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The correlation between the severity of anterior crossbite and skeletal deformities in post-surgery cleft lip and palate among children Setianingtyas, Prastiwi; Primarti, Risti Saptarini; Riawan, Lucky; Oscandar, Fahmi
Padjadjaran Journal of Dentistry Vol 32, No 3 (2020): November 2020
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no3.17952

Abstract

Introduction: Cleft lip and palate is the most common craniofacial malformations, which is a congenital deformity of lip and palate or both. Anterior crossbite is occlusal characteristics that are often found in patients with cleft lip and palate who had surgery, caused by dentoalveolar or skeletal abnormalities, can be distinguished based on the cephalometric analysis. This research was aimed to analyse the correlation between the severity of anterior crossbite and skeletal deformities in post-surgery cleft lip and palate among children. Methods: The research design was an analytic correlation with the sample selection based on purposive sampling. The research was conducted from 14 cleft lip and palate patients in the primary dentition (aged 4-6 years old) who had surgery (for 2-3 years) using analysis of study models and cephalometric digital. Statistical analysis was conducted by Spearman Rank Correlation Coefficient test to analyse the relationship between the severity of anterior crossbite with skeletal deformities. Results: Statistic test showed that 42.86% of the anterior crossbite in the cleft lip and palate post-surgery in primary dentition had a very high level of severity, thus leading to very poor occlusion. As many as 21.43% had a high level of severity, which leads to poor occlusion, and 35.71% had a moderate level of severity, which leads to fair occlusion. The Spearman Coefficient of Rank Correlation test results showed a weak correlation between the severity of anterior crossbite with skeletal deformities with coefficient relation of 0.13 and p-value of 0.48 (p<0.05). Conclusion: There is a weak correlation between the severity of anterior crossbite with skeletal deformities in post-surgery cleft lip and palate among children.
Assessment of nasopharynx area and level of severity posterior crossbite on children with cleft lips and palate post-palatoplasty Apriani, Anie; Primarti, Risti Saptarini; Kasim, Alwin; Oscandar, Fahmi
Padjadjaran Journal of Dentistry Vol 32, No 2 (2020): July 2020
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no2.17951

Abstract

Introduction: Many children with post palatoplasty had crossbite posterior. This study was aimed to assess the nasopharynx area and the posterior crossbite severity level of children with cleft lip and palate (CLP) who received palatoplasty treatment compared to normal children. Methods: The study was observational analytic. The research subject was 14 children with CLP post-palatoplasty and 14 normal children. The object of research was 28 study models and secondary data of lateral cephalometric radiograph of children with CLP post palatoplasty and normal children. The measurement of PTM-ad1-Ad2-PTM and PTM-So-Ba-PTM were used to measure the nasopharyngeal area. Study models were assessed to analyse the level of severity of posterior crossbite. Results: The average of the soft tissues (the nasopharynx) area children with CLP post-palatoplasty was 35.02 mm2, which was lower than the normal child (35.73 mm2). Similarly, the average of the hard tissues (the nasopharynx) area children with CLP post-palatoplasty was 301.40 mm2, which was smaller than the normal children (315.54 mm2). Statistical analysis of the nasopharynx area resulted in non-significant difference. All children with CLP post-palatoplasty was suffered from posterior crossbite. The level of severity posterior crossbite, which was categorised as good was 42.9%, poor criteria was 35.7%, moderate criteria was 14.3%, and very good criteria was 7.1%. Conclusion: There is no difference between the average size of the nasopharynx area on children with CLP post-palatoplasty and normal children. The level of severity posterior crossbite after palatoplasty in CLP children mostly included in the good criteria.
Correlation between mandibular bone density with CD4-T cells and duration of HAART in HIV-infected children Maulani, Intan; Primarti, Risti Saptarini; Sufiawati, Irna; Indriyanti, Ratna; Andiesta, Niekla Survia; Riyanti, Eriska
Padjadjaran Journal of Dentistry Vol 33, No 1 (2021): March 2021
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no1.15894

Abstract

Introduction: Perinatal HIV infection has decreased adverse bone health effects and mineral accrual. HIV-infected patients have a multifactorial origin, including HIV bone cell infections, inflammatory cytokine effects on osteoblast and osteoclast activity, and HAART. The research objective was to analyze the correlation between the mandibular bone density with CD4 T-cells and duration of HAART in HIV-infected children. Methods: The mandibular bone density in the HIV-infected pediatric population was evaluated using a panoramic radiograph. The research design was a cross-sectional and univariate regression analysis for the sampling method. Mandibular density analysis using Spearman and Pearson correlation and HAART duration using Kendall correlation. Thirty-five HIV-infected children and seventeen non-HIV-infected children were recruited. Results: This study showed the significant correlation between Mandibular cortical shape index of HIV-infected and non-HIV children and there is a significant correlation between fractal dimension of HIV-infected and non-HIV children (p<0.05). There is no significant correlation between mandibular bone density and the CD4 level(p<0.05). Mandibular bone density and duration HAART and have a significant correlation (p<0.001). This research showed correlations between mandibular bone density CD4 T-cells and duration of HAART in HIV-infected children. Conclusion: There is no correlation between the mandibular bone density and CD4 T-cells count, however, there is a correlation between the mandibular bone density and duration of HAART in HIV-infected children.
Relationship between protein deficiency accompanied by low body mass index with the head shape and face type of 6-7 years old children Gunawan, Idelia; Andiesta, Niekla Survia; Gartika, Meirina; Primarti, Risti Saptarini
Padjadjaran Journal of Dentistry Vol 32, No 1 (2020): March 2020
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no1.21165

Abstract

Introduction: Environmental factors such as socio-economic and nutrients factor can affect the dimensions and proportions of the body. Nutritional intake has a long-term effect on physical growth and can be assessed through body mass index up to age. Children with a nutritional disorder are characterised with low body mass index. This study was aimed to analyse the relationship of protein deficiency and low body mass index on the head shape and facial type of 6-7 years old children. Methods: The research type was descriptive correlative, and the research was conducted towards 16 subjects with low body mass index. Protein deficiency was assessed from food intake for 3 x 24 hours through food recall method and interview. The measurement of the cephalic and facial index was carried out to find out the head shape and face type, and then to correlate with protein deficiency and body mass index. Data was analysed using the chi-square test with the significance (p-value)<0.05. Results: There was a significant correlation between protein deficiency and low body mass index with the head shape (p-value=0.007), and the facial type of 6-7 years old children (p-value=0.027). There was a significant correlation between head shape with facial type in protein-deficient children with low body mass index (p-value=0). Conclusion: Protein deficiency accompanied by low body mass index influences the head shape and facial type of children.
Clear aligner versus twin block dalam perawatan maloklusi kelas II pada anak: ulasan sistematik Jayanti, Claudia Nur Rizky; Primarti, Risti Saptarini
Padjadjaran Journal of Dental Researchers and Students Vol 9, No 2 (2025): Juni 2025
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v9i2.62513

Abstract

ABSTRACT Pendahuluan: Maloklusi Kelas II merupakan salah satu masalah ortodontik yang paling umum dijumpai. Dalam beberapa tahun terakhir, penggunaan aligner bening (clear aligner/CA) telah berkembang untuk menangani kasus-kasus yang lebih kompleks, termasuk maloklusi Kelas II dengan pendekatan kemajuan mandibula (CA dengan mandibular advancement/MA). Meskipun CA menawarkan alternatif modern terhadap alat fungsional tradisional, efektivitasnya dibandingkan dengan alat yang telah mapan seperti Twin Block (TB) belum diteliti secara menyeluruh. Ulasan sistematis ini bertujuan untuk membandingkan hasil perawatan dan efek dentoskeletal antara CA dengan MA dan TB dalam koreksi maloklusi Kelas II pada anak dan remaja. Metode: Kajian ini dilakukan berdasarkan pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Artikel yang diterbitkan antara tahun 2014 hingga 2024 diambil dari basis data ScienceDirect, PubMed, dan Scopus menggunakan kata kunci yang telah ditentukan sebelumnya dan kerangka kerja Population-Intervention-Comparison-Outcome (PICO). Sebanyak enam studi diikutsertakan untuk mengevaluasi efektivitas kedua modalitas perawatan dalam memperbaiki hubungan sagital rahang, kenyamanan pasien, dan dimensi jalan napas. Hasil: Hasil menunjukkan bahwa baik CA maupun TB efektif dalam meningkatkan hubungan sagital antara maksila dan mandibula. TB menunjukkan perubahan skeletal yang lebih besar, khususnya pada reposisi mandibula, sedangkan CA memberikan kenyamanan, estetika, dan tingkat kepatuhan pasien yang lebih baik. Simpulan: CA terbukti lebih efektif dalam meningkatkan dimensi jalan napas, terutama di area hipofaring. Meskipun kedua pilihan perawatan menunjukkan hasil yang menjanjikan, diperlukan uji coba terkontrol acak jangka panjang untuk mengevaluasi stabilitas dan efektivitas jangka panjangnya. Rencana perawatan sebaiknya disesuaikan dengan kebutuhan spesifik pasien, kondisi klinis, dan luaran yang diharapkan.KATA KUNCI: Alat ortodonti, Maloklusi, Angle Kelas IClear aligner versus twin block in the treatment of class II malocclusion in children: a systematic reviewABSTRACTClass II malocclusions are among the most prevalent orthodontic problems. In recent years, clear aligner (CA) therapy has expanded its scope to include more complex cases, including the clear aligner with mandibular advancement (CA with MA) for treating Class II malocclusions. While CA provides a modern alternative to traditional functional appliances, their effectiveness in comparison to well-established devices like the Twin Block (TB) has not yet been thoroughly studied. This systematic review compares the treatment outcomes and dentoskeletal effects of CA with MA and TB appliances for Class II malocclusion correction in children and adolescents. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The articles, which covered publications from 2014 to 2024, were taken from the databases of ScienceDirect, PubMed, and Scopus. The search used predefined keywords and a Population-Intervention-Comparison-Outcome (PICO) framework. Six studies were included, evaluating the effectiveness of both treatment modalities in improving sagittal jaw relationships, patient comfort, and airway dimensions. Both CA and TB appliances effectively enhanced the sagittal relationship between the maxilla and mandible. TB appliances showed greater skeletal changes, particularly in mandibular repositioning, while clear aligners offered superior patient comfort, aesthetics, and compliance. CA was also more effective in improving airway dimensions, particularly in the hypopharyngeal region. While both treatment options show promise, further long-term randomized controlled trials are needed to better assess their stability and effectiveness. The treatment plan should be tailored to the patient's specific needs, clinical condition, and desired outcomes.KEYWORDS: Orthodontic appliances, Malocclusion, Angle Class II
Efektivitas ZnOE, Ca(OH)2 dan Pasta Iodoform sebagai Bahan Pengisi Saluran Akar pada Perawatan Pulpektomi Gigi Sulung : Scoping Review Rika Ridawanty; Naninda Berliana Pratidina; Risti Saptarini Primarti
Denta Journal Kedokteran Gigi Vol 17 No 2 (2023): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v17i2.3

Abstract

Background: Dental caries is a disease that affects almost half of the world's population. A pulpectomy is an endodontic treatment by removing the entire pulp and filling the root canals of primary teeth using an appropriate root canal filling material. Root canal filling material becomes an indicator of the effectiveness of pulpectomy in primary teeth. Operators must comprehend various types of root canal filling materials available in primary dental pulpectomy treatments. Objective: This scoping review aims to obtain data on the effectiveness of ZnOE, Ca(OH)2, and Iodoform paste as root canal filling materials in pulpectomy treatment of primary teeth. Methods: This research was a scoping review. By using the PRISMA-ScR study, electronic database searches were conducted on PubMed, EBSCOhost, and Google Scholar. Results: A total of 89 articles were identified through a search on PubMed, 137 articles through EBSCOhost, 442 articles through GoogleScholar, and 48 articles through a search using Handsearching. The total number of articles identified through all the databases results in 716 articles. Using the PRISMA-ScR flow diagram to do the selection process, it results in seven articles that are eligible for review. Conclusion: As root canal filling materials in pulpectomy treatment for primary teeth, ZnOE, Ca(OH)2, and Iodoform paste were considered effective. The scoping review results in this study showed that Ca(OH)2 + Iodoform Paste (Metapex®) were better than ZnOE.
Compliance evaluation of removable space maintainer or space regainer usage Ramadhani, Revanti; Hidayat, Syarief; Primarti, Risti Saptarini
Padjadjaran Journal of Dentistry Vol 24, No 1 (2012): March 2012
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.067 KB) | DOI: 10.24198/pjd.vol24no1.15383

Abstract

Premature loss could cause a problem with the tooth arrangement or the dental arch size. A space left by the primary tooth loss could cause migration of the adjacent teeth. As a result, space will be narrowed and undermined the eruption of the permanent teeth. The success of the space maintainer or space regainer usage due to the premature loss marked by space for the replacement of the permanent teeth. The purpose of this research was to evaluate the compliance of children in wearing a space maintainer or space regainer after insertion at Pedodontics Installation of Faculty of Dentistry Universitas Padjadjaran Dental Hospital, Bandung, Indonesia. The research method was descriptive survey technique. The sample consisted of 30 patients selected using the total sampling technique. Data were obtained with a questionnaire and statistically analyzed. The results showed that majority of the children uses the removable space maintainer or the space regainer daily was only about 23,3% overall. Most of the children only use the removable space maintainer or the space regainer for sometimes. The research concluded that the low rate of pedodontic patients compliance at Pedodontics Installation of Faculty of Dentistry Universitas Padjadjaran Dental Hospital in the usage of the removable space maintainer or the space regainer was usually caused by pain or discomfort. This fact was evidence of a low awareness of parents in preventing malocclusion to their children.