Articles
DIFFERENCES IN SOFT TISSUE THICKNESS OF THE CHIN BASED ON MANDIBLE GROWTH PATTERN IN ADULT PATIENTS: PERBEDAAN KETEBALAN JARINGAN LUNAK DAGU BERDASARKAN POLA PERTUMBUHAN MANDIBULA PASIEN DEWASA
Sofyanti, Ervina;
Regoo, Vinoshinie
Dentika: Dental Journal Vol. 19 No. 2 (2016): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v19i2.416
The facial appearance is as important as the occlusal relationship in any dental treatment. The chin that represents the largest segment of the lower third facial proportion for both sexes is overlooked when it comes to the aesthetic alteration of the face. Proper understanding about anatomical changes and chin artless movements, or in conjunction with formal orthognathic surgery, is paramount. The purpose of this study was to evaluate the difference of soft tissue chin (STC) thickness which was measured from skeletal Pogonion (Pog) to soft tissue pogonion (Pog’) in various mandibular patterns. The cephalograms lateral pretreatment of adult patients (≥21 years) that divided into three groups (hypo divergent, average, hyper divergent) were analyzed with one-Way Anova. Soft tissue chin (STC) thickness which was measured from skeletal Pogonion (Pog) to soft tissue pogonion (Pog’). Various mandibular pattern are based on mandibular plane inclination (MP) to anterior cranial base (SN) as normal value between 27°-37°. There were significant differences of soft tissue chin thickness in various mandibular pattern. Mandibular pattern might camouflage lower third of the face from soft tissue profile, especially pogonion as the most anterior point on the contour of the chin. The average of normal soft tissue chin thickness which 11.68±2.0mm (according to Holdaway) can be served as guidelines to predict the appearance of the chin, so that the multidisciplinary treatment approach, like genioplasty can be informed from the beginning in camouflage orthodontics treatment.
2D PANORAMIC RADIOGRAPHY AND 3D CBCT OF MANDIBULAR CORTICAL LOSS IN SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) PATIENTS OF HASAN SADIKIN HOSPITAL: A CROSS SECTIONAL STUDY: RADIOGRAFI PANORAMIK 2D DAN CBCT 3D DARI HILANGNYA TULANG KORTIKAL MANDIBULAR DI SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) PADA PASIEN DI RUMAH SAKIT HASAN SADIKIN: STUDI CROSS SECTIONAL
Boel, Trelia;
Lubis, Wilda H;
Sofyanti, Ervina;
Kartika, Dewi;
Gunadi, Wachjudi R
Dentika: Dental Journal Vol. 20 No. 1 (2017): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v20i1.740
Systemic Lupus Erythematosus (SLE) is an autoimmune rheumatic disease that involves extensive inflammation of the bone regions. Studies showed that the long-term medication in SLE patientsaffects the quantity and quality of bones.This should be considered in any treatment administered, including dental treatment. This study was conducted to analyze mandibular cortical bone loss in SLE patients with 2D panoramic radiography and 3D Cone Beam Computerized Tomography (CBCT). The research was a cross-sectional study to measure 31 SLE Indonesian female outpatients in Internal Medicine Installationat Hasan Sadikin Hospital, Bandung in 2014. The mean age is 37.65±10.79 years with 5.23 ± 4.37 mg corticosteroid intake history for 2–20 years. There was a significant correlation in the mandibular cortical loss analyzed by 3D CBCT imaging based on corticosteroid dosage (p=0.026). In conclusion, the level of mandibular cortical bone loss observed by panoramic radiography was moderate while 3D CBCT imaging showed a severe level of loss in this study.
GAMBARAN ASIMETRI WAJAH DAN LENGKUNG GIGI PADA PASIEN GIGITAN TERBALIK ANTERIOR YANG DIRAWAT DI KLINIK ORTODONTI RSGMP FKG USU : DESCRIPTION OF FACIAL AND DENTAL ARCHA SYMMETRIES IN ANTERIOR CROSSBITE PATIENT AT ORTHODONTICS CLINIC OF DENTAL TEACHING HOSPITAL UNIVERSITY OF SUMATERA UTARA
Ervina Sofyanti;
Faradilla
Dentika: Dental Journal Vol. 17 No. 4 (2013): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v17i4.1782
Akhir-akhir ini, asimetri dentofasial kompleks menjadi salah satu alasan pasien mencari perawatan ortodonti. Pada umumnya, asimetri ini hampir ditemukan pada berbagai maloklusi, khususnya pada pasien gigitan terbalik anterior. Penelitian ini bertujuan untuk mengidentifikasi asimetri wajah dan asimetri lengkung gigi pada maloklusi gigitan terbalik anterior pasien masa gigi bercampur. Sampel penelitian adalah foto frontal dan foto model gigi dari 35 pasien Departemen Ortodonti RSGMP FKG USU dengan kriteria inklusi adalah pasien fase gigi bercampur dengan maloklusi gigitan terbalik anterior, hubungan Molar Kelas I dan Kelas III, serta belum pernah mendapat perawatan ortodonti. Pengukuran asimetri wajah dengan mencari selisih antara jarak jaringan lunak gonion (STG) kanan dan kiri ke midline wajah pada sepertiga wajah bawah yang diambil saat relasi sentrik dan oklusi sentrik. Pengukuran asimetri lengkung gigi ditentukan dengan jarak medial palatal plane ke landmark pada foto model gigi. Hasil penelitian menunjukkan prevalensi asimetri wajah saat relasi sentrik adalah 17,14% dan saat oklusi sentrik sebanyak 45,17%. Secara klinis, sebanyak 66.67% menunjukkan sisi kiri wajah lebih lebar dibandingkan yang kanan pada saat relasi sentrik sedangkan saat oklusi sentrik terdapat sisi kanan wajah lebih lebar dibandingkan yang kiri sebesar 68.75%. Prevalensi asimetri lengkung gigi adalah 57,14% yang mana sisi kiri lengkung gigi lebih lebar dibandingkan yang kanan. Sebagai kesimpulan, asimetri wajah pada pasien dengan gigitan terbalik anterior memperlihatkan asimetri wajah yang lebih banyak pada saat oklusi sentrik dibandingkan saat relasi sentrik. Selain itu pasien dengan gigitan terbalik anterior menunjukkan lengkung gigi yang asimetris. Berdasarkan hal tersebut, pemeriksaan kesimetrisan pada saat relasi sentrik dan oklusi sentrik perlu diperhatikan pada kasus dengan gigitan terbalik anterior sehingga asimetri yang lebih parah dapat dihindari.
COMPREHENSIVE ORTHODONTIC TREATMENT OF PALATALLY IMPACTED MAXILLARY CANINES: PERAWATAN ORTODONTI KOMPREHENSIF KASUS IMPAKSI KANINUS DI REGIO PALATAL
Ervina Sofyanti
Dentika: Dental Journal Vol. 17 No. 4 (2013): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v17i4.1791
Comprehensive orthodontic treatment among adult patients that required multidisciplinary approaches has been increased since a lot of them could not avail themselves with any treatment decades ago. Treatment of impacted canine in adult orthodontic patient needs to be integrated into the overall orthodontic treatment scheme. The following case report described an orthodontic treatment of 33-year-old woman with convex profile, palatally impacted of left maxillary canines and single dental crossbite. Dental midline shift associated with narrow arch form of upper arch and asymmetric tooth amount. Management of this case was started by extraction of first upper premolars in the opposite site from impacted maxillary in order to overcome dental discrepancy problem. Surgical exposure allowed the potency natural eruption of the impacted tooth. After 24-months of treatment, the impacted maxillary canines took place as integral elements in dentition and Class I Canine relationship was achieved. The success of this comprehensive orthodontic treatment also considered biomechanical and periodontal condition during treatment based on proper evaluation and good prognostic of the impacted tooth position. Providing adequate space and surgical exposure during levelling aligning phase followed by orthodontic traction and gingivectomy, were the multidisciplinary approaches of this following case. In conclusion, biomechanical orthodontic treatment related to periodontal condition must be considered in comprehensive orthodontic treatment of adult patient.
MANAGEMENT OF DENTAL ANTERIOR OPEN BITE WITH TONQUE THRUSTING IN GROWING PATIENT: PENATALAKSANAAN GIGITAN GIGI DEPAN TERBUKA KARENA KEBIASAAN MENDORONG LIDAH PADA PASIEN TUMBUH KEMBANG
Ervina Sofyanti
Dentika: Dental Journal Vol. 17 No. 2 (2012): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v17i2.1832
Unfavorable growth pattern in vertical direction, heredity, digital habits, tonque function, and habitual mouth breathingare some abnormal functions that change the craniodentofacial morphology. This condition is also related with intensivebad habit that is not realized by the anterior open bite patient. Elimination of the ethiology factor and patient motivationinfluenced the success of anterior open bite correction. The aethiology of this anterior open bite can affect the treatmenttime, result, and stability of treatment. This case report describes orthodontic treatment systematically of a 17.5-year-oldboy with retrognatic profile who had thumb-sucking habit in the past, infantile swallowing, and tongue-thrusting. Thetype of anterior open bite was dental and malocclussion consisted of accentuated curve of spee at maxilla and reversedcurve of spee at mandible. The treatment started by correcting curve of spee along with instruction to keep oral muscleactivity in normal occlusal forces during orthodontic treatment. After the correction in vertical direction was achieved,four-premolar extractions were done. The result after 19-month-treatment showed overcorrection of overbite of +3.5 mm,overjet of +2 mm and tongue thrusting eliminated. In conclusion, the proper orthodontic treatment concurrently with badhabit management in growing patient will affect the treatment result and stability.
KEBIASAAN MENGISAP JARI PADA PASIEN TUMBUH KEMBANG: DIGIT SUCKING HABIT IN GROWING PATIENTS
Ervina Sofyanti;
Chen Kit Fong
Dentika: Dental Journal Vol. 17 No. 2 (2012): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v17i2.1836
Kebiasaan mengisap non-nutritif merupakan salah satu etiologi maloklusi open bite anterior dan crossbite posterior yangdapat muncul pada anak-anak yang sedang tumbuh kembang. Dalam tinjauan pustaka ini ditulis etiologi dan teori-teorikebiasaan mengisap jari sebagai pemahaman tentang kebiasaan ini secara khusus. Penelitian prevalensi pada daerah yangberbeda menunjukkan jumlah kasus yang berbeda pada masa yang tertentu dan penelitian longitudinal telah memberikangambaran perkembangan maloklusi secara bertahap pada usia tertentu. Selain pemeriksaan objektif, analisis fungsionalkebiasaan adalah penting sebagai prosedur diagnostik yang menjadi alat bantu dalam penentuan kebutuhan dan seleksiperawatan. Perawatan yang mampu membantu menghentikan kebiasaan termasuk pendekatan secara psikologis,pengunaan alat-alat non-dental dan piranti oral. Sebagai kesimpulan, perawatan yang menghambat kebiasaan mengisapjari mampu mencegah berkembangnya maloklusi dan kebiasaan ini harus dihentikan sebelum erupsi gigi permanen.
MANAGEMENT OF ANTERIOR CROSSBITE CONCURRENTLY IMPACTED MAXILLARY LEFT SECOND PREMOLARS IN GROWING PATIENT: PENATALAKSANAAN MALOKLUSI GIGITAN SILANG ANTERIOR DENGAN IMPAKSI PREMOLAR DUA RAHANG ATAS KIRI PADA PASIEN TUMBUH KEMBANG
Ervina Sofyanti
Dentika: Dental Journal Vol. 16 No. 1 (2011): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v16i1.1909
Anterior crossbite is a common strike anomaly that may be found in growing patient who is seeking orthodontic treatment for functional reason. On the other hand, impacted t ooth is a failure of dental eruption which is sometimes not realized by patient until having proper dental examination. The following case report described an orthodontic treatment of 10-yearold girl with straight profile and impacted maxillary left second premolars. This condition associated with arch length discrepancy causing space deficiency for second premolars eruption. The management of correcting anterior crossbite concurrently maxillary second premolars impaction started with space regaining by eliminate occlusal interference prior to distal movement of the posterior teeth. The most significant drawback of distalization is an equal and opposite mesial force tends to flare the incisors labially. After 12-months of treatment, distal movement of posterior teeth eliminatinganterior crossbite and allowed spontaneous upper left second premolars eruption. At the eighteenth month of treatment, overbite and overjet value was +2mm and midline maxillary and mandible arch paralled with in relation and centric occlusion. In conclusion, early intervention for anterior crossbite and impacted second maxillary left second premolars correction in this case was based on proper treatment timing and accurate diagnose by considering patient’s growth trend.
The Difference of Occlusal Cant and Favored Chewing Side in Subjects with Complete Dentition: Perbedaan Kemiringan Dataran Oklusal dan Kecenderungan Sisi Pengunyahan pada Subjek dengan Gigi Lengkap
Sofyanti, Ervina;
Tambunan, Mirna Rory Yohanita;
Boel, Trelia;
Siregar, Darmayanti;
Aditya Rachmawati
Dentika: Dental Journal Vol. 23 No. 2 (2020): Dentika Dental Journal
Publisher : TALENTA
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DOI: 10.32734/dentika.v23i2.3819
The examination of static and dynamic occlusal relationship are important in orthodontic diagnosis. Thus, this study aims to analysis the difference of occlusal cant and favored chewing side. This is cross-sectional study of 70 healthy dental students Universitas Sumatera Utara with complete dentition and have no orthodontics treatment history. The position of tongue spatula across on occlusal of both first bicuspids to assess the existence and degree of the canting occlusal based on extra-oral photograph. The occlusal cant positive if it coincided to inter pupil as transversal references and sectioned with facial midline as a vertical reference more than 3º. A modified direct method- visual observation was done to assess the favored chewing side. A chi-square test with p level 0.05 in evaluation of the null hypothesis that states there was a difference of occlusal cant and favored chewing side in those subjects. From 36 subjects with cant occlusal positive, there were 26 subjects with and 10 subjects without favored chewing side. Then, from 34 subjects with cant occlusal negative, there were 14 subjects with and 20 subjects without favored chewing side. There was a significant difference (p=0.017) between occlusal cant and favored chewing side. Subjects with complete teeth showed that favored chewing side tendency of 3,714 more often had an occlusal cant positive compared to favored chewing side negative. In conclusion, the significant difference of occlusal cant and favored chewing side in subjects with complete dentition can be considered as a preliminary study in order to understand the complexity of development of mandibular asymmetry.
Adjunctive radiograph diagnostic in vertical mandibular asymmetry
Kirubanandan Sathya Moorthy;
Ervina Sofyanti;
Trelia Boel;
Jesslyn Okto Govanny;
Aditya Rachmawati
Dental Journal (Majalah Kedokteran Gigi) Vol. 54 No. 1 (2021): March 2021
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
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DOI: 10.20473/j.djmkg.v54.i1.p21-24
Background: The development of radio diagnostics in orthodontics is still a challenge in treating skeletal anomaly with facial asymmetry. The assessment of skeletal symmetry, which can be obtained by frontal radiographs such as panoramic radiograph and posteroanterior cephalograph, is still limited. Purpose: The aim of this study is to evaluate panoramic radiograph and posteroanterior cephalograph in measuring the vertical mandibular asymmetry based on Kjellberg technique. Methods: This study was a cross-sectional study of 43 pre-treatment panoramic radiographs and posteroanterior cephalographs from dental faculty students at Universitas Sumatera Utara between 18–25 years old. The subjects have fully erupted permanent teeth until the second molar and complained about facial asymmetry. The validity and reliability of vertical mandibular asymmetry of Kjellberg technique with Cliniview software in both radiographs used Cohen-K analysis. Results: The measurement of vertical mandibular asymmetry showed no significant differences using panoramic radiograph and posteroanterior cephalograph (0.073-0.321 > 0.05). Conclusion: The vertical mandibular asymmetry analysis with Kjellberg technique in panoramic radiograph is potent as an adjunctive diagnostic tool in vertical mandibular asymmetry.
Hubungan bentuk lengkung gigi dan gejala gangguan sendi rahang Relationship between dental arch form and temporomandibular joint disorders symptoms
Febe Gracewitha Tampubolon;
Ervina Sofyanti
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 34, No 1 (2022): April 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran
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DOI: 10.24198/jkg.v34i1.35002
Pendahuluan: Maloklusi dan gangguan sendi rahang merupakan kelainan pada rongga mulut bersifat multifaktorial dan telah dilaporkan memiliki keterkaitan. Maloklusi terjadi karena ketidaksesuaian panjang lengkung rahang dan panjang lengkung gigi. Maloklusi merupakan salah satu penyebab timbulnya gangguan pada sendi rahang (TMD) dengan gejala dan/atau tanda klinis yang bervariasi. Tujuan penelitian menganalisis hubungan antara bentuk lengkung gigi dan gejala TMD pada mahasiswa Fakultas Kedokteran Gigi Universitas Sumatera Utara. Metode: Jenis penelitian cross sectional menggunakan kuesioner dan model studi. Pengambilan sampel secara purposive sampling berasal dari prosedur pencetakan gigi berdasarkan kriteria inklusi yang meliputi karakteristik berikut: Mahasiswa Fakultas Kedokteran Gigi Universitas Sumatera Utara, usia 17-25 tahun dengan gigi permanen lengkap sampai molar kedua dan belum pernah mendapat perawatan ortodonti. Hasil: Hasil uji Chi-square dari 17 model gigi subjek perempuan dan 13 subjek laki-laki menunjukkan tidak ada hubungan yang bermakna antara lengkung gigi atas (p=0,953) dan bawah (p=0,828) pada subjek penelitian dengan TMD. Simpulan: Gejala TMD tidak berkaitan dengan variasi bentuk lengkung gigi pada subjek dengan gigi geligi lengkap. Namun, penelitian lebih lanjut perlu dilakukan dengan mempertimbangkan pemeriksaan tanda klinis gangguan sendi rahang, karakteristik maloklusi, serta adanya kebiasaan buruk.Kata kunci: bentuk lengkung gigi; gejala; gangguan sendi rahang ABSTRACTIntroduction: Malocclusion and temporomandibular joint disorders are multifactorial disorders of the oral cavity and have been reported to have an association. Malocclusion occurs because of the disharmony of the length of the jaw arch and the dental arch. Malocclusion is one of the causes of temporomandibular joint disorders (TMD) with various clinical symptoms and signs. The purpose of the study was to analyse the relationship between dental arch form and temporomandibular joint disorders symptoms in undergraduate students of the Faculty of Dentistry Universitas Sumatera Utara. Methods: This type of research was cross-sectional using a questionnaire and a study model. Purposive sampling was taken from the dental impression procedure based on the inclusion criteria, including the following characteristics: undergraduate students of the Faculty of Dentistry Universitas Sumatera Utara; aged 17-25 years with complete permanent teeth up to the second molar; had never received orthodontic treatment. Results: The chi-square test results of 17 female and 13 male subjects showed no significant relationship between the upper (p=0.953) and lower (p=0.828) dental arches in the study subjects with TMD. Conclusions: TMD symptoms were not associated with variations in the dental arch form in subjects with complete dentition. However, further research needs to be done by considering the examination of clinical signs of jaw joint disorders, characteristics of malocclusion, and the presence of bad habits.Keywords: dental arch form; symptom; temporomandibular joint disorders