Avi Laviana
Departemen Ortodonti, Fakultas Kedokteran Gigi, Universitas Padjadjaran

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CURRENT TREND IN RESEARCH ABOUT INVISALIGN® 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.2.43-54

Abstract

ABSTRACTBackground: While some researches have claimed that Invisalign® 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 Invisalign® by using ABO-MGS to measure the pre- and post-treatment model. Invisalign® mostly successful in creating change for alignment, overjet, and interproximal contact. Other categories were not that successful to be treated with Invisalign. Conclusion: Invisalign®‘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.
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
Correlation between the level of orthodontic treatment need and dental anxiety among undergraduate dental students: Study observasional Gabriella, Rut Sahatna; Laviana, Avi; Suryanti, Netty
Padjadjaran Journal of Dental Researchers and Students Vol 9, No 3 (2025): October 2025
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v9i3.64851

Abstract

ABSTRAKIntroduction: The aesthetic component of the Index of Orthodontic Treatment Need (IOTN-AC) assesses the need for orthodontic treatment as well as its psychosocial impact. One common psychosocial impact is dental anxiety, which can hinder individuals from undergoing orthodontic treatment. This study aimed to analyze the level of orthodontic treatment need using IOTN-AC and dental anxiety, as well as to analyze the correlation between both variables among dental students. Methods: This correlational analytic study with an observational approach employed a purposive sampling technique involving dental students of Universitas Padjadjaran. Data were collected online through a Google Form containing a dental anxiety questionnaire and IOTN-AC assessment. The subjects consisted of 46 active undergraduate dental students from the 2021 and 2022 batches who had never received fixed or removable orthodontic treatment. Data were analyzed using the Spearman rank correlation test. Results: A total of 60.9% of respondents did not require orthodontic treatment, 28.3% had a mild need, and 10.8% had a moderate need. Among those with no treatment need, 6.5% reported no anxiety, 26.1% low anxiety, 24% moderate anxiety, and 4.3% high anxiety. Among those with mild to moderate treatment need, 2.2% reported no anxiety, 15.2% low, 17.4% moderate, and 4.3% high anxiety. Spearman’s test showed a negative correlation between treatment need and dental anxiety (p=0.032; r=-0.506). Conclusions: The higher the level of orthodontic treatment need, the lower the level of dental anxiety among dental studentsKEY WORDS: Index of orthodontic treatment need, dental anxiety, malocclusion, undergraduate studentsKorelasi antara tingkat kebutuhan perawatan ortodonti dengan dental anxiety mahasiswa program studi sarjana kedokteran gigi: Studi observasionalABSTRACTPendahuluan:  Komponen estetika Index of Orthodontic Treatment Need (IOTN-AC) menilai kebutuhan perawatan ortodonti serta dampak psikososialnya. Dampak psikososial yang umum terjadi adalah dental anxiety yang dapat menghambat individu menjalani perawatan ortodonti. Penelitian ini bertujuan untuk menganalisis tingkat kebutuhan perawatan ortodonti menggunakan IOTN-AC dan dental anxiety serta korelasi antara keduanya pada mahasiswa kedokteran gigi. Metode: Penelitian analitik korelasional dengan pendekatan observasional dan menggunakan teknik purposive sampling pada mahasiswa Kedokteran Gigi Universitas Padjadjaran, Pengumpulan data secara daring melalui google form yang berisi kuesioner dental anxiety dan penilaian IOTN-AC. Subjek penelitian adalah 46 mahasiswa aktif Kedokteran Gigi Universitas Padjadjaran angkatan 2021, 2022 dan belum pernah mendapatkan perawatan ortodonti cekat maupun lepasan. Analisis data menggunakan uji korelasi rank spearman; Hasil: 60,9% responden tidak membutuhkan perawatan ortodonti, 28,3 kebutuhan ringan, dan 10,8% kebutuhan sedang. Responden yang tidak membutuhkan perawatan menunjukan 6,5% tidak cemas, 26,1% kecemasan rendah, 24% kecemasan sedang, 4,3% kecemasan tinggi. Kebutuhan perawatan ringan dan sedang menunjukkan 2,2% tidak cemas, 15,2% kecemasan rendah, 17,4% kecemasan sedang dan 4,3% kecemasan tinggi. Uji spearman menunjukan korelasi negatif antara tingkat kebutuhan perawatan ringan dan sedang dengan tingkat dental anxiety (p-value=0,032; r= -0,506). Simpulan: Semakin tinggi tingkat kebutuhan perawatan ortodonti, maka tingkat dental anxiety cenderung semakin rendah pada mahasiswa sarjana kedokteran gigi.KATA KUNCI: Indeks kebutuhan perawatan ortodonti, dental anxiety, maloklusi, mahasiswa