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All Journal Dentika Dental Journal Journal of Dentistry Indonesia Dental Journal (Majalah Kedokteran Gigi) Padjadjaran Journal of Dentistry Journal of Indonesian Dental Association Jurnal Kreativitas PKM Jurnal Material Kedokteran Gigi Jurnal AKAL: Abdimas dan Kearifan Lokal Jurnal Kedokteran Gigi Terpadu JURNAL ABDI MASYARAKAT INDONESIA (JAMIN) Jurnal Abdimas Kesehatan Terpadu Sriwijaya Journal of Dentistry JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Sonde (Sound of Dentistry) SDJ
Joko Kusnoto
Department Of Orthodontics, Faculty Of Dentistry, Universitas Trisakti
Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Other

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Penilaian maturasi skeletal menggunakan radiograf Vertebra servikal dan pergelangan tangan Michelle; Kusnoto, Joko
Jurnal Kedokteran Gigi Terpadu Vol. 6 No. 2 (2024): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v6i2.22365

Abstract

Introduction: Determining skeletal maturity is crucial in determining orthodontic treatment planning and treatment timing. The timing of orthodontic treatment is influenced by the patient's maturation stage, but each person develops at a different rate. Biological age, which considers body growth, is more accurate measure than chronological age. Radiograph of the cervical vertebrae and wrist bones can be used to assess maturity. Objective: This review aims to investigate the assessment of skeletal maturity using cervical vertebrae (CVMS) and hand-wrist (HWM) radiographs. Discussion: CVMS and HWM are two common methods for assessing skeletal maturity. CVMS utilizes lateral cephalometric radiographs, while HWM employs hand-wrist radiographs. Both methods offer advantages, such as simplicity and correlation with other maturity indicators. However, each method also has limitations, including subjectivity and radiation exposure. Conclusion: CVMS and HWM methods are valuable tools for assessing skeletal maturity in orthodontics. Dentists should carefully consider the advantages and disadvantages of each method when required to do growth assessment.
Kebutuhan Perawatan Ortodonti Berdasarkan Karakteristik Demografi Kirana Damayanti, Nasywa; Kusnoto, Joko; Hapsari Andayani, Lia
Jurnal Kedokteran Gigi Terpadu Vol. 7 No. 1 (2025): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v7i1.23857

Abstract

Malocclusion is a functional disorder that can negatively impact a person’s physical and emotional health, often requiring treatment. The prevalence of malocclusion in Indonesia is approximately 80% of the total population, making it a significant dental health issue. According to the Health Research and Development Agency of the Ministry of Health of the Republic of Indonesia (Balitbangkes RI), the highest prevalence is found in the 12-15 age group, at 15.6%. Orthodontic treatment aims to correct improve function, facial aesthetics, and occlusal contact. The need for treatment can be assessed using the Orthodontic Treatment Needs Index (IKPO), which evaluates the severity of malocclusion based on three variables: knowledge, awareness, and willingness. Demographic factors such as gender, age, economic status, and administrative region can influence access to orthodontic services. Differences in demographic characteristics can lead to differences in knowledge, attitudes, and actions towards dental health, including malocclusion. It is important to improve education about oral health and ensure equal access to orthodontic treatment, especially in underserved areas.
Peran Biomarker Saliva Dalam Penentuan Maturasi Skeletal Heriandi, Alyah; Kusnoto, Joko
Jurnal Kedokteran Gigi Terpadu Vol. 7 No. 2 (2025): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v7i2.26115

Abstract

Introduction: Accurate assessment of skeletal maturation is essential in orthodontic treatment planning during the growth period. Conventional radiographic methods, though commonly used, involve ionizing radiation and subjective interpretation. Salivary biomarkers offer a promising non-invasive alternative. Objectives: This study aims to explore the potential of salivary biomarkers as indicators of skeletal maturation. Discussion: Skeletal maturation is commonly assessed using the Cervical Vertebral Maturation Stages (CVMS) method, which evaluateIntroduction: Accurate assessment of skeletal maturation is essential in orthodontic treatment planning during the growth period. Conventional radiographic methods, though commonly used, involve ionizing radiation and subjective interpretation. Salivary biomarkers offer a promising non-invasive alternative. Objectives: This study aims to explore the potential of salivary biomarkers as indicators of skeletal maturation. Discussion: Skeletal maturation is commonly assessed using the Cervical Vertebral Maturation Stages (CVMS) method, which evaluates morphological changes in cervical vertebrae C2, C3, and C4 on lateral cephalometric radiographs. Each CVMS stage corresponds to specific growth phases—pre-pubertal, pubertal, and post-pubertal. This review investigates the correlation of IGF-1, ALP, and DHEAS in saliva with these CVMS stages. Results: IGF-1 levels increase significantly during CVMS 3–4, aligning with the pubertal growth spurt. ALP levels peak at CVMS 3 and 5, indicating osteoblastic activity. DHEAS shows a progressive rise from CVMS 1 to 6, with significant elevations during the pubertal transition. Conclusion: IGF-1, ALP, and DHEAS in saliva are potential non-invasive biomarkers that correlate with CVMS and may improve the accuracy of skeletal maturation assessment for optimal orthodontic intervention timing.s morphological changes in cervical vertebrae C2, C3, and C4 on lateral cephalometric radiographs. Each CVMS stage corresponds to specific growth phases—pre-pubertal, pubertal, and post-pubertal. This review investigates the correlation of IGF-1, ALP, and DHEAS in saliva with these CVMS stages. Results: IGF-1 levels increase significantly during CVMS 3–4, aligning with the pubertal growth spurt. ALP levels peak at CVMS 3 and 5, indicating osteoblastic activity. DHEAS shows a progressive rise from CVMS 1 to 6, with significant elevations during the pubertal transition. Conclusion: IGF-1, ALP, and DHEAS in saliva are potential non-invasive biomarkers that correlate with CVMS and may improve the accuracy of skeletal maturation assessment for optimal orthodontic intervention timing.
Morfologi Permukaan Glass Ionomer Cement dengan Penambahan Nanoselulosa Kristalin dari Serat Ampas Tebu Hernindya Dwifulqi; Rosalina Tjandrawinata; Joko Kusnoto
SONDE (Sound of Dentistry) Vol. 9 No. 1 (2024): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/sod.v9i1.11501

Abstract

Perkembangan penelitian teknologi nano membuat penggunaan cellulose nanocrystalline (CNC) menjadi alternatif menarik dalam meningkatkan sifat mekanis glass ionomer cement (GIC). Ampas tebu (Saccharum officinarum L.) merupakan sumber CNC, dengan selulosa nanokristal berkristalinitas tinggi (72,5%). Tujuan penelitian ini adalah untuk mengetahui pengaruh penambahan CNC serat ampas tebu pada sifat mekanis GIC. Sampel GIC (GC Fuji IX) untuk pengujian dibagi dalam 2 kelompok yaitu kontrol dan penambahan 0,2% CNC ampas tebu. Setelah disimpan di dalam aqua distilata dalam inkubator 370C selama 24 jam, sampel dikarakterisasi dengan scanning electron microscope (SEM). Penambahan CNC serat ampas tebu sebanyak 0,2% menunjukkan hasil SEM dengan morfologi permukaan yang lebih padat dan tidak berporus. Dapat disimpulkan bahwa penambahan ampas tebu dengan konsentrasi 0,2% dapat menunjukan morfologi permukaan yang tidak berporus.
Pengaruh Penggunaan Obat Kumur dan Waktu Peregangan Terhadap Modulus Elastisitas Rantai Elastomer: The Effect of Mouthwash Use and Stretching Time on The Elastic Modulus of Elastomer Chains Rosalina Tjandrawinata; Joko Kusnoto; Janti Sudiono; Rahmi Amtha; Fajar Hamonangan Nasution; Himawan Halim; Indah Fitriani
Jurnal Material Kedokteran Gigi Vol. 12 No. 2 (2023): JMKG Vol 12 No 2 September 2023
Publisher : Ikatan Peminat Ilmu Material dan Alat Kedokteran Gigi (IPAMAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jmkg.v12i2.1024

Abstract

Rantai elastomer merupakan bagian komponen alat ortodonti cekat yang digunakan dalam mekanisme pergerakan gigi. Akumulasi plak lebih mudah melekat pada komponen alat ortodonti cekat, sehingga pemakaian obat kumur klorheksidin glukonat dan povidon iodium, disarankan sebagai agen kontrol plak kimiawi efektif yang menghambat Streptococcus mutans, mencegah karies dan gingivitis. Penelitian ini bertujuan mengevaluasi pengaruh penggunaan obat kumur klorheksidin glukonat serta povidone iodium sesuai dengan lama waktu peregangan terhadap modulus elastisitas rantai elastomer. Tiga merk rantai elastomer dibagi dalam 4 kelompok, yaitu tanpa perendaman, perendaman saliva, perendaman klorheksidin glukonat, perendaman povidon iodium, yang diregangkan selama 24, 168, 336, 504 dan 672 jam. Modulus elastisitas rantai elastomer diukur dengan universal testing machine. Multiple way ANOVA dan post-hoc Tukey digunakan untuk menganalisis data modulus elastisitas. Modulus elastisitas rantai elastomer yang direndam dalam obat kumur memiliki nilai lebih rendah daripada yang direndam dalam saliva dan nilai modulus elastisitas meningkat sejalan dengan waktu perendaman. Dapat disimpulkan terdapat perbedaan modulus elastisitas rantai elastomer akibat pengaruh obat kumur dan lama waktu peregangan.
The Correlation between Mandibular Condyle Shape and Temporomandibular Joint Conditions in Adult Females Dominica Dian Saraswati Sumantri; Rosalina Tjandrawinata; Joko Kusnoto
Journal of Indonesian Dental Association Vol. 3 No. 2 (2020): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v3i2.597

Abstract

Introduction: Conditions of the temporomandibular joint (TMJ) are affected by changes in movement and load during the joint’s function, which can cause morphological changes in hard tissues, such as the condyle. Panoramic radiographs can provide an indication of changes in hard tissues in TMJ. Objectives: The aim of this study was to determine whether there was any correlation between mandibular condyle shapes as seen on panoramic radiographs and TMJ conditions in adult female participants. Methods: The participants of this study were 75 adult female patients who underwent a panoramic radiograph examination conducted at the Maranatha Dental Hospital Radiology Unit. The patients were clinically examined based on the Research Diagnostic Criteria for Clinical Temporomandibular Disorder (RDC/TMD) questionnaire and also their panoramic radiographs. The data from the patients were categorized into four groups according to the RDC/TMD: normal, muscle disorders, disc displacement, and other joint diseases. Next, the radiographs were analyzed by two observers to determine the condyle shapes. Condyle shapes were classified into four groups: ovoid, flat, erosion, and osteophyte. Result: This study showed that of 75 patients, the right TMJ was normal in 34 patients, 2 patients had muscle disorders, 24 demonstrated disc displacement, and 15 had other joint diseases. For the left side of the TMJ, 22 radiographs were normal, 2 revealed muscle disorders, 35 identified disc displacement, and 16 showed other joint diseases. There was a strong agreement between the two observers in determining the right (κ=0.681) and left condyle shapes (κ=0.652). All participants’ findings indicated that condyle shapes and TMJ conditions are highly correlated for both the right (η2=0.889) and left condyle (η2=0.762). Conclusion: This study concluded that mandibular condyle shapes seen on panoramic radiographs and TMJ conditions in adult female participants were highly correlated.
Perceptions Differences in Smile Attractiveness Between Dental Students’ and Lay Persons’ Joko Kusnoto; Sarah Tiara Haryanto
Journal of Indonesian Dental Association Vol. 4 No. 1 (2021): April
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v4i1.670

Abstract

Introduction: Orthodontic treatment is performed to improve dental alignment, function, oral health, dentofacial stability and to achieve better facial esthetics. People tend to seek orthodontic treatments for a more esthetically attractive smile. Several parameters are used to measure the attractiveness of smiles, including the smile arc, smile line, buccal corridor or smile type, and smile symmetry. Perceptions of the various aspects of smile attractiveness may differ among patients and dentists, so dentists must understand patients’ perceptions of the aspects of smile attractiveness in order to provide satisfactory care. Objective: To determine if there are differences in the perceptions of dental students and lay persons regarding the aspects of smile attractiveness. Methods: This is an analytical observational study with a cross-sectional research design. This study was conducted by distributing questionnaires containing 11 photographs of manipulated smiles to 50 students currently training to become dental professionals and 50 lay persons. The data were analyzed using an independent t-test. Results: A significant difference in perception (p < 0.05) found in the smile line parameter. However, there were no significant differences in perception (p > 0.05) with regard to smile arc, smile type, or smile symmetry parameters. Conclusions: Dental students and lay persons have different perceptions regarding smile line but share the same perception of smile arc, smile types, and smile symmetry.
Characteristics of Orthodontic Appliance Users based on Demographics, Self-Perception, Psychosocial, and Oral Disorders (Study Among Undergraduate Students in West Jakarta) Vanessa Yovanka; Joko Kusnoto; Lia Hapsari Andayani
Journal of Indonesian Dental Association Vol. 6 No. 1 (2023): April
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v6i1.974

Abstract

Introduction: Awareness of malocclusion and the importance of orthodontic treatment continue to increase, in order to improve dentofacial appearance, psychosocial factors, and quality of life. Orthodontic treatment can be done using conventional fixed appliances, or removable appliances called clear aligners, that has an upsurge in demand recently. Previous studies have evaluated the advantages and disadvantages of orthodontic treatment types, yet there are still lack of findings regarding the characteristic of user. Objective: This study aims to describe the characteristics of orthodontic appliances users based on demographics, self-perception, psychosocial, and oral disorders, among undergraduate student in West Jakarta. Methods: This cross-sectional study was conducted in October until December 2022. The study population covered 7 universities located in West Jakarta. Sample consist of 201 undergraduate students taken by purposive sampling. Self-administered questionnaire, that had been validated was used to obtain sociodemographic data and factors that can affect the preference of orthodontic appliances. Results: The most common orthodontic appliances used is fixed orthodontic appliances (79.6%) that was installed by orthodontists (58.8%). Most students using orthodontic appliances were female (76.2%), aged 17-25 years (99.4%), and currently undergoing study in non-medical faculty (71.9%). Students were highly aware of their dental arrangement (90.5%). They thought that their facial and dental aesthetics (97.5%) and social interaction (66.2%) will improve after orthodontics treatment, though they were not sure about getting better career opportunities (51.7%). Conclusion: Fixed orthodontic appliances still become the main preference among undergraduate university students in West Jakarta. Awareness and dissatisfaction of their dental arrangements were substantial as well as the desire that facial and dental appearance will improved after treatment. Orthodontic treatment was considered as way to enhance social interaction social attractiveness.
Self-Perception, Psychosocial, Functional, Interest, and Knowledge Aspects Regarding Adults Orthodontic Treatment in Greater Jakarta Sarah Jessica; Joko Kusnoto; Lia Hapsari Andayani
Journal of Indonesian Dental Association Vol. 7 No. 1 (2024)
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v7i1.1154

Abstract

Introduction: Orthodontic treatment is the process of adjusting the position of the teeth and jaw to achieve optimal occlusion. Orthodontic treatment is generally performed on children and adolescents, but nowadays more adults are considering orthodontic treatment for aesthetic and dental health reasons. Factors that may influence the uptake of orthodontic treatment are cost, treatment time, gender, age, socioeconomic, knowledge, interest and psychological aspect. Objectives: This study aims to describe self-perception, psychosocial, functional, interest, and knowledge aspects regarding adults’ orthodontic treatment in greater Jakarta areas. Methods: This cross-sectional study was held from October to December 2023. Sample comprised 196 adults who met the following eligibility criteria: (a) aged 35-50 years; (b) living in greater Jakarta; (c) no history of orthodontic treatment; and (d) had income higher than minimum regional wage. Samples were taken by purposive sampling. Demographic data and information were collected by means of a validated questionnaire. The questionnaire is consisted of 31 items concerning self-perception, psychosocial, functional, interest, and knowledge aspects regarding orthodontic treatment. Results: Majority of respondents felt dissatisfied with the arrangement of their teeth (60.2%), felt that they needed orthodontic treatment (71.4%), felt that poor arrangement of teeth was related to decreased social attractiveness (89.3%), and did not had complaints when speaking (80.1%) or jaw joints (51.0%). The level of knowledge about orthodontic treatment was classified as poor (64.3%), and the majority of respondents were interested in undergoing orthodontic treatment (85.7%). Conclusion: Majority of adults aged 35-50 years in greater Jakarta areas are interested to undergo orthodontic treatment as well as having high self-awareness of the purpose of orthodontic treatment. The level of knowledge regarding orthodontic treatment among adults aged 35-50 years in greater Jakarta areas is poor.
Association Between Payment Scheme, Insurance Participation, and Economic Status with Orthodontic Appliance Preference in West Jakarta Hanarni Kubelinda; Joko Kusnoto; Lia Hapsari Andayani; Budi Kusnoto
Journal of Indonesian Dental Association Vol. 9 No. 1 (2026): April
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v9i1.1519

Abstract

Introduction: The primary goals of orthodontic treatment are to improve mastication function and tooth alignment. The choice of orthodontic appliance type can be influenced by various factors such as treatment payment plans and economic status. Objective: To determine the association between payment scheme, insurance participation, and economic status with orthodontic appliance preference among undergraduate students in West Jakarta. Methods: This cross-sectional study involved 158 undergraduate students in West Jakarta, taken by purposive sampling. Data collection was conducted using a questionnaire in September 2025. The questionnaire was distributed via Google Forms and consisted of eighteen questions. The Fisher's Exact test was used to examine the association between payment scheme, insurance participation, and economic status with orthodontic appliance preference. Results: Fixed orthodontic appliances were chosen by the majority of respondents (88%), with orthodontic specialists fitting the appliances (61.4%). Non-installment payment was the most popular payment method (85.4%), with 65.2% of respondents spending IDR 10,000,000 or more on treatment costs. The majority of respondents did not use insurance for orthodontic treatment (91.8%). There was a significant association between the father's income with orthodontic appliance preference (p= 0.018). Conclusion: Orthodontic appliance preference is associated with father's income. However, orthodontic appliance preference is not associated with payment schemes, insurance participation, parental education, parental occupation, or the mother's income. Collaboration between insurance companies and healthcare providers is needed to develop subsidy program towards orthodontic treatment.
Co-Authors Adi Hidayat Adi Hidayat Adzra Fadla Taqia Alyah Heriandi Andayani, Lia H Andayani, Lia Hapsari Arianne Dwimega Ariyani, Annisaa Putri Armelia Sari Widyarman Asyurati Asia Boedi Oetomo Roeslan Boedi Oetomo Roeslan Budi Kusnoto Cindy Dewi Ranggaini Dominica Dian Saraswati Sumantri Elline, Elline Elvina Elvina Faadiyah Nisa Fajar Hamonangan Nasution Febri Fahmawati Goalbertus, Goalbertus Hanarni Kubelinda Hapsari Andayani, Lia Harryanto Wijaya Haryanto, Sarah Tiara Heriandi, Alyah Hernindya Dwifulqi Himawan Halim Himawan Halim Himawan Halim Holie Fransiski Indah Fitriani Indrayadi Gunardi, Indrayadi Irawati Gandadinata Irawati Gandadinata Janti Sudiono Jessica, Sarah Johni Halim Juliawati, Mita Kirana Damayanti, Nasywa Kusnadi, Stephanie Justine Kusnoto, Budi Lia Hapsari Andayani Maitimu, Fergie Christin Maureen A. Wongso Meiny Faudah Amin Melanie Sadono Djamil, Melanie Sadono Michelle Michelle Nicolas Brian Simanjuntak Nugroho, Didi Octarina Octarina Octarina Olivia Piona Sahelangi Rahmi Amtha Rahmi Amtha Ratnasari, Dina Richentya Feiby Salim Riko Nofrizal Roro Asyurati Asia, Raden Rosalina Tjandrawinata Rosmalinda Suryani Sarah Jessica Sarah Tiara Haryanto Sasqia Faadilah Andikoputri Soesanto, Sheila Sonya Grecila Susilo Sumantri, Dominica Dian Saraswati Sundjoyo, Mikha Tanusetiawan, Steffi Vanessa Yovanka Widyarman, Armelia Sari Wita Anggraini Yayuk Yuliarsi Yohana Yusra Yovanka, Vanessa