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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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Non-extraction Orthodontic Treatment of Class III SubdivisionMaloclussion: A Case Report Steffi Tanusetiawan; Eddy Heriyanto Habar; Eka Erwansyah
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Correcting a Class III subdivision malocclusion is usually a challenge foran orthodontist, especially if the patient’s profile does not allow for any extractions.One treatment option is to use asymmetric intermaxillary elastics to correct theunilateral anteroposterior discrepancy. However, the success of this method depends onthe individual response of each patient and his or her compliance in using the elastics. CaseReport: This case report presents a 23-year-old male who had Class III subdivisionmalocclusion. He had straight profile. Intraoral examination showed mild crowding onupper and lower anterior teeth. The treatment plan consisted of an extraction mandibularthird molars and MBT prescription bracket. Following the treatment, a satisfactory resultwas achieved with an ideal facial profile. Conclusion: A good occlusion and Class Imolar relationship can be achieved with asymetric Class III elastics and third molarextraction when patient compliance in using the elastics is satisfactory.
Orthodontic Management of Dentoskeletal Class I Malocclusion with Anterior Crossbite and Bimaxillary Crowding – A Case Report Ulfahardiati Bahar; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Baharuddin M. Ranggang
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Dentoskeletal Class I malocclusion is a common skeletal pattern characterized by normal anteroposterior jaw relationship but often accompanied by dental discrepancies such as bimaxillary crowding and anterior crossbite. These discrepancies can result in edge-to-edge bite, insufficient overjet, and functional disturbances, indicating the need for orthodontic intervention. Case Report: A 30-year-old patient presented with uncomfortable biting and protrusive incisors. Clinical examination revealed crowding in both arches, edge-to-edge incisor relationship, and a single-tooth anterior crossbite involving teeth 11 and 41. Radiographs confirmed skeletal Class I malocclusion with dental Class I type 1. Treatment involved a non- extraction approach using 0.022-inch MBT straight-wire appliance with interproximal reduction in the lower anterior teeth to create space for alignment and overbite correction. Discussion: After 17 months of treatment, the occlusion was harmonized with proper cusp contacts, anterior crowding was resolved, overbite increased from 0.5 mm to 1.5 mm, and overjet from 0.5 mm to 1 mm. Radiographs confirmed stable root positions and improved sagittal relationships. Functional and aesthetic outcomes were achieved without extractions, demonstrating the effectiveness of non-extraction MBT treatment in Class I malocclusion with crowding and anterior crossbite. Conclusion: Non-extraction orthodontic treatment using MBT brackets effectively corrected bimaxillary crowding and single-tooth crossbite in a dentoskeletal Class I patient, achieving stable, functional, and aesthetic results within 17 months.
Orthodontic Treatment with Surgical Intervention of Impacted UpperCentral Incisor - A Case Report Nurul Hajra Jahili; Eka Erwansyah; Baharuddin M. Ranggang
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: This case report involves the interdisciplinary treatment of an impacted central incisor. Case Report: An 11-year-old patient came to Hasanuddin University Dental and Oral Hospital along with his parents with a chief complaint of nonerupting anterior teeth. Intraoral examination revealed that the right central incisor was not erupted and the left lower central incisor was missing. The panoramic radiograph showed that the right central incisor was impacted and the lower left central incisor was agenized. The patient's parents also complained that the lower front teeth were not neat. Lateral cephalometric analysis showed class I skeletal. Orthodontic treatment was performed with 0.022 inch Roth system brackets. Initial alignment was performed with leveling and alignment of teeth with the aim of creating space for impacted teeth and eliminating crowding on the mandibular anterior teeth. The second stage was surgical intervention by windowing the impacted right upper central incisor. Traction was performed for 5 months of treatment and stabilization for 6 months. The result of the treatment was that the impacted central incisor was restored to its proper position in the normal dental arch so that normal aesthetics and function were achieved. Conclusion : Impaction treatment of incisive tooth 11 using fixed orthodontic appliance and open window surgery successfully retracted tooth 11 to the occlusal plateau, tooth 11 remained vital, periodontal tissues were normal, the patient and her parents were very satisfied with the facial aesthetics achieved
Camouflage Orthodontic Retreatment Of Class II Malocclusion with SevereOverjet, Previously Treated by General Practitioner : A Case Report Steffi Tanusetiawan; Ardinasyah S. Pawinru; Eddy Heriyanto Habar
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Since so many decades, various treatment modalities have been presented for the class II division 1 malocclusions treatment. In recent times, there are increasing numbers of patients who desire the shortest, cost effective and a non-surgical correction of Class II malocclusions and they accept dental camouflage as a treatment option to mask the skeletal discrepancy. Therefore, an accurate diagnosis and good treatment planning should be done. Patients previously treated by general practitioner usually were not satisfied because of poor diagnosis and treatment plan. Case Report: This case report presents a 25- year-old female who had a skeletal Class II division 1 malocclusion. She had convex profile with an orthognathic maxilla, a retrognathic mandible. Intraoral examination showed an overjet of 6 mm. She was previously treated by a general practitioner and already had her upper first premolars extracted. The treatment plan consisted of an extraction unilateral mandibular first premolar and standard edgewise appliance. Following the treatment, a satisfactory result was achieved with a stable and functional occlusion, and an ideal facial profile. Conclusion: A good occlusion and better facial profile can be achieved in an orthodontic retreatment case by carefully planning treatment objectives and biomechanics.
Orthodontic Management of Skeletal Class III Malocclusion with Transversal Discrepancy and Multiple Diastemas – A Case Report Ulfahardiati Bahar; Eka Erwansyah; Ardiansyah S. Pawinru
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Skeletal Class III malocclusion is the least prevalent type of skeletal malocclusion. It is usually accompanied by transverse discrepancies, resulting in anterior crossbite, midline deviation and spacing issues. This indicates the need for orthodontic treatment. Case Report: An 18-year-old patient presented with a primary concern of spaces between their teeth and uneven teeth. Clinical examination showed upper and lower midline shifted to the right with inadequate overbite and overjet. A crossbite was identified, and microdontia resulted in multiple diastemas. Radiographic examination showed a skeletal Class III malocclusion. The treatment plan included the use of 0.022-inch MBT bracket system along with composite restoration for diastema closure. Discussion: The occlusion was corrected after 18 months of treatment and anterior crossbite and diastema were resolved, overbite and overjet were improved. Extraoral assessment also showed an increase in vertical dimension. Conclusion: The treatment successfully resolved patient’s issues of diastema and uneven occlusion using camouflage orthodontics method and composite resin restoration.
Correction Of Unilateral Scissor Bite and Cingulum bite In Adult Patient Andi Husnul Hasanah; Baharuddin M. Ranggang; Eddy Heriyanto Habar; Zilal Islamy Paramma
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

AbstractIntroduction: Scissor bite and cingulum bite represent transverse and vertical malocclusions that may compromise occlusal function and stability. Effective correction is essential to establish proper interincisal relationships. This case report describes the orthodontic management of an adult patient with unilateral scissor bite accompanied by cingulum bite. The aim of this case report was to present the treatment malocclusion of unilateral scissor bite and cingulum bite in adult patient. Case Report: A 23-year-old man patient who presented a skeletal class III and dental class I type 1 malocclusion. Intraoral examination showed scissor bite in 24/35 and 25/36, diastema 22-23, mesial drift 36 and cingulum bite. The patient was treated with 0.022-inc Roth prescription. Leveling and aligment were perfomed to correction scissor bite in 24/35 and 25/36 with open coil spring, lingual button, and using elastic class III in the end of treatment. After a total 26 months of treatment, all brackets were debonded. Conclusion: Treatment results achieved the patient’s profile and esthetic smile.
Segmental retraction in Orthodontic Treatment of Patient with Ectopic Eruption of Maxillary Canine: A Case Report Wahyuni; Ardiansyah S. Pawinru; Eddy Heriyanto Habar; Eka Erwansyah; Nasyrah Hidayati
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

AbstractIntroduction: Ectopic canines are permanent teeth that develop outside of their normal position in the jaw and can be caused by genetic or environmental factors. And require orthodontic treatment to correct it. Objective: This case report involves orthodontic treatment using segmental retraction to correct ectopic maxillary canine. Case Report: A 13-year old girl complained that her canine tooth was above the other teeth in the right maxilla. The maxillary midline shifted to the right by 3 mm. Cephalometrics showed SNA 810, SNB 770, ANB 40, and overjet and overbite were normal. The molar and canine relation on the right side was class II, and the left side was class I. The patient was treated with segmental retraction to correct the position of the maxillary right canine with extraction of the maxillary right first premolar and extraction of the maxillary left premolar to fix the right shifted midline. After 19 months of orthodontic treatment, facial profile changes were achieved (convex to straight tendency), and ectopic maxillary right canine and shifted midline were corrected. Conclusion : Segmental retraction in orthodontic treatment of ectopic canine provides satisfactory results and quick correction for patients and improves occlusion function and aesthetics.
Extraction Premolar Unilateral to Correct Canine Class II Division ISubdivision - A Case Report Andi Iffah Syahamah; Rasdiana Bakri; Suhesti Suronoto; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Donald Ronald Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract Objective: The purpose is to correct canine class II division 1 subdivision by extraction premolar unilateral. Case Description: A 22-years-old female came to the Hasanuddin University Dental Hospital Orthodontic Clinic with complaints about her crowded teeth and protrusion. Figure 1 showed pre-treatment photograph of extra and intraoral. On extraoral examination, patient had a convex profile, competent lips, and no TMJ abnormalities. On intraoral examination, patient had positive curve of spee, crowded teeth, midline of upper arch shifted 1 mm to the left and deep palate. The patient was treated with 0.022-in Standard Edgewise prescription bracket with extraction right upper premolar. After 36 months of treatment, canine right relationship become Class I, the midline of upper and lower in one line, overjet 3 mm and overbite 1.5 mm. Conclusion: The canine Class I relationship can be achieved by extraction unilateral premolar. The patient’s occlusion and smile aesthetics were significantly improved with normal and stable occlusion between maxillary and mandibular arch.
Orthodontic Treatment in A Child With Crowded Teeth Using Myofunctional Appliance – A Case Report Nurul Hajra Jahili; Eka Erwansyah
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract Introduction: According to the World Health Organization (WHO) malocclusion is a defect or functional disorder that can be an obstacle to the physical and emotional health of patients who require treatment. Currently, the number of people with malocclusion reaches 80% of the total population in Indonesia while the case of crowded teeth is one of the oral health problems that are commonly found in Indonesia. The prevalence of crowded teeth reaches 80% and ranks third after caries and periodontal disease. Early treatment of malocclusions involving the teeth and skeletal system is an integral part of interceptive orthodontic treatment. Case Report: An 8-year-old patient came to Hasanuddin University Dental and Oral Hospital along with his parents with the main complaint of non-erupting anterior teeth. Intraoral examination revealed crowding of the maxillary and mandibular anterior teeth. Lateral cephalometric analysis showed class I skeletal. Interceptive orthodontic treatment was performed with myofunctional appliance with myobrace type. Initial staging was done with myobrace K1 for 4 months. The second stage was carried out with myobrace K2 for 4 months. The third stage is carried out with myobrace K3 for 4 months. The results of the treatment obtained anterior teeth in the normal arch and facial appearance improved. Conclusion: The maxillary and mandibular anterior teeth were corrected using myobrace appliance and obtained normal overjet and overbite, corrected mandibular anterior crowding and class 1 canine and molar relations.
Orthodontic Treatment With Extraction in Moderate Crowding Using The Edgewise System - A Case Report Rasdiana Bakri; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Baharuddin M. Ranggang; Eka Erwansyah; Muhammad Kamil Nur
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract Introduction: Dental crowding is a common malocclusion resultingfrom a mismatch between tooth size and arch dimensions, with moderate forms frequently requiring orthodontic intervention. Fixed orthodontic appliances, particularly the edgewise system, offer controlled three-dimensional tooth movement and are widely used to manage space discrepancies. In cases where arch-tooth size imbalance is significant, premolar extraction may be indicated to create adequate space and achieve functional and esthetic improvement Case Report: A 23 years-old women came to RSGMP UH with chief complaint want to improve her teeth that were crowded . intraoral examination revealed class I canine and molar relationship, deep palate and 1 mm shift of the mandibular dental midline to the right. At the beginning of the treatment, four first premolars were extracted to correct moderate crowding and improve the facial profile. After that, edgewise bracket slot 0,22 was bonded. The next step was levelling and alignment procedure with multiple loops. Conclusion: The management of moderate crowding using the edgewise fixed orthodontic system with first premolar extractions proved effective in correcting dental irregularities, improving the facial profile, and establishing functional occlusion. Sequential leveling, alignment, space closure, and retraction sucesfully resolved crowding and midline deviation, leading to stable post-treatment results supported by appropriate retention

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