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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

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 Camouflage Orthodontic Treatment of Class II Malocclusion with Maxillary Severe Crowding: A Case Report Leni Paramita Nurmalini; Debrinna Rezaumami; Avi Laviana
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol. 14 No. 1 (2025): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v14i1.26151

There are some limitations of conventional orthodontic treatment in class II skeletal malocclusion. Ideally, skeletal malocclusion needs surgical orthodontic treatment, but mild to moderate class II skeletal malocclusion can be treated with camouflage orthodontic treatment. This report aims to present that the goal of camouflage treatment of skeletal class II is to disguise the unacceptable skeletal relationship by orthodontically moving teeth, such as extraction of upper premolars followed by anterior retraction. Confidence issues brought a 19-year-old female to RSGM Universitas Padjadjaran. She exhibits skeletal malocclusion symptoms such as a convex facial profile, SNA: 84°, SNB: 78° with ANB: 6°, moderate crowding in the mandibular arch, palatoversion and rotation of the second premolars, a deep overbite (5 mm), a large overjet (5,5 mm), and a shifted midline in the maxillary and mandibular, measuring 2 mm and 1.5 mm, respectively. The first course of therapy was removing the lower left second premolar and the upper two-second premolars—a prescription for braces with MBT 0.022 inch pre-adjustments. Anchorage was strengthened by placing TPA in the maxillary arch. Treatment was finished in 22 months. This case report presents the successful management of camouflage orthodontic treatment of class II skeletal malocclusion by extracting maxillary premolars and unilateral extraction of mandibular premolars to create space and relieve crowding teeth. This treatment was able to change the overbite, overjet, and convexity of the patient's profile to normal. The patient was delighted with the treatment results because she had more confidence when smiling.

Correlation between patient satisfaction with the use of a removable retainer and compliance: a correlational study Omar, Naufal Halef; Sayuti, Elih; Laviana, Avi
Padjadjaran Journal of Dentistry Vol 37, No 2 (2025): July 2025
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no2.59727

Introduction: Removable retainers are one of the devices used after active orthodontic treatment. Their use requires patient compliance with the prescribed wearing time; however, many patients remain non-compliant due to dissatisfaction with the removable retainer. This study aims to analyze the correlation between patient satisfaction with the use of a removable retainer and compliance. Methods: The research method used is correlational analysis. This study uses primary data collected through online questionnaires via Google Forms to patients of the Universitas Padjadjaran Dental Hospital, aged 18-45 years, who have undergone orthodontic treatment with fixed appliances followed by the use of removable retainers for 1-24 months. The total sample consists of 38 subjects. The seven questions assessing satisfaction were used to calculate each respondent’s total satisfaction score. The data were analyzed using the Spearman correlation test. Results: The data show that the majority of research subjects were satisfied (44.7%), and more than half were classified as compliant (57.9%). The correlation between patient satisfaction while using a removable retainer and compliance with its use resulted in a correlation coefficient of 0.447, with a significance value of 0.002 (p value<0.05). Conclusion: There is a moderately strong positive correlation between patient satisfaction with a removable retainer and patient compliance in wearing it.

The influencing factors of citizen of Bandung preferences towards dental quack on constructing custom-made orthodontic appliances Zakyah, Akhyar Dyni; Rosabella, Shekarwangi; Hafizoh, Nuzulul; Laviana, Avi; Setiawan, Asty Samiaty
Padjadjaran Journal of Dentistry Vol 28, No 3 (2016): November 2016
Publisher : Universitas Padjadjaran

Introduction: Braces often used in the treatment of malocclusion. However, in recent years malocclusion no longer becomes the reason for orthodontic treatment. Many people use it merely for a lifestyle purpose, and most of them got it from the dental quack. This study was aimed to understand the influencing factors of the citizen of Bandung preferences towards dental quack on constructing custom-made orthodontic appliances. Methods: This study was a cross-sectional study with purposive sampling technique consisted of 30 samples. The inclusion criteria were subject wearing dental quack custom-made orthodontic appliance; citizen of Bandung; and willing to participate in the study. Exclusion criteria were subject refused to participate in the study. Results: The study showed that most of the subject (73%) were using the treatment for the teeth alignment, and only a few were using for the lifestyle purpose only. From all subjects wearing orthodontic appliance, 63% of them were chosen dental quack custom-made orthodontic appliance due to the lower price, and 37% of the rest due to peer’s suggestion who had it before. The combination of the low income with the needs of orthodontic treatment and inadequate information regarding orthodontic appliance such as dental braces affected the subjects preferences towards the dental quack custom-made orthodontic appliance. Overall, the socioeconomic environment is the most influencing factor of preference. Conclusion: A lower price was the most influencing factor of high preferences for the dental quack custom-made orthodontic appliance.

Index of orthodontic treatment needs (IOTN) on orthodontic patients at post graduate orthodontics Othman, Nurul Amalina; Salim, Jono; Laviana, Avi
Padjadjaran Journal of Dentistry Vol 24, No 2 (2012): July 2012
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol24no2.26826

Introduction: Index of Orthodontic Treatment Need (IOTN) was first developed by Brook and Shaw (1989) as a system for grading malocclusions, has 2 components, AC (Aesthetic Component) that shows patient’s subjective needs and DHC (Dental Heath Component) that reveals objective needs for orthodontic treatment. The objective of this research was to know the severity of malocclusion based on IOTN index of orthodontic patients at Post Graduate Orthodontic Clinic Faculty of Dentistry Universitas Padjadjaran from year 2009 to 2010. Method: This descriptive research was done by using data from dental study models of the patients and anterior scale photographs of the patients from the Orthodontic PPDGS students, Faculty of Dentistry Universitas Padjadjaran. Result: The result of this research shows DHC 59.63% of the patients had definite need for treatment, while 27.52% of the patients had borderline need for treatment and the rest 12.85% of the patients had no need or little need for orthodontic treatment. Meanwhile, according to AC, 49.54% of the patients had no need or little need for treatment, while 33.03% of the patients had definite need for treatment and 17.43% of the patients expressed borderline need for treatment. Conclusion: In a nut shell, by using DHC of IOTN, the highest percentage of patients is in definite need for treatment category. However by using AC of IOTN, the highest percentage of patients is in no need or little need for treatment category.

Orthodontic management of angle Class III malocclusion with severe anterior crowding Retyoningrum, Gita; Paskalin, Zenith; Sayuti, Elih; Laviana, Avi; Evangelina, Ida Ayu; Mardiati, Endah
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.105794

Dental malocclusion Class III is a challenging condition characterized by a Class III molar relationship, and it has a specific anterior condition according to Dewey classification. In some cases, Class III dental malocclusion with skeletal Class I may present with a convex rather than a concave profile. Several methods are available to correct a convex profile, including extraction, full arch distalization using TADs, intermaxillary elastic Class II, anterior segment retraction, and others. Combining more than one of these methods can be effective in correcting a convex profile. An 18 year-old woman presented to RSGM Universitas Padjadjaran with a diagnosis of Angle Class III dental malocclusion, skeletal Class I with a convex profile, normal maxillary incisor inclination, asymmetric profile, severe anterior crowding in both arches, minimal overjet, anterior crossbite, upper midline shift, clockwise rotation and high-angle mandible, and lingual inclination of the mandibular incisors. The patient was treated with a Roth prescription fixed orthodontic appliance. Maxillary and mandibular first premolars were extracted to create space, and lacebacks were applied to the canines to correct severe anterior crowding]. Bilateral intermaxillary Class III elastics were used to maintain the facial profile and prevent it from becoming concave. Treatment was completed in 18 months, achieving a Class I molar relationship, midline correction, optimal overbite and overjet, and preservation of the facial profile. This case report presents the orthodontic management of Angle Class III malocclusion with skeletal Class I and severe anterior crowding, successfully treated with first premolar extractions while maintaining a convex profile.

The utilization of infra-zygomatic crest (izc) bone screw in non-extraction treatment of class II malocclusion: A Case Report Andriani, Vina; Paskalin, Zenith; Laviana, Avi; Evangelina, Ida Ayu; Mardiati, Endah; Sayuti, Elih
Padjadjaran Journal of Dentistry Vol 37, No 3 (2025): November 2025
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no3.62842

Introduction: Temporary Anchorage Devices (TADs), absolute anchorage systems with minimal side effects on orthodontic mechanical movements, can be alternatives to wider non-surgical, non-extraction, and non-compliance treatments. The placement of extra-radicular mini-screws at the infra zygomatic crest (IZC) is one of the most commonly used approaches for skeletal anchorage. Maxillary arch distalization with IZC can be effectively performed in Class II malocclusion patients with large overjet using non-extraction treatment, especially due to increasing patient demands to avoid extractions. The aim of this case report is to demonstrate the effectiveness of infrazygomatic crest (IZC) extra-radicular TADs for maxillary distalization in a Class II malocclusion cases treated without extractions. Case report: A 16-year-old female patient came to the Orthodontic Clinic with the complaint of forward upper teeth, Class II Angle malocclusion and Class I skeletal with a convex facial profile, deep overbite, overjet 6 mm, posterior scissor bite, diastema between teeth 32-33, and deep curve of Spee. The patient was treated with non-extraction fixed orthodontics using a self-ligating system prescription, utilizing extra radicular Temporary Anchorage Devices (TADs) at the infra zygomatic crest measuring 2 x 12 mm for maxillary retraction. Following the maxillary retraction treatment, successful outcomes were achieved as the overjet decreased from 6 mm to 3 mm; Class I molar and canine relationships were established; and the distance from I to NA was reduced from 11 mm to 5 mm. Conclusion: The clinical use of infra-zygomatic crest (IZC) bone screw in non-extraction treatment of Class II malocclusion case was successfully conducted with non-extraction fixed orthodontic treatment.

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

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.

CURRENT TREND IN RESEARCH ABOUT INVISALIGNÂ® SUCCESS OUTCOME: A SYSTEMATIC REVIEW USING PRISMA GUIDELINE Zakyah, Akhyar Dyni; Laviana, Avi
Odonto : Dental Journal Vol 8, No 2 (2021): December 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

ABSTRACTBackground: While some researches have claimed that InvisalignÂ® is successful in creating meaningful tooth movement, there is still no comprehensive literature review that summarizes them using one valid and reliable parameter. American Board of Orthodontics-Model Grading System (ABO-MGS) is an objective measurement for the success of orthodontic treatment. This systematic review is determined to provide scientific pieces of evidence to prove the truth of the claim using ABO-MGS. Method: English-based health sciences journal databases were searched using "Invisalign" and "Model Grading System". The databases included in this study were Pubmed, Ebscohost, Google Scholar, ScienceDirect, and MEDLINE. Inclusion criteria were clinical cross-sectional, cohort, or case-control study using human subjects who finished Invisalign treatment. Two independent authors summarized the data from the obtained articles using predefined data fields and discussed the data result together. Result: Out of 60 studies found during the identification process, only 6 studies were included in the qualitative analysis. Only one of them studied the efficacy of InvisalignÂ® by using ABO-MGS to measure the pre- and post-treatment model. InvisalignÂ® mostly successful in creating change for alignment, overjet, and interproximal contact. Other categories were not that successful to be treated with Invisalign. Conclusion: InvisalignÂ®â€˜s success is mostly pursued by correcting the malocclusion in the anterior region. Given the scarce amount of reliable evidence available, it is suggested that more studies are required to be able to draw a further conclusion.

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

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.

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