Sri Suparwitri
Universitas Gadjah Mada

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Perawatan Maloklusi Angle Klas II Divisi 1 Menggunakan Bionator Myofungsional Ragil Irawan; Sri Suparwitri; Soekarsono Hardjono
Majalah Kedokteran Gigi Indonesia Vol 21, No 1 (2014): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1079.803 KB) | DOI: 10.22146/majkedgiind.8532

Abstract

Maloklusi Angle klas II divisi 1 mempunyai ciri tonjol mesiobukal molar pertama atas beroklusi dengan interdental premolar kedua  dan molar pertama bawah, jarak gigit yang besar, lengkung gigi sempit dan profil cembung. Bionator pertama kali diperkenalkan oleh Balter dan merupakan alat ortodontik myofungsional yang digunakan untuk merawat diskrepansi rahang. Tujuan pemaparan kasus adalah menyajikan kemajuan kasus maloklusi Angle Klas II divisi 1 disertai diskrepansi rahang menggunakan alat myofunctional bionator. Seorang perempuan berusia 13 tahun mengeluhkan gigi depan atas maju. Diagnosis pasien maloklusi Angle klas II divisi 1, hubungan skeletal klas II dengan protrusif maksila dan retrusif mandibula, protrusif insisivus atas disertai palatal bite, cross bite posterior, jarak gigit 11 mm, tumpang gigit 5,25 mm, SNA 84°, SNB 76°. Pasien dirawat menggunakan alat myofungsional bionator. Hasil perawatan setelah satu tahun overjet menjadi 6,25 mm dan SNB 78°. Kesimpulannya adalah alat myofungsional bionator efektif untuk merawat maloklusi Angle Klas II divisi 1 yang disertai diskrepansi rahang.Class II division 1 Angle Malocclussion Treatment  Using  Myofunctional  Bionator. Malocclusion Angle Class II division I is characterized by the upper mesio-buccal cups first permanent molars occludes in interdental second bicuspid and lower first molar permanent, increased overjet, narrow arch form, and convex profile. Bionator originally developed by Balter and used to treat jaw discrepancy. The goal of this case is to present the progress of myofunctional bionator appliance in treating malocclusion Class II division 1 with jaw discrepancies. A Female 13 years old complained protrusive anterior teeth. Diagnosis is malocclusion Angle Class II division I, class II skeletal relationship with maxilla protrusive, mandible retrusive, protrusive upper incisor, palatal bite, posterior cross bite, overjet 11 mm, overbite 5,25 mm SNA 84°, SNB 76°. Myofunctional bionator appliance used to treat the patient. Result after one year treatment, overjet reduce to 6,25 mm dan SNB 78°. The Conclusion is Myofunctional Bionator appliance effective to treat malocclusion Anlge Klas II division I with jaw discrepancies.
Perawatan Maloklusi Angle Kelas I disertai Impaksi Kaninus Maksila Menggunakan Alat Cekat Begg Darmayanti Dian Suryani; Sri Suparwitri; Soekarsono Hardjono
Majalah Kedokteran Gigi Indonesia Vol 21, No 2 (2014): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (585.405 KB) | DOI: 10.22146/majkedgiind.8755

Abstract

Gigi kaninus sangat penting untuk estetika dan fungsi mastikasi seseorang. Impaksi gigi adalah gagalnya gigi untuk muncul ke dalam lengkung gigi yang dapat disebabkan karena kekurangan ruang, adanya sesuatu yang menghalangi jalur erupsi gigi atau karena faktor keturunan. Prevalensi impaks gigi kaninus maksila adalah 0,9-2,2%, sedangkan impaksi gigi kaninus mandibula lebih jarang terjadi. Alternatif perawatan gigi impaksi kaninus maksila adalah operasi exposure dan diikuti dengan kekuatan ortodontik untuk membantu erupsi dengan alat cekat ortodontik. Tujuan dari perawatan adalah untuk koreksi malrelasi dan malposisi gigi geligi, khususnya koreksi gigi kaninus impaksi menggunakan teknik Begg. Pasien laki-laki, 19 tahun, gigi sangat berjejal, gigi kaninus kanan kiri rahang atas dan gigi kaninus kanan rahang bawah impaksi, kelas I, deep overbite, overjet 3 mm dan overbite 8,8 mm. Perawatan dilakukan dengan menggunakan alat cekat Begg dengan tanpa pencabutan. Operasi exposure dilakukan untuk membuka gigi kaninus kanan kiri atas yang impaksi yang diikuti perekatan braket ortodontik. Kawat busur multiloop, anchorage bend dan elastik intermaksiler klas II digunakan pada tahap leveling dan unraveling. Dalam waktu 14 bulan,overbite terkoreksi, gigi kaninus kanan kiri atas sudah erupsi, overjet 3,00 mm, overbite 3,00 mm. Saat ini perawatan masih berlangsung pada tahap leveling dan unraveling untuk koreksi kaninus yang impaksi. Perawatan maloklusi angle klas I dengan berjejal dan impaksi kaninus maksila dapat dilakukan dengan operasi exposure gigi kaninus impaksi diikuti alat cekat Begg. Orthodontic Treatment of Class I Malocclussion with Canine Impaction Using Begg Fixed Appliance. Canine is very important for aesthetic and masticatory function. Impaction refers to a failure of tooth to presence into the dental arch, usually due to either space deficiencies, the presence of an entity blocking the path of tooth eruption or due to hereditary factors. Prevalence of maxillary canines impaction is 0.9 to 2.2%, while the mandibular canine impaction is less common. Alternative dental care is impacted maxillary canine exposure surgery and followed by orthodontic force for help the eruption with fixed orthodontic appliance. The goal of treatment is to correct malrelation and malposition of teeth. Patient man, 19 years old, very crowded teeth, maxillary right and left canine and mandibular right canine impaction, Angle Class I, deep overbite, 3 mm overjet and overbite 8,8 mm. Treatments performed using Begg fixed appliances without extraction. Exposure surgery is done under the right and left maxillary canine impaction followed orthodontic bracket bonding. Multiloop arch wire, bend and elastic anchorage intermaksiler class II used at the stage of leveling and unraveling. Within 14 months, overbite was corrected, maxillaryr right and left canine eruption, Angle Class I canine relationship, 3.00 mm overjet, 3,00 mm overbite. Current treatment is still ongoing at leveling and unraveling stage. Treatment angle malocclusion class I with maxillary canine impaction can be done by exposure surgery followed by Begg fixed appliances.
Perawatan Maloklusi Angle Klas I dengan Gigi Depan Crowding Berat dan Cross Bite Menggunakan Teknik Begg pada Pasien dengan Kebersihan Mulut Buruk Sri Wahyuningsih; Soekarsono Hardjono; Sri Suparwitri
Majalah Kedokteran Gigi Indonesia Vol 21, No 2 (2014): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (630.465 KB) | DOI: 10.22146/majkedgiind.8758

Abstract

Gigi depan crowding/berjejal parah dan cross bite adalah kasus yang sering dijumpai pada perawatan ortodontik. Gigi crowding dapat menyulitkan membersihkan mulut pada area gigi crowding sehingga dapat menyebabkan masalah periodontal. Salah satu keuntungan perawatan ortodontik cekat dengan teknik Begg adalah menghasilkan gaya yang ringan dalam megkoreksi gigi berjejal dan cross bite dapat memberikan kenyamanan pada pasien. Tujuan perawatan ini adalah untuk mengkoreksi gigi berjejal dan cross bite dalam waktu yang singkat menggunakan teknik Begg. Seorang pasien wanita umur 24 tahun dengan maloklusi Angle klas I dan skeletal klas III protrusif mandibula, gigi depan crowding berat dan cross bite, konstraksi lengkung pada kedua rahang, pergeseran median line rahang atas dan bawah disertai, gingivitis berat dan karies. Skaling, perawatan saluran akar dan pencabutan gigi non vital dilakukan sebelum perawatan ortodontik dilakukan. Koreksi dengan teknik Begg memerlukan waktu selama 6 bulan untuk mengkoreksi gigi crowding dan cross bite semuanya dalam waktu yang sama. Koreksi kasus gigi depan crowding berat dan cross bite disertai masalah periodontal dapat dilakukan dengan teknik Begg dalam waktu yang singkat dengan kemajuan yang bagus. Treatment of Class I Angle Malocclusion with Severe Crowding and Crossbite of Anterior Teeth Using Begg Technique in Bad Oral Hygiene Patient. The severe crowding and cross bite of anterior teeth were very common type cases in orthodontic. Crowding teeth compromised the oral hygiene due to the difficulty in oral cleansing on the crowding area that cause periodontal problem. One of advantages of fixed orthodontic treatment using Begg technique produced the light forces in correcting crowding and cross bite could give convenience to patients. The purpose of this treatment is to correct crowding and cross bite in a short period of time using Begg technique. A 24 years old female patient with Class I Angle malocclusion and class III skeletal pattern mandible protrusion, severe crowding and cross bite of anterior teeth, constricted dental arch on both jaws, mid shifting on the upper and lower arch compromised with severe gingivitis as well as caries. Scaling, root canal treatment and extraction of the non vital teeth were done before starting orthodontic treatment. The correction using Begg technique took 6 months to correct all the crowding and cross bite at the same time. The correction of the severe crowding case with cross bite of anterior teeth as well as periodontal problem can be done with Begg technique in short period of time with a good improvement.
Perawatan Maloklusi Klas II Divisi 1 Dentoskeletal Disertai Retrusi Mandibula Dengan Alat Fungsional Bionator Afini Putri Luthfianty; Sri Suparwitri; Soekarsono Hardjono
Majalah Kedokteran Gigi Indonesia Vol 21, No 2 (2014): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (555.217 KB) | DOI: 10.22146/majkedgiind.8759

Abstract

Maloklusi klas II divisi 1 dentoskeletal disertai dengan retrusi mandibula dan lengkung rahang yang sempit dapat terjadi akibat dari faktor keturunan dan diperparah oleh kebiasaan buruk. Kondisi maloklusi tersebut ditandai dengan adanya palatal bite dan overjet yang besar. Perawatan maloklusi klas II divisi 1 pada masa pertumbuhan dan perkembangan dapat dilakukan dengan menggunakan alat ortodontik fungsional, salah satunya adalah Bionator. Pemilihan bionator bertujuan untuk menuntun rahang bawah untuk bergerak ke posisi yang diinginkan dan memperlebar lengkung rahang. Tujuan dari penulisan laporan kasus ini adalah menyajikan hasil kemajuan perawatan maloklusi klas II divisi 1 dengan menggunakan alat ortodontik fungsional Bionator. Pasien perempuan berumur 12 tahun mengeluhkan gigi depan atas maju sehingga mengganggu penampilan. Diagnosa kasus adalah maloklusi klas II divisi 1 dentoskeletal disertai dengan retrusi mandibula, bidental protrusif, palatal bite, kontraksi lengkung rahang dan malposisi gigi individual. Pasien dirawat dengan menggunakan alat ortodontik fungsional Bionator. Perawatan setelah tiga bulan, secara klinis terlihat profil pasien terkoreksi, overjet berkurang, palatal bite hilang, dan open bite posterior. Treatment of dentoskeletal class II division I with mandibula retrussion using Bionator appliance. Malocclusion Class II division 1 dentosceletal followed with mandibular retrusion and contraction of arch could be happened by genetic and bad habit. It was showed with severe palatal bite and overjet. In the development and growth phase, the treatment for that condition is fuctional appliance, such as Bionator. Bionator arranged lower jaw to the good position and distraction the arch. The purpose of this case report is to present the treatment of malocclusion dentosceletal Class II division 1 with fuctional appliance Bionator. A 12 years old female patient complained of front upper teeth are protrusive. Diagnosis is malocclusion Class II division 1 dentosceletal followed with mandibular retrusion, bidental protrusive, palatal bite, contraction of jaw and malposition individual teeth. The patient treated with fuctional appliance Bionator. After 3 months treatment, patient`s profile corrected, decreased overjet, no palatal bite, and open bite posterior. 
Morphological changes of alveolar bone due to orthodontic movement of maxillary and mandibulary incisors Pinandi Sri Pudyani; Darmawan Sutantyo; Sri Suparwitri
Dental Journal (Majalah Kedokteran Gigi) Vol. 41 No. 1 (2008): March 2008
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 (291.381 KB) | DOI: 10.20473/j.djmkg.v41.i1.p21-24

Abstract

Ideally in orthodontic tooth movement, alveolar bone will follow its movement, therefore, the ratio between bone remodeling and tooth movement is 1:1. The problem whether the ratio is valid for all kinds of tooth movement such as: tipping, torquing, or bodily, or it could be applied in tooth movement of all directions such as facially, lingually or sagitally. Various studies also showed many different ideas. Some studies state that root dehiscence and fenestration are frequently found in final orthodontic treatment and some other state that bone remodeling can compensate tooth movement. The purpose of this study was to know the changes of alveolar bone morphology caused by anterior tooth movement. The conclusion is remodeling compensation is not matched with the extension of tooth movement, thus there are many cases of root dehiscence and fenestration after orthodontic treatment.
Effects of soy isoflavone genistein on orthodontic tooth movement in guinea pigs Sri Suparwitri; Pinandi Sri Pudyani; Sofia Mubarika Haryana; Dewi Agustina
Dental Journal (Majalah Kedokteran Gigi) Vol. 49 No. 3 (2016): September 2016
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 (294.189 KB) | DOI: 10.20473/j.djmkg.v49.i3.p168-174

Abstract

Background: Osteoblast and osteoclast are the important factor in periodontal tissue remodeling for the orthodontic treatment success. Resorption process takes place in compression area by osteoclast and apposition in the tension area by osteoblast. In general hormone condition and age affect remodeling process. Estrogen has a high contribution in remodelling process and decreased in elderly individual such as menopausal women. Soybean contains isoflavone genistein which has similar structure and activity to estrogen. Many researchers indicate that isoflavone genistein not only has an inhibitor effect in osteoporosis but also has estrogenic and antiestrogenic effect as well. Purpose: The study aimed to investigate the effect of soybean isoflavone genistein administration on osteoblast and osteoclast cells number in orthodontic tooth movement of young and old guinea pigs. Method: The research was quasi-experimental study with post test only with control design. The experimental animals were 24 male guinea pigs that divided into: young guinea pigs (±4 months old) and old guinea pigs (±2.5 years old). Each group was divided into 4 subgroups for receiving the treatment namely; control, orthodontic treatment, genistein treatment and orthodontic+genistein treatment. All of the subjects were sacrificed at day 7 and the specimens were histologically analyzed using tartrate resistance acid phosphatase (TRAP) and hematoxylin eosin (HE) staining and observed using microscope that connected to obtilab and an image raster program. Result: U Mann-Whitney statistical analysis showed there were significant differences in osteoblast cell numbers; between orthodontic treatment and orthodontic+genistein treatment in the old guinea pigs (p=0.004); between orthodontic treatment in the young guinea pig and orthodontic+genistein treatment in the old guinea pig (p=0.016); between orthodontics treatment and orthodontic+genistein treatment in the young guinea pigs (p=0.025). U Mann-Whitney statistical analysis showed there were significant differences in osteoclast cell numbers: between the orthodontic treatment in the old guinea pig and orthodontics+genistein treatment in the young guinea pigs (p=0.007); between orthodontic treatment group in the young guinea pigs and orthodontics+genistein treatment in the old guinea pigs; between orthodontic treatment and orthodontic+ genistein treatment in the young guinea pigs (p=0.007). All groups administered by genistein the numbers of osteoblast in the surrounding of the tension sites increased, while in the surrounding of the compression sites had less osteoclasts; even, there were no osteoclasts found in some samples. Conclusion: Soybean isoflavone genistein administration on orthodontic tooth movement increased osteoblast numbers in the tension sides and decreased osteoclast numbers in the compression sides.
Rinsing effect of 60% bay leaf (Syzygium polyanthum wight) aqueous decoction in inhibiting the accumulation of dental plaque during fixed orthodontic treatment Fitria Avriliyanti; Sri Suparwitri; Ananto Ali Alhasyimi
Dental Journal (Majalah Kedokteran Gigi) Vol. 50 No. 1 (2017): March 2017
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 (570.888 KB) | DOI: 10.20473/j.djmkg.v50.i1.p1-5

Abstract

Background: Fixed orthodontic appliance patients have a high risk to increasing plaque accumulation in tooth surface due to the presence of fixed appliance components. Using mouthwash with antibacterial agent from herbal material can control dental plaque accumulation. Bay leaf (BL) contains active compounds such as essential oil, tannin and flavonoid that have been known as an antibacterial agent. Purpose: The purpose of this study was to determine the effect of rinsing with 60% of BL aqueous decoction to the accumulation of dental plaque in fixed orthodontic appliance patients. Method: This research was an experimental clinical research with pretest and post-test control group design conducted on 20 subjects with age ranged between 18-25 years old. All subjects were undergoing the last stage (finishing) of fixed active orthodontic treatment. The subjects were instructed to rinse with 60% of BL aqueous decoction and 0.2% chlorhexidine as a control. Wash out period that needed between rinsing with 60% of BL aqueous decoction and rinsing with 0.2% chlorhexidine was 7 days. Each mouthwash used routinely for 7 days with same duration and intensity. Plaque scoring was measured before and after each treatment using Orthodontic Plaque Index (OPI). Result: One-way Anova test showed that there was a significant difference in the plaque index before and after treatment between the group of rinsing with 60% of BL aqueous decoction and group of rinsing with chlorhexidine (p<0.05). Conclusion: Rinsing with 60% BL aqueous decoction can decrease the accumulation of dental plaque in fixed orthodontic appliance patients.
Effect of caffeine in chocolate (Theobroma cacao) on the alveolar bone mineral density in guinea pigs (Cavia cobaya) with orthodontic tooth movement Bramita Beta Arnanda; Sri Suparwitri; Pinandi Sri Pudyani
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 3 (2020): September 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.i3.p164-169

Abstract

Background: The benefits of chocolate have attracted significant attention from clinicians, especially the active compound of caffeine on bone metabolism. The bone density significantly affected the rate of tooth movement. Purpose: This study aims to analyse the effect of the dose and the duration of caffeine consumption in chocolate on alveolar bone mineral density in orthodontic tooth movement. Methods: Forty-eight male guinea pigs (Cavia cobaya) aged between 3-4 months and weighing 300-350 grams were divided into four groups (group A control, group B caffeine dose of 2.3 mg, group C caffeine dose of 3.45 mg, and group D caffeine dose of 4.6 mg). An open coil spring was applied to the mandibular inter-incisor with an orthodontic force of 35 grams. Guinea pigs were sacrificed using lethal doses of anaesthetics on days 0, 1, 7, and 14 after an orthodontic appliance installation. Mandibular alveolar bone mineral density in compression sites was analysed with an atomic absorption spectrophotometer (AAS). Experiment data results were analysed using two-way ANOVA with a 95% degree of confidence. Results: Caffeine consumption with a dose of 4.6 mg on day 7 had the lowest alveolar bone mineral density and the highest was at a dose of 2.3 mg on day 14, but there were no differences between the dose groups, the duration groups and interactions between both of them (p>0.05). Conclusion: The consumption of caffeine in chocolate did not decrease the bone mineral density in the compression site of orthodontic tooth movement.
Pengaruh faktor umur dan pemberian serbuk biji gandum terhadap jumlah osteoblas pada pergerakan gigi secara ortodontiThe effect of age and wheat seed powder application on the number of osteoblasts on orthodontic tooth movement Idayu Nafila; Putri Aulia Sari; Annisa Firdha; Sri Suparwitri
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2020): Desember 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.27923

Abstract

Pendahuluan: Pergerakan gigi pada perawatan ortodonti merupakan kombinasi proses resorpsi oleh osteoklas pada daerah tertekan dan aposisi oleh osteoblas pada sisi tertarik sehingga terjadi remodeling tulang. Remodeling tulang dipengaruhi umur dan hormon estrogen. Biji gandum (Triticum aestivum) merupakan fitoestrogen yang memiliki struktur dan fungsi seperti hormon estrogen. Tujuan penelitian menganalisis pengaruh faktor umur dan pemberian serbuk biji gandum terhadap jumlah osteoblas pada pergerakan gigi secara ortodonti pada tikus Sprague dawley muda dan tua. Metode: Jenis penelitian eksperimental laboratoris dengan menggunakan 36 subjek tikus Sprague dawley jantan yang terbagi menjadi kelompok muda (4-5 minggu) dan tua (18-20 minggu). Setiap grup akan dibagi menjadi 2 subgrup untuk menerima perlakuan yaitu: kelompok kontrol dengan perlakuan insisivus maksila digerakan ke distal menggunakan koil spring dan kelompok perlakuan yang diberi serbuk biji gandum dengan dosis 1,08 g dan perlakukan insisivus maksila digerakan ke distal menggunakan koil spring. Subjek hewan coba dieutanasia menggunakan anestesi dosis mematikan dan dilakukan pemotongan rahang atas pada regio kedua insisivus pada hari ke 1, 4, dan 7. Osteoblas dianalisis secara histologi dengan pengecatan hematoksilin eosin. Perhitungan jumlah osteoblas dilakukan dengan menggunakan mikroskop optilab. Hasil: Jumlah osteoblas kelompok muda lebih banyak dibandingkan kelompok tua. Pemberian serbuk biji gandum dapat meningkatkan jumlah osteoblas pada kelompok tua maupun muda. Pemberian serbuk biji gandum menunjukan pengaruh  signifikan p<0,001 (p<0,05) terhadap jumlah osteoblas Simpulan: Terdapat pengaruh faktor umur dan pemberian serbuk biji gandum terhadap peningkatan jumlah osteoblas pada pergerakan gigi secara ortodonti, osteoblas pada tikus berumur muda lebih banyak dibandingkan dengan tikus berumur tua.Kata kunci: Osteoblas, pergerakan gigi secara ortodonti, serbuk gandum, fitoestrogen, tikus Sprague dawley. ABSTRACTIntroduction: Tooth movement in orthodontic treatment is a combination of osteoclasts resorption in the stressed area and osteoblast apposition on the pulled side, resulting in bone remodelling. Bone remodelling is influenced by age and estrogen hormone. Wheat seeds (Triticum aestivum) are phytoestrogens with estrogen-like structure and function. This study was aimed to analyse the effect of age and wheat seed powder on the number of osteoblasts on orthodontic tooth movement in young and old Sprague-Dawley rats. Methods: This study was an experimental laboratory using 36 male Sprague-Dawley rats divided into young (4-5 weeks) and old (18-20 weeks) groups. Each group will be divided into two subgroups to receive treatment, namely: the control group with the treatment of the maxillary incisors moved distally using a coil spring and the treatment group treated with wheat seed powder at a dose of 1.08 g and treated the maxillary incisors were moved distally using a coil spring. Animal subjects were euthanised using lethal doses of anaesthesia, and the maxilla was cut in the second region of the incisors on the 1st, 4th, and 7th days. Osteoblasts were analysed histologically by eosin hematoxylin staining. The number of osteoblasts was calculated using an Optylab microscope. Results: The number of osteoblasts in the young group was found to be higher than the old group. The application of wheat seed powder can increase the number of osteoblasts in the young and old groups. The application of wheat seed powder showed a significant (p<0.001 (p<0.05)) on the number of osteoblasts. Conclusion: There was an effect of age and wheat seed powder on the increase in the number of osteoblasts on orthodontic tooth movement. The young rats have more osteoblasts compared to the old rats.Keywords: Osteoblasts, orthodontic tooth movement, wheat seed powder, phytoestrogen, Sprague-Dawley rats.
Removable orthodontic appliance for extrusion of single upper anterior tooth and crowding lower anterior in adult: a case report Zenia A. Utomo; Sri Suparwitri
Journal of Dentomaxillofacial Science Vol. 5 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (693.91 KB) | DOI: 10.15562/jdmfs.v5i1.977

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Objective: Supra-eruption maxillary incisor is a usual case that finding in dental practice. Over eruption of such tooth and crowding can lead for traumatic occlusion and functional disturbance. This case report presented patient 26-year-old female class I malocclusion with supra-eruption right central incisor maxillary caused of traumatic and anterior mandibular mild crowding. Methods: This treatment option indicated for orthodontic removable appliance due to small discrepancy. Interproximal enamel reduction as an alternative to solve the problem of mandibular negative space discrepancy. The simple modification in removable orthodontic appliance used with glass ionomer cement on labial surface of right central incisor maxillary. Malposition of lower teeth was corrected with modification of the Hawley appliance consisting of labial arch, adam clasp, and simple spring.Results: After 5 months 14 days treatment, supra-eruption right central incisor maxillary has corrected usage of removable orthodontic appliance with glass ionomer cement on labial surface. Anterior mandibular mild crowding has corrected with removable appliance. Conclusion: Successful orthodontic results with this treatment option will achieve by a careful diagnosis, establish with the aid of a diagnostic setup, professional skills, and patient cooperative.