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Reconstruction of Supervision of Health Profession Student Practice in Teaching Hospitals Following the Enactment of Law Number 17 of 2023 concerning Health Susanto, Henny; Winata, I Gde Sastra
LEGAL BRIEF Vol. 15 No. 1 (2026): April: Law Science and Field
Publisher : IHSA Institute

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Abstract

Regulatory reform through Law Number 17 of 2023 concerning Health brings changes to the system of guidance and supervision of medical and health workers in Indonesia. This change has an impact on the practice of health professions education in teaching hospitals, particularly regarding the mechanism for supervising students involved in clinical services. Legally, health professions students do not yet have the authority to practice independently, but in fact they participate in service actions under supervision. This condition creates a complex legal relationship between students, clinical supervisors, educational institutions, and hospitals, especially when patient safety incidents occur. This study is a normative legal research with a statutory and conceptual approach. Primary and secondary legal materials are analyzed qualitatively through legal interpretation to identify normative gaps and inconsistencies in regulations regarding the supervision of student practice in teaching hospitals. The results show that although Law Number 17 of 2023 concerning Health emphasizes the importance of guidance and supervision of health workers, regulations regarding student practice have not been formulated explicitly. This normative gap has the potential to create legal uncertainty regarding the limits of action authority, supervision standards, and the construction of legal accountability. Therefore, it is necessary to reconstruct supervision by affirming the limits of competence-based authority, strengthening active and documented supervision, and establishing more specific implementing regulations to ensure legal certainty and patient protection.
En Masse Retraction in Bimaxillary Protrusion and Molar Mesialization: A Case Report Sitasari, Putri Intan; Susanto, Henny; Wahyuningtyas, Erdiarti Dyah; Ardani, I Gusti Aju Wahju
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 22 No. 1 (2026): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v22i1.13572

Abstract

Introduction: Successful orthodontic treatment of bimaxillary protrusion requires effective anchorage control to enable anterior retraction without unwanted posterior tooth movement. Loss of molars can compromise anchorage, leading to mesial drift, space reopening, and loss of vertical control. Temporary Anchorage Devices (TADs) provide a reliable solution for achieving maximum anchorage. This case report describes the use of TADs for en masse retraction and third molar mesialization. Case: A 20-year-old female presented with a hyperdivergent profile and lip incompetence. Clinical examination revealed maxillary and mandibular incisor proclination. A gangrenous radix was present in the lower left region. Cephalometric analysis showed Class I skeletal malocclusion with a convex profile. Case Management: Based on clinical and radiographic findings, extraction therapy was planned due to arch length discrepancy. Anchorage was compromised following extraction of the lower left molar. TADs were placed to provide maximum anchorage, allowing en masse retraction of anterior teeth and controlled mesialization of the third molar. This approach minimized unwanted tooth movement and maintained vertical control throughout treatment. Conclusion: The use of TADs enabled effective anchorage control, facilitating precise en masse retraction and third molar mesialization, resulting in improved facial profile and occlusal outcomes.