of the periodontal ligaments. Hyperbaric oxygen (HBO) therapy is one of many solutions stimulating the growth of new blood vessels and increasing tissue oxygenation. Thus, HBO plays a role in recovery of periodontal ligament and osteoblasts. Purpose: This study aimed to determine the effects of HBO therapy for seven days on periodontal ligament size and osteoblast number in the tension site during bone remodeling in tooth movement. Method: The study was true experimental laboratories with completely randomized control group post test only design. Twenty-four males guinea pigs were randomly divided into three groups. K0 was the control group without any treatment, K1 was the group given a mechanical orthodontic pressure, and K2 was the group treated with the addition of hyperbaric oxygen therapy. The maxillary incisors were moved distally by elastic separator. After HBO therapy on day 7, all of the groups were sacrificed, and then periodontal ligament size and osteoblast number were analyzed by one-way Anova and LSD statistical tests. Result: The results showed significant differences in the size of the periodontal ligament and the number of osteoblasts in the tension site among the groups (p<0.05). Conclusion: HBO therapy at 2.4 ATA for 7 days is effective in recovery of periodontal ligament and increased osteoblast number during bone remodeling in tension area of orthodontic tooth movement.
The role of active ingredients nanopowder Stichopus hermanii gel to bone resorption in tension area of orthodontic tooth movement Noengki Prameswari; Arya Brahmanta
Dental Journal (Majalah Kedokteran Gigi) Vol. 50 No. 4 (2017): December 2017
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.629 KB) | DOI: 10.20473/j.djmkg.v50.i4.p188-193

Abstract

Background: Orthodontic tooth movement is a continual and balanced process between bone deposition and bone resorption in pressure and tension sites. Stichopus hermanii is one of the best fishery commodities in Indonesia. It is natural and contains various active ingredients such as hyaluronic acid, chondroitin sulphate, cell growth factor, eicosa pentaenoic acid (EPA) docosa hexaenoic acid (DHA) and flavonoid that potentially play a role in orthodontic tooth movement. Purpose: The aim of this study was to investigate the active ingredients of nanopowder Stichopus hermanii promoting bone resorption in tension area orthodontic tooth movement. Methods: A quantitative test for active ingredients of stichopus hermanii was conducted. Thirty two male Cavia cobaya were divisibled became four groups. K (–) groups as a negative control group (without treatment), K (+) groups as a positive control group which were provided with a separator rubber for orthodontic tooth movement, and P1, P2 groups, which were treated with 3% and 3.5% stichopus hermanii for orthodontic tooth movement. After treatment the cavia cobaya were sacrificed. TRAP-6 expression as a osteoclast marker was examined by means of an immunohistochemistry method. Results: A one-way Anova test confirmed that TRAP-6 expression was significantly increased with p = 0.00 (p≤0,05) in P2 compared to K (+). P2 to K (–), P2 to P1 and P1 to K (+) had no significant differences Conclusion: Nanopowder Stichopus hermanii 3.5% has an active ingredient that could increase osteoclast activity to resorb periodontal ligament and alveolar bone in tension areas of orthodontic tooth movement.
Potensi gel Stichopus hermanii dan Hyperbaric Oxygen Therapy untuk mempercepat perawatan ortodontiPotential of Stichopus hermanii gel and Hyperbaric Oxygen Therapy in accelerating orthodontic treatment I Ketut Ika Sandana; Jessica Velisia; Alexander Yunior; Arya Brahmanta; Noengki Prameswari
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (668.055 KB) | DOI: 10.24198/jkg.v29i3.15951

Abstract

Pendahuluan: Perawatan ortodonti memerlukan inovasi untuk mempercepat waktu perawatan. Perawatan ortodonti menyebabkan adanya daerah tekanan dan tarikan yang dipengaruhi oleh ekspresi Receptor Activator of Nuclear Factor Kappa-b (RANK) pada daerah tekanan, yang merangsang osteoklas dan ekspresi osteoprotegerin pada daerah tarikan yang merangsang osteoblast. Stichopus hermanii mempunyai efek pada proses penyembuhan, Hyperbaric Oxygen Therapy (HBOT) memberikan efek remodelling. Studi pustaka ini bertujuan untuk mengungkapkan mekanisme potensi gel Stichopus hermanii dan Hyperbaric Oxygen Therapy (HBOT) dalam mempercepat proses pergerakan gigi pada perawatan ortodonti sebagai alternatif terapi. Studi Pustaka: Inovasi untuk mempercepat perawatan ortodonti dilakukan pada daerah tekanan dan tarikan. Pemberian gel Stichopus hermanii secara lokal dapat meningkatkan level osteoprotegerin yang menghambat ikatan antara Receptor Activator of Nuclear Factor Kappa-b Ligand (RANK-L) dan Receptor Activator of Nuclear Factor Kappa-b (RANK), sehingga menghambat aktivasi osteoklas dan mengaktivasi aposisi tulang. Hyperbaric Oxygen Therapy menstimulasi ekspresi RANK pada daerah tekanan membantu mempercepat proses resorpsi. Kombinasi gel Stichopus hermanii dan Hyperbaric Oxygen Therapy menyebabkan pergerakan gigi meningkat melalui proses remodelling. Simpulan: Inovasi kombinasi terapi gel Stichopus hermanii dan Hyperbaric Oxygen Therapy dapat meningkatkan pergerakan gigi pada perawatan ortodonti.Kata kunci: Pergerakan gigi ortodonti, Stichopus hermanii, Hyperbaric Oxygen Therapy, osteoprotegerin, RANK-L, RANK.  ABSTRACTIntroduction: Orthodontic treatment requires innovation to accelerate the treatment time — orthodontic treatment is resulting in pressure and pull area that is affected by the expression of the Receptor Activator of Nuclear Factor Kappa b (RANK) in the pressure region, which stimulates osteoclasts and expression of osteoprotegerin in the pulling region which stimulates the osteoblast. Stichopus hermanii affects the healing process, Hyperbaric Oxygen Therapy (HBOT) provides a remodelling effect. This literature study was aimed to reveal the potential mechanism of Stichopus hermanii and Hyperbaric Oxygen Therapy (HBOT) in accelerating the tooth movement process in orthodontic treatment as an alternative therapy. Literature Review: Innovations to accelerate orthodontic treatment were performed in the pressure and pull area. Administration of Stichopus hermanii gel could increase the level of osteoprotegerin which inhibits the bond between Receptor Activator of Nuclear Factor Kappa-b Ligand (RANK-L) and Receptor Activator of Nuclear Factor Kappa-b (RANK), thus inhibiting osteoclast activation and activating bone apposition. Hyperbaric Oxygen Therapy (HBOT) stimulates RANK expression in the pressure area to help accelerate the resorption process. Combinations of Stichopus hermanii gel and HBOT cause tooth movement to increase through the remodelling process. Conclusion: An innovative combination of Stichopus hermanii gel and Hyperbaric Oxygen Therapy (HBOT) was able to improve the tooth movement in orthodontic treatment.Keywords: Orthodontic tooth movement, Stichopus hermanii gel, Hyperbaric Oxygen Therapy, osteoprotegerin, RANK-L, RANK.
Co-Authors Ahmad Fauzi Makarim Alexander Yunior Bima Sena Bayu Dewantara I Ketut Ika Sandana Ida Bagus Narmada Jessica Velisia Jusuf Sjamsudin Noengki Prameswari Riyanto Sigit Sutjipto Sutjipto Tita Karlita