Endah Mardiati, Endah
Fakultas Kedokteran Gigi Universitas Padjadjaran Bandung, Jalan Sekeloa Selatan, No. 1 Bandung

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THE EFFICACY OF LASER THERAPY AND IBUPROFEN ON PAIN AFTER ELASTOMERIC SEPARATOR PLACEMENT: RAPID REVIEW Simarmata, Regina Yosephine; Evangelina, Ida Ayu; Laviana, Avi; Mardiati, Endah
Odonto : Dental Journal Vol 8, No 1 (2021): July 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.1.62-72

Abstract

Background: Separator placement is the first step in orthodontic treatment, which aims to create space between teeth before molar band placement. This procedure can cause pain for the patient. Pain management after separator placement can be done through pharmacological and non-pharmacological approaches.Method: The aim of this rapid review was to determine the efficacy of laser therapy and ibuprofen for pain management after elastomeric separator placement in orthodontic treatment.Result: Ten articles were included in this review, four articles gave laser therapy interventions and six articles gave ibuprofen therapy interventions. The result of the quality assessment using Strength of Recommendation Taxonomy (SORT) was laser therapy intervention has one good quality articles and three limited-quality articles, while ibuprofen therapy has two good quality articles and four limited-quality articles.Conclusion: The efficacy of laser therapy and the efficacy of ibuprofen on pain after separator placement is good, with the strength of the clinical recommendation of ibuprofen is better than laser therapy.
CORRECTING CLASS II MALOCCLUSION IN GROWING PATIENTS USING TWIN-BLOCK FOLLOWED BY FIXED APPLIANCES: CASE REPORT Akmalia, Ishlahil; Andriani, Vina; Mardiati, Endah
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 Tan, Valencia Ignes; Paskalin, Zenith; Laviana, Avi; Evangelina, Ida Ayu; Sayuti, Elih; Mardiati, Endah
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 Fatonah, Endah; Paskalin, Zenith; Mardiati, Endah; Evangelina, Ida Ayu; Laviana, Avi
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 Nurfiqoh, Muhammad Khizfi; Kartika, Dewi Sri; Laviana, Avi; Evangelina, Ida Ayu; Mardiati, Endah
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