Ardiansyah S. Pawinru
Department Of Orthodontic, Faculty Of Dentistry, Hasanuddin University Makassar, Indonesia

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Orthodontic Correction of Transposition in Teeth 22 And 23 Using The Edgewise Technique: A Clinical Case Study Arizal Fuad Alam; Eka Erwansyah; Ardiansyah S. Pawinru
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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AbstractIntroduction: Tooth transposition is a rare dental anomaly where two adjacent teeth switch positions within the dental arch. It most commonly involves the maxillary canines and lateral incisors or premolars. The main objectives was to provide valuable insights into the effectiveness of the Edgewise technique in managing tooth transposition and contribute to the development of more refined orthodontic treatment approaches. Case Report: The patient is a 27-year-old male presenting with a Class I dentoskeletal malocclusion, characterized by prognathic maxilla and mandible. His intraoral examination revealed dental types 1, 2, and 3, with the maxillary and mandibular arches exhibiting significant crowding. The patient had a prominent convex facial profile, contributing to facial asymmetry. His primary complaint includes misaligned and chipped anterior teeth, specifically the upper front teeth, which have gaps and are not arranged neatly. The treatment was carried out with a multiloop edgewise technique, starting with extraction of teeth 14, 24, 44 and 35, levelling and aligning the maxillary and mandibular arch. Followed Space opening for tooth 22 in the maxillary arch, distalization of canina, and En-masse retraction of the four maxillary and mandibula incisors. Conclusion: Orthodontic treatment using the Multiloop edgewise technique was successfully addressed both aesthetic andfunctional concerns, particularly the transposition of teeth 22 and 23.
Orthodontic Management of Dentoskeletal Class I Malocclusion with Anterior Crossbite and Bimaxillary Crowding – A Case Report Ulfahardiati Bahar; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Baharuddin M. Ranggang
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Introduction: Dentoskeletal Class I malocclusion is a common skeletal pattern characterized by normal anteroposterior jaw relationship but often accompanied by dental discrepancies such as bimaxillary crowding and anterior crossbite. These discrepancies can result in edge-to-edge bite, insufficient overjet, and functional disturbances, indicating the need for orthodontic intervention. Case Report: A 30-year-old patient presented with uncomfortable biting and protrusive incisors. Clinical examination revealed crowding in both arches, edge-to-edge incisor relationship, and a single-tooth anterior crossbite involving teeth 11 and 41. Radiographs confirmed skeletal Class I malocclusion with dental Class I type 1. Treatment involved a non- extraction approach using 0.022-inch MBT straight-wire appliance with interproximal reduction in the lower anterior teeth to create space for alignment and overbite correction. Discussion: After 17 months of treatment, the occlusion was harmonized with proper cusp contacts, anterior crowding was resolved, overbite increased from 0.5 mm to 1.5 mm, and overjet from 0.5 mm to 1 mm. Radiographs confirmed stable root positions and improved sagittal relationships. Functional and aesthetic outcomes were achieved without extractions, demonstrating the effectiveness of non-extraction MBT treatment in Class I malocclusion with crowding and anterior crossbite. Conclusion: Non-extraction orthodontic treatment using MBT brackets effectively corrected bimaxillary crowding and single-tooth crossbite in a dentoskeletal Class I patient, achieving stable, functional, and aesthetic results within 17 months.
Orthodontic Management of Skeletal Class III Malocclusion with Transversal Discrepancy and Multiple Diastemas – A Case Report Ulfahardiati Bahar; Eka Erwansyah; Ardiansyah S. Pawinru
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Introduction: Skeletal Class III malocclusion is the least prevalent type of skeletal malocclusion. It is usually accompanied by transverse discrepancies, resulting in anterior crossbite, midline deviation and spacing issues. This indicates the need for orthodontic treatment. Case Report: An 18-year-old patient presented with a primary concern of spaces between their teeth and uneven teeth. Clinical examination showed upper and lower midline shifted to the right with inadequate overbite and overjet. A crossbite was identified, and microdontia resulted in multiple diastemas. Radiographic examination showed a skeletal Class III malocclusion. The treatment plan included the use of 0.022-inch MBT bracket system along with composite restoration for diastema closure. Discussion: The occlusion was corrected after 18 months of treatment and anterior crossbite and diastema were resolved, overbite and overjet were improved. Extraoral assessment also showed an increase in vertical dimension. Conclusion: The treatment successfully resolved patient’s issues of diastema and uneven occlusion using camouflage orthodontics method and composite resin restoration.
Segmental retraction in Orthodontic Treatment of Patient with Ectopic Eruption of Maxillary Canine: A Case Report Wahyuni; Ardiansyah S. Pawinru; Eddy Heriyanto Habar; Eka Erwansyah; Nasyrah Hidayati
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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AbstractIntroduction: Ectopic canines are permanent teeth that develop outside of their normal position in the jaw and can be caused by genetic or environmental factors. And require orthodontic treatment to correct it. Objective: This case report involves orthodontic treatment using segmental retraction to correct ectopic maxillary canine. Case Report: A 13-year old girl complained that her canine tooth was above the other teeth in the right maxilla. The maxillary midline shifted to the right by 3 mm. Cephalometrics showed SNA 810, SNB 770, ANB 40, and overjet and overbite were normal. The molar and canine relation on the right side was class II, and the left side was class I. The patient was treated with segmental retraction to correct the position of the maxillary right canine with extraction of the maxillary right first premolar and extraction of the maxillary left premolar to fix the right shifted midline. After 19 months of orthodontic treatment, facial profile changes were achieved (convex to straight tendency), and ectopic maxillary right canine and shifted midline were corrected. Conclusion : Segmental retraction in orthodontic treatment of ectopic canine provides satisfactory results and quick correction for patients and improves occlusion function and aesthetics.
Extraction Premolar Unilateral to Correct Canine Class II Division ISubdivision - A Case Report Andi Iffah Syahamah; Rasdiana Bakri; Suhesti Suronoto; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Donald Ronald Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract Objective: The purpose is to correct canine class II division 1 subdivision by extraction premolar unilateral. Case Description: A 22-years-old female came to the Hasanuddin University Dental Hospital Orthodontic Clinic with complaints about her crowded teeth and protrusion. Figure 1 showed pre-treatment photograph of extra and intraoral. On extraoral examination, patient had a convex profile, competent lips, and no TMJ abnormalities. On intraoral examination, patient had positive curve of spee, crowded teeth, midline of upper arch shifted 1 mm to the left and deep palate. The patient was treated with 0.022-in Standard Edgewise prescription bracket with extraction right upper premolar. After 36 months of treatment, canine right relationship become Class I, the midline of upper and lower in one line, overjet 3 mm and overbite 1.5 mm. Conclusion: The canine Class I relationship can be achieved by extraction unilateral premolar. The patient’s occlusion and smile aesthetics were significantly improved with normal and stable occlusion between maxillary and mandibular arch.
Orthodontic Treatment With Extraction in Moderate Crowding Using The Edgewise System - A Case Report Rasdiana Bakri; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Baharuddin M. Ranggang; Eka Erwansyah; Muhammad Kamil Nur
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract Introduction: Dental crowding is a common malocclusion resultingfrom a mismatch between tooth size and arch dimensions, with moderate forms frequently requiring orthodontic intervention. Fixed orthodontic appliances, particularly the edgewise system, offer controlled three-dimensional tooth movement and are widely used to manage space discrepancies. In cases where arch-tooth size imbalance is significant, premolar extraction may be indicated to create adequate space and achieve functional and esthetic improvement Case Report: A 23 years-old women came to RSGMP UH with chief complaint want to improve her teeth that were crowded . intraoral examination revealed class I canine and molar relationship, deep palate and 1 mm shift of the mandibular dental midline to the right. At the beginning of the treatment, four first premolars were extracted to correct moderate crowding and improve the facial profile. After that, edgewise bracket slot 0,22 was bonded. The next step was levelling and alignment procedure with multiple loops. Conclusion: The management of moderate crowding using the edgewise fixed orthodontic system with first premolar extractions proved effective in correcting dental irregularities, improving the facial profile, and establishing functional occlusion. Sequential leveling, alignment, space closure, and retraction sucesfully resolved crowding and midline deviation, leading to stable post-treatment results supported by appropriate retention
Orthodontic Camouflage for Class III Subdivision Malocclusion : A Case Report Andi Kurniati; Eka Erwansyah; Ardiansyah S. Pawinru; Nasyrah Hidayati
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract                                              Introduction: Orthodontic camouflage treatment is a therapeutic approach aimed at disguising skeletal discrepancies by altering the position and angulation of teeth within the dental arches. Class III dentoskeletal malocclusion is considered one of the most complex and challenging orthodontic problems to manage. Skeletal and dental asymmetry in patients with class III subdivision malocclusion may further worsen the prognosis. Therefore, identifying the dentoalveolar and skeletal characteristics of subdivision malocclusions and understanding their possible treatment modalities are essential for achieving favorable non-surgical correction. This case report aims to describe the orthodontic camouflage treatment option for a patient with class III subdivision dentoskeletal malocclusion. Case Report: A 29-year-10-month-old female patient was referred from the Prosthodontic Clinic to the Orthodontic Clinic of the Dental Hospital, Faculty of Dentistry, Hasanuddin University, with complaints of crowding in both maxillary and mandibular teeth and protrusive lower anterior teeth relative to the upper teeth. Diagnosis revealed a skeletal Class III pattern with a normal maxillary position and a tendency toward mandibular prognathism (SNA 82°, SNB 83°, ANB −1°), Angle Class III subdivision malocclusion accompanied by moderate crowding, and a concave soft tissue profile. The case was treated using a non-extraction orthodontic camouflage approach with a straight-wire fixed appliance to correct crowding in both arches and anterior crossbite. Orthodontic treatment was completed within 20 months, resulting in successful correction of crowding and anterior crossbite. Discussion: Orthodontic camouflage provided satisfactory occlusal, skeletal, soft tissue, and functional improvements, correcting malocclusion and facial profile without orthognathic surgery. Conclusion: Orthodontic camouflage treatment in skeletal Class III malocclusion is considered a favorable treatment option because it can correct malocclusion through dentoalveolar compensation, thereby achieving good and stable occlusion. The treatment outcome demonstrated satisfactory and clinically acceptable results for the patient
Orthodontic Management of Impacted Mandibular Second Premolar (Tooth 45) Using the Edgewise Technique – A Case Report Desi Maya Putri; Baharruddin M. Ranggang; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Donald Ronald Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract Introduction: Impacted teeth represent a common clinical challenge in orthodontic practice due to their potential to disrupt normal occlusion and oral function. Objective: This case report aims to present the orthodontic management of an impacted mandibular second premolar (tooth 45) using the Edgewise technique to restore proper alignment and functional occlusion. Case Report: A 14-year-old female presented with Class I dentoskeletal malocclusion, severe crowding in the mandibular arch, midline shift, and an impacted tooth 45. Extraoral examination revealed a convex facial profile with slight asymmetry. Treatment was conducted using the 0.022-inch Standard Edgewise system. Leveling and aligning were initiated using multiple loop stainless steel archwires. Space creation for tooth 45 was achieved using an open-coil spring combined with molar distalization and anterior flaring, followed by uprighting and traction of tooth 45 into the dental arch. Conclusion: Comprehensive orthodontic treatment using the Edgewise technique with open-coil mechanics successfully uprighted and aligned the impacted tooth 45, establishing a stable Class I canine and molar relationship with improved smile aesthetics.
Orthodontic Treatment Of A Skeletal Class II Subdivision Malocclusion With Severe Maxillary Crowding And Midline Discrepancy Using A Straight-Wire Appliance: A Case Report Pepi Riyani Siregar; Fatmawati M; Baharuddin M. Ranggang; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Ita Purnama Alwi
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract Background: Skeletal Class II subdivision malocclusion is a challenging asymmetric malocclusion, often associated with severe crowding, dental midline discrepancy, and dentoalveolar and soft-tissue imbalance. Achieving optimal occlusion and facial harmony requires careful management of both space and asymmetry. Objective: To report the diagnosis, treatment protocol, and outcomes of straight-wire fixed appliance therapy in a 24-year-old female with skeletal Class II subdivision malocclusion, severe maxillary crowding, and dental midline discrepancy. Case Report: A 24-year-old female presented to the Orthodontic Clinic of the Hasanuddin University Dental and Oral Hospital with protrusive and crowded teeth. Clinical examination showed dental midline deviation (maxillary 1 mm left; mandibular 0.5 mm right), overjet 3.5 mm, and overbite 2.5 mm, with a Class II subdivision canine relationship. Model analysis demonstrated a 9-mm maxillary space deficiency. Cephalometric findings indicated skeletal Class II (Class II subdivision) with incisor proclination/protrusion. Treatment was performed using straight-wire fixed appliances (Roth prescription, 0.022-inch slot) with selective extractions and staged mechanotherapy, including leveling and alignment, anterior retraction with T-loops, finishing, and fixed retainer retention. Active treatment lasted from 5 May 2023 to 19 December 2025 (approximately 32 months). Outcomes included improved facial profile, correction of crowding and midline discrepancy, and reduction of overjet to 3.0 mm.