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All Journal Majalah Kedokteran Gigi Indonesia Dental Journal (Majalah Kedokteran Gigi) Indonesian Journal of Dental Medicine Academia Open
Winoto, Ervina Restiwulan
Department Of Orthodontic, Faculty Of Dental Medicine, Universitas Airlangga
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Dental student’s perception to Aesthetic Component of IOTN and demand for orthodontic treatment Wees Kaolinni; Thalca Hamid; Ervina R. Winoto
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 2 (2013): June 2013
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (594.006 KB) | DOI: 10.20473/j.djmkg.v46.i2.p97-100

Abstract

Background: The aims of orthodontic treatment are to achieve the best interdigitation in centric occlusion in relation with good facial aesthetic and to get a pleasant dento-facial looked with good function as well. Nowadays, people who are seeking orthodontic treatment to fulfill those need come to orthodontist, mostly for aesthetic reason, for good teeth arrangement that will be more aesthetically favorable. However, not all people with malocclusion seek the orthodontic treatment due to the fact, they do not realize that they have orthodontic problem. On the other hand, some other feel they need orthodontic treatment but they can not afford it. Purpose: To determine the knowledge of malocclusion and demand for orthodontic treatment in related to Aesthetic Component (AC) IOTN. Methods: The samples were 107 college students of Faculty of Dentistry Airlangga University divided into two as 1st and 7th semester group. Both of the groups were given questionnaire about their knowledge of malocclusion and demand of orthodontic treatment. Then, they were asked to examine themselves using AC IOTN, then researcher and orthodontist examine them. Results: There was a significant difference on knowledge of malocclusion between both groups, no significant difference on demand of orthodontic treatment between both groups, and no correlation between demand and AC IOTN in both groups. There was a significant difference in AC IOTN score examined by respondent, researcher and orthodontist. Conclusion: Knowledge of malocclusion was not the only factor that determines demand of orthodontic treatment.Latar belakang: Tujuan perawatan ortodonti adalah untuk mendapatkan hubungan interdigitasi yang baik berhubungan dengan penampilan estetik wajah untuk mendapatkan fungsi dan penampilan dento-fasial yang baik. Saat ini, banyak orang mencari perawatan ortodonti untuk memenuhi kebutuhan fungsi dan penampilan. Tujuannya adalah susunan gigi yang rata yang lebih dapat diterima secara estetik. Namun, tidak semua orang dengan maloklusi mencari perawatan ortodonti, karena sebagian dari mereka tidak menyadari bahwa mereka memiliki masalah ortodonti, sedangkan sebagian lainnya merasa mereka membutuhkan perawatan ortodonti tetapi tidak bisa membiayainya. Tujuan: Mengetahui hubungan pengetahuan maloklusi dan demand perawatan ortodonti dengan Aesthetic Component (AC) IOTN. Metode: Sampel adalah 107 mahasiswa Fakultas Kedokteran Gigi Universitas Airlangga yang dibagi ke dalam 2 kelompok, semester 1 dan semester 7. Kedua kelompok kemudian diberi kuesioner tentang pengetahuan maloklusi dan demand perawatan ortodonti. Kemudian responden diminta untuk menilai diri mereka sendiri menggunakan AC IOTN, setelah itu responden dinilai peneliti dan ortodontis. Hasil: Terdapat perbedaan pengetahuan maloklusi yang signifikan antara kedua kelompok, tidak ada perbedaan demand perawatan ortodonti yang signifikan pada kedua kelompok, tidak ada hubungan antara demand dan AC IOTN pada kedua kelompok. Ada perbedaan yang signifikan pada skor AC IOTN yang diperiksa oleh responden, peneliti dan ortodontis. Simpulan: Pengetahuan maloklusi bukan satu-satunya faktor yang mempengaruhi demand perawatan ortodonti.
Orthodontic Interceptive Treatment on Obstructive Sleep Apnea Cases Narmada, Ida Bagus; Winoto, Ervina R; Hakim, Ailsa Marvalodya
Indonesian Journal of Dental Medicine Vol. 5 No. 1 (2022): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v5i1.2022.12-17

Abstract

Background: Obstructive sleep apnea (OSA) is a breathing disorder that occurs during sleep and results in decreased or complete cessation of airflow despite attempts to breathe. Specific populations, such as children with certain craniofacial or other genetic syndromes and who are obese have a higher prevalence of OSA than the general population. Craniofacial abnormalities are one of the causes of OSA in the upper airway. Craniofacial morphologies that may predispose to OSA include retrognathia, anterior open bite, midface deficiency, and lower hyoid position. Therefore, interceptive orthodontic treatment in children is needed as one of the treatment options that can be chosen. Purpose: this study aimed to describe the interceptive orthodontic treatments and their effects on OSA cases in children. Review: Interceptive orthodontic treatment has various types depending on how the dentocraniofacial abnormality occurs. Orthodontic treatment aims to reduce the severity of OSA through maxillary and mandibular expansion, thereby increasing air space and airflow. Conclusion: Interceptive orthodontic treatment in pediatric OSA cases include; Rapid Maxillary Expansion, Twin-block, Propulsor Universal Light appliance, Planas appliance modified, Fränkel-II appliance, and BioAJustax oral appliance.
Prevalence of malocclusion and craniofacial morphological variations among 7-13-year-old children in Elementary School, Kediri Triwardhani, Ari; Winoto, Ervina Restiwulan; Alida, Alida; Pramusita, Adya; Iskandar, Regina Purnama Dewi; Jordana, Jesslyn; Noor, Tengku Natasha Eleena binti Tengku Ahmad
Indonesian Journal of Dental Medicine Vol. 7 No. 2 (2024): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v7i2.2024.60-63

Abstract

Background: Craniofacial morphological variations can influence malocclusion. Mesocephalic head tends to form mesoprosopic face and class I malocclusion. Dolicocephalic head tends to form leptoprosopic face and class II malocclusion. Brachycephalic head tends to form euryprosopic face and class III malocclusion. Emphasizing the importance of malocclusion early treatment, research on malocclusion prevalence and craniofacial morphology variations in growing children is needed. Purpose: To determine malocclusion prevalence and craniofacial morphological variations among 7-13-year-old children at Medowo III Elementary School, Kediri. Methods: This descriptive study used 44 samples of Medowo III Elementary School, Kediri students. Head and face length and width were measured using a spreading caliper. The cephalic and facial indices were then determined for the classification of head and facial types. Results: The dominant craniofacial morphological variations in the samples were hyper-brachycephalic head (39 samples) and euryprosopic face (14 samples). The highest prevalence of malocclusion among individuals with hyper-brachycephalic head type was Angle’s class I malocclusion. Class II malocclusion was found in 1 sample, and class III malocclusion in 3 samples. Among the samples with this head type, the most common malocclusion variations were anterior crowding (36 samples), followed by deep bite (15 samples). Conclusion: The highest prevalence of malocclusion among Medowo III Elementary School, Kediri students was Angle class I malocclusion, characterized by specific craniofacial morphological variations, namely hyper-brachycephalic head type and euryprosopic face.
Management of Double Impacted Teeth 22 and 23 Combination of Fixed Orthodontics and Surgical Exposure Muntadir , Lila; Anugraha, Ganendra; Winoto, Ervina Restiwulan; Heriyanto, Eddy; Silviana, Nur Masita
Academia Open Vol 10 No 1 (2025): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.10.2025.11828

Abstract

Background: Double impaction of two teeth in the same region specifically tooth 22 and tooth 23 is a rare condition that requires a combined treatment approach involving fixed orthodontics and surgical exposure. Fixed orthodontic treatment is essential to prepare space, guide tooth movement after surgical exposure, prevent root resorption, and correct overall malocclusion. Surgical exposure is performed to expose the tooth crown, preserve the alveolar bone, avoid root exposure, and facilitate the attachment of buttons and ligatures. Impacted teeth can affect the stomatognathic system, facial growth, and aesthetics. The maxillary incisors and canines play a critical role in occlusion, masticatory function, and facial aesthetics, thus requiring appropriate management. Objective: To describe the management of a double impaction case in the anterior left maxillary region of a 19-year-old female patient using a combined approach of fixed orthodontic and surgical treatment. Methods: The patient underwent fixed orthodontic treatment and sequential extraction of premolars 14 and 24 to create space for the eruption of the impacted teeth and to correct the midline before surgical exposure. Post-surgical exposure, orthodontic treatment was continued to guide both teeth into proper alignment within the dental arch. Results: Teeth 22 and 23 successfully erupted with good occlusion. The patient's masticatory function and facial aesthetics improved over a 2-year period following surgical exposure. Conclusion: Fixed orthodontic treatment combined with surgical exposure is an effective strategy for managing double impaction of anterior teeth in the left maxillary region, considering the position of the crowns, tooth inclination, and root apex morphology of the impacted teeth. Highlights: Double impaction of teeth 22 and 23 is rare and affects function and aesthetics. Combined surgical and orthodontic treatment effectively guided tooth eruption. Treatment restored occlusion, midline, and facial aesthetics over 2 years. Keywords: Anterior tooth double impaction, surgical exposure, fixed orthodontic treatment
Comparison of the arch perimeter discrepancy in Javanese class I malocclusion: modified kesling vs. lundström analysis method at Dental Hospital Universitas Airlangga 2018-2024 Winoto, Ervina Restiwulan; Alida, Alida; Dinda, Prasherly Anura
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.106970

Abstract

Creating orthodontic treatment more efficiently in Indonesia requires the population's facial and jaw characteristics recognition as influenced by ethnic and gender characteristics. Myriad study model analysis methods are needed to evaluate a malocclusion’s treatment plan, such as modified kesling and lundström analysis which calculate Jaw Arch Perimeter (JAP) and Dental Arch Perimeter (DAP). Prior studies of different ethnicities and genders across global populations have demonstrated variations in results. Therefore, it is necessary to compare those two methods to ascertain the final result of arch perimeter discrepancy in Javanese class I malocclusion.  This study aims to prove the disparity in comparison of the arch perimeter discrepancy in Javanese class I malocclusion by modified kesling vs. lundström analysis method at Dental Hospital Universitas Airlangga 2018-2024. Applied inclusion criteria: Javanese ethnicity, age 18–25 years, permanent dentition (first molar to first molar), and no prior orthodontic treatment. It results in 53 samples. In lundström analysis, JAP is obtained by enumerating segmentally measuring pairs of teeth using a caliper. In the modified kesling, JAP is obtained by tracing the model on plastic mica. Then, continue by making pre-correction JAP with a marker and making post-correction JAP by measuring the ideal arch using a 0.1 mm copper wire. This study identifies a statistically significant final value difference between those two methods. This study identified statistically significant differences in arch perimeter values using modified kesling method and lundström analysis, whilst no significant differences in arch circumference by gender.
Aesthetic smile component before and after extraction and non-extraction orthodontic treatment in Class I Angle malocclusion patient Winoto, Ervina Restiwulan; Alfiandini, Ratna Nurlia; Fahrial, Selvina Alisandra
Indonesian Journal of Dental Medicine Vol. 8 No. 2 (2025): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v8i2.2025.73-76

Abstract

Background: Approximately 80% of Indonesians suffer from malocclusion, a disease related to oral health issues. Orthodontic treatment, whether extraction or non-extraction, enhances the smile's aesthetics and stomatognathic function. To guarantee a result that is both practical and aesthetically pleasing, treatment selection necessitates thorough investigation. Purpose: the aim of this study is to compare the appearance of smiles in class I Angle type 1 malocclusions before and after orthodontic treatment. Methods: This study is an analytical retrospective study using frontal photos and a sample of medical records of orthodontic patients who finished orthodontic treatment at the Dental Hospital/Rumah Sakit Gigi dan Mulut Pendidikan (RSGMP), Universitas Airlangga (UNAIR), between 2017 and 2024. There were 46 non-extraction cases and 37 extraction cases. Result: Following premolar extraction, the buccal corridor increased by 3.11% ± 7.33% (p < 0.05) and the smile width by 1.49% ± 4.43%. Only grin breadth increased significantly (1.64% ± 4.23%) in the non-extraction group. There were no discernible differences between the extraction and non-extraction groups in Class I Angle malocclusion patients, according to the independent t-test findings. Conclusion: The extraction and non-extraction groups' average smile aesthetics scores before and after treatment do not differ significantly in Class I Angle malocclusion patients at RSGMP UNAIR.
Transverse dimension maxillary arch smile aesthetics comparison in non-extraction and extraction in Class I Angle malocclusion Amalia, Fatimah Nur; Winoto, Ervina Restiwulan; Alfiandini, Ratna Nurlia
Indonesian Journal of Dental Medicine Vol. 8 No. 2 (2025): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v8i2.2025.77-80

Abstract

Background: Malocclusion may affect aesthetic facial profile, and oral health-related quality of life. There are two orthodontic treatments to improve the facial profile, especially the aesthetics of the transverse dimension maxillary smile aesthetic (TDMASA), namely, extraction and non-extraction in the orthodontic treatments. Purpose: This study was conducted in order to compare extraction and non-extraction in orthodontic treatment on the aesthetics of TDMASA variables in patients with Class I Angle type 1 malocclusion at Dental Hospital / Rumah Sakit Gigi dan Mulut Pendidikan (RSGMP,) Universitas Airlangga (UNAIR) in the period 2017-2024. Methods: There were 19 extraction samples and 33 non-extraction samples, taken by means of total sampling technique. Intercanine Width (ICW) and Inter Molar Width (IMW) were measured using digital calipers. Smile width (SW) and maximum dental width (MDW) were measured using ImageJ software. Data analysis used a paired t-test to determine the difference in ICW, IMW, SW, and MDW and the ratio of ICW/SW, ICW/MDW, and MDW/SW before and after extraction and non-extraction treatments and an independent t-test to compare the results of ICW, IMW, SW, and MDW and the ratio of ICW/SW, ICW/MDW, and MDW/SW between extraction and non-extraction treatments. Results: There was a significant increase in ICW, IMW, SW, MDW, and MDW/SW ratio, and a significant decrease in ICW/SW and ICW/MDW in the extraction group (P<0.05). Conclusion: There was a significant difference in extraction and non-extraction case in orthodontic treatment on the aesthetics of TDMASA variables in patients with Class I Angle type 1 malocclusion.
Co-Authors Alfiandini, Ratna Nurlia Alida, Alida Amalia, Fatimah Nur Ari Triwardhani Dinda, Prasherly Anura Fahrial, Selvina Alisandra Ganendra Anugraha Hakim, Ailsa Marvalodya Heriyanto, Eddy Ida Bagus Narmada Jordana, Jesslyn Muntadir, Lila Noor, Tengku Natasha Eleena binti Tengku Ahmad Nur Masita Silviana Pramusita, Adya Regina Purnama Dewi Iskandar Thalca Hamid Wees Kaolinni