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All Journal Journal of Dentomaxillofacial Science MDJ (Makassar Dental Journal) Indonesian Journal of Orthodontics Case Report
Ranggang, Baharuddin M.
Orthodontic Specialist Program Study, Department Of Orthodontic, Faculty Of Dentistry, Hasanuddin University Makassar, Indonesia
Dentistry

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Utilization of gelatin from fish skin as a scaffold for gingival tissue regeneration: Pemanfaatan gelatin dari kulit ikan sebagai scaffold regenerasi jaringan gingiva Baharuddin M. Ranggang; Herdini Isnaeni Haer; Sitti Zahra Zafira; Khairunnisa Nur Rizqi Ababil; Stefanie Amelia Intan Hutahean; Shela Nurasmah
Makassar Dental Journal Vol. 15 No. 2 (2026): Volume 15 Issue 2 August 2026
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v15i2.1153

Abstract

Periodontal disease is a highly prevalent oral health problem that often leads to tooth loss. Conventional therapies such as scaling and root planing only halt disease progression but fail to regenerate lost tissue. Tissue engineering approaches offer a solution by utilizing scaffolds as 3D frameworks to support cell adhesion, proliferation, and differentiation. Fish skin gelatin is a promising alternative biomaterial because it is biocompatible, biodegradable, hydrophilic, free from zoonotic risks, and ethically and religiously acceptable. Various in vitro and in vivo studies have shown that fish gelatin-based scaffolds can increase gi-ngival fibroblast viability, type I collagen expression, and angiogenesis, as well as accelerate the epithelialization process with minimal inflammatory response. Chemical modifications such as crosslinking and 3D printing technology have been shown to improve mechanical stability and optimize the porous proper-ties of the scaffold. Thus, fish skin gelatin has great potential as a scaffold for gingival tissue regeneration.
Antibacterial potential of chitosan extract from crustacean shells against periodontal disease bacteria : Potensi ekstrak kitosan dari cangkang crustasea sebagai antibakteri pada bakteri penyakit periodontal Baharuddin M. Ranggang; Syntia Maharani S. Hairun; Baiq Griselda Nadhira Awindya; Dias Dwananda Zahwa; Putri Athifah; Kintara Putri Amriana Sahidu; Andi Meily Salsabila Tenri
Makassar Dental Journal Vol. 15 No. 2 (2026): Volume 15 Issue 2 August 2026
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v15i2.1156

Abstract

Periodontal disease is one of the most common dental and oral conditions in the general population. Data from the 2018 Riskesdas survey show that 57.6% of the Indonesian population suffer from dental and oral problems, yet only 10.2% receive medical treatment, whilst the prevalence of periodontitis among those aged 15 years and over stands at 67.8%. Periodontal disease can be a manifestation of systemic diseases such as diabetes mellitus and anaemia; its primary cause is the accumulation of pathogenic bacterial plaque, such as Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans, which damages the gingival tissue and leads to loss of attachment. Conventional therapy involves debridement through scaling and root planing, which is now often combined with antibiotics such as tetracycline, doxycycline, metronidazole and amoxicillin to enhance the effectiveness of treatment. In recent developments, natural sub-stances such as chitosan have begun to be utilised due to their bacteriostatic properties, which are capable of inhibiting the growth of various pathogenic mi-croorganisms. It is concluded that chitosan, derived from the chitin of marine animals and insects, offers a promising alternative therapy for the management of periodontal disease.
Effectiveness of Myofunctional Treatment in a Patient Class 3 Type 1: Case Report Azrul Hidayat; Ardiansyah Pawinru; Baharuddin M Ranggang; Zulfiani Syachbaniah
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Early treatment of malocclusion aims to prevent soft tissue damage and lead to better jaw growth, normalization, and improvement of occlusal and orofacial function, simplifying orthodontic treatment and preventing the development of TMD symptoms. Case Report: A 13-year-old male patient reported to the Orthodontic Clinic, RSGMP UNHAS, with the chief complaint of crossbite anterior and concave profile. The patient was diagnosed with class III endoskeletal malocclusion. Cephalometric measurement showed SNA 77°, SNB 84,50, ANB -3° with overjet -7,5mm, overbite 6mm. The patients were instructed to wear the myobrace appliance (P-3) for 2 hours during the day and 8 hours at night. Patients were asked to participate in myobrace activities like tongue click, correct swallow, light breathing, paces, and lip pops. Within one month after treatment, the profile changed, and the anterior crossbite was corrected. Cephalometric after treatment showed SNA 77°, SNB 80°, ANB -3° with overjet 1mm, and overbite 3,5mm. Discussion:Treatment of myofunctional devices in orthodontics includes the treatment of facial muscle imbalance, tongue posture training, and establishing a balance between the tongue, lip, and cheek muscles. Conclusion: Myobrace appliances effectively have Class III malocclusion in early treatment.
Management of Orthodontic Camouflage Treatment in Class III Type 3 Subdivision Malocclusion: Case Report Aulina Nur Bahrun; Eka Erwansyah; Eddy Heriyanto Habar; Baharuddin M. Ranggang; Donald R Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Class III malocclusion is strongly influenced by genetic factors. Class III malocclusion can be treated in three ways: the first is growth modification, the second is camouflage treatment, and the third is orthognathic surgery. Orthodontic camouflage treatment can be performed for mild to moderate class III malocclusion case. Case Report: A 22-year-old female complained of his crossbite anterior. The family history of malocclusion showed characteristics of class III malocclusion. Cephalometric showed SNA 75o, SNB 80o, ANB -5o with overjet -1,5 mm, overbite 2,5 mm. This case was diagnosed as class III type 3 subdivision dentoskeletal malocclusion. The patient was treated with orthodontic camouflage treatment which was carried out by adjusting the inclination of the teeth using an inclined bite plane and class III intermaxillary elastic. After 20 months of treatment, facial profile changes were achieved (straight to convex), corrected anterior crossbite and posterior scissorbite, class I dental relations of canine and molar, 1 mm overjet, and 0,5 mm overbite. Discussion: Three approaches are available for treating class III dentoskeletal malocclusion and in this case, orthodontic camouflage treatment was performed by adjusting the inclination of the teeth using an inclined bite plane and class III intermaxillary elastic to achieve a good occlusion relationship.Conclusion: Orthodontic camouflage treatment for class III type 3 subdivision malocclusion provides optimal treatment results that are acceptable to patients and improves occlusion function and aesthetics.
Myofunctional Orthodontic Therapy in Class III Dentoskeletal Malocclusion Using Myobrace Appliance and Inclined Bite Plane: Case Report Aulina Nur Bahrun; Eka Erwansyah; Baharuddin M. Ranggang; Ardiansyah Pawinru; Mansjur Nasir
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Class III malocclusion has previously been one of the most difficult to treat. Regardless of this fact, no child has ever been born with class III malocclusion; it always develops over the time. This alteration can be associated to bad habits which if continuously repeated, can cause functional anomalies of the orofacial musculature. Class III malocclusion can be treated in early age with myofunctional therapy. Case Report: A 7 years old male complained his crossbite anterior and concave profile. The parents reported that he likes to protruding the lower jaw and breath through the mouth. Cephalometric showed SNA 78o, SNB 81o, ANB -3o with overjet -2 mm, overbite 5 mm. This case was diagnosed as class III dentoskeletal malocclusion. Discussion: The patient was treated with myobrace i-3N for four months to correct the mouth breathing habit where after four months treatment, myobrace i-3R for arch development for 6 months, inclined bite plane 2 months, and myobrace i-3H for 6,5 months. After 16.5 months of treatment, facial profile changes were achieved (concave to straight), corrected gummy smile, corrected anterior and posterior crossbite, class I molar dental relations, 0.5 mm overjet, and 1 mm overbite. Conclusion: Myobrace appliance followed with myobrace activity may be a good choice for correction class III dentoskeletal malocclusion with mouth breathing habit in growing age.
Orthodontic and Surgical Management of Impacted Maxillary Central Incisor with Compound Odontoma: A Case Report Fatmawati Mappeare; Baharuddin M Ranggang; Eddy Heriyanto Habar
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 2 (2024): Vol 1, Issue 2, December 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

AbstractIntroduction: This case report involves interdisiplinary orthodontic and surgery management of an impacted maxillary central incisors with compound odontoma. Case Report: A 18-year-old patient with a chief complaint there is non- eruption of the anterior teeth. Initial examination showed multiple diastema and missing maxillary central left incisor. Panoramic radiograph showed an impacted maxillary central left incisor due to the presence of compound odontoma. A lateral chepalometric analysis indicated skeletal class III. The patient was treated with 0.022-in MBT prescription bracket with 2 stage treatment plan was developed. Leveling and alignment was done in the first stage to allow enough space for the eruption of impacted teeth. The second stage included surgical exposure to remove the compound odontoma and bonding of orthodontic gold chain to traction the impacted maxillary central incisor with surgical closed eruption technique. After 8 months of traction and 6 months of stabilization, the impacted central incisor was effectively brought into position, and a normal functional occlusion was achieved. Conclusion: The impacted maxillary central incisors was successfully aligned with normal overbite and overjet. The patient’s occlusion and smile esthetics were significantly improved with normal and stable occlusion between maxillary and mandibular arch.
Treatment Anterior Crossbite Using Prefabricated Functional Appliances Ernawati Naharuddin; Ardiansyah S. Pawinru; Baharuddin M Ranggang; Eka Erwansyah
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 2 (2024): Vol 1, Issue 2, December 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

AbstractIntroduction: Anterior crossbite is the most common problem in Angle class III malocclusion and getworse along with increase age, affecting the aesthetics of the face and stomatognatic systems. Theskeletal anterior crossbite is characterized by mandibular protrusion, maxillary retrusion or combinationof both. Early treatment ensures that craniofacial development and occlusion occur normally, as obstacleare removed during active phase growth. Case Report: The case demonstrates an anterior skeletalcrossbite corrected using prefabricated myofunctional appliance. This appliance guide permanent tootheruption, correction malalignment of the teeth and faulty jaw relationship. Conclusion: Correction wasachieved within 2 years with improve facial balance and aesthetics
Orthodontic Management of Dentoskeletal Class I Malocclusion with Anterior Crossbite and Bimaxillary Crowding – A Case Report Ulfahardiati Bahar; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Baharuddin M. Ranggang
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Dentoskeletal Class I malocclusion is a common skeletal pattern characterized by normal anteroposterior jaw relationship but often accompanied by dental discrepancies such as bimaxillary crowding and anterior crossbite. These discrepancies can result in edge-to-edge bite, insufficient overjet, and functional disturbances, indicating the need for orthodontic intervention. Case Report: A 30-year-old patient presented with uncomfortable biting and protrusive incisors. Clinical examination revealed crowding in both arches, edge-to-edge incisor relationship, and a single-tooth anterior crossbite involving teeth 11 and 41. Radiographs confirmed skeletal Class I malocclusion with dental Class I type 1. Treatment involved a non- extraction approach using 0.022-inch MBT straight-wire appliance with interproximal reduction in the lower anterior teeth to create space for alignment and overbite correction. Discussion: After 17 months of treatment, the occlusion was harmonized with proper cusp contacts, anterior crowding was resolved, overbite increased from 0.5 mm to 1.5 mm, and overjet from 0.5 mm to 1 mm. Radiographs confirmed stable root positions and improved sagittal relationships. Functional and aesthetic outcomes were achieved without extractions, demonstrating the effectiveness of non-extraction MBT treatment in Class I malocclusion with crowding and anterior crossbite. Conclusion: Non-extraction orthodontic treatment using MBT brackets effectively corrected bimaxillary crowding and single-tooth crossbite in a dentoskeletal Class I patient, achieving stable, functional, and aesthetic results within 17 months.
Orthodontic Treatment with Surgical Intervention of Impacted UpperCentral Incisor - A Case Report Nurul Hajra Jahili; Eka Erwansyah; Baharuddin M. Ranggang
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: This case report involves the interdisciplinary treatment of an impacted central incisor. Case Report: An 11-year-old patient came to Hasanuddin University Dental and Oral Hospital along with his parents with a chief complaint of nonerupting anterior teeth. Intraoral examination revealed that the right central incisor was not erupted and the left lower central incisor was missing. The panoramic radiograph showed that the right central incisor was impacted and the lower left central incisor was agenized. The patient's parents also complained that the lower front teeth were not neat. Lateral cephalometric analysis showed class I skeletal. Orthodontic treatment was performed with 0.022 inch Roth system brackets. Initial alignment was performed with leveling and alignment of teeth with the aim of creating space for impacted teeth and eliminating crowding on the mandibular anterior teeth. The second stage was surgical intervention by windowing the impacted right upper central incisor. Traction was performed for 5 months of treatment and stabilization for 6 months. The result of the treatment was that the impacted central incisor was restored to its proper position in the normal dental arch so that normal aesthetics and function were achieved. Conclusion : Impaction treatment of incisive tooth 11 using fixed orthodontic appliance and open window surgery successfully retracted tooth 11 to the occlusal plateau, tooth 11 remained vital, periodontal tissues were normal, the patient and her parents were very satisfied with the facial aesthetics achieved
Correction Of Unilateral Scissor Bite and Cingulum bite In Adult Patient Andi Husnul Hasanah; Baharuddin M. Ranggang; Eddy Heriyanto Habar; Zilal Islamy Paramma
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

AbstractIntroduction: Scissor bite and cingulum bite represent transverse and vertical malocclusions that may compromise occlusal function and stability. Effective correction is essential to establish proper interincisal relationships. This case report describes the orthodontic management of an adult patient with unilateral scissor bite accompanied by cingulum bite. The aim of this case report was to present the treatment malocclusion of unilateral scissor bite and cingulum bite in adult patient. Case Report: A 23-year-old man patient who presented a skeletal class III and dental class I type 1 malocclusion. Intraoral examination showed scissor bite in 24/35 and 25/36, diastema 22-23, mesial drift 36 and cingulum bite. The patient was treated with 0.022-inc Roth prescription. Leveling and aligment were perfomed to correction scissor bite in 24/35 and 25/36 with open coil spring, lingual button, and using elastic class III in the end of treatment. After a total 26 months of treatment, all brackets were debonded. Conclusion: Treatment results achieved the patient’s profile and esthetic smile.
Co-Authors Aimannahdah Andi Husnul Hasanah Andi Kurniati Andi Meily Salsabila Tenri Andi Rifka Rahmayanti Annisa Aulya Arriyahiyah Ardiansyah S. Pawinru Ashiilah Nurul Aiman Asma, Rezki Nur Aulia Anindita Ainayyah Aulina Nur Bahrun Azrul Hidayat Baiq Griselda Nadhira Awindya Dias Dwananda Zahwa Donald R Nahusona Eddy Heriyanto Habar Eka Erwansyah Eka Erwansyah Eka Erwansyah Eka Erwansyah Ernawati Naharuddin Fatmawati M Fatmawati Mappeare Herdini Isnaeni Haer Ita Purnama Alwi Julia Rahim Khairunnisa Nur Rizqi Ababil Kintara Putri Amriana Sahidu Mansjur Nasir Meiky Eka Saputra Mohammad Resky Asri Putra Muhammad Fadhel Sabirin Muhammad Ihsan Muhammad Kamil Nur Muslihin Nurul Aulia Azti Azis Nurul Hajra Jahili Pepi Riyani Siregar Putri Athifah Rahmadita Salsa Putri Agus Rasdiana Bakri Rasdiana Bakri Ratna Dewi Rezki Nur Asma Rezky Ayu Pratiwi Rezky Putri Reza Ramadhani Riana N. Armedina Shela Nurasmah Sitti Zahra Zafira Stefanie Amelia Intan Hutahean Syntia Maharani S. Hairun Ulfahardiati Bahar Wahyuni Wd. Hikmah Noor Shafar Nafiu Zilal Islamy Paramma Zulfiani Syachbaniah