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All Journal MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Dentino: Jurnal Kedokteran Gigi Dental Journal (Majalah Kedokteran Gigi) Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Journal of Dentomaxillofacial Science
Haru Setyo Anggani, Haru Setyo
Department Of Orthodontic, Faculty Of Dentistry, University Of Indonesia, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Perawatan ortodontik menggunakan protraction arch pada kasus prognati mandibula dengan anterior crossbite dan central diastemaOrthodontic treatment using protraction arch in prognathic mandibular with anterior crossbite and central diastema Dhani Ayu Andini; Haru Setyo Anggani
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.26640

Abstract

Pendahuluan: Profil wajah cekung dan anterior crossbite merupakan gambaran morfologi wajah khas pada maloklusi kelas III dan diperkuat oleh hasil analisis sefalometri lateral. Terkadang maloklusi kelas III disertai dengan ukuran gigi yang lebih kecil dari normal sehingga menyebabkan terbentuknya gigi bercelah. Gambaran tersebut tentu semakin mengurangi estetika wajah pasien maloklusi kelas III. Tujuan laporan kasus ini adalah menyampaikan perawatan maloklusi kelas III yang memiliki malposisi anterior crossbite dan central diastema. Laporan kasus: Seorang pasien wanita usia 32 tahun, berprofesi sebagai jurnalis datang ke RSKGM FKG UI dengan keluhan gigi atas bercelah, gigi bawah maju serta merasa senyum kurang menarik. Perawatan ortodontik dilakukan menggunakan protraction arch dengan tujuan menghilangkan anterior crossbite serta menutup gigi bercelah. Hasil perawatan selama 18 bulan, anterior crossbite dan celah gigi sudah terkoreksi, tercapai overjet positif, gigi insisif atas memberi dukungan bagi bibir sehingga profil wajah menjadi lurus dan penampilan menjadi lebih baik. Simpulan: Perawatan ortodontik menggunakan protraction arch pada kasus prognati mandibula dengan anterior crossbite dan central diastema memberikan hasil yang cukup baik karena diskrepansi dentoalveolar masih tergolong ringan, tidak terdapat diskrepansi transversal dan didukung oleh pola pertumbuhan wajah dalam rentang normal atau cenderung ke arah horizontal dan dapat memperbaiki fungsi pengunyahan dan estetika.Kata kunci: Anterior crossbite, maloklusi kelas III, central diastema, protraction arch. ABSTRACT Introduction: Concave profile and anterior crossbite are common facial deformity appear in skeletal class III, besides the lateral cephalometric analysis. Frequently, small-sized teeth appear in class III malocclusion cases which causes spacing. Spaced teeth caused unpleasing appearance. This case report described conventional orthodontic treatment for skeletal class III with anterior crossbite and central diastema. Case report: A 32 years-old-female journalist came to the Dental Hospital of the Faculty of Dentistry University of Indonesia complaining about her central diastema in the upper arch, forwardly lower jaw position and unpleasant smile. The orthodontic treatment using protraction arch aimed at correcting anterior crossbite and eliminating spaced teeth. An 18-months treatment successfully fixed the anterior crossbite and spaced teeth. Ideal overjet was achieved, upper teeth camouflaged the mid-face deficiency; therefore, create a balanced facial profile. Conclusion: Orthodontic treatment using arch protraction in the case of mandibular prognosis with anterior crossbite and central diastema gives good results because dentoalveolar discrepancy is still relatively mild. There is no transversal discrepancy and supported by facial growth patterns in the normal range, or tends to be horizontal, and proven to be able to improve the mastication and aesthetical function.Keywords: Anterior crossbite, malocclusion class III, central diastema, protraction arch.
Perawatan ortodonti kamuflase pada maloklusi kelas III skeletal dengan gigitan terbuka anteriorOrthodontic camouflage of skeletal class III malocclusion with an anterior open-bite William Suryajaya; Haru Setyo Anggani
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.30666

Abstract

Pendahuluan: Perawatan ortodonti kamuflase adalah perawatan untuk menyamarkan diskrepansi skeletal dengan mengubah posisi dan angulasi gigi-gigi pada lengkung rahang. Perawatan tersebut merupakan perawatan yang dapat dipilih selain bedah ortognatik bagi kasus maloklusi skeletal kelas III pada pasien dewasa. Maloklusi skeletal kelas III sering pula disertai dengan keadaan lain seperti gigitan terbuka anterior yang menambah kompleksitas modalitas perawatan. Tujuan laporan kasus ini untuk menjelaskan pilihan modalitas perawatan pasien maloklusi skeletal kelas III secara kamuflase ortodonti. Laporan kasus: Pasien wanita usia 19 tahun 2 bulan datang ke klinik Ortodonti RSGM FKG UI dengan keluhan gigi atas depan tidak teratur dan gigi depan atas dan bawah tidak bertemu. Diagnosis menunjukkan pola skeletal kelas III dengan posisi maksila dan mandibula terhadap basis cranii retrognati (SNA 73°, SNB 74°, ANB -1°)  disertai dengan crowding sedang dan gigitan terbuka anterior. Tipe wajah pasien dolikofasial, simetris dan seimbang. Profil jaringan lunak dan skeletal cekung. Kasus ini dirawat dengan pendekatan ortodonti kamuflase tanpa pencabutan menggunakan piranti cekat standar Edgewise untuk mengoreksi crowding pada lengkung gigi atas dan bawah serta gigitan terbuka pada regio anterior. Perawatan ortodonti selesai dalam waktu 13 bulan dan crowding pada lengkung gigi atas dan bawah serta gigitan terbuka pada regio anterior telah terkoreksi. Simpulan: Perawatan ortodonti kamuflase pada maloklusi kelas III skeletal dengan gigitan terbuka anterior ringan merupakan pilihan perawatan yang cukup baik karena dapat mengoreksi maloklusi dengan kompensasi dentoalveolar sehingga diperoleh oklusi yang baik dan stabil. Hasil perawatan menunjukan hasil yang cukup baik dan dapat diterima oleh pasien.Kata kunci: Maloklusi skeletal kelas III, crowding, open-bite anterior, standar edgewise, ortodonti kamuflase. ABSTRACTIntroduction: Orthodontic camouflage is a treatment to disguise skeletal discrepancies by changing the teeth position and angulation in the jaw arch. This treatment is an option other than orthognathic surgery for skeletal class III malocclusion in adult patients. Skeletal class III malocclusion is often accompanied by other conditions such as an anterior open-bite which adds the complexity of the treatment modality. This case report was aimed to describe the choice of treatment modality for skeletal class III malocclusion patients by orthodontic camouflage. Case report: A female patient aged 19 years and two months came to the Orthodontic Clinics at the Faculty of Dentistry of University of Indonesia Dental Hospital (RSGM FKG UI) with complaints of irregular maxillary anterior teeth, and the maxillary and mandibular anterior teeth did not overlap. The diagnosis showed a skeletal class III pattern with the maxillary and mandibular position against the retrognathic cranii base (SNA 73°, SNB 74°, ANB -1°) accompanied by moderate crowding and anterior open-bite. The patient’s face type is dolichofacial, symmetrical and balanced, with the concave soft and skeletal tissue profiles. This case was treated with a non-extraction camouflage orthodontic approach using the standard edgewise fixed appliance to correct crowding in the maxillary and mandibular dental arches and open-bite in the anterior region. The orthodontic treatment was completed within 13 months, and crowding in the maxillary and mandibular dental arches and open-bite in the anterior region were corrected. Conclusion: Camouflage orthodontic treatment is a good treatment option for skeletal class III malocclusion with a mild anterior open-bite because it can correct malocclusion with dentoalveolar compensation to obtain a good and stable occlusion. The treatment results show good results and can be accepted well by the patient.Keywords: Skeletal class III malocclusion, crowding, anterior open-bite, standard edgewise, orthodontic camouflage.
Considerations before orthodontic camouflage treatment in skeletal class III malocclusion Marcella Budhiawan; Haru Setyo Anggani
Padjadjaran Journal of Dentistry Vol 20, No 1 (2008): March 2008
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1672.546 KB) | DOI: 10.24198/pjd.vol20no1.14150

Abstract

Skeletal Class III malocclusions are caused by maxillary deficiency, mandibular protrusion, or a combination of the two. This patient, in this case, may have a sunken in face, strong chin appearance. Most persons with Class III malocclusions, which is a dentofacial deformity, show combinations of skeletal and dentoalveolar components. Orthodontic therapy is usually aimed at compensating for the underlying mild-moderate skeletal Class III discrepancy and patients with severe skeletal Class III discrepancies require a combination of orthodontic treatment and orthognathic surgery to correct the underlying skeletal pattern. By considering many factors, the orthodontic treatment can be done on mild to severe skeletal Class III. These factors are facial profile, dental relationship and skeletal pattern. Those factors should be considered a starting point in making a treatment decision. They give the limitation of orthodontic treatment in terms of whether the occlusion could be corrected, or whether the deformity could be camouflage.
Anchorage management of a hiperdivergent Class II division 1 malocclusion with severe crowding using orthodontic miniscrew Adisty Setyari Putri; Haru Setyo Anggani
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: Hyperdivergent Class II division 1 malocclusion with severe crowding generally requires premolars extraction to create space for crowding correction, anterior retraction, and facial profile improvement. The purpose of this case report is to demonstrate the anchorage management of a hyperdivergent Class II division 1 malocclusion with severe crowding using orthodontic miniscrew as skeletal anchorage.Method: This case was treated by extraction of the upper and lower first premolars, using a conventional orthodontic appliance MBT system and orthodontic miniscrew as skeletal anchorage. Result: Correction of severe crowding, protrusive incisors, and improvement of the facial profile were obtained in 26 months of treatment.Conclusion: Anchorage management with orthodontic miniscrew was effective in correcting severe crowding, protrusive incisors, and convex facial profile of a hyperdivergent Class II division 1 malocclusion
Management of central diastema with high-frenulum labialis Karpov RB. Kainama; Haru S. Anggani
Journal of Dentomaxillofacial Science Vol. 7 No. 3 (2022): (Available online: 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i3.1421

Abstract

Objective: To explain the management of the central diastema case in a patient with high- frenulum labialis. Methods: Using a conventional Orthodontic appliance MBT system. This method is selected to orthodontically corrected central diastema while eliminating deep bites and other existing malposition in this case. Results: Central diastema and deep bite corrected, as well as other malposition. However, the frenulum labialis which was planned to undergone frenectomy was postponed to avoid an open gingival embrasure (black triangle). Conclusion: Correction of central diastema done by using a conventional orthodontic appliance MBT system. However, the disposal of frenulum labialis should not always be done, because it should consider the possibility of the emergence of gingival embrasure (black triangle) after the Labialis frenulum was discarded.
Camouflage orthodontic treatment of class I malocclusion with bimaxillary prognathism and risk of apical tooth resorption: a case report arlan, Anggi; Anggani, Haru Setyo; Antolis, Maureen; Develas, Deo
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 2 (2024): Agustus 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i2.48696

Abstract

Introduction: The primary goal of orthodontic treatment for bimaxillary prognathism is to reduce facial convexity. Treatment options depend on skeletal discrepancies and may involve surgery combined with orthodontics or camouflage orthodontic treatment. However, camouflage orthodontic treatment in cases of severe skeletal discrepancies carries a risk of root resorption. This case report aims to present the orthodontic camouflage treatment of Class I bimaxillary prognathism and its associated risk of root resorption. Case report: A 19-year-old female patient presented with a chief complaint of lower teeth crowding. She had a dolichofacial, symmetrical, and balanced face with a convex profile. The relation of incisor and canine on both the right and left sides was Class I.  The first molar relation of the right side is class I, and the left is class III with 3 mm overjet and 4 mm overbite. The lower midline shifted 2 mm to the left. Spaces requirement of the treatment based on Kesling’s method was a final overjet of 2 mm as follows: Upper Right -4.5 mm, Upper Left -4 mm, Lower Left -5 mm, and Lower right -4 mm. Treatment indication was camouflage orthodontic treatment with extraction using pre-adjusted edgewise MBT 0.022” brackets. The treatments aim to camouflage the convex profile caused by prognathism in both jaws and the degree of protrusion of the maxillary and mandibular anterior teeth. Conclusion: The orthodontic camouflage treatment for Class I bimaxillary prognathism using extractions and fixed appliances with preadjusted edgewise MBT 0.022” brackets improved facial and smile aesthetics, as well as masticatory function. However, Root resorption occurred as a complication due to maxillary and mandibular incisor intrusion during deep overbite correction over 27 months of treatment.Perawatan ortodonti kamuflase kasus maloklusi kelas I bimaxillary prognathism dan risiko resorpsi akar gigi: laporan kasusPendahuluan: Tujuan utama perawatan ortodonti kasus bimaxillary prognathism adalah mereduksi kecembungan profil wajah pasien. Pilihan perawatan ortodonti kasus bimaxillary prognathism berdasarkan diskrepansi skeletal dapat berupa perawatan kombinasi bedah dan ortodonti atau perawatan ortodonti kamuflase. Tujuan laporan kasus ini adalah melaporkan perawatan ortodonti kamuflase kasus maloklusi kelas I bimaxillary prognathism dan risiko resorpsi akar gigi. Laporan kasus:  Pasien perempuan 19 tahun dengan keluhan gigi bawah tumbuh tidak beraturan. Wajah dolichofacial, simetris dan seimbang dengan profil cembung. Relasi insisif serta kaninus kanan dan kiri kelas I. Relasi molar pertama tetap kanan kelas I dan kiri kelas III dengan overjet 3 mm dan overbite 4 mm. Garis tengah lengkung gigi bawah bergeser ke kiri 2 mm. Kebutuhan ruang menurut metode kesling dengan overjet akhir 2mm sebagai berikut: kanan atas -4,5 mm, kiri atas -4 mm, kiri bawah -5 mm, dan kanan bawah -4 mm. Perawatan ortodonti kamuflase indikasi ekstraksi dengan piranti cekat preadjusted edgewise MBT slot .022”. Tujuan perawatan kasus ini adalah menyamarkan gambaran profil cembung yang disebabkan oleh prognathism pada kedua rahang serta derajat protrusi gigi - gigi anterior rahang atas dan bawah. Paska debonding ditemukan adanya resorpsi akar pada apikal gigi insisif rahang atas dan rahang bawah. Simpulan: Perawatan ortodonti kamuflase kasus maloklusi kelas I bimaxillary prognathism dengan ekstraksi dan piranti cekat braket preadjusted edgewise MBT slot 022”. memberikan perbaikan estetika/profil wajah dan senyum serta mastikasi pasien. Resorpsi akar yang terjadi merupakan komplikasi akibat dari gerakan intrusi insisif rahang atas dan rahang bawah dalam rangka koreksi deep overbite selama 27 bulan perawatan.
Patients knowledge about side effects of orthodontic treatment Amalia, Mia; Anggani, Haru Setyo; Ismaniati, Nia Ayu
Padjadjaran Journal of Dentistry Vol 23, No 2 (2011): July 2011
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.011 KB) | DOI: 10.24198/pjd.vol23no2.14015

Abstract

Disharmonious of dental arrangement can possibly create problems for the patient, such as the masticatory function, esthetical, psychosocial, and also the increased risk of trauma and periodontal disease. These are reasons for a patient to seek orthodontic treatment. The aim of this study was to know the patient’s knowledge about the side effects possibility that they receive during orthodontic treatment. The side effects include pain experience during orthodontic treatment, the possibility of soft tissue damage, email demineralization, loss of tooth vitality, periodontal problem, root resorption, temporomandibular joint disorders, and relapse. A cross-sectional study was conducted in patients who registered at Orthodontic Department, Faculty of Dentistry, Universitas Indonesia on March-June 2009. The participants of this study were 100 patients, consist of 86 women and 14 men respectively. Twenty-seven questions about the side-effects of orthodontic treatment were used to obtain the patient’s knowledge and the result was categorized into 3 groups, good, average and poor. The result of the study showed that patient’s knowledge about the side effect of pain experience during orthodontic treatment was average and the patient’s knowledge about the possibility of soft tissue damage due to orthodontic treatment was good. However, the patient’s knowledge about the possibility of email demineralization, loss of tooth vitality, periodontal problem, root resorption, temporomandibular joint disorders and relapse due to orthodontic treatment was low.
Co-Authors Adisty Setyari Putri arlan, Anggi Chatarina Umbul Wahyuni Della Noor Insany Develas, Deo Dhani Ayu Andini Dini Anggraini DWI SURYANTO Erlina Hasriati Jenny Augusta Arnis Karpov RB. Kainama Marcella Budhiawan Marcella Budhiawan, Marcella Maureen Antolis Maureen Antolis Mia Amalia Nia Ayu Ismaniati Rani Setyawati Moekti Widya Kusumadewi William Suryajaya Wulandani Liza Putri