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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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Orthodontic Camouflage for Class III Subdivision Malocclusion : A Case Report Andi Kurniati; Eka Erwansyah; Ardiansyah S. Pawinru; Nasyrah Hidayati
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract                                              Introduction: Orthodontic camouflage treatment is a therapeutic approach aimed at disguising skeletal discrepancies by altering the position and angulation of teeth within the dental arches. Class III dentoskeletal malocclusion is considered one of the most complex and challenging orthodontic problems to manage. Skeletal and dental asymmetry in patients with class III subdivision malocclusion may further worsen the prognosis. Therefore, identifying the dentoalveolar and skeletal characteristics of subdivision malocclusions and understanding their possible treatment modalities are essential for achieving favorable non-surgical correction. This case report aims to describe the orthodontic camouflage treatment option for a patient with class III subdivision dentoskeletal malocclusion. Case Report: A 29-year-10-month-old female patient was referred from the Prosthodontic Clinic to the Orthodontic Clinic of the Dental Hospital, Faculty of Dentistry, Hasanuddin University, with complaints of crowding in both maxillary and mandibular teeth and protrusive lower anterior teeth relative to the upper teeth. Diagnosis revealed a skeletal Class III pattern with a normal maxillary position and a tendency toward mandibular prognathism (SNA 82°, SNB 83°, ANB −1°), Angle Class III subdivision malocclusion accompanied by moderate crowding, and a concave soft tissue profile. The case was treated using a non-extraction orthodontic camouflage approach with a straight-wire fixed appliance to correct crowding in both arches and anterior crossbite. Orthodontic treatment was completed within 20 months, resulting in successful correction of crowding and anterior crossbite. Discussion: Orthodontic camouflage provided satisfactory occlusal, skeletal, soft tissue, and functional improvements, correcting malocclusion and facial profile without orthognathic surgery. Conclusion: Orthodontic camouflage treatment in skeletal Class III malocclusion is considered a favorable treatment option because it can correct malocclusion through dentoalveolar compensation, thereby achieving good and stable occlusion. The treatment outcome demonstrated satisfactory and clinically acceptable results for the patient
Orthodontic Management of Impacted Mandibular Second Premolar (Tooth 45) Using the Edgewise Technique – A Case Report Desi Maya Putri; Baharruddin M. Ranggang; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Donald Ronald Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract Introduction: Impacted teeth represent a common clinical challenge in orthodontic practice due to their potential to disrupt normal occlusion and oral function. Objective: This case report aims to present the orthodontic management of an impacted mandibular second premolar (tooth 45) using the Edgewise technique to restore proper alignment and functional occlusion. Case Report: A 14-year-old female presented with Class I dentoskeletal malocclusion, severe crowding in the mandibular arch, midline shift, and an impacted tooth 45. Extraoral examination revealed a convex facial profile with slight asymmetry. Treatment was conducted using the 0.022-inch Standard Edgewise system. Leveling and aligning were initiated using multiple loop stainless steel archwires. Space creation for tooth 45 was achieved using an open-coil spring combined with molar distalization and anterior flaring, followed by uprighting and traction of tooth 45 into the dental arch. Conclusion: Comprehensive orthodontic treatment using the Edgewise technique with open-coil mechanics successfully uprighted and aligned the impacted tooth 45, establishing a stable Class I canine and molar relationship with improved smile aesthetics.
Orthodontic Treatment Of A Skeletal Class II Subdivision Malocclusion With Severe Maxillary Crowding And Midline Discrepancy Using A Straight-Wire Appliance: A Case Report Pepi Riyani Siregar; Fatmawati M; Baharuddin M. Ranggang; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Ita Purnama Alwi
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract Background: Skeletal Class II subdivision malocclusion is a challenging asymmetric malocclusion, often associated with severe crowding, dental midline discrepancy, and dentoalveolar and soft-tissue imbalance. Achieving optimal occlusion and facial harmony requires careful management of both space and asymmetry. Objective: To report the diagnosis, treatment protocol, and outcomes of straight-wire fixed appliance therapy in a 24-year-old female with skeletal Class II subdivision malocclusion, severe maxillary crowding, and dental midline discrepancy. Case Report: A 24-year-old female presented to the Orthodontic Clinic of the Hasanuddin University Dental and Oral Hospital with protrusive and crowded teeth. Clinical examination showed dental midline deviation (maxillary 1 mm left; mandibular 0.5 mm right), overjet 3.5 mm, and overbite 2.5 mm, with a Class II subdivision canine relationship. Model analysis demonstrated a 9-mm maxillary space deficiency. Cephalometric findings indicated skeletal Class II (Class II subdivision) with incisor proclination/protrusion. Treatment was performed using straight-wire fixed appliances (Roth prescription, 0.022-inch slot) with selective extractions and staged mechanotherapy, including leveling and alignment, anterior retraction with T-loops, finishing, and fixed retainer retention. Active treatment lasted from 5 May 2023 to 19 December 2025 (approximately 32 months). Outcomes included improved facial profile, correction of crowding and midline discrepancy, and reduction of overjet to 3.0 mm.
Orthodontic Management Of Transposition And Ectopic maxillary Canine - A Case Report Andi Husnul Hasanah; Julia Rahim; Wahyuni; Baharuddin M. Ranggang; Eddy Heriyanto Habar; Muhammad Kamil Nur
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract Introduction: The eruption path of the maxillary permanent canine is not only long and winding, but slightly buccal in relation to the dental arch. Moreover, its eruption occurs after that of the lateral incisor and the first premolar. Therefore, any approximation between the roots of these teeth decreases the space available for the canine and may cause their intraosseous retention or ectopic eruption, usually manifested by an exaggerated buccal position. Objective: the aim of this case report was to present the treatment of transposition and ectopic maxillary Case Report: A 15 years-old boy with chief complaint of misaligned teeth. Clinical examination revealed a convex facial profile with a unproportional lower third of the face, diminished nasolabial angle, showed canine displaced while smiling. The presence of the right and left maxillary primary canine was noted, as well as space deficiency in the maxillary arch of approximately —18 mm and severe crowding both of the anterior teeth in maxilla and mandible. Furthermore, the maxillary canines presented virtually superimposed buccal to the maxillary lateral incisors or nearly transposed. The patient was treated with 0.022-in Roth prescription brackets. Extraction of the 14, 24, 35, and 45 to reveal the crowding and corection the transposition and ectopic maxillary canine. Total treatment time was 15 months. On the day of debonding, a maxillary Hawley retainer was delivered Conclusion: Proper treatment of an ectopic canine patient with severe crowding requires careful treatment planning by the orthodontist. The decision to extract the premolars is to be good aesthetically, functionally, and for more stable results in these patients
Orthodontic Treatment in a Child with Crowded Teeth Using Myofungsional Appliance- A Case Report Nurul Hajrah Jahili; Eka Erwansyah; Zilal Islamy Paramma
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract Introductioin: Crowded teeth represent a high-prevalence malocclusion in growing children. Interceptive orthodontic treatmMyobrace successfully corrected maxillary and mandibular anterior crowding, established normal overjetletal patterns and eliminate myofunctional habits during early development. Objective: This case report utilizes myobrace appliances for crowded teeth in a child. 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. Discussion: Discussion: The Myobrace appliance effectively retrained aberrant orofacial muscles, normalized tongue posture, and provided arch development via its built-in structural features (e.g., Dynamicore and Frankel cage). This myofunctional re-educationMyobrace successfully corrected maxillary and mandibular anterior crowding, established normal overjeturing the active growth phase.   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.

Page 3 of 3 | Total Record : 25

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