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Perbedaan tingkat pengetahuan, sikap, dan kesadaran ayah dan ibu pasien celah bibir dan celah langit-langit non sindromik terkait perawatan ortodonti: studi cross sectional Syafitri, Kharlina; Laviana, Avi; Sayuti, Elih; Evangelina, Ida Ayu; Mardiati, Endah
Padjadjaran Journal of Dental Researchers and Students Vol 8, No 1 (2024): Februari 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v8i1.51215

ABSTRAKPendahuluan: Celah bibir dan langit-langit non sindromik (CBLns) merupakan kondisi cacat kraniofasial kongenital yang umum terjadi pada populasi seluruh dunia termasuk Indonesia. Pasien CBLns umumnya menjalani proses perawatan cukup panjang, membutuhkan pendekatan multidisiplin termasuk perawatan ortodonti serta dukungan orang tua. Pengetahuan, sikap, dan kesadaran pada orang tua memiliki peran penting dalam mendukung keberhasilan perawatan ortodonti khususnya pada pasien CBLns. Penelitian bertujuan untuk menganalisis tingkat pengetahuan, sikap, dan kesadaran ayah dan ibu pasien CBLns terkait perawatan ortodonti. Metode: Metode penelitian kuantitatif cross sectional dengan survei analitik komparatif menggunakan uji non parametrik Wilcoxon-Mann Whitney. Populasi penelitian merupakan orang tua pasien CBLns yang terdaftar di Yayasan Pembina Penderita Celah Bibir dan Langit-Langit (YPPBCL) Bandung Jawa Barat (2017 - 2022) menggunakan teknik random sampling diperoleh besar sampel sebesar 51 orang. Penelitian menggunakan kuesioner pengetahuan, sikap, dan kesadaran terkait perawatan ortodonti kemudian skor dikelompokkan menjadi kategori baik, cukup, dan kurang. Hasil: Total 92 orang responden yaitu ayah (46) dan ibu (46). Persentase tingkat pengetahuan ibu pada kategori baik lebih tinggi dibanding pada ayah (36,96%;26,09%). Persentase tingkat sikap ibu dan ayah lebih dominan pada kategori cukup (28,26%;27,17%), persentase tingkat kesadaran ibu dan ayah dominan pada kategori baik (42,39%;41,39%). Hasil analitik tingkat pengetahuan ayah dan ibu diperoleh nilai p = 0,0280 (p<0,05), tingkat sikap mendapatkan nilai p = 0,8396 (p>0,05), dan tingkat kesadaran dengan nilai p = 0,8550 (p>0,05). Simpulan: Terdapat perbedaan tingkat pengetahuan ayah dan ibu, namun tidak terdapat perbedaan tingkat sikap dan kesadaran ayah dan ibu pada pasien CBLns terkait perawatan ortodonti.KATA KUNCI: Celah bibir dan langit-langit, pengetahuan, sikap, kesadaran, perawatan ortodonti. Level of knowledge, attitude, and awareness of parents with non-syndromic cleft lip and palate patients towards orthodontic treatment: a cross-sectional studyABSTRACTIntroduction: Non-syndromic cleft lip and palate (nsCLP) is one of the commonest congenital craniofacial defects in populations around the world, including Indonesia. nsCLP patients generally undergo a long treatment process, requiring a multidisciplinary approach including orthodontic treatment, as well as parental support to achieve successful treatment. Knowledge, attitude, and awareness of both parents and patients have an important role in supporting the success of orthodontic treatment, especially in nsCLP patients. The purpose of this study was to measure the level of knowledge, attitudes, and awareness of parents in nsCLP patients regarding orthodontic treatment. Methods: This research method was quantitative cross sectional with a comparative analytic survey using the Wilcoxon-Mann Whitney non-parametric test. This research used a questionnaire divided into 3 parts; knowledge, attitudes, and awareness of orthodontic treatment. The scores were grouped into good, fair, and poor categories. Results: A total of 92 respondents: father (46) and mother (46) participated in this study. Knowledge level of the mother was in the ‘good’ category and was higher than the father’s (36,96% and 26,09%). The attitude levels of the mother and father were dominantly moderate with 28,26% and 27,17%. Awareness level of the mother in the ‘good’ category was almost the same as the father's (42,39% and 41,39%). Data were analyzed using the Wilcoxon-Mann Whitney test. The analytic results of knowledge level between the father and the mother were obtained with p-value = 0.0280 (p<0.05); attitude level with p-value = 0.8396 (p>0.05), and awareness level with p-value = 0.8550 (p>0.05). Conclusion: There is a difference in the level of knowledge between father and mother in nsCLP patients towards orthodontic treatment, but there is no difference in the level of attitude and awareness between the father and the mother towards orthodontic treatment.KEY WORDS: cleft lip and palate, knowledge, attitude, awareness, orthodontic treatment.

Differences in the tooth impaction characteristics between males and females nonsyndromic cleft lip and palate patients: a cross-sectional study Andreas, Monica; Laviana, Avi; Mardiati, Endah; Sayuti, Elih; Noviaranny, Indah Yuri
Padjadjaran Journal of Dentistry Vol 36, No 2 (2024): July 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no2.54341

ABSTRACTIntroduction: Nonsyndromic cleft lip and palate (nsCLP) refers to an abnormal gap in the upper lip and/or palate, without the presence of additional developmental abnormalities. The risk of tooth impaction in nsCLP-patients is greater than in patients without nsCLP. This research aimed to analyze the differences in the tooth impaction characteristics between males and females nsCLP-patients. Methods: Type of research is cross-sectional study. CLP by observing 64 panoramic radiographs as population, consisting of 28 males and 36 females with the chronological age of over 7 years. The sampling technique used was purposive sampling of tooth impaction and the number of samples are 14. Univariate analysis was performed to examine the data on tooth impaction characteristics. Bivariate analysis was performed to compare the tooth impaction characteristics between males and females. Results: The proportion of tooth impaction in males (28.57%) was greater than in females (16.67%). Tooth impaction generally affects one tooth. Maxillary permanent canines (64.71%) were the most frequently affected teeth. Most of the impacted teeth were located above the cemento-enamel junction, but less than half the length of the adjacent tooth root with unfavorable angulation<650 to the intercondylar line. There were no significant differences in the tooth impaction characteristics, including proportion (p-value=0.5557), number (p-value=0.0644), position (p-value=0.8273), and angulation (p-value=0.8248), between males and females nsCLP-patients. However, there was a significant difference in the type of impacted teeth (p-value=0.0000) between the two genders. Conclusions: There were no differences in the tooth impaction characteristics, including the proportion, number, position, and angulation, except for the type of impacted teeth, between males and females nsCLP-patients. A small proportion of nsCLP-patients was found to have one impacted tooth, with maxillary permanent canines being the most frequently affected teeth. Impacted teeth were commonly located in favorable positions, but with unfavorable angulation.KEYWORDSTooth impaction, nonsyndromic cleft lip and palate, panoramic radiography

Differences in the visual perception of the upper dental midline deviation between orthodontically completely treated and untreated patients Laviana, Avi; Yakin Hasbullah, Irnamanda Dwipura; Sayuti, Elih; Mardiati, Endah; Noviaranny, Indah Yuri
Padjadjaran Journal of Dentistry Vol 35, No 1 (2023): March 2023
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol35no1.45351

ABSTRACTIntroduction: A common reason for people to obtain orthodontic treatment is a misalignment between the upper dental midline and the midline of the face. The process of orthodontic treatment is considered to affect a patient's visual perception before and after the treatment, as well as their satisfaction with treatment, possibly due to the information received during treatment. This study aimed to analyze this visual perception of dental midline deviation differences between orthodontically completely treated and untreated patients. Methods: This was a cross-sectional survey of 90 orthodontic patients, 49 completely treated patients who had completed orthodontic treatment and 41 untreated patients who had not started treatment. Patients were asked to complete a Google Form questionnaire for evaluating 12 intraoral smiling photos with midline deviation and a Likert scale. Bivariate statistical analysis with the Mann Whitney test was carried out to see differences in visual perceptions between two groups. Results: Completely treated patients perceive a 0-1 mm (LCN/L photos) midline deviation of the upper teeth as attractive, while untreated patients perceive a 0-2 mm (LCN photos) and 0-3 mm (L photos) deviation as attractive. The statistical analysis revealed a significant difference in patient perception between completely treated and untreated groups, with a p-value of 0.001 (p<0.05) and a mean score of 36.5 and 53.0, respectively. Conclusion: There are differences in visual perception between orthodontically completely treated and untreated patients. The group of completely treated patients is more sensitive to detecting a midline deviation of the upper teeth..Keywords : Upper dental midline deviation, visual perception, completely treated orthodontic patients, untreated orthodontic patients

Correlation between oral health knowledge and awareness and periodontal status in non-syndromic cleft lip and palate patients undergoing orthodontic treatment: a cross-sectional study Rezaumami, Debrinna; Evangelina, Ida Ayu; Laviana, Avi; Sayuti, Elih; Saadun Tarek, Sharifah Wade'ah Wafa Syed
Padjadjaran Journal of Dentistry Vol 36, No 3 (2024): November 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no3.57744

Introduction: Children and adolescents with non-syndromic cleft lip and palate (CLP) experience a higher prevalence of caries and periodontal disease compared to those without CLP. This increased prevalence is often attributed to greater plaque accumulation, which can lead to gingival inflammation and periodontal disease. This study aims to analyze the correlation between oral health knowledge and awareness and the periodontal health status of orthodontic patients with cleft lip and palate (CLP).Method: This study used a cross-sectional approach. The study population consisted of orthodontic patients with non-syndromic CLP who met the inclusion criteria. The research was conducted at the UNPAD Dental Teaching Hospital (RSGM Unpad) from March to May 2024. Twenty-seven participants with non-syndromic CLP were included in the study. A non-probability, purposive sampling technique was employed. oral health knowledge and awareness were assessed using questionnaires, while periodontal health examinations were evaluated using the Community Periodontal Index (CPI). Correlation analyses were performed using Kendall's Concordance Correlation (W). Additionally, Spearman Rank Correlation Analysis was conducted to identify the dominant variables. Results: The analysis revealed a Kendall's Concordance Correlation (W) of 0.544, which is statistically significant (p < 0.0001), indicating a 54.4% relationship between the variables. The correlation between knowledge and periodontal health status in orthodontic patients with non-syndromic CLP was 11.16%, with a p-value of 0.0443 (p < 0.05) and an r-value of 0.33. The correlation between awareness of oral health and periodontal health status in these patients was 19.85%, with a p-value of 0.0099 (p<0.05) and an r-value of 0.45. Conclusion: There is a weak correlation between knowledge and awareness of oral health and the periodontal health status in non-syndromic CLP patients undergoing fixed orthodontic treatment.

Correlation between patient satisfaction with the use of a removable retainer and compliance: a correlational study Omar, Naufal Halef; Sayuti, Elih; Laviana, Avi
Padjadjaran Journal of Dentistry Vol 37, No 2 (2025): July 2025
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no2.59727

Introduction: Removable retainers are one of the devices used after active orthodontic treatment. Their use requires patient compliance with the prescribed wearing time; however, many patients remain non-compliant due to dissatisfaction with the removable retainer. This study aims to analyze the correlation between patient satisfaction with the use of a removable retainer and compliance. Methods: The research method used is correlational analysis. This study uses primary data collected through online questionnaires via Google Forms to patients of the Universitas Padjadjaran Dental Hospital, aged 18-45 years, who have undergone orthodontic treatment with fixed appliances followed by the use of removable retainers for 1-24 months. The total sample consists of 38 subjects. The seven questions assessing satisfaction were used to calculate each respondent’s total satisfaction score. The data were analyzed using the Spearman correlation test. Results: The data show that the majority of research subjects were satisfied (44.7%), and more than half were classified as compliant (57.9%). The correlation between patient satisfaction while using a removable retainer and compliance with its use resulted in a correlation coefficient of 0.447, with a significance value of 0.002 (p value<0.05). Conclusion: There is a moderately strong positive correlation between patient satisfaction with a removable retainer and patient compliance in wearing it.

Perbandingan tinggi dan lebar kondilus serta kesimetrisan vertikal mandibula pada perawatan ortodonti maloklusi kelas I Saputro, Najla Andini; Sayuti, Elih; Latif, Deni Sumantri
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 10, No 1 (2024)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.94770

Maloklusi diperkirakan sebagai faktor yang berkontribusi terhadap perubahan posisi sendi temporomandibular. Perawatan ortodonti berisiko menyebabkan resorpsi kondilus sebagai bentuk adaptasi terhadap perubahan bentuk jaringan akibat kekuatan mekanik pada TMJ. Penelitian ini bertujuan untuk mengetahui perbandingan tinggi dan lebar kondilus serta kesimetrisan vertikal mandibula pada pasien sebelum dan sesudah perawatan ortodonti cekat. Penelitian analitik komparatif ini menggunakan data sekunder dengan teknik purposive sampling. Sampel penelitian berjumlah 35 pasang radiograf panoramik digital dari pasien dengan maloklusi kelas I dentoskeletal yang telah selesai dilakukan perawatan ortodonti cekat di RSGM Universitas Padjadjaran pada tahun 2015-2019 dengan kelompok tanpa pencabutan sebanyak 27 pasang serta kelompok dengan pencabutan 4 premolar pertama sebanyak 8 pasang sesuai dengan kriteria inklusi dan eksklusi. Pengukuran tinggi dan lebar kondilus serta kesimetrisan vertikal mandibula menggunakan software Image J win 64 dan dilakukan uji signifikansi Paired t test dengan nilai signifikan p < 0,05. Hasil penelitian menunjukan terdapat perbedaan signifikan pada tinggi kondilus kiri setelah perawatan ortodonti cekat pada kelompok tanpa pencabutan (p<0,05). Selain itu, hasil penelitian menunjukan bahwa lebar kondilus kiri maupun kanan pada semua kelompok menunjukkan perbedaan yang tidak signifikan (p>0,05), serta ketidaksimetrisan vertikal mandibula sebelum perawatan sama dengan sesudah perawatan pada semua kelompok (p>0,05). Dari hasil penelitian dapat disimpulkan bahwa perawatan ortodontik memiliki pengaruh yang signifikan terhadap perubahan tinggi kondilus, namun tidak ada pengaruh yang signifikan terhadap lebar kondilus dan simetri vertikal mandibula.

Orthodontic management of angle Class III malocclusion with severe anterior crowding Retyoningrum, Gita; Paskalin, Zenith; Sayuti, Elih; Laviana, Avi; Evangelina, Ida Ayu; Mardiati, Endah
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.105794

Dental malocclusion Class III is a challenging condition characterized by a Class III molar relationship, and it has a specific anterior condition according to Dewey classification. In some cases, Class III dental malocclusion with skeletal Class I may present with a convex rather than a concave profile. Several methods are available to correct a convex profile, including extraction, full arch distalization using TADs, intermaxillary elastic Class II, anterior segment retraction, and others. Combining more than one of these methods can be effective in correcting a convex profile. An 18 year-old woman presented to RSGM Universitas Padjadjaran with a diagnosis of Angle Class III dental malocclusion, skeletal Class I with a convex profile, normal maxillary incisor inclination, asymmetric profile, severe anterior crowding in both arches, minimal overjet, anterior crossbite, upper midline shift, clockwise rotation and high-angle mandible, and lingual inclination of the mandibular incisors. The patient was treated with a Roth prescription fixed orthodontic appliance. Maxillary and mandibular first premolars were extracted to create space, and lacebacks were applied to the canines to correct severe anterior crowding]. Bilateral intermaxillary Class III elastics were used to maintain the facial profile and prevent it from becoming concave. Treatment was completed in 18 months, achieving a Class I molar relationship, midline correction, optimal overbite and overjet, and preservation of the facial profile. This case report presents the orthodontic management of Angle Class III malocclusion with skeletal Class I and severe anterior crowding, successfully treated with first premolar extractions while maintaining a convex profile.

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