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All Journal Journal of Dentomaxillofacial Science Journal of Case Reports in Dental Medicine MDJ (Makassar Dental Journal) Indonesian Journal of Orthodontics Case Report
Ardiansyah S. Pawinru
Department Of Orthodontic, Faculty Of Dentistry, Hasanuddin University Makassar, Indonesia
Dentistry Health Professions

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Elastodontic appliances in orthodontics: Peranti elastodontik dalam ortodonti Ardiansyah S. Pawinru; Dion Agung Mahendra
Makassar Dental Journal Vol. 15 No. 1 (2026): Volume 15 Issue 1 April 2026
Publisher : Makassar Dental Journal PDGI Makassar

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Abstract

Elastodontics is a functional orthodontic approach using removable elastomeric appliances that generate light forces to correct malocclusion. This therapy is effective in both the primary and mixed dentition phases because it can influence jaw growth, improve tooth position, and correct bad habits such as oral brea-thing and atypical swallowing. Bioactivators, as an evolution of elastodontics, offer benefits such as comfort, low cost, short treatment time, and improved neuro-muscular function and dentoalveolar balance. Its elastomeric structure allows for adjustment without impressions, making it more practical than conventional appliances. However, there are limitations in its inability to rotate certain posterior teeth and its dependence on patient compliance. It is concluded that elasto-dontics is an alternative interceptive therapy that has the potential to reduce the need for further orthodontic intervention, while supporting the harmonious growth of the stomatognathic system.
Overview severity of malocclusion in children with special needs in SLB Negeri 1 Makassar: Gambaran tingkat keparahan maloklusi pada anak berkebutuhan khusus di SLB Negeri 1 Makassar Ardiansyah S. Pawinru; Nur Rahmadani Alimuddin
Makassar Dental Journal Vol. 14 No. 1 (2025): Volume 14 Issue 1 April 2025
Publisher : Makassar Dental Journal PDGI Makassar

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Penelitian ini membahas tingkat keparahan maloklusi pada anak berkebutuhan khusus berdasarkan periode gigi bercampur dan periode gigi permanen, menggunakan metode cross sectional study dengan desain observasi deskriptif. Sampel anak berkebutuhan khusus diambil dengan cara purposive sampling pada SLB Negeri 1 Makassar. Pengumpulan data dilakukan dengan pemeriksaan klinis menggunakan Occlusion Feature Index (OFI). Hasil penelitian menunjukkan keparahan maloklusi pada periode gigi bercampur sebanyak 59,2% dan pada periode gigi permanen sebanyak 40,8% Pada anak berkebutuhan khusus didapatkan kategori sangat membutuhkan perawatan ortodonti pada kelainan autisme sebanyak 85,7%, diikuti dengan kelainan tunagrahita (66,7%), klasifikasi kelainan tunanetra didapatkan presentase tidak membutuhan perawatan ortodonti 46,7%. Disimpulpulkan bahwa maloklusi lebih banyak diderita oleh anak berkebutuhan khusus dengan kategori kelainan autisme.
Comparison of Class II malocclusion treatment using Twin Block and prefabricated Myobrace appliances: Perbandingan perawatan maloklusi Kelas II dengan piranti Twin Block dan Myobrace fabricated Ardiansyah S. Pawinru; Yusnita Damayanti
Makassar Dental Journal Vol. 15 No. 2 (2026): Volume 15 Issue 2 August 2026
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v15i2.1149

Abstract

Class II malocclusion is one of the most prevalent orthodontic anomalies and may adversely affect masticatory function, facial aesthetics, and the patient’s psychosocial well-being. Various functional appliances, including the Twin Block and Myobrace, have been utilized to modify mandibular growth and improve maxillomandibular relationships. This literature review aims to compare the effectiveness of these two appliances based on changes in ANB angle, overjet, and facial profile, from clinical trials and systematic reviews. Myobrace has demonstrated improvement in myofunctional habits, with an average overjet re-duction of approximately 2-2.5 mm and a decrease in ANB angle of around 1°. Meanwhile, the Twin Block appliance exhibits more pronounced skeletal ef-fects, achieving an overjet reduction of up to 4-5 mm and an ANB decrease of 1.5-2°, along with more evident enhancement of facial profile aesthetics. I tis concluded that both appliances are effective for the treatment of Class II malocclusion during growth periods; however, Twin Block provides superior ske-letal correction, whereas Myobrace is more beneficial in improving orofacial muscle function.
Second class functional treatment: Activator Andreasen versus Twin Blok: Perawatan fungsional kelas dua: Aktivator Andreasen versus Twin Blok Ardiansyah S. Pawinru; Tyas Nadya Wahdaniah
Makassar Dental Journal Vol. 15 No. 2 (2026): Volume 15 Issue 2 August 2026
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v15i2.1154

Abstract

Class II malocclusion is one of the most common orthodontic problems associated with mandibular retrusion. Various functional treatment modalities have been developed to manage this condition, particularly the use of removable orthodontic appliances designed to stimulate mandibular growth and correct skele-tal and dental relationships. The most widely recognised appliances are the Andreasen Activator and the Twin Block. The activator operates on a passive prin-ciple, requiring long-term wear to gradually influence mandibular development and occlusal correction. In contrast, the Twin Block is a more active functional appliance, allowing for normal masticatory function during wear, thereby improving patient compliance. Clinical evidence suggests that both appliances are effective in reducing overjet and overbite, as well as improving facial profile aesthetics. However, the Twin Block is reported to be more efficient at producing mandibular changes within a shorter treatment period than the activator. Factors such as the patient’s age, growth potential, the severity of the malocclusion, and compliance must be carefully considered to achieve optimal treatment outcomes. It is concluded that individualised treatment planning is essential, with the selection of functional appliances tailored to the specific clinical situation.
Effectiveness of Myofunctional Treatment in a Patient Class 3 Type 1: Case Report Azrul Hidayat; Ardiansyah Pawinru; Baharuddin M Ranggang; Zulfiani Syachbaniah
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Early treatment of malocclusion aims to prevent soft tissue damage and lead to better jaw growth, normalization, and improvement of occlusal and orofacial function, simplifying orthodontic treatment and preventing the development of TMD symptoms. Case Report: A 13-year-old male patient reported to the Orthodontic Clinic, RSGMP UNHAS, with the chief complaint of crossbite anterior and concave profile. The patient was diagnosed with class III endoskeletal malocclusion. Cephalometric measurement showed SNA 77°, SNB 84,50, ANB -3° with overjet -7,5mm, overbite 6mm. The patients were instructed to wear the myobrace appliance (P-3) for 2 hours during the day and 8 hours at night. Patients were asked to participate in myobrace activities like tongue click, correct swallow, light breathing, paces, and lip pops. Within one month after treatment, the profile changed, and the anterior crossbite was corrected. Cephalometric after treatment showed SNA 77°, SNB 80°, ANB -3° with overjet 1mm, and overbite 3,5mm. Discussion:Treatment of myofunctional devices in orthodontics includes the treatment of facial muscle imbalance, tongue posture training, and establishing a balance between the tongue, lip, and cheek muscles. Conclusion: Myobrace appliances effectively have Class III malocclusion in early treatment.
Myofunctional Orthodontic Therapy in Class III Dentoskeletal Malocclusion Using Myobrace Appliance and Inclined Bite Plane: Case Report Aulina Nur Bahrun; Eka Erwansyah; Baharuddin M. Ranggang; Ardiansyah Pawinru; Mansjur Nasir
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Class III malocclusion has previously been one of the most difficult to treat. Regardless of this fact, no child has ever been born with class III malocclusion; it always develops over the time. This alteration can be associated to bad habits which if continuously repeated, can cause functional anomalies of the orofacial musculature. Class III malocclusion can be treated in early age with myofunctional therapy. Case Report: A 7 years old male complained his crossbite anterior and concave profile. The parents reported that he likes to protruding the lower jaw and breath through the mouth. Cephalometric showed SNA 78o, SNB 81o, ANB -3o with overjet -2 mm, overbite 5 mm. This case was diagnosed as class III dentoskeletal malocclusion. Discussion: The patient was treated with myobrace i-3N for four months to correct the mouth breathing habit where after four months treatment, myobrace i-3R for arch development for 6 months, inclined bite plane 2 months, and myobrace i-3H for 6,5 months. After 16.5 months of treatment, facial profile changes were achieved (concave to straight), corrected gummy smile, corrected anterior and posterior crossbite, class I molar dental relations, 0.5 mm overjet, and 1 mm overbite. Conclusion: Myobrace appliance followed with myobrace activity may be a good choice for correction class III dentoskeletal malocclusion with mouth breathing habit in growing age.
Orthodontic Treatment of an Adolescent Patient with Cleft Lip and Palate Using Rapid Maxillary Expansion and Edgewise Technique: A Case Report Andi Kurniati; Ardiansyah Pawinru; Eddy Heriyanto Habar; Zilal Islamy Paramma
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Cleft lip and palate is a congenital malformation that covers the lip, palate, and soft palate in the midfacial region, and this is one of the most critical developmental disorders. The etiology of this defect is based on genetic and environmental. Case Report: A boy 16-year-old patient with unilateral cleft lip and palate; patient presented a Class III skeletal relationship and concave profile because of undeveloped maxillary, crowding, anterior and posterior crossbites, Class III Dental Malocclusion, impacted maxillary right canines, agenesis 14, 28, 32, 42 and multiple diastemata in mandible. The patient was treated with Orthodontic Fixed Appliance Edgewise Technique for leveling and alignment and also a rapid palatal expansion to correct the transverse discrepancy. After nine months of treatment with RPE with the fixed appliance, the anterior and posterior crossbites were corrected, and better occlusion and esthetic were achieved. The open window was planned for treating impaction 13. Conclusion: treating cleft lip and palate patients need a multidiscipline approach. Most of the purpose of the treatment has been achieved, and the patient is satisfied with it.
Orthodontic Treatment of Skeletal Class II, Palatal Deep Bite, TMD and Gummy Smile by Edgewise Technique Arizal Fuad Alam; Ardiansyah S. Pawinru; Eka Erwansyah
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 2 (2024): Vol 1, Issue 2, December 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

AbstractIntroduction: Certain aspects of malocclusion, particularly deep bite, can be related to healthy of temporomandibular joints (TMJ). In orthodontics, deep bite has always been considered as a difficult anomaly to correct, but also as the one most hindering to solving the problems resulting from other associated malposition. The main objectives was to explain management of a patient with skeletal Class II with palatal deep bite, TMD and gummy smile by multiloop edgewise technique. Case Report: The patient was a 28-years-old male who had a skeletal Class II patterns. He had a concave facial profile with retrusion and retroclinated maxillary central incisor, palatal deep bite, gummy smile, and TMD in right side. Canine relation was class II on his right side, and class I on his left side. Molar relationship was class I on his right and left sides. He has complaints of the right jaw joint clicking and pain during functional activity. The treatment was carried out with a multiloop edgewise technique for around ten months, starting with levelling and aligning the maxillary and mandibular arch. Followed by flaring and intrusion of the maxillary and mandibular incisors. Conclusion: Orthodontic treatment using the Multiloop edgewise technique resulted in normal overjet and overbite, reduced TMD complaints, and corrected gummy smile.
Treatment Anterior Crossbite Using Prefabricated Functional Appliances Ernawati Naharuddin; Ardiansyah S. Pawinru; Baharuddin M Ranggang; Eka Erwansyah
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 2 (2024): Vol 1, Issue 2, December 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

AbstractIntroduction: Anterior crossbite is the most common problem in Angle class III malocclusion and getworse along with increase age, affecting the aesthetics of the face and stomatognatic systems. Theskeletal anterior crossbite is characterized by mandibular protrusion, maxillary retrusion or combinationof both. Early treatment ensures that craniofacial development and occlusion occur normally, as obstacleare removed during active phase growth. Case Report: The case demonstrates an anterior skeletalcrossbite corrected using prefabricated myofunctional appliance. This appliance guide permanent tootheruption, correction malalignment of the teeth and faulty jaw relationship. Conclusion: Correction wasachieved within 2 years with improve facial balance and aesthetics
Interceptive Management of Class II Division I Malocclusion with Severe Overjet and Overbite Using Myofunctional Therapy: A Case Report Fatmawati Mappeare; Ardiansyah S. Pawinru; Eddy Heriyanto Habar
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 2 (2024): Vol 1, Issue 2, December 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

AbstractIntroduction: Early intervention is key in interceptive orthodontics, which focuses on correcting skeletal and dental malocclusions. Interceptive orthodontics refers to performing orthodontic therapy on young children to minimize or simplify later orthodontic treatment. Case Report: A 10 years old girl with a Class II division 1, 10 mm overjet, and 6 mm overbite, difficulty in closing the mouth and disturbing appearance. Myofunctional therapy- through the Myobrace Activities™ protocol was implemented in this case for the treatment of incorrect oral habits. After 12 months of treatment, facial photos and a cephalogram were taken, both of which demonstrated an enhancement to the patient’s facial profile. Conclusion: The success rate in this case depends on the accuracy of the diagnosis and the patient's level of cooperation.
Co-Authors Adam Malik Hamudeng Alifuddin Zuhri Alifuddin Zuhri Alimuddin, Nur Rahmadani Andi Iffah Syahamah Andi Izham Andi Izham, Andi Andi Kurniati Andi Kurniati Andi Kurniati Arizal Fuad Alam As'ad Saefullah Gani Asjad, A. Arigoh Aulina Nur Bahrun Azrul Hidayat Baharruddin M. Ranggang Delicia Anjanette Ngadiman Desi Maya Putri Dewiayu Dewang Dion Agung Mahendra Donald Ronald Nahusona Eddy Heriyanto Habar Edy Machmud Eka Erwansyah Eka Erwansyah Eka Erwansyah Ernawati Naharuddin Fatmawati M Fatmawati Mappeare Gunawan, Muh. Chaerul Hidayati, Nasyrah Ita Purnama Alwi Ita Purnama Alwi Mahardika, Ariva Mansjur Nasir Muhammad IA. Bahar Muhammad Kamil Nur Muslihin Nadia S. Widjaja Nasyrah Hidayati Ngadiman, Delicia Anjanette Nur Rahmadani Alimuddin Nurul Sakinah Nurvita Titi Ikawati Pepi Riyani Siregar Ranggang, Baharuddin M. Rasdiana Bakri SATRIYAS ILYAS Serliawati Suhesti Suronoto Susilowati Tyas Nadya Wahdaniah Ulfahardiati Bahar Wahyuni Wahyuni Widjaja, Nadia S. Yusnita Damayanti Zilal Islamy Paramma Zulfiani Syachbaniah