Maria Purbiati
Department Of Orthodontics, Faculty Of Dentistry, Universitas Indonesia, Jakarta 10430

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Posisi kondilus setelah perawatan ortodontik pada maloklusi kelas II divisi 1 dengan pencabutan premolarCondylar position after orthodontic treatment in class II division 1 malocclusion with premolar extraction Dhani Ayu Andini; Maria Purbiati; Nia Ayu Ismaniati Suria; Ira Tanti
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 1 (2021): April 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i1.30643

Abstract

Pendahuluan: Maloklusi kelas II divisi 1 dilaporkan seringkali memicu terjadinya gangguan sendi temporomandibula. Posisi kondilus mengalami perubahan pada akhir perawatan ortodontik dengan pencabutan premolar pada maloklusi kelas II divisi 1. Tujuan penelitian menganalisis posisi kondilus pada akhir perawatan ortodontik supaya dapat memberikan pelayanan yang efektif dan komprehensif kepada pasien. Metode: Jenis penelitian deskriptif observasional dengan desain kohort dilakukan pada Klinik Spesialis RSKGM FKG UI dari Maret sampai Mei 2019. Subjek sebanyak 30 orang mengalami maloklusi kelas II divisi 1 yang memiliki gejala gangguan temporomandibular yang memenuhi kriteria inklusi. Metode sampling yang digunakan adalah sampling konsekutif. Foto transkranial dibandingkan dan diukur ruang sendinya bagian anterior, posterior dan superior dan dianalisis menggunakan uji Mc Nemar. Hasil: Sebelum dan sesudah perawatan ortodontik, posisi kondilus kanan dan kiri tidak mengalami perubahan yang signifikan (p>0,05). Sebelum dan sesudah perawatan ortodontik, AJS (Anterior Joint Space), PJS (Posterior Joint Space), SS (Superior Space) kanan dan kiri tidak mengalami perubahan yang signifikan (p>0,05). Gejala gangguan sendi temporomandibula pada akhir perawatan ortodontik adalah kliking dan krepitasi dilaporkan masih ada sedangkan gejala tidak nyaman dan keterbatasan membuka mulut dilaporkan sudah hilang.  Simpulan: Tidak terdapat perbedaan posisi kondilus kanan dan kiri, sebelum dan sesudah perawatan ortodontik dengan pencabutan premolar pada maloklusi kelas II divisi 1. Keluhan gangguan sendi temporomandibular tidak ditemukan lagi pada akhir perawatan ortodontik.Kata kunci: Posisi kondilus, perawatan ortodontik, maloklusi kelas II divisi 1, pencabutan premolar. ABSTRACTIntroduction: Class II division 1 malocclusion is reported to trigger temporomandibular joint disorders often. The position of the condyles changed at the end of orthodontic treatment with premolar removal in class II division 1 malocclusion. This study aimed to analyse the position of the condyles at the end of orthodontic treatment to provide effective and comprehensive services to patients. Methods: This type of descriptive observational study with a cohort design was conducted at the Specialist Clinic of University of Indonesia Dental Hospital from March to May 2019. Thirty subjects experienced class II division 1 malocclusion who had temporomandibular disorders that met the inclusion criteria. The sampling method used was consecutive sampling. Transcranial radiographs were compared, and anterior, posterior and superior joint spaces were measured and analysed using the McNemar test. Results: Before and after orthodontic treatment, the position of the right and left condyles did not change significantly (p>0.05). Before and after orthodontic treatment, AJS (Anterior Joint Space), PJS (Posterior Joint Space), SS (Superior Space) right and left did not change significantly (p>0.05). Symptoms of temporomandibular joint disorder at the end of orthodontic treatment were clicking, and crepitus was reported to be present, while the symptoms of discomfort and limited opening of the mouth were reported to have disappeared. Conclusion: There is no difference in the position of the right and left condyles before and after orthodontic treatment with premolar extraction in class II division 1 malocclusion. Complaints of temporomandibular joint disorders were not found again at the end of orthodontic treatment. Keywords: Condyle position, orthodontic treatment, class II division 1 malocclusion, premolar extraction.
Evaluation of foot analysis in the presence of dental malocclusion: A systematic review Sofyanti, Ervina; Alhasyimi, Ananto Ali; Farmasyanti, Cendrawasih Andusyana; Purbiati, Maria; Mardiati, Endah; Narmada, Ida Bagus; Utomo, Haryono; Gio, Prana Ugiana; Marya, Anand
Dental Journal (Majalah Kedokteran Gigi) Vol. 57 No. 4 (2024): December
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v57.i4.p317-323

Abstract

Background: Previous studies have reported that the imbalance of occlusion, cervical spine, length of the limb, and asymmetric leg length are related to the presence of muscle compensation. These issues influence some strategies in orthodontic diagnosis for developing an updated stomatognathic system over multidisciplinary care issues. Purpose: This study aimed to obtain orthodontic findings and an orthopedic relationship between foot posture/function and dental malocclusion based on cross-sectional studies. Review: Some findings about postural system disequilibrium in static and dynamic foot postural related to occlusal changes have been reported following the mixed dentition phase. From 248 articles, 5 articles were selected and assessed with the Joanna Briggs Institute critical appraisal cross-sectional checklist and analyzed. Conclusions: Although the selected eligible articles demonstrated a low risk of bias in agreement (p > 0.05) among authors, the evaluation of those cross-sectional studies is still limited and requires further longitudinal studies with precise diagnostic parameters. Those parameters for evaluating the relationship between foot posture and malocclusion should encompass both static and dynamic approaches, including those related to mandibular position, tongue posture and function, bad habits, and temporomandibular disorder.
The Indonesian Orthodontists’ Perceptions about malocclusion and postural in Diagnosis: Survey analytic of Malocclusion and posture Sofyanti, Ervina; Manurung, Prans Samuel Antony; Purbiati, Maria; Farmasyanti, Cendrawasih Andusyana; Mardiati, Endah; Narmada, Ida Bagus; Alhasyimi, Ananto Ali
Indonesian Journal of Medical Anthropology Vol. 6 No. 2 (2025): Indonesian Journal of Medical Anthropology
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijma.v6i2.22433

Abstract

The relationship between dental occlusion and posture remain controversial due to the lack of clear cause-and-effect evidence. Scientifically validated and reliable evidence can shape individuals' perceptions and influence their decisions regarding orthodontic treatment. This study aimed to conduct a survey to assess Indonesian orthodontists' perceptions regarding the relationship between malocclusion and posture (both oral and body posture) based on gender and years of professional experience. An online survey was conducted involving orthodontists who attended the Orthodontic Meeting in November based on a 7-item Likert scale modified questionnaire. Levene's test was performed continued with a prerequisite for the Multivariate Analysis of Variance test (p<0.05). The perceptions of 214 active members of the Indonesian Orthodontist Association showed a positive agreement regarding the relationship between malocclusion and posture (both oral and body). There was no significant interaction between gender and perception (p=0.417), nor between years of professional experience as an orthodontist and perception (p=0.182) regarding the relationship between malocclusion and posture. Since this survey-based analytical study found no interaction between gender and years of professional experience in orthodontists' agreement on the premise, these findings should be considered when updating the standard operating procedures curriculum for orthodontic diagnosis and multidisciplinary orthodontic approaches. Keyword: Perception, Orthodontist, Malocclusion, Posture
Differences in factors influencing orthodontists’ consideration of clear aligners, satisfaction, and stability levels in a capital city: a cross-sectional study Husna, Asmaul; Purbiati, Maria; Purwanegara, Miesje Karmiati; Develas, Deo
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 37, No 2 (2025): Agustus 2025
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v37i2.61035

Abstract

ABSTRACTIntroduction: With the increasing number of adult orthodontic patients, there is also a growing demand for more aesthetic and comfortable treatments. Clear aligners are a quite new treatment technique in the field of orthodontics that is being developed using digital-based technology, and their usage is increasing due to their perceived aesthetic and comfortable nature. This research objective was to analyze differences in factors influencing orthodontists’ consideration of clear aligners, satisfaction, and stability levels in a capital city. Methods: This comparative analytical study with a cross-sectional design was conducted to examine the perception of orthodontists in a capital city in Indonesia, Jakarta, regarding the use of clear aligners. Fifty orthodontists taken through Slovin sampling technique, were given a set of questionnaires and divided into two groups based on users and non-users of aligner. The survey utilized a questionnaire consisting of 17 questions with both clinical and satisfactionary criteria, which were sent online via WhatsApp Messenger to the respondents. To compare the data were analyzed by the chi square test statistically. Results: Most of respondent practiced in elite areas of South Jakarta, 52.2%, among other 4 differences cities were observed in the perception of orthodontists who were 46% users and 54% non-users aligner regarding periodontal health factors, treatment efficiency, pain complaints, root resorption, satisfaction levels, and treatment outcome stability. Both clear aligners users and non-users have similar perceptions regarding treatment cost factors influencing the usage of clear aligners, improved oral hygiene, minimal white spot lesions, and better aesthetics. Conclusion: Some parameters were not different, especially for the parameters of treatment cost as a negative perception, and oral hygiene, white spot lesion, and aesthetics, all of which gave similar positive perceptions rated by respondents. This is good considerably for an aligner producer. Keywords clear aligner users and non-users, capital city, orthodontists perception Perbedaan faktor-faktor yang mempengaruhi pertimbangan penggunaan clear aligners, tingkat kepuasan, dan stabilitas oleh ortodontis di sebuah ibu kota negara: studi potong lintang ABSTRAK Pendahuluan: Dengan meningkatnya jumlah pasien ortodontik dewasa, permintaan akan perawatan yang lebih estetis dan nyaman juga meningkat. Clear aligner merupakan teknik perawatan yang cukup baru di bidang ortodontik yang sedang dikembangkan menggunakan teknologi berbasis digital, dan penggunaannya semakin meningkat karena sifatnya yang estetis dan nyaman. Tujuan penelitian ini adalah untuk menganalisis Perbedaan faktor-faktor yang mempengaruhi pertimbangan penggunaan clear aligners, tingkat kepuasan, dan stabilitas oleh ortodontis di sebuah ibu kota negara. Metode: Metode penelitian analitik komparatif dengan desain potong lintang  dilakukan melalui teknik sampling Slovin, untuk mengkaji persepsi ortodontis di Jakarta, sebuah ibukota negara, Indonesia, mengenai penggunaan clear aligner. Sebanyak lima puluh ortodontis di Jakarta, diberikan kuesioner dan dibagi menjadi dua kelompok berdasarkan pengguna dan bukan pengguna aligner. Survei menggunakan kuesioner dengan 17 pertanyaan tentang reaksi klinis dan kepuasan, yang dikirimkan secara online melalui WhatsApp Messenger kepada responden. Data dianalisis secara statistik dengan uji Chi-Square. Hasil: Sebagian besar responden berpraktik di kawasan elit Jakarta Selatan, 52,2%, di antara 4 kota lainnya perbedaan diamati pada persepsi ortodontis yang merupakan 46% pengguna dan 54% bukan pengguna aligner mengenai faktor kesehatan periodontal, efisiensi perawatan, keluhan nyeri, resorpsi akar, tingkat kepuasan, dan stabilitas hasil perawatan. Baik pengguna clear aligner maupun bukan pengguna memiliki persepsi yang sama mengenai faktor biaya perawatan yang memengaruhi penggunaan clear aligner, peningkatan kebersihan mulut, minimalnya white spot lesion, dan estetika yang lebih baik. Simpulan: Beberapa parameter tidak berbeda, terutama untuk parameter biaya perawatan sebagai persepsi negatif, dan kebersihan mulut, lesi white spot, dan estetika, yang semuanya memberikan persepsi positif yang sama yang dinilai oleh responden. Hal ini cukup baik bagi produsen dan pengguna aligner. Kata kunci Pengguna dan non-pengguna clear aligner, Ibukota negara, persepsi ortodontis.