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Majalah Kedokteran Gigi Indonesia

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Published by Universitas Gadjah Mada

ISSN : 24600164 EISSN : 24422576 DOI : https://doi.org/10.22146/majkedgiind.36959

Core Subject : Health,

Dentistry

Arjuna Subject : -

Articles 575 Documents

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Retainer Kaitan Presisi Ekstrakorona Pada Kasus Kennedy Klas I Rahang Bawah Fajar Kartika; Endang Wahyuningtyas; Erwan Sugiatno; Heriyanti AK
Majalah Kedokteran Gigi Indonesia Vol 21, No 1 (2014): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Rehabilitasi gigi yang hilang dengan gigi tiruan sebagian lepasan adalah untuk memperbaiki fungsi pengunyahan, estetika, fungsi bicara, mempertahankan gigi dan jaringan yang masih ada, menjaga stabilitas oklusi, serta mengembalikan kenyamanan pasien. Penggunaan gigi tiruan dengan retainer kaitan presisi menjadi pilihan karena dapat meningkatkan kenyamanan pasien dalam memakai gigi tiruan. Kaitan presisi adalah suatu perangkat interlocking kecil untuk menghubungkan gigi tiruan dengan gigi pegangan yang dapat memberikan manfaat biomekanik dan estetis. Laporan kasus ini bertujuan memberikan informasi tentang gigi tiruan dengan kaitan presisi ekstrakorona pada kasus Kennedy klas I rahang bawah untuk meningkatkan kenyamanan pasien dalam memakai gigi tiruan. Pasien perempuan usia 56 tahun datang ke klinik Prostodonsia RSGM Prof. Soedomo ingin dibuatkan gigi tiruan baru. Pasien sebelumnya telah mengunakan gigi tiruan kerangka logam pada rahang atas (RA) dan rahang bawah (RB), namun merasa kurang percaya diri dan tidak nyaman dengan gigi tiruannya. Pasien ingin dibuatkan gigi tiruan yang tidak menggunakan plat yang melintang pada rahang bawahnya. Pembuatan gigi tiruan sebagian lepasan rahang bawah dengan retainer kaitan presisi ekstrakorona. Tatalaksana perawatan 1)Pencetakan rahang untuk model diagnostik, 2)Preparasi gigi penyangga, 3)Pencetakan model kerja dan pembuatan mahkota sementara, 4)Try in coping kaitan presisi RB, 5)Pencatatan hubungan RA-RB, 6)Prosesing lab, 7)Insersi, 8)Kontrol. Gigi tiruan sebagian lepasan rahang bawah dengan retainer kaitan presisi ekstrakorona dapat digunakan pada kasus Kennedy klas I untuk meningkatkan kenyamanan pasien.Mandibular Extracoronal Precission Attachment Retainer On Mandibular Kennedy Class I Cases. Rehabillitation of missing teeth with removable partial denture is to restore mastication, aesthetic, speech functional, preserve the teeth and remaining tissue, maintaining the occlusal stabilities, and to restore patient comfort of using removable partial denture. Removable partial denture with precision attachment become an option because it can increase patient comfort when using denture. Precision attachment is a small interlocking device to connect prosthesis and abutments that offer a variety of solutions to the challenge of balance between biomechanical benefit and aesthetic appeal. This case report aims to provide more option of removable partial denture with extracoronal precision attachment on mandibular Kennedy class I cases to enhance patient comfortability when using dental prosthesis. A 56 years old female patient came to the Prosthodontics clinic of RSGM Prof. Soedomo want to made a new denture. The patient had previously been using metal frame denture on the upper jaw and mandible, but feel less confident and uncomfortable with the denture. Patient want to be made a new denture that do not use transverse plate on the lower jaw. Removable partial denture with extracorona precision attachment for the lower jaw was suggested. The case management were: 1) Jaw impression for diagnostic model, 2) Abutment preparation, 3) Working cast impression and temporary crown make, 4) Lower jaw precision attachment try in coping, 5) Upper and lower jaw relation recording, 6) Lab. Processing, 7) Insertion, 8) Control. Conclusion: Removable partial denture for lower jaw with extracorona precision attachment can be used to improved patients comfort.

Profil Angular Cheilitis pada penderita HIV/AIDS di UPIPI RSUD Dr. Soetomo Surabaya 2014 Alexander Patera Nugraha; Mintarsih Djamhari K; Adiastuti Endah P; Bagus Soebadi; Erwin Asta Triyono; Remita Adya Prasetyo; Sulistyowati Budi
Majalah Kedokteran Gigi Indonesia Vol 1, No 1 (2015): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Profile of Angular Cheilitis in HIV/AIDS Patients at UPIPI RSUD Dr. Soetomo Surabaya 2014. For over twenty years, human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) have become a significant public health concern, and the epidemic continues to challenge humanity. HIV related oral lesions can be used as markers of the immune status. Angular Cheilitis (AC) which is one of the seven oral manifestations which are strongly associated with HIV Infection, has been identified and internationally calibrated. The purpose of this research is to identify the Angular Cheilitis and its association with reduced Cluster of Differentiation 4 (CD4+) count in HIV/AIDS patients at Unit Perawatan Intermediet Penyakit Infeksi (UPIPI) RSUD Dr. Soetomo Surabaya. This was an Analytic observasional research with cross-sectional and total sampling method. The samples consisted of 88 HIV/AIDS patients treated in UPIPI RSUD Dr. Soetomo Surabaya from July to August 2014. The Diagnosis of Angular Cheilitis was based on clinical appearance; the oral cavities of the research subjects were examined by dentists specialized in Oral Medicine. CD4+ counts were obtained from the patient’s medical record. Eighty Eight HIV/AIDS patients were examined and there were 120 cases of oral manifestation. There were 31 cases of Angular Cheilitis (25,83%). Angular Cheilitis was found to be significantly correlated to the decrease in CD4+ cell count below 200 cells/mm3 (P< -,245). Risk Relative anaylsis concludes that HIV/AIDS patients with Candidiasis Oral 7.5 more often suffer from AC. There is a correlation between AC and OC (p<0,357). Angular Cheilitis may be used as an alternative to predict CD4+ count at field-based settings to diagnose the immunocompromised status of HIV-infected individuals.

Faktor Antesenden Perilaku yang mempengaruhi Utilisasi Pelayanan Kesehatan Gigi Ibu Hamil (Studi Pendahuluan di Kecamatan Serpong Tangerang Selatan) Lisa Prihastari; Peter Andreas
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Antecendent Affecting Utilization of Dental Services in Pregnant Women (Pilot Study at Serpong District, South Tangerang). Pregnancy and oral health are an aspect that is related to each other. Pregnant women need to regularly check oral health to a dentist every trimester. The number of utilization of dental service which is indicated by pregnant women’s dental visit data in Indonesia is still very low. Antecendent factors in ABC behavior change theory (Antecendent Behavior Consequences) are very important to influence the formation of a behavior including pregnant women dental’s visit. The objective of this study is to identify and evaluate the antecendent factors affecting the utilization of dental services during pregnancy. The preliminary research was conducted at comunity health center in Serpong district, South Tangerang with a cross sectional study. Subjects are 27 pregnant women with gestational age of 4-38 weeks.Data were collected through interview and clinical examination to find out about the score of DMFT index and modified gingival index, which was then analyzed descriptively and statistically using chi-Square test. Results: most of the respondents (96%; 26 respondents) did not visit the dentist during pregnancy. Antecendent factor of pregnant women’s dental visit: not knowing the benefits of dental visit during pregnancy (33%; 9 respondents), having fear of a dentist (26%; 7 respondents), visiting a dentist is thought to be expensive (19%; 5 respondents), having no need (11%; 3 respondents), having fear of causing harm to the fetus (11%; 3 respondents). The mean of DMFT is 2.78 ± 3.23 and the mean of modified gingival index (MGI) 1.00 ± 1.07. There were no significant differences in DMFT and MGI scores of each antecendent (p> 0.05). Conclusion: two major factors predicting the utilization of dental services during pregnancy are 1) knowledge and 2) perceived need.

Pengaruh Ekstrak Kulit Jeruk Nipis (Citrus Aurantifolia Swingle) Konsentrasi 10% Terhadap Aktivitas Enzim Glukosiltransferase Streptococcus mutans Zenia Adindaputri U; Nunuk Purwanti; Ivan Arie Wahyudi
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Streptococcus mutans merupakan bakteri yang berperan sebagai agen utama penyebab karies gigi, yang memiliki enzim glukosiltransferase (GTF). Enzim GTF akan mengubah sukrosa menjadi fruktosa dan glukan. Salah satu herbal tradisional yang dapat berperan sebagai antibakteri adalah kulit jeruk nipis (Citrus aurantifolia Swingle) yang mengandung polifenol terutama flavonoid. Tujuan penelitian ini untuk mengetahui pengaruh ekstrak kulit jeruk nipis (Citrus aurantifolia Swingle) konsentrasi 10% terhadap aktivitas enzim GTF Streptococcus mutans. Penelitian ini menggunakan ekstrak kulit jeruk nipis konsentrasi 10% sebagai perlakuan, chlorhexidine gluconate 0,12% sebagai kontrol positif, serta akuades steril sebagai kontrol negatif. Metode penelitian ini terdiri dari tiga tahap yaitu penyiapan ekstrak kulit jeruk nipis konsentrasi 10%, penyiapan enzim GTF dari supernatan Streptococcus mutans, dan pengujian aktivitas enzim GTF melalui analisis konsentrasi fruktosa dengan menggunakan High Performance Liquid Chromatography (HPLC). Pembacaan luas area fruktosa dilakukan berdasarkan waktu retensi. Satu unit aktivitas enzim GTF di definisikan sebagai 1 µmol fruktosa/ml dari enzim/jam. Selanjutnya data yang diperoleh dianalisis secara statistik dengan one way ANOVA.Hasil perhitungan aktivitas enzim GTF dengan one way ANOVA menunjukkan perbedaan yang signifikan antara kelompok perlakuan dengan kelompok kontrol negatif (p<0,05), dan tidak terdapat perbedaan yang signifikan dengan kontrol positif. Kesimpulan dari penelitian ini adalah ekstrak kulit jeruk nipis konsentrasi 10% dapat menghambat aktivitas enzim glukosiltransferase Streptococcus mutans. The Influence of 10% Concentrate of Citrus Aurantifolia Swingle on The Activities of Streptococcus Mutans Glucocyl Transferase Enzyme. Streptococcus mutans is a bacteria which has glucosyl transferase (GTF) enzyme and acts as the main agent that causes dental caries. GTF enzyme will convert sucrose into fructose and glucan. Lime peel (Citrus aurantifolia Swingle) is one of the traditional herbs which has flavonoid as an antibacterial agent. The purpose of this research is to investigate the effect of 10% concentration of lime peel extract (Citrus aurantifolia Swingle) to the activity of GTF enzyme Streptococcus mutans.This research used 10% concentration of lime peel extract as the treatment, 0.12% chlorhexidine gluconate as a positive control, and distillate water as anegative control. The method of this research consists of three steps; preparing the lime peel extract concentration of 10%, preparing the GTF enzyme from the supernatant of Streptococcus mutans, and testing GTF enzyme activity by analyzing the fructose concentration using High Performance Liquid Chromatography (HPLC). Perusal of the fructose area was based on the retention time of fructose. One unit of GTF enzyme activity is defined as the 1 μmol fructose / ml of enzyme / hour. The obtained data then were analyzed by one way ANOVA. The result showed a significant difference between treatment group with the negative control (p <0.05), and there are no significant difference with the positive control. This research concludes that 10% lime peel extract can inhibit the GTF enzyme activity of Streptococcus mutans.

Perawatan Maloklusi Klas III dengan Reverse Overjet Menggunakan Alat Ortodontik Cekat Teknik Begg Yohana Retno Wikandari Purwaningsih; Wayan Ardhana; Christnawati Christnawati
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Maloklusi klas III true skeletal merupakan kasus yang sulit dirawat dan mudah terjadi relaps. Perawatan ideal kasus ini memerlukan tindakan bedah, namun apabila hal tersebut tidak memungkinkan maka dilakukan perawatan kamuflase. Reverse overjet, atau gigitan terbalik, tipikal mempunyai penyimpangan posisi insisivus atas dan bawah akibat malrelasi maksila dan atau mandibula. Tujuan artikel ini adalah menyajikan perawatan ortodontik kamuflase menggunakan teknik Begg pada maloklusi ini. Pasien perempuan umur 24 tahun mengeluhkan gigi depan berjejal dan tidak nyaman untuk mengunyah makanan. Diagnosis kasus adalah maloklusi Angle klas III, hubungan skeletal klas III dengan protrusif bimaksilar, incisivus atas dan bawah retrusif, pergeseran median line rahang atas ke kanan, disertai edge to edge bite anterior, cross bite posterior dan openbite posterior. Pasien dirawat dengan pencabutan gigi premolar kedua atas,dan premolar pertama bawah untuk mengatasi kondisi kasus tersebut. Kesimpulan dua tahun setelah perawatan, tampak sudut interinsisal berkurang, reverse overjet terkoreksi, edge to edge bite, cross bite dan openbite terkoreksi.Treatment of Class III malocclusion with Reverse Overjet using Orthodontic Begg Technique. A true skeletal class III malocclusion is a difficult case to be treated as it can get easily relap. The ideal treatment of this skeletal types requires a surgery, but if it is not possible, an orthodontic camouflage can be conducted. Reverse overjet typically has upper and lower incisor position deviation due to the mesial position of the mandible in relation to the maxilla.The purpose of this article is to present camouflage orthodontic treatment using Begg orthodontic technique in Class III malocclusion case with reverse overjet. A 24 year-old female patient complained about her front teeth crowding and uncomfortable mastication. From the diagnosis, there was true dento skeletal class III malocclusion with bimaxilary protrusion, bidental retrusion and edge to edge bite. The lower incisors were shifted to the right. The posterior teeth were crossbite and openbite. The patient were treated with extraction of the right upper second premolars and lower first premolars.After 2 years of treatment, it is concluded that the interinsisal angle decreases and the reverse overjet, the edge to edge bite, the crossbite and the openbite are corrected as well.

Pengaruh Program Perubahan Perilaku Ibu Hamil (Cerdigi) Berdasarkan Teori ABC (Studi Pendahuluan di Kelurahan Serpong, Tangerang Selatan) Annisa Septalita; Peter Andreas
Majalah Kedokteran Gigi Indonesia Vol 1, No 2 (2015): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Maternal Behavior Change Program (Cerdigi) Based on ABC’s Theory (Pilot Study in Serpong Subdistrict, South Tangerang). Oral health is one of the things that need attention during pregnancy. However, the behavior of dental and oral health maintenance during pregnancy is still low. Poor oral health conditions in pregnant women can have an impact, such as premature births and low birth weight (LBW) babies. ABC behavior change theory focuses on the antecedent, behavior, and consequence of behavior. The purpose of this study is to determine pregnant women’s behavior of oral health maintenance, identify their antecedent factors, behavior change interventions (DHE), and analyze the behavior consequence. This was a descriptive research with a cross-sectional design among 27 pregnant women in Serpong Subdistrict, South Tangerang. The data were collected through interviews and questionnaires. The results show 100% (27 respondents) did tooth brushing twice a day, 44,4% (12 respondents) used mouthwash once a week and 4% (1 respondent) visited a dentist during pregnancy. The antecedent factors of not visiting a dentist during pregnancy were because: 33% did not know the benefits of visiting a dentist, 26% had fear of dentist, 19% felt that visiting a dentist was expensive, 11% did not feel the need to go to a dentist, and 11% had fear of disturbing the fetus. After 9 days of intervention, the consequences on the 19 respondents were evaluated and the results show that 89.5% had not visited a dentist, 5.25% had visited a dentist, and 5.25% did not want to visit a dentist. The reason of not visiting a dentist was because of having not much time 52.8%, having nobody to accompany 11.8%, feeling lazy 11.8%, still feeling afraid of a dentist 11.8 %, and having no money 11.8%. The conclusion from this study is that the most dominant behaviors of oral health maintenance in pregnant women is to maintain it by themselves (toothbrushing and using mouthwash), while maintaining the health by visiting a dentist is still low with various antecendents.

Perawatan Ulang Saluran Akar Insisivus Lateralis Kiri Maksila dengan Medikamen Kalsium Hidroksida-Chlorhexidine Ni Gusti Ayu Ariani; Wignyo Hadriyanto
Majalah Kedokteran Gigi Indonesia Vol 20, No 1 (2013): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Banyak faktor yang menyebabkan kegagalan terapi endodontik antara lain pembersihan dan membentuk saluran akar yang tidak sempurna dan obturasi tidak hermetis sehingga menyebabkan kurangnya kemampuan untuk menghilangkan mikroorganisme yang ada. Saluran akar yang terinfeksi membutuhkan suatu medikamen untuk menunjang keberhasilan dalam perawatan saluran akar.Kalsium hidroksida merupakan salah satu bahan medikamen yang efektif karena memiliki sifat antibakteri dengan spektrum luas, pH tinggi, biokompatibilitas baik, mampu menetralkan endotoksin bakteri, memiliki sifat toksik yang paling rendah, serta menstimulasi pembentukan jaringan keras. Tujuan laporan kasus untuk menunjukan keberhasilan perawatan ulang saluran akar gigi insisivus lateralis kiri maksila dengan lesi periapikal menggunakan medikamen kalsium hidroksida- chlorhexidine. Pasien wanita umur 53 tahun, gigi insisivus lateralis kiri maksila dengan lesi periapikal.Radiografi tampak obturasi kurang hermetis dan radiolusen daerah periapikal. Perawatan ulang saluran akar,diikuti pemasangan pasak fiber frefabricated dan restorasi porselin fuse metal.Keseimpulan setelah evaluasi setelah enam bulan pasca perawatan ulang saluran akar, radiografi menunjukan radiolusen mengecil dan gigi dapat berfungsi dengan normal.Re-Treatment of Root Canal of Maxillary Left Lateral Incisor with Calcium Hydroxide-Chlorhexidine Medicament. There are many factors that cause failure of endodontic therapy. For instances, incomplete cleaning and shaping of root canal and inadequate obturation that results in difficulty to remove the microorganisms. Infected root canal requires a medicament for the success of the root canal treatment. Calcium hydroxide is one of the effective ingredients as medicament because it has broad spectrum antibacterial properties, high pH, good biocompatibility, and it is able to neutralize bacterial endotoxins, decrease tissue toxicity, and stimulate the formation of hard tissue. The purpose of this case report is to show the success of root canal treatment of the left maxillary lateral incisor with periapical lesions using calcium hydroxide-chlorhexidine medicaments. The patient was a woman aged 53, complaining about her left maxillary lateral incisor with periapical lesion. Based on the radiographic evaluation, there was less hermetic obturation and a radiolucent in the periapical. Root canal re-treatment was continued with fiber prefabricated post and porcelain fused to metal crown. After six months of evaluation and endodontic retreatment, it is found that there is a decrease of radiolucency periapical lesion, and her teeth are able to function normally.

Rehabilitasi Prostetik Protesa Jari dengan Bahan Silikon Rtv untuk Mengembalikan Bentuk dan Estetik Ayu Agung Subiantari; Endang Wahyuningtyas; Haryo Mustiko D
Majalah Kedokteran Gigi Indonesia Vol 21, No 1 (2014): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Tangan memiliki fungsi utama untuk menggenggam dan meraba. Organ ini dipergunakan untuk sarana komunikasi penting yang menunjukkan bahasa tubuh dan kontak sosial. Amputasi pada jari atau sebagian jari tangan merupakan kasus yang paling sering dijumpai sebagai bentuk hilangnya sebagian tangan yang dapat menimbulkan dampak buruk secara fisik, psikologis, maupun kerugian secara ekonomi bagi individu. Rehabilitasi prostetik pada amputasi jari menjadi pertimbangan ketika rekonstruksi mikro vaskular merupakan kontraindikasi atau perawatan mengalami kegagalan. Tujuan dari studi kasus ini adalah mengkaji rehabilitasi prostetik protesa jari menggunakan bahan silikon RTV untuk mengembalikan bentuk dan estetik. Pasien telah menyetujui kasusnya dipublikasikan untuk kepentingan ilmu pengetahuan. Pasien laki- laki, 24 tahun datang dengan keluhan kehilangan sebagian jari telunjuk kanan . Riwayat trauma disebabkan oleh tangan kanannya tergilas mesin bubut 6 tahun yang lalu. Tatalaksana kasus : Anamnesa, pemeriksaan klinis, dan rehabilitasi prostetik protesa jari dengan ahan silikon RTV. Protesa jari dengan estetik yang baik dapat memberi dukungan psikologis terhadap pasien.Rehabilitation Finger Prosthesis with RTV Silicone to Restore Form and Esthetic. The hand has basic functions like grasping and feeling. It is a mean of communication and is of mayor importance for body language and social contact. Finger and partial finger amputations are some of the most frequently encountered forms of partial hand loss causing devastating physical, psychosocial and economic damage to an individual. Prosthetic rehabilitation of amputed finger is considered when micro vascular reconstruction is contraindicated or unsuccessful. The purpose of case study is to review rehabilitation finger prosthesis with RTV silicone to restore form and esthetic. Case : A 24 year old male patient with the complaint of the partially lost right index He had a history of trauma to his right hand on a mechanical lathe 6 years ago : History talking, clinical examination, rehabilitation finger prosthetic with silicon RTV. A well fabricated esthetic prosthesis can help in providing the patient with psycological support.

Penatalaksanaan Repair Palatoplasty dengan Teknik Furlow Double Opposing Z Plasty Pingky Krisna Arindra; Prihartiningsih Prihartiningsih; Bambang Dwi Rahardjo
Majalah Kedokteran Gigi Indonesia Vol 1, No 1 (2015): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Kasus bibir dan lelangit sumbing merupakan salah satu kelainan deformitas yang sering terjadi. Keadaan klinis bervariasi mulai dari kasus sumbing tidak komplit sampai dengan komplit. Keadaan klinis dengan lebar celah yang bervariasi membutuhkan teknik pembedahan yang tepat. Pasien-pasien dengan bibir dan atau lelangit sumbing mungkinsebelumnya telah menjalani beberapa intervensi pembedahan, sehingga sering memerlukan koreksi lebih lanjut untuk memperbaiki hasil operasi sebelumnya. Pasien anak laki-laki usia 4 tahun 7 bulan mengeluhkan masih terdapatnya celah di lelangit. Pasien didiagnosis dengan labiognatopalatoschisis bilateral. Sebelumnya pasein sudah menjalani 4 kali operasi penutupan celah bibir dan lelangit. Pasien menjalani 2 kali operasi bibir sumbing dengan metode lip adhesion dan metode Barsky, dan 2 kali operasi lelangit sumbing dengan metode pushback dilanjutkan dengan koreksi dengan z plasty, tetapi hasil akhir masih terdapat celah di palatum mole. Selanjutnya dilakukan operasi repair palatoplasi denganmetode Furlow double opposing z plasty dengan kombinasi insisi lateral, dan didapatkan hasil menutupnya celah di palatum mole sampai dengan uvula. Telah dilakukan operasi repair palatoplasi dengan metode Furlow double opposing z plasty. Teknik ini dilakukan untuk menghindari insisi yang terlalu luas dikarenakan terdapatnya jaringan fibrous yang tebal pada mukosa palatum pasca operasi sebelumnya. Tujuan studi kasus adalah untuk mengetahui kemampuan teknik Furlow Double Opposing Z Plasty sebagai prosedur repair palatoplasty. Repair Palatoplasty Management with Furlow Double Opposing Z Plasty Technique. Cases of cleft lip and palate are one of the deformity disorders that often occur. There are variety of clinical appearance ranging from incomplete to complete cases. Clinical appearance with different width requires proper surgical technique. Patients with cleft lip and palate had undergone surgical intervention, so that they needed surgical correction to repair the result or failure of the previous surgery. A Four year old boy complain there was cleft on the soft palate. The patient was diagnosed with labiognatopalatoscisis. The patient had undergone two stages of cleft lip surgery and twice of cleft palate surgery with pushback method and repair with z plasty, however the result was unsatisfactory. Further, the patient underwent repair palatoplasty surgery with Furlow double opposing z plasty method combined with lateral relaxing insicion. The result in the post surgery was the closure of cleft soft palate up to uvula. Repair palataplasty surgery has been done with Furlow double opposing z plasty method. This technique could avoid extended incision due to thick fibrous tissue on the palatum mucosa as the result of serial previous surgery. The aim of this case case study is to determine the technical capabilities of Furlow Double Opposing Z Plasty as palatoplasty repair procedure.

Perawatan Maloklusi Kelas I Bimaksiler Protrusi disertai Gigi Berdesakan dan Pergeseran Midline menggunakan Teknik Begg Erna Rahmawati; Soekarsono Hardjono
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Maloklusi Angle kelas I dengan bimaksiler protrusi merupakan maloklusi yang paling sering dijumpai. Kelainan yang banyak menyertai maloklusi kelas I bimaksiler protrusi adalah gigi depan berdesakan dan pergeseran midline. Adanya persepsi negatif di masyarakat terhadap gigi dan bibir yang protrusi mendorong pasien untuk melakukan perawatan ortodontik. Perawatan pada kasus ini bertujuan untuk mengurangi kecembungan wajah dengan meretraksi gigi anterior atas maupun bawah, mengoreksi midline rahang atas dan bawah serta gigi berdesakan anterior dengan perawatan ortodontik teknik Begg sehingga dapat memperbaiki estetik wajah. Pasien wanita usia 34 tahun mengeluhkan gigi depan atas dan bawah sangat berdesakan dan pasien mengalami kesulitan dalam menutup mulut. Diagnosis pasien adalah Maloklusi Angle kelas I dengan bimaksiler protrusi disertai gigi berdesakan anterior, pergeseran midline rahang atas dan rahang bawah. Pasien dirawat menggunakan alat cekat teknik Begg. Sebelum perawatan dilakukan pencabutan gigi premolar pertama rahang bawah kanan dan kiri dan rahang atas kanan. Pada rahang atas kiri dilakukan pencabutan gigi insisivus lateral yang berada diluar lengkung. Kesimpulan perawatan setelah 2 tahun terlihat bimaksiler protrusi, gigi berdesakan anterior dan midline terkoreksi.

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Editorial Address
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Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA