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All Journal Journal of Dentistry Indonesia Majalah Kedokteran Gigi Indonesia Dental Journal (Majalah Kedokteran Gigi) Jurnal Kedokteran Gigi Universitas Padjadjaran Journal of Dentomaxillofacial Science Journal of Indonesian Dental Association
Retno Widayati
Department Of Orthodontics, Faculty Of Dentistry, Universitas Indonesia, Jakarta 10430
Dentistry Health Professions

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Journal : Journal of Dentistry Indonesia

 1 
Treatment of a Class I Malocclusion with Severe Crowding using Passive Self-Ligating Brackets Pramustika, Agita; Widayati, Retno
Journal of Dentistry Indonesia Vol. 27, No. 2
Publisher : UI Scholars Hub

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Abstract

Presently, dental crowding is the most common problem among orthodontic patients. The prevalence of crowding in the dental arch is significantly increased in modern dentitions, and it is the most common reason why patients pursue orthodontic treatment. Objective: To report an advanced bracket systems, namely self-ligating brackets, to increase the efficacy of orthodontic treatment especially in patients with severe crowding. Case Report: A 22-year-old female patient presented with severe crowding of the maxillary and mandibular arches. In the upper arch, both second premolars were palatally positioned; in the lower arch, the lower right canine was lingually positioned and the lower left second premolar was extracted. The patient had a balanced facial profile with a straight profile and skeletal Class I relationship. Treatment was initiated using passive self-ligating brackets followed by extraction of the upper second premolars and the lower right first premolar. Conclusion: The use of passive selfligating brackets proved to be effective and resulted in a significant improvement in the patient’s dental and smile esthetics. The active treatment time was 11 months; this resulted in successfully alleviating the crowding of the maxillary and mandibular arches and significant improvement in the occlusal relationship.
Class III Malocclusion Camouflage Treatment Using a Conventional Orthodontic Appliance in a Non-Growing Patient Monika, Fransiska; Widayati, Retno
Journal of Dentistry Indonesia Vol. 30, No. 1
Publisher : UI Scholars Hub

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Abstract

The treatment of skeletal and dental Class III malocclusions is a challenge for orthodontists, and one of the treatment alternatives for a non-growing patient is orthodontic camouflage treatment. Different approaches may result in different outcomes; therefore, a proper diagnosis and treatment plan are needed to avoid undesirable effects. In this case, a 21-year-old female patient presented with a skeletal Class III malocclusion, with a normal maxilla, prognathic mandible, moderate crowding, and an acceptable facial profile. The treatment modality for orthodontic camouflage treatment was a conventional orthodontic appliance with the extraction of mandibular first premolars to resolve crowding. At the end of the treatment, a Class I canine and incisor relationship was achieved while maintaining a Class III molar relationship. After 25 months of treatment, the patient had a more pleasant smile with improved functional occlusion.
Co-Authors Adiwirya, Muhammad Sulaiman Kusumah Benny Mulyono Soegiharto Citra L. Yuwono Citra L. Yuwono Dewi Fatma S Erni H Purwaningsih Fadli Jazaldi Fransiska Monika Krisnawati Krisnawati Kusumadewy, Widya Monika, Fransiska Nugroho, Mahardhika Setya Pramustika, Agita Pratiwi, Dwita Putri, Gema Paramesti Rafinus Arifin Robert Lesang