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Pengaruh Kloroform terhadap Pelarutan Bahan Perekat yang Menempel pada Braket Keramik yang Lepas dari Gigi Ken Edinata; Endah Mardiati
SONDE (Sound of Dentistry) Vol. 6 No. 1 (2021): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/sod.v6i1.3320

Abstract

Kebutuhan braket transparan pada perawatan ortodonti semakin berkembang dengan adanya kebutuhan braket sewarna gigi, terutama wanita yang memerlukan penampilan estetik maksimal. Braket yang lepas dalam perawatan ortodonti perlu direkatkan kembali. Pembersihan landasan braket yang terlepas sehingga dapat direkatkan kembali akan mengurangi biaya yang harus dikeluarkan pasien. Melakukan daur ulang braket haruslah dapat dilakukan tanpa merubah sifat fisik dan ukuran dari braket tersebut. Pengukuran uji rekat geser menggunakan Instron Universal Testing Machine dan sisa resin menggunakan skor Adhesive Remnant Index (ARI). Terdapat perbedaan kuat rekat geser braket keramik yang dibersihkan dengan kloroform selama 20 menit, 40 menit, 60 menit dengan braket keramik yang baru, Semakin lama waktu pembersihan braket keramik dengan kloroform, sisa resin adhesif akan semakin bersih dan mempunyai kuat rekat geser yang lebih tinggi. Terdapat perbedaan sisa resin adesif antara braket keramik pasca rekat yang dibersihkan dengan kloroform yang dilepas kembali dengan braket keramik pasca rekat yang baru.
Comparison of Pain Intensity in Canine Removal Using Closed Coil Spring Niti, Open Coil Spring Niti, Elastomeric Chain Short, Elastomeric Chain Long in Edgewise Standard Fixed Orthodontic Treatment Zahara, Oryce; Endah Mardiati; Nila Kasuma; Fuccy Utamy Syafitri
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 11 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i11.881

Abstract

Background: Every canine is pulled during fixed orthodontic treatment, whether using an elastomeric chain short, elastomeric chain long, closed coil spring, or open coil spring, tends to cause pain for the patient. Which of the four components of the active device is the best in terms of the pain effect felt by the patient. Pain is a symptom that underlies most patients’ rejection of proposed treatment plans. The success of treatment cannot be separated from factors of relief of pain in general, and failure to address these factors may leave patients fearful of returning. This study aimed to compare pain intensity during canine extraction using closed coil spring niTi, open coil spring niTi, elastomeric chain short, and elastomeric chain long in fixed orthodontic treatment standard edgewise. Methods: This study is a longitudinal experimental research. A total of 16 research subjects participated in this study. The data analysis technique for this research is pain intensity analysis based on the time when the canine tooth is retracted using a tool elastomeric chain short, elastomeric chain long, closed coil spring, open coil spring, using the VAS questionnaire on the 1st, 3rd, and 7th days using non-parametric Kruskal Wallis statistical tests to find out whether there are significant differences between 3 different times on 4 different types of equipment. Results: There is no difference in intensity pain after canine retraction using closed coil spring, open coil spring, elastomeric chain short, or elastomeric chain long devices in standard edgewise fixed treatment based on VAS on the 1st, 3rd, and 7th days. There is no difference in intensity pain after canine retraction using a closed coil spring appliance in standard edgewise fixed treatment based on VAS on the 1st, 3rd, and 7th days. There are differences in the intensity of pain after retraction of the canine tooth using an elastomeric chain short, elastomeric chain long appliance in standard edgewise fixed treatment based on VAS on the 1st and 3rd days. Conclusion: There are differences in pain intensity during canine extraction using closed coil spring niTi, open coil spring niTi, elastomeric chain short, and elastomeric chain long in fixed orthodontic treatment standard edgewise.
CORRECTING CLASS II MALOCCLUSION IN GROWING PATIENTS USING TWIN-BLOCK FOLLOWED BY FIXED APPLIANCES: CASE REPORT Ishlahil Akmalia; Vina Andriani; Endah Mardiati
Dentino: Jurnal Kedokteran Gigi Vol 10, No 2 (2025)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v10i2.24160

Abstract

Background: Correcting Class II malocclusion with mandibular retrusion is challenging for orthodontists due to its multiple etiologies, especially in growing patients. The two-phase treatment is often considered effective for managing skeletal class II malocclusions in growing patients. Early intervention with functional appliances, such as Twin block, can effectively redirect growth in the desired direction. Objectives: This case report aims to present a two-phase orthodontic treatment approach using a Twin Block appliance followed by fixed appliances in an 11-year-old male patient with skeletal Class II malocclusion. Case: An 11-year-old male patient was diagnosed with skeletal class II malocclusion with a convex facial profile, retrusive chin, significant overjet (12 mm) and protrusive maxillary incisor. Pre-treatment cephalometric analysis showed SNA: 81°; SNB: 74°; <I-NA: 40°; I-NA: 7mm. Skeletal maturation assessment indicated the patient was at the peak of pubertal growth. Managing cases: A two-phase treatment approach was planned. Phase I involved growth modification using a Twin block appliance. Phase II consisted of fixed orthodontic treatment using the MBT 0.022 bracket system. The treatment was carried out for approximately 27 months, resulting in achieving skeletal class I, class I molar and canine relationship, with overjet reduced to 4 mm. Post treatment cephalometric analysis showed SNA: 81°; SNB: 78°; <I-NA: 30°; I-NA: 5.5 mm. Conclusion: A two-phase treatment using Twin Block followed by fixed appliances proved effective in correcting skeletal class II malocclusion with retrognathic mandible in growing patient. The treatment achieved normal occlusion, marked improvement in facial profile and patient satisfied with the result. Keywords: growing patient, mandibular retrusion, skeletal class II, twin block.
SUCCESSFUL TREATMENT OF CLASS III DENTOSKELETAL MALOCCLUSION WITH LOWER MOLAR EXTRACTION Valencia Ignes Tan; Zenith Paskalin; Avi Laviana; Ida Ayu Evangelina; Elih Sayuti; Endah Mardiati
Dentino: Jurnal Kedokteran Gigi Vol 10, No 2 (2025)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v10i2.24165

Abstract

Background: Class III dentoskeletal malocclusion presents a significant clinical challenge, particularly in adult patients, due to limited skeletal growth potential and complex occlusal discrepancies. Non-surgical management often relies on dental compensation strategies, including selective extractions and transverse expansion to achieve functional and aesthetic outcomes. Objectives: This report aims to demonstrate the successful management of a mild skeletal Class III malocclusion using first mandibular molar extractions and maxillary expansion via quad helix appliance, as an alternative to orthognathic surgery. Case: A 20-year-old female patient presented with ectopic canines, chewing difficulty, and facial aesthetic concerns. Clinical and radiographic evaluations revealed a skeletal Class III relationship, bilateral anterior and posterior crossbites, and crowding. Notably, the patient had large composite restorations and overfilled endodontic treatments on her lower first molars. Case Management: A non-surgical orthodontic treatment was planned and executed. This included bilateral extraction of the first lower molars, maxillary expansion using a quad helix appliance, and fixed appliance therapy with a Roth-prescription straight-wire system. The treatment was followed by midline correction, retraction, and use of Class III elastics to achieve Class I molar and canine relationships. The retention phase involved clear retainers for both arches. Conclusion: The combination of lower first molar extraction and quad helix expansion provided an effective camouflage for a mild skeletal Class III malocclusion, improving facial aesthetics, correcting crossbites, and achieving stable functional occlusion. This case supports the viability of non-surgical orthodontic compensation in carefully selected adult Class III patients. Keywords: class III dentoskeletal malocclusion, first lower molar extraction, quad helix
USE OF MULTILOOP EDGEWISE ARCHWIRE (MEAW) FOR TREATMENT OF ADULT PATIENTS WITH UNILATERAL POSTERIOR CROSSBITE Endah Fatonah; Zenith Paskalin; Endah Mardiati; Ida Ayu Evangelina; Avi Laviana
Dentino: Jurnal Kedokteran Gigi Vol 10, No 2 (2025)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v10i2.24156

Abstract

Background: The Multiloop Edgewise Archwire (MEAW) technique is a biomechanically efficient orthodontic method employed to correct various malocclusions, including posterior crossbite caused by inadequate transverse relationships between the maxillary and mandibular arches. MEAW archwire incorporate boot loops, providing enhanced flexibility and precise control of tooth movement. Case Report: A 21-year-old female came to the orthodontic clinic with severe maxillary and mandibular crowding, The patient presented with dentoskeletal Class I malocclusion characterized by a convex profile, clockwise rotation of the mandibular plane, retrognathic mandible, ectopic upper canines, anterior and posterior crossbite. The maxillary midline had shifted 2 mm to the right, and the mandibular midline had shifted 4 mm to the right. SNA: 80º, SNB: 76º, and Wit’s appraisal: 2.5 mm. as well as ectopic upper canines. Extraction of the upper and lower first premolars were performed. The combination of MBT 0.022” prescription and MEAW were used for this treatment. Active lacebacks were used to align ectopically erupted upper canines. MEAW was used to correct the posterior crossbite, resulting in improved interdigitation and ideal smile arch. Final Results: Post-treatment cephalometric analysis showed SNA: 80º, SNB: 77º, and Wit’s appraisal: 2.5 mm. Retention was maintained using removable Hawley retainers. Conclusion: MEAW arches are made of 0.016” × 0.022” steel wire, providing flexibility to the archwire and allowing for horizontal and vertical control of tooth positions. Precise construction of MEAW is essential to achieving optimal treatment outcomes and maintaining stable relationships. Keywords: MEAW, multiloop edgewise archwire, posterior crossbite
TREATMENT OF CLASS II SUBDIVISION WITH SEVERE CROWDING AND UNILATERAL SCISSOR BITE IN ADOLESCENT Muhammad Khizfi Nurfiqoh; Dewi Sri Kartika; Avi Laviana; Ida Ayu Evangelina; Endah Mardiati
Dentino: Jurnal Kedokteran Gigi Vol 10, No 2 (2025)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v10i2.24157

Abstract

Background: Class II subdivision malocclusions in skeletal class I, characterized with a class II relation on the left side and class I on the right side along with retroclined central incisors; Case: This case presenting a 13 years-old female patient class II subdivision in skeletal class I, with severe anterior and posterior crowding, anterior crossbite, right posterior scissor bite, upper midline shift to the right, SNA 80o, dental arch asymmetry,  SNB 77o, Wit’s appraisal 3 mm. Managing case: MBT.022 fixed appliances was used for this treatment, include extraction, alignment, levelling, protracting buccal segment. Resulting clockwise mandibular movement, anterior and posterior crowding, anterior crossbite, scissors bite was corrected, upper midline co-incide with lower midline, class I canine and molar, good interdigitation, and improved smile aesthetic. Treatment was completed in 31 months. Hawley retainer was use as a retention; Conclusion: This case report highlights a satisfying result of orthodontic treatment in Class II subdivision with extraction and protracting the posterior teeth and the importance of identifying the etiology in arch asymmetry cases. Keywords: class II subdivision, dental asymmetry, severe crowding