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Ardiansyah S. Pawinru
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Rumah Sakit Gigi & Mulut Pendidikan Universitas Hasanuddin Jl. Kandea No.5, Baraya, Kec. Bontoala, Kota Makassar, Sulawesi Selatan 90153
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INDONESIA
Indonesian Journal of Orthodontics Case Report
Published by Universitas Hasanuddin
ISSN : -     EISSN : 30890195     DOI : -
Core Subject :
The Indonesian Journal of Orthodontics Case Report focuses on detailed case reports demonstrating innovative approaches to orthodontic challenges, including complex malocclusions, dentofacial abnormalities, interdisciplinary treatments, and advanced orthodontic technologies. The journal aims to provide clinically relevant and educational case reports that contribute to evidence-based orthodontic practice, continuing professional education, and advancements in patient care.
Arjuna Subject : -
Articles 25 Documents
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Effectiveness of Myofunctional Treatment in a Patient Class 3 Type 1: Case Report Azrul Hidayat; Ardiansyah Pawinru; Baharuddin M Ranggang; Zulfiani Syachbaniah
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Early treatment of malocclusion aims to prevent soft tissue damage and lead to better jaw growth, normalization, and improvement of occlusal and orofacial function, simplifying orthodontic treatment and preventing the development of TMD symptoms. Case Report: A 13-year-old male patient reported to the Orthodontic Clinic, RSGMP UNHAS, with the chief complaint of crossbite anterior and concave profile. The patient was diagnosed with class III endoskeletal malocclusion. Cephalometric measurement showed SNA 77°, SNB 84,50, ANB -3° with overjet -7,5mm, overbite 6mm. The patients were instructed to wear the myobrace appliance (P-3) for 2 hours during the day and 8 hours at night. Patients were asked to participate in myobrace activities like tongue click, correct swallow, light breathing, paces, and lip pops. Within one month after treatment, the profile changed, and the anterior crossbite was corrected. Cephalometric after treatment showed SNA 77°, SNB 80°, ANB -3° with overjet 1mm, and overbite 3,5mm. Discussion:Treatment of myofunctional devices in orthodontics includes the treatment of facial muscle imbalance, tongue posture training, and establishing a balance between the tongue, lip, and cheek muscles. Conclusion: Myobrace appliances effectively have Class III malocclusion in early treatment.
Management of Orthodontic Camouflage Treatment in Class III Type 3 Subdivision Malocclusion: Case Report Aulina Nur Bahrun; Eka Erwansyah; Eddy Heriyanto Habar; Baharuddin M. Ranggang; Donald R Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Class III malocclusion is strongly influenced by genetic factors. Class III malocclusion can be treated in three ways: the first is growth modification, the second is camouflage treatment, and the third is orthognathic surgery. Orthodontic camouflage treatment can be performed for mild to moderate class III malocclusion case. Case Report: A 22-year-old female complained of his crossbite anterior. The family history of malocclusion showed characteristics of class III malocclusion. Cephalometric showed SNA 75o, SNB 80o, ANB -5o with overjet -1,5 mm, overbite 2,5 mm. This case was diagnosed as class III type 3 subdivision dentoskeletal malocclusion. The patient was treated with orthodontic camouflage treatment which was carried out by adjusting the inclination of the teeth using an inclined bite plane and class III intermaxillary elastic. After 20 months of treatment, facial profile changes were achieved (straight to convex), corrected anterior crossbite and posterior scissorbite, class I dental relations of canine and molar, 1 mm overjet, and 0,5 mm overbite. Discussion: Three approaches are available for treating class III dentoskeletal malocclusion and in this case, orthodontic camouflage treatment was performed by adjusting the inclination of the teeth using an inclined bite plane and class III intermaxillary elastic to achieve a good occlusion relationship.Conclusion: Orthodontic camouflage treatment for class III type 3 subdivision malocclusion provides optimal treatment results that are acceptable to patients and improves occlusion function and aesthetics.
Myofunctional Orthodontic Therapy in Class III Dentoskeletal Malocclusion Using Myobrace Appliance and Inclined Bite Plane: Case Report Aulina Nur Bahrun; Eka Erwansyah; Baharuddin M. Ranggang; Ardiansyah Pawinru; Mansjur Nasir
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Class III malocclusion has previously been one of the most difficult to treat. Regardless of this fact, no child has ever been born with class III malocclusion; it always develops over the time. This alteration can be associated to bad habits which if continuously repeated, can cause functional anomalies of the orofacial musculature. Class III malocclusion can be treated in early age with myofunctional therapy. Case Report: A 7 years old male complained his crossbite anterior and concave profile. The parents reported that he likes to protruding the lower jaw and breath through the mouth. Cephalometric showed SNA 78o, SNB 81o, ANB -3o with overjet -2 mm, overbite 5 mm. This case was diagnosed as class III dentoskeletal malocclusion. Discussion: The patient was treated with myobrace i-3N for four months to correct the mouth breathing habit where after four months treatment, myobrace i-3R for arch development for 6 months, inclined bite plane 2 months, and myobrace i-3H for 6,5 months. After 16.5 months of treatment, facial profile changes were achieved (concave to straight), corrected gummy smile, corrected anterior and posterior crossbite, class I molar dental relations, 0.5 mm overjet, and 1 mm overbite. Conclusion: Myobrace appliance followed with myobrace activity may be a good choice for correction class III dentoskeletal malocclusion with mouth breathing habit in growing age.
Orthodontic Treatment of an Adolescent Patient with Cleft Lip and Palate Using Rapid Maxillary Expansion and Edgewise Technique: A Case Report Andi Kurniati; Ardiansyah Pawinru; Eddy Heriyanto Habar; Zilal Islamy Paramma
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Cleft lip and palate is a congenital malformation that covers the lip, palate, and soft palate in the midfacial region, and this is one of the most critical developmental disorders. The etiology of this defect is based on genetic and environmental. Case Report: A boy 16-year-old patient with unilateral cleft lip and palate; patient presented a Class III skeletal relationship and concave profile because of undeveloped maxillary, crowding, anterior and posterior crossbites, Class III Dental Malocclusion, impacted maxillary right canines, agenesis 14, 28, 32, 42 and multiple diastemata in mandible. The patient was treated with Orthodontic Fixed Appliance Edgewise Technique for leveling and alignment and also a rapid palatal expansion to correct the transverse discrepancy. After nine months of treatment with RPE with the fixed appliance, the anterior and posterior crossbites were corrected, and better occlusion and esthetic were achieved. The open window was planned for treating impaction 13. Conclusion: treating cleft lip and palate patients need a multidiscipline approach. Most of the purpose of the treatment has been achieved, and the patient is satisfied with it.
Orthodontic Treatment of Patient with Skeletal Class III Using Chin Cup and Edgewise Technique: A Case Report Andi Gerwyn Dewanta; Eka Erwansyah; Eddy Heriyanto Habar; Nasyrah Hidayati
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Skeletal Class III malocclusion is clinically presented as a result of maxillary retrusion, mandibular protrusion, or a combination of the two. It is often associated with complex dento-alveolar problems, which include an anterior edge-to-edge relation or anterior and posterior crossbite (Mousoulea dkk., 2016). Patients with Class III malocclusion exhibit potential aesthetic problems presenting a concave profile and a vertical function pattern which limits their function to vertical movements. The prevalence of Class III malocclusion presents a wide variety among and within populations, declared high around Asian populations, with a 23% rate. Case Report: A girl 14-year old with Skeletal Class III with anterior crossbite, unilateral posterior crossbite, and concave profile. Conclusion: The patient’s overall treatment resolved the patient’s chief complaint, correcting maxillary crowding, and anterior crossbite, achieving Class I Molar and Canine Relationship, a harmonious facial profile, and positive overjet achieved.
Orthodontic Treatment of Skeletal Class II, Palatal Deep Bite, TMD and Gummy Smile by Edgewise Technique Arizal Fuad Alam; Ardiansyah S. Pawinru; Eka Erwansyah
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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Abstract

AbstractIntroduction: Certain aspects of malocclusion, particularly deep bite, can be related to healthy of temporomandibular joints (TMJ). In orthodontics, deep bite has always been considered as a difficult anomaly to correct, but also as the one most hindering to solving the problems resulting from other associated malposition. The main objectives was to explain management of a patient with skeletal Class II with palatal deep bite, TMD and gummy smile by multiloop edgewise technique. Case Report: The patient was a 28-years-old male who had a skeletal Class II patterns. He had a concave facial profile with retrusion and retroclinated maxillary central incisor, palatal deep bite, gummy smile, and TMD in right side. Canine relation was class II on his right side, and class I on his left side. Molar relationship was class I on his right and left sides. He has complaints of the right jaw joint clicking and pain during functional activity. The treatment was carried out with a multiloop edgewise technique for around ten months, starting with levelling and aligning the maxillary and mandibular arch. Followed by flaring and intrusion of the maxillary and mandibular incisors. Conclusion: Orthodontic treatment using the Multiloop edgewise technique resulted in normal overjet and overbite, reduced TMD complaints, and corrected gummy smile.
Orthodontic and Surgical Management of Impacted Maxillary Central Incisor with Compound Odontoma: A Case Report Fatmawati Mappeare; Baharuddin M Ranggang; Eddy Heriyanto Habar
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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Abstract

AbstractIntroduction: This case report involves interdisiplinary orthodontic and surgery management of an impacted maxillary central incisors with compound odontoma. Case Report: A 18-year-old patient with a chief complaint there is non- eruption of the anterior teeth. Initial examination showed multiple diastema and missing maxillary central left incisor. Panoramic radiograph showed an impacted maxillary central left incisor due to the presence of compound odontoma. A lateral chepalometric analysis indicated skeletal class III. The patient was treated with 0.022-in MBT prescription bracket with 2 stage treatment plan was developed. Leveling and alignment was done in the first stage to allow enough space for the eruption of impacted teeth. The second stage included surgical exposure to remove the compound odontoma and bonding of orthodontic gold chain to traction the impacted maxillary central incisor with surgical closed eruption technique. After 8 months of traction and 6 months of stabilization, the impacted central incisor was effectively brought into position, and a normal functional occlusion was achieved. Conclusion: The impacted maxillary central incisors was successfully aligned with normal overbite and overjet. The patient’s occlusion and smile esthetics were significantly improved with normal and stable occlusion between maxillary and mandibular arch.
Treatment Anterior Crossbite Using Prefabricated Functional Appliances Ernawati Naharuddin; Ardiansyah S. Pawinru; Baharuddin M Ranggang; Eka Erwansyah
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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Abstract

AbstractIntroduction: Anterior crossbite is the most common problem in Angle class III malocclusion and getworse along with increase age, affecting the aesthetics of the face and stomatognatic systems. Theskeletal anterior crossbite is characterized by mandibular protrusion, maxillary retrusion or combinationof both. Early treatment ensures that craniofacial development and occlusion occur normally, as obstacleare removed during active phase growth. Case Report: The case demonstrates an anterior skeletalcrossbite corrected using prefabricated myofunctional appliance. This appliance guide permanent tootheruption, correction malalignment of the teeth and faulty jaw relationship. Conclusion: Correction wasachieved within 2 years with improve facial balance and aesthetics
Interceptive Management of Class II Division I Malocclusion with Severe Overjet and Overbite Using Myofunctional Therapy: A Case Report Fatmawati Mappeare; Ardiansyah S. Pawinru; Eddy Heriyanto Habar
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: Early intervention is key in interceptive orthodontics, which focuses on correcting skeletal and dental malocclusions. Interceptive orthodontics refers to performing orthodontic therapy on young children to minimize or simplify later orthodontic treatment. Case Report: A 10 years old girl with a Class II division 1, 10 mm overjet, and 6 mm overbite, difficulty in closing the mouth and disturbing appearance. Myofunctional therapy- through the Myobrace Activities™ protocol was implemented in this case for the treatment of incorrect oral habits. After 12 months of treatment, facial photos and a cephalogram were taken, both of which demonstrated an enhancement to the patient’s facial profile. Conclusion: The success rate in this case depends on the accuracy of the diagnosis and the patient's level of cooperation.
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.

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