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All Journal Dentika Dental Journal Journal of Dentistry Indonesia Dental Journal (Majalah Kedokteran Gigi) Padjadjaran Journal of Dentistry Scientific Dental Journal Journal of Indonesian Dental Association Jurnal Kreativitas PKM 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)
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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Factors Affecting Interest in Orthodontic Treatment Among Adults in Jakarta Kusnoto, Joko; Andayani, Lia Hapsari; Kusnoto, Budi
Journal of Dentistry Indonesia
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objectives: The misalignment of teeth and/or jaws caused by abnormalities in the dynamic process of craniofacial growth and development is known as malocclusion. Over half of children and adolescents worldwide experience some form of malocclusion. Orthodontic treatment is the process of adjusting the position of teeth and jaws to achieve optimal occlusion. In recent decades, there has been a global surge in the need for orthodontic treatment among adults. This study aims to evaluate the factors affecting interest in orthodontic treatment among adults in Jakarta. Methods: This cross-sectional study was conducted from October to December 2023. A total of 196 adults were retrieved by purposive sampling from public places located in Jakarta. Self-administered questionnaire was used to collect data on demographic characteristics, knowledge regarding orthodontic treatment, self-perception, psychosocial, and oral disorder factors. Logistic regression analysis was carried out with a level of significance less than 0.05. Results: Majority of respondents had a good level of knowledge regarding orthodontic treatment (63.3%) and were interested in undergoing orthodontic treatment (85.7%). There was a significant association between other opinions about respondents’ dental arrangement and interest in orthodontic treatment (p = 0.018; 95% CI = 0.135 – 0.826). Self-perception factors, oral disorder factors, and demographic characteristics were not significant in predicting interest in orthodontic treatment. Conclusion: For adults in Jakarta, other people's opinion about respondents’ dental arrangements is the only psychosocial factor correlated with interest in orthodontic treatment. The importance of orthodontic care still needs to be improved for adults in Jakarta.
Efficacy of Probiotics, Cetylpyridinium Chloride, and Enzymes Toothpaste Formulations Against Periodontal Pathogens in Fixed Orthodontic Patients: A Review Joko Kusnoto; Michelle; Harryanto Wijaya
Sriwijaya Journal of Dentistry Vol. 6 No. 2 (2025): Sriwijaya Journal of Dentistry
Publisher : Dentistry Study Program, Faculty of Medicine Universitas Sriwijaya 

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/yvwn2814

Abstract

Introduction: Fixed orthodontic appliances complicate oral hygiene and promote biofilm accumulation, increasing the risk of periodontal disease. Toothpaste formulations with antimicrobial properties such as Lactobacillus paracasei probiotics, cetylpyridinium chloride (CPC), and amyloglucosidase–glucose oxidase enzymes are commonly used to manage oral biofilm and control pathogenic bacteria. However, the extent of their effectiveness against periodontal pathogens in orthodontic patients remains unclear. Purpose: This review aims to map and summarize the current evidence on the efficacy of various toothpaste formulations in reducing periodontal pathogens among patients undergoing fixed orthodontic treatment. Methods: A comprehensive search of electronic databases (e.g., PubMed, Scopus, Google Scholar) was conducted to identify relevant studies published from 2015 to 2025. Data were extracted and synthesized narratively, focusing on types of formulations, study outcomes, and microbial targets. Results: Formulations containing antimicrobial agents such as probiotics, enzymes, and cetylpyridinium chloride showed variable effects on specific periodontal pathogens, including Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans. Each mechanism antimicrobial, probiotic, and enzymatic addresses different aspects of biofilm regulation. Conclusion: Toothpastes containing L. paracasei probiotics, CPC, and amyloglucosidase–glucose oxidase enzymes offer complementary ways to control periodontal pathogens in orthodontic patients. Combining these mechanisms may enhance biofilm control and microbial balance, though further research is needed to confirm their long-term benefits.
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.
Co-Authors Adi Hidayat Adi Hidayat Adzra Fadla Taqia Andayani, Lia H Andayani, Lia Hapsari Arianne Dwimega Ariyani, Annisaa Putri Asyurati Asia Boedi Oetomo Roeslan Boedi Oetomo Roeslan Cindy Dewi Ranggaini Elline, Elline Elvina Elvina Faadiyah Nisa Febri Fahmawati Goalbertus, Goalbertus Hapsari Andayani, Lia Harryanto Wijaya Harryanto Wijaya Harryanto Wijaya Haryanto, Sarah Tiara Heriandi, Alyah Himawan Halim Himawan Halim Holie Fransiski Indrayadi Gunardi, Indrayadi Irawati Gandadinata Irawati Gandadinata Jessica, Sarah Johni Halim Juliawati, Mita Kirana Damayanti, Nasywa Kusnadi, Stephanie Justine Kusnoto, Budi 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 Ratnasari, Dina Richentya Feiby Salim Riko Nofrizal Roro Asyurati Asia, Raden Rosalina Tjandrawinata Rosmalinda Suryani Sasqia Faadilah Andikoputri Soesanto, Sheila Sonya Grecila Susilo Sumantri, Dominica Dian Saraswati Sundjoyo, Mikha Tanusetiawan, Steffi Widyarman, Armelia Sari Wita Anggraini Yayuk Yuliarsi Yohana Yusra Yovanka, Vanessa