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All Journal Jurnal EduHealth Quantum Wellness : Jurnal Ilmu Kesehatan
Bramita Beta Arnanda
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Removable Orthodontic Appliance with Interproximal Reduction to Correct Mandibular Anterior Crowding Rifda Muthia Sabrina; Bramita Beta Arnanda
Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025
Publisher : Sean Institute

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Abstract

Anterior crowding occurs due to a lack of coordination and disparity between tooth size and dental arch, resulting in available space limitation causing anterior tooth rotation and overlap. Removable orthodontic appliances combined with the Interproximal Reduction (IPR) technique have been used to correct anterior crowding. Case: A 26-year-old female came to Soelastri Dental and Oral Hospital of The Muhammadiyah Surakarta University with Angle Class I Dewey Type 1 malocclusion and individual dental malposition of maxillary and mandibular anterior (SNA 81°; SNB 78°; ANB 3°; overjet 3.3 mm; overbite 3.75 mm; convex profile). The treatment was carried out using removable orthodontic appliances combined with the IPR technique. Case Management: The Hawley appliances, consisting of labial arches and Adam clasps with active components were used for this case. A design modification of a U-shaped maxillary acrylic baseplate was made to free the torus on the palatal area. The IPR technique was done on the anterior teeth by slicing 0.25 mm for each side. The patient was instructed to use the appliances for 20 - 22 hours daily. Dental evaluation was scheduled every week to reactivate the springs. After 6 months, both mandibular canines were corrected and 41 showed significant movement mesiolabially. Conclusion: Patient compliance in wearing and maintaining the appliance could affect the correction of anterior crowding.
Koreksi Malposisi Gigi Insisivus Rahang Bawah dengan Menggunakan Alat Orthodontic Lepasan Anastasia Mayang Cahyani; Bramita Beta Arnanda
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 2 (2026): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i2.3200

Abstract

Introduction: Malocclusion is an abnormal alignment of the teeth and an improper relationship between the maxillary and mandibular teeth in centric occlusion, which may affect mastication, speech, swallowing, and facial esthetics. Removable orthodontic appliances are commonly used for mild to moderate malocclusion cases, although treatment success greatly depends on patient compliance. Objective: This case report aims to describe the management of removable orthodontic treatment in correcting mandibular anterior tooth malposition. Case Report: A 24-year-old female patient presented to Soelastri Dental Hospital, Surakarta, with a complaint of crowded lower anterior teeth causing food impaction and reduced self-confidence. Clinical examination revealed Angle Class I malocclusion modified by Dewey type 1 with skeletal Class I relationship, spacing between teeth 23–24 and 24–25, and individual tooth malpositions, particularly in the mandibular anterior region. Case Management: Treatment was performed using maxillary and mandibular removable orthodontic appliances with continuous spring, finger spring, selective grinding, and periodic activations over five control visits. Discussion: Improvement in the alignment of the four mandibular incisors was observed through orthodontic tooth movement and alveolar bone remodeling. However, the correction was not fully optimal due to inadequate patient compliance in wearing the appliance. Conclusion: Removable orthodontic appliances are effective for mild to moderate malposition correction when used consistently and accompanied by regular follow-up visits.Conclusion: Improvement in tooth malposition was observed, although the result was not yet optimal, most likely due to inadequate patient compliance in wearing the appliance.
Co-Authors Anastasia Mayang Cahyani Rifda Muthia Sabrina