I. G. A. Wahju Ardani, I. G. A. Wahju
Department Of Orthodontia, Faculty Of Dentistry, Universitas Airlangga Surabaya, Indonesia

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Hubungan tweed triangle dan posisi bibir terhadap garis estetik (Relationship between tweed triangle and the lips position to esthetic line) Intan Oktaviona; I.G.A. Wahju Ardani; Achmad Sjafei
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 4 (2014): December 2014
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.332 KB) | DOI: 10.20473/j.djmkg.v47.i4.p220-225

Abstract

Background: The aimed of almost all of patient came for orthodontics treatment, were to recover face esthetic or their profile. The facial profile not only determined by the hard tissue, but will also be influenced by the soft tissue such as nose, lip, and chin. Tweed has done face analysis with cephalometric by using three angles which are FMA, FMIA, and IMPA. There are many facial profile analysis that usually use in lateral cephalometric one of them is Ricketts analysis that draw the line from pogonion to the tip of nose. The biggest tribe in Indonesia is Javanese, the Javanese have a specific characteristic. Javanese people do not have a long nose and the chin not really uppermost, thick lip, convex profile and female’s profile more convex than male. Purpose: The study was aimed to examine the relation between Tweed triangle, upper lip and lower lip to esthetic line according to Ricketts. Methods: The facial profile pictures of subjects which were taken base on sample criteria changed into silhouette black and white. The photo selected by orthodontist and lay persons. Then the lateral cephalometric radiograph was taken and measured the angle of Tweed triangle and the lip position to esthetic line. Results: The FMA were 28.830, FMIA were 56.740 and IMPA were 94.430. The upper lip distance among males were closer to the esthetic line than female. The lower lip of males located in front of esthetic line and female lower lip located rare of esthetic line. Conclusion: There was corelation between FMA and FMIA with lower lip. There was no corelation between IMPA towards upper lip and also lower lip.Latar belakang: Tujuan dari hampir seluruh pasien yang datang untuk perawatan ortodonti adalah untuk memperbaiki estetis wajah atau profilnya. Profil fasial tidak hanya ditentukan oleh jaringan keras, akan tetapi juga akan sangat dipengaruhi oleh jaringan lunak hidung, bibir, dan dagu. Tweed melakukan analisis wajah pada sefalometri menggunakan 3 sudut dalam segitiga yaitu FMA, FMIA, dan IMPA. Beberapa analisis profil facial yang sering digunakan pada sefalometri lateral antara lain analisis Ricketts yang merupakan garis yang ditarik dari pogonion ke ujung hidung. Suku terbesar di Indonesia adalah suku Jawa, suku Jawa memiliki ciri ragawi tertentu antara lain: hidung orang Jawa tidak terlalu mancung dan dagu tidak begitu menonjol, bibir tebal, proporsi jaringan lunak yang cembung dan perempuan lebih cembung daripada laki–laki. Tujuan: Meneliti hubungan antara tweed triangle terhadap posisi bibir atas dan bibir bawah terhadap garis estetik. Metode: Foto profil wajah berdasarkan kriteria sampel, yang dibuat siluet hitam putih, dan selanjutnya dipilih oleh dokter gigi spesialis ortodonti dan orang awam. Selanjutnya sampel terpilih akan difoto sefalometri lateral dan akan dihitung besarnya sudut Tweed triangle dan posisi bibir terhadap garis estetik. Hasil: Besarnya nilai FMA 28.830, FMIA 56.740, dan IMPA 94.430. Jarak bibir atas laki-laki lebih mendekati garis estetik dibandingkan dengan perempuan, sedangkan bibir bawah laki – laki terletak di depan garis estetik dan bibir bawah perempuan mendekati garis estetik. Simpulan: Terdapat hubungan antara FMA dan FMIA terhadap bibir bawah. Tidak terdapat hubungan antara IMPA terhadap bibir atas maupun bibir bawah.
Garis estetik menurut Ricketts pada mahasiswa Fakultas Kedokteran Gigi Universitas Airlangga (Ricketts esthetic line of dental student of Universitas Airlangga) Nadiya Fitriyani; I.G.A. Wahju Ardani; Elly Rusdiana
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 2 (2013): June 2013
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.348 KB) | DOI: 10.20473/j.djmkg.v46.i2.p92-96

Abstract

Background: Ricketts esthetic line is a line drawn from pronasale (Prn) to soft tissue pogonion (Pog) and lip prominence with reference to this line is assessed. Esthetic line norms, may be spesific to an ethnic group and cannot always be applied to other ethnics. Purpose: This study was aimed to determine the standard of esthetic line of Javanese population student of Faculty of Dentistry, Universitas Airlangga. Methods: Radiographic sefalometric was taken from twenthy three dental students of 18–25 years old of Universitas Airlangga who fulfilled criteria sample and selected by three ortodontist and 3 lay person. Two references line identified, traced and measured according to Ricketts esthetic line. Results: The mean of the esthetic line on upper lip was -1.4 mm and on the lower lip was 0.4 mm in males, on upper lip was -1.7 mm and on lower lip was -0.1 mm in females. This study showed there was no significant difference of the esthetic line between males and females. Conclusion: The harmonious profile of the student in Faculty of Dentistry, Universitas Airlangga when labrale superior and labrale inferior are right or slightly behind the esthetic line.Latar belakang: Garis estetik Ricketts adalah garis yang ditarik dari pronasale (Prn) ke jaringan lunak pogonion (Pog) dan jarak bibir dihitung terhadap garis ini. Standar sefalometri lateral spesifik untuk kelompok etnik tertentu dan tidak bisa digunakan pada kelompok etnik lain. Tujuan: Penelitian ini ditujukan untuk mengetahui nilai baku garis estetik pada populasi Jawa mahasiswa Fakultas Kedokteran Gigi Universitas Airlangga. Metode: Pengambilan foto sefalometri pada 23 mahasiswa Fakultas Kedokteran Gigi Universitas Airlangga umur 18-25 tahun yang dipilih berdasarkan penyeleksian sampel, yaitu kuisioner, kriteria sampel dan pemilihan profil wajah sesuai oleh tiga dokter gigi spesialis ortodonti dan 3 orang awam dari foto siluet profil wajah. Pengukuran dua garis, penampakan dan pengukuran mengacu pada garis estetik menurut Ricketts. Hasil: Rata-rata garis estetik bibir atas -1.4 mm dan bibir bawah 0.4 mm pada laki-laki, dan pada perempuan bibir atas -1.7 mm dan bibir bawah 0.1 mm. Penelitian ini menunjukkan tidak ada perbedaan yang signifikan antara garis estetik laki-laki dan perempuan. Simpulan: Profil wajah yang harmonis pada mahasiswa Fakultas Kedokteran Gigi Universitas Airlangga adalah bila bibir atas dan bibir bawah tepat berada atau sedikit di belakang garis estetika.
Maxillary anterior root resorption in Class II/I malocclusion patients post fixed orthodontic treatment Fransiska Rima Tallo; Ida Bagus Narmada; I. G. A. Wahju Ardani
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 4 (2020): December 2020
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.v53.i4.p201-205

Abstract

Background: Previous studies on root resorption were reviewed by panoramic radiographs. Cone-beam computed tomography (CBCT) showed that 41.5% of teeth experienced resorption when panoramically examinated, while 68% of teeth experienced resorption when the examination method used was CBCT. Root resorption occurs in the maxillary central incisor (as much as 74%) and in the maxillary lateral incisor (as much as 82%). The maxillary canines have the most resorption, followed by the lateral maxillary incisors. Purpose: The aim of this study was to determine the differences of apical resorption in anterior maxillary teeth before and after orthodontic treatment in skeletal Class I/II cases of extraction. Methods: Samples from this study were the results of panoramic photographs of 50 patients treated by fixed orthodontic appliances at the Dental and Oral Hospital Airlangga University. These were selected according to the sample criteria. The evaluation method consists of measuring root and crown lengths with a digital application (RadiAnt DICOM Viewer). Subsequently, the measurements were evaluated using CBCT images. Results: The data were statistically analysed using normality tests with Shapiro–Wilk and Kolmogorov–Smirnov tests. Based on the results of paired sample tests, it was found that every treatment group had significant differences in the average length of the crowns and roots, with a result of p=0.000 (p<0.05). Conclusion: The use of CBCT is considered quite effective and accurate in evaluating root resorption compared to panoramic photographs.
Biomarkers of Suture Density and Thickness in Craniofacial Bone Growth: Micro-CT Analysis Wahyuni Dyah Parmasari; I Gusti Aju Wahju Ardani; Ida Bagus Narmada; Alexander Patera Nugraha; Ramadhan Hardani Putra; Fourier Dzar Eljabbar Latief; Fahrisah Nurfadeliah Bahraini
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 1 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i1.10178

Abstract

Introduction: One of the parameters for measuring craniofacial growth is suture closure. The sutures are connected with fibrous connective tissue that grows in a few days. The objective is to analyze the gray-scale value (GV) potential by measuring the volume of interest (VOI) of the different skulls using micro-computed tomography (Micro-CT). The analysis uses certain parameters, namely density and thickness. Material and Methods: This study involves experimental mice to examine normal growth and development processes at a certain age by investigating mice’s suture maturation. If the suture closure process has been completed, it can be used as a potential standard for measuring the cessation of growth in the craniofacial area. This study examined three different skulls obtained from 15-day-old (cranium 1) baby mice, 25-day-old (cranium 2) baby mice, and 120-day-old adult mice (cranium 3). The possible GV was 0 to 255 (Micro-CT-reconstructed image dataset in 8-bit-BMP-format). There was a volumetric space that limited the analysis area of the bone tissue whose density was measured. In micro-CT-reconstructed images, VOI was determined by the region-of-interest (ROI) in the 2D image slices, which completely formed an image. The machine used was a Bruker SkyScan 1173 high energy micro-CT. Results and Discussions: The suture of Cranium 1, Cranium 2, and Cranium 3 have a relative mean density (GV) of 32,45; 29,74; and 50,1, respectively. This study also measures the geometric average measurement of bone cranium thickness with a 5x5 mm cross-section. The average thickness of cranium 1 is 0.554 mm, cranium 2 is 0.645 mm, and cranium 3 is 1.417 mm. Conclusion: Sutures cranium 1 and 2 are lower in density and thinner than cranium 3 as documented by means of Micro-CT.
En Masse Retraction in Bimaxillary Protrusion and Molar Mesialization: A Case Report Putri Intan Sitasari; Henny Susanto; Erdiarti Dyah Wahyuningtyas; I Gusti Aju Wahju Ardani
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 22 No. 1 (2026): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v22i1.13572

Abstract

Introduction: Successful orthodontic treatment of bimaxillary protrusion requires effective anchorage control to enable anterior retraction without unwanted posterior tooth movement. Loss of molars can compromise anchorage, leading to mesial drift, space reopening, and loss of vertical control. Temporary Anchorage Devices (TADs) provide a reliable solution for achieving maximum anchorage. This case report describes the use of TADs for en masse retraction and third molar mesialization. Case: A 20-year-old female presented with a hyperdivergent profile and lip incompetence. Clinical examination revealed maxillary and mandibular incisor proclination. A gangrenous radix was present in the lower left region. Cephalometric analysis showed Class I skeletal malocclusion with a convex profile. Case Management: Based on clinical and radiographic findings, extraction therapy was planned due to arch length discrepancy. Anchorage was compromised following extraction of the lower left molar. TADs were placed to provide maximum anchorage, allowing en masse retraction of anterior teeth and controlled mesialization of the third molar. This approach minimized unwanted tooth movement and maintained vertical control throughout treatment. Conclusion: The use of TADs enabled effective anchorage control, facilitating precise en masse retraction and third molar mesialization, resulting in improved facial profile and occlusal outcomes.
Butterfly Pea Flower (Clitoria ternatea) Biocompability as an Oral Healthcare Biomaterial: A Narrative Literature Review Daffa Satria Faadihilah; I Gusti Aju Wahju Ardani; Tengku Natasha Eleena binti Tengku Ahmad Noor; Alexander Patera Nugraha
Indonesian Journal of Dental Medicine Vol. 8 No. 2 (2025): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v8i2.2025.94-97

Abstract

Background: Natural biomaterials are increasingly explored in dentistry due to concerns regarding cytotoxicity and adverse effects of synthetic agents. Butterfly pea flower (Clitoria ternatea) has demonstrated antimicrobial, antioxidant, and anti-inflammatory properties, suggesting potential application in oral health care. Purpose: This review aims to evaluate current evidence regarding the biocompatibility of C. ternatea as an oral health care biomaterial. Review: A literature search was conducted using Scopus-indexed databases for studies published from 2020 onwards. Ten studies were included. The reviewed literature consistently demonstrated significant antimicrobial and antibiofilm activity of C. ternatea against major oral pathogens. Concentration-dependent antioxidant and anti-inflammatory effects were also reported. However, none of the included studies directly evaluated cytotoxicity or cell compatibility with oral cells such as gingival fibroblasts, oral epithelial cells, or dental pulp cells. Conclusion: C. ternatea shows promising biological activity for oral health applications; however, current evidence is insufficient to establish its biocompatibility as an oral biomaterial. Further studies assessing cytotoxicity and cellular responses of oral tissues are essential before clinical translation.