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The relationship determination between menarche and the peak of skeletal maturation using hand wrist and cervical vertebrae index Endah Mardiati; Soemantry ES; Haroen ER; Thahar B; Sutrisna B
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 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 (427.823 KB) | DOI: 10.20473/j.djmkg.v47.i2.p67-71

Abstract

Background: Menarche and skeletal maturation indices are physiological maturation indicators that can be used to establish the maturation stage of individual patient in orthodontic treatment, especially in orthodontic growth modification and orthognatic surgery. Purpose: The purpose of this study was to determine the relationship between menarche and the peak of skeletal maturation using hand-wrist and cervical vertebrae indexes. Methods: This was an observational diagnostic research with 220 female of Deutero-Malay Indonesian subjects aged 8-17 years from Dental Hospital Faculty of Dentistry Universitas Padjadjaran, and some privates orthodontic practice in Bandung. All subjects had hand-wrist radiograph and lateral cephalogram. Menarche data were collected through interview with the subjects and their parents. There were 89 subjects who already had menarche but only 84 of them remembered the month and year of their menarche. The stage of hand-wrist skeletal maturation was analyzed using Fishman method and cervical vertebrae maturation was analyzed using Baccetty et.al., method. Results: The result indicates that the menarche age of Indonesian DeuteroMalay subject were 12.47 ± 0.73 year. The youngest age of were 10.92 ± 0.0 year and the oldest were 13.83 ± 0.23 year. Conclusion: Menarche could be used as an indicator that the pubertal growth peak has been exceeded and to predict the end of the pubertal growth. This study showed that 0.49 years after MP3cap stage of hand-wrist skeletal maturation index and 0.69 years after CVMS2 stage of cervical vertebrae skeletal maturation index, the subject of Indonesian Deutero-Malay will have their menarche. Latar belakang: Menarke dan indeks maturasi skeletal merupakan indikator maturasi fisologis yang dapat digunakan untuk menentukan tahap maturasi pasien pada perawatan ortodonti modifikasi pertumbuhan dan bedah ortognati. Tujuan: Tujuan penelitian ini adalah menentukan hubungan antara menarke dengan puncak pertumbuhan skeletal dengan menggunakan indikator maturasi handwrist dan vertebra servikal. Metode: Penelitian ini merupakan penelitian diagnostik obeservasional dengan 220 subjek perempuan umur 8-17 tahun yang datang ke Rumah Sakit Gigi dan Mulut Universitas Padjadjaran Bandung. Seluruh subjek penelitian mempunyai foto rontgen hand-wrist dan sefalogram lateral. Data menarke diperoleh melalui wawancara kepada pasien dan orang tuanya. Subjek yang telah mengalami menarke sebanyak 89 orang tetapi hanya 84 subjek yang ingat dengan tepat bulan dan tahunnya. Tahap maturasi hand-wrist dianalisis dengan menggunakan metode Fishman dan tahap maturasi vertebra servikal ditentukan dengan menggunakan metode Baccety dkk. Hasil: Hasil penelitian menunjukkan bahwa rata-rata umur menarke terjadi pada umur 12.47 ± 0,73 tahun, dengan umur termuda pada10,92 ± 0,0 tahun dan tertua pada umur13,83 ± 0,23 tahun. Simpulan: Menarke dapat digunakan sebagai indikator untuk menentukan bahwa puncak pubertas telah terlampaui dan untuk memprediksi akhir pertumbuhan pubertal. Studi ini menunjukkan bahwa 0,49 tahun setelah MP3cap stage dari maturasi skeletal pergelangan tangan dan 0,69 tahun setelah CVMS2 maturasi skeletal vertebra leher anak perempuan Indonesia deutero melayu akan memasuki masa haid.
A gender-based comparison of intermolar width conducted at Padjajaran University Dental Hospital, Bandung, Indonesia Adriana Azlan; Endah Mardiati; Ida Ayu Evangelina
Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 4 (2019): December 2019
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.v52.i4.p168-171

Abstract

Background: Evaluation of dental arches is important for both diagnosis and treatment in the fields of orthodontics, prosthodontics, and forensics. The perimeter or circumference affects the gender-specific dimensions of the dental arch. Purpose: To identify the inter-gender difference between maxillary and mandibular intermolar width of the first molars in Indonesia. Methods: This retrospective and comparative analytical study involved a gender-based comparison of maxillary and mandibular intermolar width in the first molars. A purposive sampling technique was employed for data selection. Ninety dental cast models were selected according to the inclusion criteria of non-growing patients and perfect dental conditions, with any damaged dental models being rejected. After selection, the dental cast was marked at the maxillary and mandibular first molar central fossae before being measured three times with a digital vernier caliper. The data obtained was subsequently analyzed by means of a Kolmogorov-Smirnov test, an F-test-Snedecor (with p>0.05) and Independent Sample t-test (with p<0.05). Results: The average maxilla intermolar widths for males and females were 49.36mm and 46.75mm respectively, while the average mandibular intermolar widths for males and females were 43.17mm and 40.5mm. An independent sample t-test showed that the maxilla and mandibular intermolar widths were significantly different for males and females (p=0.000, p<0.05), with male subjects possessing a higher value than female subjects. Conclusion: A significant gender-based difference existed between the maxillary and mandibular intermolar width of patients attending Padjadjaran University Dental Hospital, Bandung, Indonesia.
Perawatan impaksi gigi kaninus dan gigitan bersilang anterior menggunakan teknik open window dan piggyback pada alat ortodonti straight wireTreatment of canine impaction and crossbite anterior using the open window and piggyback techniques on straight wire orthodontic appliance Ervina Dewiyanti; Endah Mardiati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 31, No 1 (2019): April 2019
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1844.861 KB) | DOI: 10.24198/jkg.v31i1.17979

Abstract

Pendahuluan: Impaksi gigi kaninus dan gigitan bersilang anterior sering menyebabkan gangguan estetik pada gigi pasien. Keadaan tersebut menjadikan pasien membutuhkan perawatan ortodonti. Laporan kasus ini bertujuan untuk mempertimbangkan teknik perawatan ortodonti yang efektif dan dapat mengoptimalkan proses serta hasil perawatan. Laporan kasus: seorang anak perempuan usia 13 tahun datang ke RSGM Unpad dengan keluhan utama gigi depan tidak rapi. Hasil analisis dan diagnosis menunjukkan maloklusi dental kelas I skeletal kelas III disertai crowding pada gigi anterior regio 11, persistensi gigi 53 dan pergeseran garis median gigi rahang atas ke kanan 2 mm dan pergeseran garis median gigi rahang  bawah ke kiri 1 mm. Panoramik menunjukkan terdapat gigi 13 yang impaksi dan persistensi gigi 53.Teknik piggyback merupakan suatu teknik perawatan ortodonti cekat sebagian segmen kawat fleksibel NiTi 0,012 pada lengkung rahang disatukan dengan kawat kaku SS 0,018 pada segmen keseluruhan. Hasil perawatan menunjukkan impaksi gigi 13 telah erupsi dan masuk ke dalam lengkung rahang dan gigitan bersilang di anterior pada gigi 11 terkoreksi. Simpulan: Teknik open window dan piggyback dapat digunakan untuk mengoreksi impaksi gigi dan menyesuaikan gigi ke dalam lengkung rahang. Impaksi gigi 13 pada pasien ini dapat erupsi penuh dalam waktu 3 bulan setelah bedah open window dan kurang dari 1 bulan setelah perlekatan braket pada gigi tersebut. Gigitan bersilang di anterior gigi 11 juga terkoreksi dengan relasi kaninus kelas I.Kata kunci: Piggyback, impaksi, gigi kaninus, gigitan bersilang . ABSTRACTIntroduction: Canine impaction and anterior crossbite often cause an aesthetic problem for the patients. This situation makes the patients need orthodontic treatment. This case aims to consider orthodontic treatment techniques are effective and can optimize the process and treatments result. Case Report: In this case report a 13-year-old girl came to RSGM Unpad with a major complaint of crowding anterior teeth. The results of the analysis and diagnosis showed class III skeletal class dental malocclusion with anterior cramped teeth, anterior crossed bites of the teeth 11, persistence of the tooth 53 and the median tooth maxillary to right 2 mm shift and the median tooth diamond shift to 1 mm left. Panoramic shows there are 13 teeth that are impaction and persistence of the tooth 53. Discussion: The Piggy-back technique is a fixed orthodontic treatment technique in which some segments of the 0.010 flexible NiTi wire in the jaw arch are joined with a 0.018 rigid SS wire on the whole segment. Treatment results showed impacted tooth 13 had erupted and entered into the arch of the jaw and anterior crossed bites are corrected.Conclusion: can be drawn from this case report that open window and piggy-back techniques can be used to correct the impact teeth and adjust the teeth into the jaw arch. In these patients, the impacted tooth can be fully erupted within 3 months after open window surgery and less than 1 month after the bracket attachment to the tooth. Cross bites anterior tooth 11 also corrected with class I canine relation.Keywords: Piggy-back, canine impaction, crossed bites.
Penatalaksanaan perawatan maloklusi dentoskeletal kelas III disertai crowding ringan dan masalah tooth size discrepancy menggunakan reduksi interproksimalManagement of Class III dentoskeletal malocclusion treatment with mild crowding and tooth size discrepancy problems using interproximal reduction Ni Luh Nyoman Ary Mayasari; Endah Mardiati
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.v32i1.22898

Abstract

Pendahuluan: Pasien yang telah melewati masa tumbuh kembang dapat dirawat dengan perawatan ortodonti kamuflase atau bedah ortognati. Perawatan ortodonti kamuflase dengan hasil yang cukup baik dapat dilakukan jika diskrepansi skeletal tidak terlalu berat. Laporan kasus ini bertujuan untuk mengetahui keefektifan penatalaksanaan perawatan maloklusi skeletal kelas III dengan perawatan ortodonti kamuflase. Laporan kasus: Pasien perempuan, berusia 16 tahun 7 bulan, datang ke klinik PPDGS Ortodonti RSGM UNPAD dengan keluhan gigi depan tidak rapi dan gigi bawah terlihat lebih maju dibandingkan gigi rahang atas. Hasil diagnosis menunjukkan maloklusi dentoskeletal kelas III disertai asimetri wajah, palatum tinggi, pergeseran garis median rahang bawah, overjet terbalik, crossbite anterior, geligi berjejal, dan kurva Spee dalam. Pasien dirawat dengan straight wire appliance selama 1 tahun 8 bulan. Breket rahang atas dipasang terlebih dulu sampai overjet terkoreksi. Breket rahang bawah dipasang diikuti reduksi interproksimal. Pasien menggunakan elastik kelas III untuk koreksi relasi kaninus. Reduksi interproksimal menggunakan strip abrasif metal merupakan salah satu cara untuk mendapatkan ruangan pada kasus crowding ringan. Kombinasi reduksi interproksimal gigi anterior rahang bawah dan flaring gigi rahang atas, diikuti penggunaan elastik kelas III efektif mengoreksi overjet terbalik pada kasus maloklusi kelas III. Simpulan: Reduksi interproksimal dan elastik kelas III berhasil mengoreksi kasus maloklusi kelas III disertai crowding ringan dan masalah TSD.Kata kunci: Maloklusi, skeletal kelas III, crowding ringan, tooth size discrepancy (TSD), reduksi interproksimal. ABSTRACTIntroduction: Patient with dentoskeletal class III malocclusion, post-pubertal growth spurt, may be treated with orthodontic camouflage or orthognathic surgery. Camouflage treatment with good prognosis can have acceptable results if there is an only mild skeletal discrepancy. This report was aimed to investigate the effectiveness of camouflage treatment in dentoskeletal class III patient. Case report: A female patient, 16 y.o 7 months, came to Orthodontics Clinic of Universitas Padjadjaran Dental Hospital, complaining her anterior teeth looks crowded and her protrusive mandible. She was diagnosed with dentoskeletal class III malocclusion with asymmetrical face, high palate, midline shifting mandible, reverse overjet, crossbite anterior, crowding, and the deep curve of Spee. The patient was treated with straight wire appliance for one year and eight months. A lower bracket was bonded after anterior crossbite corrected, followed with interproximal reduction. Elastic class III was used to correct canine relationship. Interproximal reduction with metal abrasive is a common practice in orthodontic practice to gain spaces in mild crowding cases. Interproximal reduction in mandibular anterior teeth combined with anterior flaring of maxillary teeth, followed with elastic class III, effectively correct anterior crossbite in class III skeletal patient. Conclusion: Interproximal reduction and elastic class III effective to correct class III malocclusion with mild crowding and tooth size discrepancy problem.Keywords: Maloccusion, dentoskeletal class III, mild crowding, tooth size discrepancy (TSD), interproximal reduction.
Perawatan bedah ortognati pada maloklusi dentoskeletal kelas III dengan asimetri wajah dan canting oklusal rahang atasOrthognathic surgical treatment of class III dentoskeletal malocclusion with facial asymmetry and maxillary occlusal cant Endah Mardiati; Ida Ayu Astuti
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.v32i3.31917

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Pendahuluan: Asimetri wajah akibat canting oklusal rahang atas seringkali menjadi keluhan  estetika wajah pasien. Perawatan canting oklusal parah memerlukan kombinasi perawatan ortodonti cekat dengan bedah ortognati. Tujuan laporan kasus ini adalah untuk menjelaskan perawatan ortodonti cekat kombinasi bedah Le Fort 1 pada kasus canting oklusal rahang atas pada maloklusi dentoskeletal kelas III disertai asimetri wajah. Laporan kasus: Seorang pasien perempuan umur 17 tahun 7 bulan datang ke praktek pribadi dengan keluhan gigi rahang atas miring, gigi belakang kanan tidak dapat mengunyah dengan nyaman. Pasien ingin dirawat gigi dan rahangnya. Pemeriksaan ekstra oral menunjukan wajah asimetri, profil cekung dan dagu sedikit menonjol. Pemeriksaan intra oral,  garis median rahang atas bergeser ke kiri, rahang bawah bergeser ke kanan, crossbite anterior, crossbite posterior unilateral, retrusi gigi anterior rahang atas dan rahang bawah. Analisis sefalometri lateral: maloklusi dentoskeletal kelas III. Diagnosis yang diberikan adalah maloklusi dentoskeletal kelas III disertai canting oklusal rahang atas, wajah asimetri, crossbite anterior, crossbite unilateral posterior. Rencana perawatan adalah perawatan ortodonti cekat kombinasi bedah ortognati Le Fort 1. Perawatan dilakukan dalam 4 tahap yaitu perawatan ortodonti dekompensasi, perawatan bedah ortognati rahang atas, perawatan ortodonti pasca bedah rahang, debonding dan pemasangan retainer. Simpulan: Maloklusi skeletal kelas III disertai canting oklusal rahang atas, asimetri wajah, crossbite anterior, dan crossbite posterior unilateral, yang dirawat menggunakan alat ortodonti cekat dan bedah ortognati Le Fort 1 dapat berhasil dengan baik. Relasi dental dan skeletal tercapai kelas I, interdigitasi gigi rahang atas dan rahang bawah mengunci, fungsi pengunyahan terkoreksi serta pasien merasa sangat puas dengan estetika wajahnya.Kata kunci: Maloklusi skeletal kelas III, asimetri wajah, canting maksila, crossbite anterior, crossbite posterior unilateral, bedah ortognati. ABSTRACTIntroduction: Facial asymmetry due to maxillary occlusal cant often becomes a facial aesthetics complaint. Treatment of severe occlusal cant requires a combination of fixed orthodontic treatment with orthognathic surgery. This case report was aimed to describe the combined fixed orthodontic treatment of Le Fort 1 in maxillary occlusal cant of class III dentoskeletal malocclusion with facial asymmetry. Case report: A female patient aged 17 years seven months came to the private clinic, complained of oblique maxillary teeth, and the right posterior was unable to masticate comfortably. The patient wants to be treated for her teeth and jaw. Extraoral examination revealed facial asymmetry, sunken profile and slightly protruding chin. The intraoral examination resulted in the maxillary median line that shifted to the left, mandible shifted to the right, anterior crossbite, unilateral posterior crossbite, and retrusion of maxillary and mandibular anterior teeth. The lateral cephalometric analysis resulted in class III dentoskeletal malocclusion. The diagnosis was class III dentoskeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and posterior unilateral crossbite. The treatment plan was fixed orthodontic treatment combined with Le Fort orthognathic surgery. The treatment was carried out in 4 stages: decompensated orthodontic treatment, maxillary orthodontic treatment, post-orthognathic surgery orthodontic treatment, debonding, and retainer placement. Conclusion: Class III skeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and the unilateral posterior crossbite was successfully treated with a fixed orthodontic appliance and Le Fort 1 orthognathic surgery. The dental and skeletal relations were achieved for class I, the interdigitation of the maxillary and mandibular teeth was locked, the masticatory function was corrected, and the patient was very satisfied with her facial aesthetics.Keywords: Class III skeletal malocclusion, facial asymmetry, maxillary cant, anterior crossbite, unilateral posterior crossbite, orthognathic surgery.
Perbandingan tingkat kepuasan pasien terhadap hasil perawatan ortodonti ekstraksi dan non ekstraksi berdasarkan modifikasi Boston Orthodontic SocietyComparison of the patient satisfaction level with the results of the extracted and non-extracted orthodontic treatment according to the modification of the Boston Orthodontic Society Harris Pramono Wardojo; Avi Laviana; Ida Ayu Evangelina; Endah Mardiati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 34, No 1 (2022): April 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v34i1.35812

Abstract

Pendahuluan: Perawatan ortodonti untuk memperbaiki maloklusi terus meningkat merupakan perawatan yang paling banyak diminati oleh pasien. Perawatan ortodonti dapat dilakukan dengan ekstraksi ataupun non-ekstraksi yang dapat memengaruhi kepuasan pasien seperti perubahan dentofasial, fungsi dental dan psikososial yang dapat diukur salah satunya menggunakan modifikasi  Boston Orthodontic Society (BOS). Tujuan penelitian membandingkan tingkat kepuasan pasien terhadap hasil perawatan ortodonti ekstraksi dan non ekstraksi menggunakan kuesioner BOSS. Metode: Jenis penelitian observasional analitik rancangan cross sectional untuk membandingkan tingkat kepuasan kelompok pasien dengan perawatan ortodonti ekstraksi dibandingkan dengan kelompok non ekstraksi. Sampel berjumlah 60 subjek maloklusi skeletal kelas I, II, III yang terbagi atas 30 subjek ekstraksi dan 30 subjek non ekstraksi. Masing-masing subjek diberi kuesioner Bos dalam Bahasa Indonesia yang telah dimodifikasi dan telah diuji validitas dan reliabilitasnya. Kuesioner Bos modifikasi terdiri dari 22 pernyataan yang terbagi atas 3 subskala yaitu perubahan dentofasial (9 pernyataan), perubahan psikososial (9 pernyataan), dan fungsi dental (4 pernyataan). Hasil: Tingkat kepuasan pasien ekstraksi terhadap hasil perawatan ortodonti menunjukkan hasil yang lebih tinggi dibandingkan non ekstraksi, namun berdasarkan analisis Mann Whitney tidak terdapat perbedaan yang signifikan antara kelompok ekstraksi dengan non ekstraksi pada seluruh sampel; kelompok ekstraksi kasus borderline dengan non ekstraksi kasus borderline; kelompok ekstraksi kasus severe dengan non ekstraksi kasus borderline; kelompok kelas I skeletal ekstraksi dengan non ekstraksi (nilai p>0.05). Simpulan: Tidak terdapat perbedaan tingkat kepuasan pasien terhadap hasil perawatan ortodonti antara kelompok ekstraksi dibandingkan dengan kelompok non ekstraksi.Kata kunci: alat ortodonti cekat; ekstraksi, kuesioner BOS; perawatan maloklusi; tingkat kepuasan pasien ABSTRACTIntroduction: Orthodontic treatment to improve malocclusion is the most popular treatment for patients. Orthodontic treatment can be done by extraction or non-extraction that can affect patient satisfaction such as dentofacial changes, dental and psychosocial functions that can be measured, one of which is using a modification of the Boston Orthodontic Society (BOS). The purpose of the study was to compare patient satisfaction level with the results of the extracted and non-extracted orthodontic treatment using the BOSS questionnaire. Methods: This type of research was an analytical observational cross-sectional design to compare the level of satisfaction of the patient group with extraction orthodontic treatment compared to the non-extraction group. The sample consisted of 60 subjects with skeletal malocclusion class I, II, and III divided into 30 extraction subjects and 30 non-extracted subjects. Each subject was given a BOSS questionnaire in Indonesian, modified and tested for validity and reliability. The Modified BOSS Questionnaire consisted of 22 statements which were divided into three subscales, namely dentofacial changes (9 statements), psychosocial changes (9 statements), and dental function (4 statements). Results: The level of satisfaction of extraction patients with orthodontic treatment results showed higher results than non-extraction but based on Mann-Whitney analysis, there was no significant difference between the extraction and non-extraction groups in all samples; borderline case extraction group with non-borderline case extraction; severe case extraction group with non-borderline case extraction; class I skeletal extraction group with non-extraction (p value>0.05). Conclusion: There was no difference in the level of patient satisfaction with the results of orthodontic treatment between the extraction group and the non-extraction group.Keywords: fixed orthodontics; extraction; BOSS questionnaire; malocclusion treatment; patient satisfaction level
Perbedaan pola rugae palatina sebelum dan sesudah perawatan dengan alat ortodonti lepasanDifferences in palatal rugae patterns before and after the removable orthodontic appliances treatment Sintia Saputra; Endah Mardiati; Indra Mustika Setia Pribadi; Yuti Malinda
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 2 (2017): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (386.451 KB) | DOI: 10.24198/jkg.v29i2.18573

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Pendahuluan: Pola rugae palatina memiliki karakteristik yang unik pada setiap individu, yang dapat dijadikan sarana identifikasi individu di bidang forensik kedokteran gigi, namun berbagai kontraversi muncul mengenai karakteristik rugae palatina secara kualitatif dan kuantitatif sesudah dilakukan perawatan ortodonti. Tujuan penelitian ini adalah untuk mengetahui perbedaan pola rugae palatina sebelum dan sesudah perawatan dengan alat ortodonti lepasan. Metode: Penelitian bersifat observasional dengan sampel penelitian terdiri dari 111 model studi sebelum dan sesudah dilakukan perawatan ortodonti. Teknik sampling adalah purposive sampling, dari pasien maloklusi dento-alveolar kelas I, usia 18-30 tahun di RSGM FKG Unpad. Data penelitian dideskripsikan dan dianalisis dengan uji statistik Wilcoxon (ɑ = 0,05) untuk mengetahui perbedaan pola rugae palatina sebelum dan sesudah perawatan ortodonti. Hasil: Hasil penelitian menunjukkan, ukuran rugae palatina sebelum dilakukan perawatan terbanyak adalah rugae primer 85,2%, rugae sekunder 13,4%, rugae fragmen 1,37%, sesudah perawatan rugae primer 85.5%, rugae sekunder 13,2%, rugae fragmen 1,3%. Berdasarkan arah, rugae palatina sebelum perawatan arah postero-anterior 44,5%, antero-posterior 38,6%, sesudah perawatan arah posterior-anterior 44,9%, antero-posterior 38,3%. Arah perpendikular 8,7% dan berbagai arah 8,2% baik sebelum maupun sesudah perawatan. Uji beda menunjukan, tidak terdapat perbedaan signifikan sebelum dan sesudah perawatan ortodonti. Simpulan: Pola rugae palatina yang sering muncul sebelum dan sesudah perawatan ortodonti adalah rugae primer dengan arah postero-anterior, tidak terdapat perbedaan signifikan sebelum dan sesudah perawatan ortodonti.Kata kunci: Forensik odontologi, perawatan ortodonti, pola rugae palatina. ABSTRACTIntroduction: Palatal rugae patterns have unique characteristics in each individual, which can be used as a means of identifying individuals in the field of dentistry forensics, but various contraceptives arise about the characteristics of palatal rugae qualitatively and quantitatively after orthodontic treatment. The purpose of this study was to determine the differences in palatal rugae patterns before and after treatment with removable orthodontic devices. Methods: The study was observational with a study sample consisting of 111 study models before and after orthodontic treatment. The sampling technique was purposive sampling, from class I dento-alveolar malocclusion patients, aged 18-30 years at FKG Unpad Hospital. The research data was described and analyzed by Wilcoxon statistical test (ɑ = 0.05) to determine differences in palatal rugae patterns before and after orthodontic treatment. Results: The results showed that the size of palatal rugae before treatment was the primary rugae (85.2%), secondary rugae (13.4%), fragment rugae (1.37%), after primary rugae treatment (85.5%), secondary rugae (13.2%) , rugae fragment (1.3%). Based on direction, palatal rugae prior to postero-anterior (44.5%), antero-posterior (38.6%) treatment, after posterior-anterior (44.9%), antero-posterior (38.3%) treatment. Perpendicular direction (8.7%) and various directions (8.2%) both before and after treatment. Different tests showed that there were no significant differences before and after orthodontic treatment. Conclusion: The palatal rugae pattern that often occurs before and after orthodontic treatment is the primary rugae with postero-anterior direction, there are no significant differences before and after orthodontic treatment.Keywords: Odontological forensics, orthodontic treatment, palatal rugae pattern.
Perawatan ortodonti dan bedah open window impaksi gigi insisif permanen pertama rahang atasOrthodontic treatment and open window surgery of impacted maxillary first permanent incisor Endah Mardiati; Ira Komara; Ida Ayu Astuti
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 3 (2021): Desember 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i3.35696

Abstract

Pendahuluan. Impaksi gigi insisif sentral rahang atas merupakan kasus yang sering menjadi keluhan estetika pasien.  Impaksi gigi insisif setral  rahang atas memerlukan perawatan multidipliner oleh ortodontis, spesialis bedah mulut dan periodontis. Perawatan bedah dapat dilakukan secara open window atau closed window bergantung kasus. Laporan kasus: seorang anak perempuan  umur 11 tahun,10 bulan   diantar ibunya datang  ke klinik pribadi dengan keluhan gigi seri rahang atas kanan tidak keluar. Pasien merasa malu karena terlihat tidak bergigi. Pemeriksaan ekstra oral, wajah normal, simetris, profil cembung. Pemeriksaan intra oral, gigi insisif pertama permanen kanan rahang atas (11) tidak ada, pergeseran garis median rahang atas garis ke kanan, deep bite, gigi berjejal di rahang bawah, relasi kaninus dan M1 kelas 1. Pemeriksaan radiografi panoramik, memperlihatkan impaksi gigi 11, odontoma dibawah permukaan servikal gigi 11. Analisis sefalometri: maloklusi dento-skeletal kelas 1. Diagnosis: maloklusi dento-skeletal kelas 1, disertai impaksi gigi insisif 11, odontoma di tepi servikal gigi 11, penyempitan ruang gigi 11, garis median rahang atas bergeser ke kanan, deepbite dan  gigi rahang bawah berjejal. Perawatan: dilakukan dengan alat ortodonti cekat untuk mengembalikan ruang gigi 11,  bedah open window dilanjutkan dengan meretraksi gigi 11 ke dataran oklusal, debonding dan pemasangan alat ortodonti retainer. Kesimpulan: Perawatan  impaksi  gigi insisif 11 menggunakan alat ortodonti cekat dan bedah open window berhasil menarik gigi 11 mencapai dataran oklusal, gigi 11 tetap vital, jaringan periodontal normal, pasien dan orang tuanya merasa sangat puas dengan estetika wajah yang tercapai.
Finite element method usage in determining pressure distribution of periodontal tissues on maxillary canine as result of orthodontic force E. Elih; Tono S. Hambali; Jono Salim; Endah Mardiati
Padjadjaran Journal of Dentistry Vol 23, No 2 (2011): July 2011
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (428.81 KB) | DOI: 10.24198/pjd.vol23no2.14016

Abstract

The purpose of this study is to obtain data of pressure distribution on canine periodontal tissues due to the orthodontic force generated by various types of motion using the Finite Element Method. The development of digital technology creates a numerical analysis for orthodontic treatment that can be done by performing 3-D reconstruction by scanning the maxillary canine teeth with a CT scan so that 255 cross-sectional images is obtained. 3 D model is then processed using the Finite Element Method to obtain the pressure distribution on the periodontal tissues caused by tipping movements, bodily, torque, roots, rotation, and extrusion. The analysis used was the analysis of qualitative and quantitative analysis. The results showed that the maximum pressure that occurs in the periodontal tissues caused by a variety of movements ranging from 3.3 x 10-3MPa to 2.9 x 10-2 MPa. This indicates that the force exerted on each movement produces maximum pressure that exceeds capillary pressure was 2 x 10-3 MPa.
The difference of canine, first and second premolar tooth size resulted from cone beam computed tomography imaging with Moyers Prediction Table on the working study model Julies Hariani Sugiaman; Bergman Thahar; Endah Mardiati; Ria Noerianingsih Firman
Padjadjaran Journal of Dentistry Vol 23, No 1 (2011): March 2011
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1860.306 KB) | DOI: 10.24198/pjd.vol23no1.14055

Abstract

Model study is one of the standard orthodontic components which is important for diagnosis and treatment plan, but in some patients with the high gag reflex, it will be difficult to get this kind of study models. The existence of a new device which is able to show the condition of patients' mouth in three space areas (axial, sagittal, and coronal) is expected to be an alternative when a study model is difficult to get. The purpose of this study is to find out whether or not there are any differences on the size of canine's mesiodistal, first and second premolar resulted from CBCT imaging with Moyers analysis on the study models. The method of the research is comparative descriptive. Measurements are made on 10 CBCT imaging results and 10 study models. The mesiodistal size, the result of CBCT imaging is measured by the available computer program and also the mesiodistal size of the study models is measured using a sliding compass, and then the size of canines, first and second premolar teeth resulted from CBCT imaging are compared to the result of Moyers method analysis on the study models. The t-test is used to find out if there is a difference between teeth size value between the CBCT imaging with the study models. The significance is determined based on the p-value < 0,05. The statistical test result shows a significant difference between the size of canines mesiodistal, first and second premolar teeth, the result of CBCT imaging and the Moyers analysis result in the study models in which t count > t table.
Co-Authors Adha Fatin Adriana Azlan Akmalia, Ishlahil Ananto Ali Alhasyimi Andreas, Monica Andriani Harsanti, Andriani Avi Laviana Avi Lavina, Avi Bergman Thahar Bergman Thahar Bergman Thahar Bergman Thahar, Bergman Bernard Anthony Pasaribu, Bernard Anthony Chrisni Oktavia Jusup Eky Soeria Soemantri Eky Soeria Soemantri Eky Soeria Soemantri Elih Sayuti Endah Damaryanti, Endah Ervina Dewiyanti Ervina Sofyanti Farmasyanti, Cendrawasih Andusyana Fatonah, Endah Fuccy Utamy Syafitri Gio, Prana Ugiana Gita Retyoningrum, Gita H. Hendri, H. Hadi, Azmil Haroen ER Harris Gadih Pratomo Harris Pramono Wardojo Haryono Utomo Ida Ayu Astuti Ida Ayu Evangelina Ida Ayu Evangelina Ida Ayu Evangelina Ida Ayu Evangelina Ida Ayu Evangelina, Ida Ayu Ida Bagus Narmada Indra Mustika Setia Pribadi Indra Mustika SP, Indra Ira Komara Isnaniah Malik Jessy Nauli, Jessy Jono Salim Jono Salim, Jono Julies Hariani Sugiaman Julies Hariani Sugiaman, Julies Hariani Jusup, Chrisni Oktavia Kartika, Dewi Sri Ken Edinata Lee Jie Xin, Lee Jie Manurung, Prans Samuel Antony Maria Purbiati Marya, Anand Miranti, Diandra Audyla mulkhairul, Ilham Ni Luh Nyoman Ary Mayasari Nila Kasuma Norman Wachyudi, Norman Noviaranny, Indah Yuri NR Yuliawati Zenab, NR Yuliawati Nurfiqoh, Muhammad Khizfi Octavianti, Fitri Oryce Zahara Parta L. Silitonga Paskalin, Zenith Raudhatul Jannah Renold Andika Setiawan Ria N. Firman Riri Febrina Rizka Devi Damayanti Saputra, Sintia Simarmata, Regina Yosephine Sintia Saputra Soegiharto, Eko Poetranto Soemantri, Eky Setiawan Soeria Soemantry ES Suherman, Agutina Sutrisna B Syafitri, Fuccy Utamy Syafitri, Kharlina Tan, Valencia Ignes Thahar B Tono Hambali Tono Hambali, Tono Tono S. Hambali Tono S. Hambali, Tono S. Ulfah, Khairiyah vina andriani Wenti Komala Willem Santana, Willem Y. Yuliana, Y. Yakin Hasbullah, Irnamanda Dwipura Yuliana Ziliwu, Yuliana Yuti Malinda Zahara, Oryce