Avi LAVIANA
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Stability of protraction Facemask/Rapid Maxillary Expansion in skeletal class III malocclusion with maxillary deficiency: Rapid Review Citra Elitasari Rigel PUTRI; Avi LAVIANA; Gita GAYATRI
Journal of Syiah Kuala Dentistry Society Vol 7, No 1 (2022): Juni 2022
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v7i1.27254

Abstract

this study aimed to evaluate the stability of PFM/RME outcomes in class III skeletal malocclusionwith maxillary deficiency performed during childhood. Electronic database search conducted from 2011-2020 withcriteria RCT, clinical trials, and cohort studies with a treatment group of class III skeletal malocclusion withmaxillary deficiency patients, using PFM/RME and a minimum of 2 years follow-up. The PFM/RME device hasbeen commonly used for maxillary protraction in cases of maxillary growth deficiency and is used duringchildhood. The stability of the PFM/RME protocol results aims to maintain the best possible treatment results.There were 439 articles from the preliminary search. Six articles were included in this study, two articles were RCTtypes, and the other four were CCT types. Clinical evaluation and cephalometric are used to evaluate skeletal anddentoalveolar changes. 68%-90% of participants maintained overjet until the follow-up period ended. PFM/RMEprotocol reduced the need for orthognathic surgery by 3,5 times compared with a control group with notreatment.PFM/RME treatment can effectively show in the short term from skeletal dan dentoalveolar changes.There were relapses during the long-term follow-up period. Further evaluation and research are needed regardingthe long-term stability of PFM/RME outcomes. KEYWORDS: Class III malocclusion, Growth modification, Maxillary deficiency Protraction facemask (PFM), Rapidmaxillary expansion (RME)
SUCCESSFUL TREATMENT OF CLASS III DENTOSKELETAL MALOCCLUSION WITH LOWER MOLAR EXTRACTION Valencia Ignes Tan; Zenith Paskalin; Avi Laviana; Ida Ayu Evangelina; Elih Sayuti; Endah Mardiati
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 Endah Fatonah; Zenith Paskalin; Endah Mardiati; Ida Ayu Evangelina; Avi Laviana
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 Muhammad Khizfi Nurfiqoh; Dewi Sri Kartika; Avi Laviana; Ida Ayu Evangelina; Endah Mardiati
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