Garuda - Garba Rujukan Digital

Perbedaan harapan pasien terhadap perawatan ortodonti menggunakan alat cekat dan lepasanDifferences in patient expectations of orthodontic treatment with fixed and removable appliances Rizka Devi Damayanti; Endah Mardiati; Avi Laviana
Padjadjaran Journal of Dental Researchers and Students Vol 5, No 2 (2021): Oktober 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v5i2.26766

ABSTRAKPendahuluan: Harapan merupakan faktor psikologis penting, yang dapat mempengaruhi evaluasi pasien terhadap kualitas dari perawatan atau kepuasan terhadap hasil perawatan. Harapan pasien terhadap perawatan ortodonti penting diketahui sebelum dilakukan perawatan karena merupakan salah satu penentu utama dari kepuasan pasien. Tujuan penelitian adalah menganalisis perbedaan harapan pasien terhadap perawatan ortodonti menggunakan alat cekat dan lepasan. Metode: Jenis penelitian analitik cross sectional. Subjek penelitian 50 pasien baru (25 pasien indikasi alat ortodonti cekat dan 25 pasien indikasi alat ortodonti lepasan) yang mendatangi Klinik Ortodonti RSGM Unpad diperoleh dengan teknik purposive sampling. Pasien mengisi kuesioner harapan terhadap perawatan ortodonti, kemudian hasil diolah dan dianalisis dengan uji t-test. Hasil: Harapan pasien menunjukkan beberapa perbedaan signifikan (p<0,05) antara pasien yang ingin dirawat menggunakan alat cekat dan lepasan yaitu pada harapan terhadap dilakukannya pemeriksaan rontgen gigi pada kunjungan pertama, manfaat perawatan untuk merapikan gigi, memudahkan makan, meningkatkan peluang karier, dan memberikan rasa percaya diri secara sosial. Harapan antara pasien perempuan dan laki-laki menunjukkan perbedaan yang signifikan hanya pada aspek manfaat perawatan ortodonti untuk memudahkan makan (p<0,05). Simpulan: Terdapat perbedaan beberapa aspek harapan pasien terhadap perawatan ortodonti, dengan pasien indikasi alat ortodonti cekat menunjukkan rerata nilai harapan yang cenderung lebih tinggi.Kata kunci: harapan pasien; perawatan ortodonti; alat ortodonti cekat; alat ortodonti lepasan ABSTRACTIntroduction: Expectation is an important psychological factor affecting a patient’s evaluation and satisfaction level on the quality of treatment outcomes. It is essential to know the patient’s expectations of orthodontic treatment priorly because it is one of the main determinants of patient satisfaction. The purpose of this study was to analyse the differences in patient expectations of orthodontic treatment with fixed and removable appliances. Methods: This research was cross-sectional analytic. The research subjects were 50 new patients (25 patients indicated for fixed orthodontic appliances and 25 patients indicated for removable orthodontic appliances) who visited the Orthodontic Clinics of Universitas Padjadjaran Dental Hospital, obtained by purposive sampling technique. Patients filled out a questionnaire on expectations of orthodontic treatment. The results were then processed and analysed using the t-test. Results: Patient expectations showed several significant differences (p<0.05) between fixed and removable appliances indicated patients; found in the matter of the expectation of having a dental x-ray examination at the first visit, the benefits teeth alignment treatment, ease the mastication process, increase the career opportunities, and provide social confidence. Expectations between female and male patients also showed a significant difference, though only found in the benefits of orthodontic treatment to ease the mastication process (p<0.05). Conclusions: There are differences in several aspects of patients’ expectations of orthodontic treatment, with a higher expectation value was found in fixed orthodontic appliances indicated patients.Keywords: patient expectations; orthodontic treatment; fixed appliances; removable appliances

Daya antibakteri fraksi etil asetat daun kemangi (Ocimum basilicum) terhadap Streptococcus mutans ATCC 25175 pada clear retainer secara in vitroAntibacterial potential of the ethyl acetate fraction of basil (Ocimum basilicum) leaves on Streptococcus mutans ATCC 25175 on a clear retainer Ida Ayu Evangelina; Fuccy Utamy Syafitri; Endah Mardiati; Avi Laviana
Padjadjaran Journal of Dental Researchers and Students Vol 5, No 2 (2021): Oktober 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v5i2.28065

ABSTRAKPendahuluan: Penggunaan alat ortodonti dapat mempengaruhi ekosistem rongga mulut seperti meningkatnya jumlah bakteri Streptococcus mutans. Clear retainer merupakan alat ortodonti yang memerlukan sterilisasi sebelum dapat digunakan kembali. Penggunaan tanaman herbal kemangi (Ocimum basilicum) dikembangkan menjadi alternatif bahan sterilisasi alami. Penelitian ini bertujuan menganalisis daya antibakteri melalui zona hambat, konsentrasi hambat minimum (KHM), konsentrasi bunuh minimum (KBM), dan penghitungan jumlah koloni bakteri Streptococcus mutans pada clear retainer ortodonti yang telah disterilisasi dengan fraksi etil asetat daun kemangi dan Chlorhexidine. Metode: Jenis penelitian eksperimental laboratoris, menggunakan fraksi etil asetat kemangi 5%. Kontrol penelitian adalah Chlorhexidine 2%. Populasi dan sampel adalah satu ose Streptococcus mutans ATCC 25175. Pengujian zona hambat dan jumlah koloni dilakukan pada media agar yang sudah ditumbuhi bakteri setelah diinkubasi pada suhu 370C selama 48 jam, pengujian KHM KBM dilakukan dengan metoda mikrodilusi menggunakan microplate 96 yang diinkubasi pada suhu 370C selama 48 jam. Pengukuran KHM dan KBM menggunakan spektrofotometer pada ELISA reader. Hasil penelitian dianalisis dengan uji statistik t-test. Hasil: Terdapat zona hambat pada sampel kemangi dengan konsentrasi 5%, sedangkan Chlorhexidine 2%. KHM dan KBM daun kemangi pada 3125 ppm dan 6250 ppm, sedangkan Chlorhexidine pada 3,125 ppm dan 6,250 ppm. Uji statistik t-test memperlihatkan tidak terdapat perbedaan yang signifikan pada penurunan jumlah koloni bakteri Streptococcus mutans yang telah disterilisasi dengan daun kemangi dan Chlorhexidine. Simpulan: Fraksi etil asetat kemangi memiliki daya antibakteri terhadap Streptococcus mutans, terlihat dengan adanya zona hambat pada pemeriksaan KHM, KBM, dan penurunan koloni bakteri pada media agar. Kata kunci: uji daya antibakteri; Ocimum bacilicum; Streptococcus mutans ATCC 25175; clear retainer ABSTRACTIntroduction: Orthodontic appliances can affect the oral cavity ecosystem by increasing the number of Streptococcus mutans bacteria. A clear retainer is an orthodontic appliance that requires sterilisation prior to usage. The basil plant (Ocimum basilicum) was developed as an alternative natural sterilisation material. This study was aimed to analyse the inhibitory zone, minimum inhibitory concentration (MIC), minimum killing concentration (MKC), and count the number of Streptococcus mutans bacteria on clear retainers that have been sterilised with ethyl acetate fraction of basil leaves and chlorhexidine. Methods: This research was an experimental laboratory that used the 5% basil ethyl acetate fraction and 2% chlorhexidine as control. The population and sample were one ose of Streptococcus mutans ATCC 25175. Examination of the inhibitory zone and the number of colonies was performed on agar media with cultured bacteria after being incubated at 37°C for 48 hours. Microdilution testing was performed using the microdilution method using a 96 microplate incubated at 37°C for 48 hours. MIC and MKC were measured using a spectrophotometer on an ELISA reader. The results of the study were analysed with the t-test. Results: There was an inhibitory zone found in the basil group with a concentration of 5% and the control group (2% chlorhexidine). MIC and MBC of basil leave at 3,125 ppm and 6,250 ppm, while chlorhexidine at 3,125 ppm and 6,250 ppm, respectively. Statistical t-test results showed no significant difference in the decreasing number of Streptococcus mutans colonies after sterilisation with basil leaves and chlorhexidine. Conclusions: The ethyl acetate fraction of basil has antibacterial potential on Streptococcus mutans, as seen by the presence of an inhibitory zone during the MIC and MKC examination and decreasing number of bacterial colonies on agar media.Keywords: antibacterial potential; Ocimum basilicum; Streptococcus mutans; clear retainer

THE EFFICACY OF LASER THERAPY AND IBUPROFEN ON PAIN AFTER ELASTOMERIC SEPARATOR PLACEMENT: RAPID REVIEW Regina Yosephine Simarmata; Ida Ayu Evangelina; Avi Laviana; Endah Mardiati
ODONTO : Dental Journal Vol 8, No 1 (2021): July 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.1.62-72

Background: Separator placement is the first step in orthodontic treatment, which aims to create space between teeth before molar band placement. This procedure can cause pain for the patient. Pain management after separator placement can be done through pharmacological and non-pharmacological approaches.Method: The aim of this rapid review was to determine the efficacy of laser therapy and ibuprofen for pain management after elastomeric separator placement in orthodontic treatment.Result: Ten articles were included in this review, four articles gave laser therapy interventions and six articles gave ibuprofen therapy interventions. The result of the quality assessment using Strength of Recommendation Taxonomy (SORT) was laser therapy intervention has one good quality articles and three limited-quality articles, while ibuprofen therapy has two good quality articles and four limited-quality articles.Conclusion: The efficacy of laser therapy and the efficacy of ibuprofen on pain after separator placement is good, with the strength of the clinical recommendation of ibuprofen is better than laser therapy.

Perawatan impaksi gigi kaninus dan gigitan bersilang anterior menggunakan teknik open window dan piggyback pada alat ortodonti straight wireTreatment of canine impaction and crossbite anterior using the open window and piggyback techniques on straight wire orthodontic appliance Ervina Dewiyanti; Endah Mardiati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 31, No 1 (2019): April 2019
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Impaksi gigi kaninus dan gigitan bersilang anterior sering menyebabkan gangguan estetik pada gigi pasien. Keadaan tersebut menjadikan pasien membutuhkan perawatan ortodonti. Laporan kasus ini bertujuan untuk mempertimbangkan teknik perawatan ortodonti yang efektif dan dapat mengoptimalkan proses serta hasil perawatan. Laporan kasus: seorang anak perempuan usia 13 tahun datang ke RSGM Unpad dengan keluhan utama gigi depan tidak rapi. Hasil analisis dan diagnosis menunjukkan maloklusi dental kelas I skeletal kelas III disertai crowding pada gigi anterior regio 11, persistensi gigi 53 dan pergeseran garis median gigi rahang atas ke kanan 2 mm dan pergeseran garis median gigi rahang bawah ke kiri 1 mm. Panoramik menunjukkan terdapat gigi 13 yang impaksi dan persistensi gigi 53.Teknik piggyback merupakan suatu teknik perawatan ortodonti cekat sebagian segmen kawat fleksibel NiTi 0,012 pada lengkung rahang disatukan dengan kawat kaku SS 0,018 pada segmen keseluruhan. Hasil perawatan menunjukkan impaksi gigi 13 telah erupsi dan masuk ke dalam lengkung rahang dan gigitan bersilang di anterior pada gigi 11 terkoreksi. Simpulan: Teknik open window dan piggyback dapat digunakan untuk mengoreksi impaksi gigi dan menyesuaikan gigi ke dalam lengkung rahang. Impaksi gigi 13 pada pasien ini dapat erupsi penuh dalam waktu 3 bulan setelah bedah open window dan kurang dari 1 bulan setelah perlekatan braket pada gigi tersebut. Gigitan bersilang di anterior gigi 11 juga terkoreksi dengan relasi kaninus kelas I.Kata kunci: Piggyback, impaksi, gigi kaninus, gigitan bersilang . ABSTRACTIntroduction: Canine impaction and anterior crossbite often cause an aesthetic problem for the patients. This situation makes the patients need orthodontic treatment. This case aims to consider orthodontic treatment techniques are effective and can optimize the process and treatments result. Case Report: In this case report a 13-year-old girl came to RSGM Unpad with a major complaint of crowding anterior teeth. The results of the analysis and diagnosis showed class III skeletal class dental malocclusion with anterior cramped teeth, anterior crossed bites of the teeth 11, persistence of the tooth 53 and the median tooth maxillary to right 2 mm shift and the median tooth diamond shift to 1 mm left. Panoramic shows there are 13 teeth that are impaction and persistence of the tooth 53. Discussion: The Piggy-back technique is a fixed orthodontic treatment technique in which some segments of the 0.010 flexible NiTi wire in the jaw arch are joined with a 0.018 rigid SS wire on the whole segment. Treatment results showed impacted tooth 13 had erupted and entered into the arch of the jaw and anterior crossed bites are corrected.Conclusion: can be drawn from this case report that open window and piggy-back techniques can be used to correct the impact teeth and adjust the teeth into the jaw arch. In these patients, the impacted tooth can be fully erupted within 3 months after open window surgery and less than 1 month after the bracket attachment to the tooth. Cross bites anterior tooth 11 also corrected with class I canine relation.Keywords: Piggy-back, canine impaction, crossed bites.

Penatalaksanaan perawatan maloklusi dentoskeletal kelas III disertai crowding ringan dan masalah tooth size discrepancy menggunakan reduksi interproksimalManagement of Class III dentoskeletal malocclusion treatment with mild crowding and tooth size discrepancy problems using interproximal reduction Ni Luh Nyoman Ary Mayasari; Endah Mardiati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.22898

Pendahuluan: Pasien yang telah melewati masa tumbuh kembang dapat dirawat dengan perawatan ortodonti kamuflase atau bedah ortognati. Perawatan ortodonti kamuflase dengan hasil yang cukup baik dapat dilakukan jika diskrepansi skeletal tidak terlalu berat. Laporan kasus ini bertujuan untuk mengetahui keefektifan penatalaksanaan perawatan maloklusi skeletal kelas III dengan perawatan ortodonti kamuflase. Laporan kasus: Pasien perempuan, berusia 16 tahun 7 bulan, datang ke klinik PPDGS Ortodonti RSGM UNPAD dengan keluhan gigi depan tidak rapi dan gigi bawah terlihat lebih maju dibandingkan gigi rahang atas. Hasil diagnosis menunjukkan maloklusi dentoskeletal kelas III disertai asimetri wajah, palatum tinggi, pergeseran garis median rahang bawah, overjet terbalik, crossbite anterior, geligi berjejal, dan kurva Spee dalam. Pasien dirawat dengan straight wire appliance selama 1 tahun 8 bulan. Breket rahang atas dipasang terlebih dulu sampai overjet terkoreksi. Breket rahang bawah dipasang diikuti reduksi interproksimal. Pasien menggunakan elastik kelas III untuk koreksi relasi kaninus. Reduksi interproksimal menggunakan strip abrasif metal merupakan salah satu cara untuk mendapatkan ruangan pada kasus crowding ringan. Kombinasi reduksi interproksimal gigi anterior rahang bawah dan flaring gigi rahang atas, diikuti penggunaan elastik kelas III efektif mengoreksi overjet terbalik pada kasus maloklusi kelas III. Simpulan: Reduksi interproksimal dan elastik kelas III berhasil mengoreksi kasus maloklusi kelas III disertai crowding ringan dan masalah TSD.Kata kunci: Maloklusi, skeletal kelas III, crowding ringan, tooth size discrepancy (TSD), reduksi interproksimal. ABSTRACTIntroduction: Patient with dentoskeletal class III malocclusion, post-pubertal growth spurt, may be treated with orthodontic camouflage or orthognathic surgery. Camouflage treatment with good prognosis can have acceptable results if there is an only mild skeletal discrepancy. This report was aimed to investigate the effectiveness of camouflage treatment in dentoskeletal class III patient. Case report: A female patient, 16 y.o 7 months, came to Orthodontics Clinic of Universitas Padjadjaran Dental Hospital, complaining her anterior teeth looks crowded and her protrusive mandible. She was diagnosed with dentoskeletal class III malocclusion with asymmetrical face, high palate, midline shifting mandible, reverse overjet, crossbite anterior, crowding, and the deep curve of Spee. The patient was treated with straight wire appliance for one year and eight months. A lower bracket was bonded after anterior crossbite corrected, followed with interproximal reduction. Elastic class III was used to correct canine relationship. Interproximal reduction with metal abrasive is a common practice in orthodontic practice to gain spaces in mild crowding cases. Interproximal reduction in mandibular anterior teeth combined with anterior flaring of maxillary teeth, followed with elastic class III, effectively correct anterior crossbite in class III skeletal patient. Conclusion: Interproximal reduction and elastic class III effective to correct class III malocclusion with mild crowding and tooth size discrepancy problem.Keywords: Maloccusion, dentoskeletal class III, mild crowding, tooth size discrepancy (TSD), interproximal reduction.

Perawatan bedah ortognati pada maloklusi dentoskeletal kelas III dengan asimetri wajah dan canting oklusal rahang atasOrthognathic surgical treatment of class III dentoskeletal malocclusion with facial asymmetry and maxillary occlusal cant Endah Mardiati; Ida Ayu Astuti
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.31917

Pendahuluan: Asimetri wajah akibat canting oklusal rahang atas seringkali menjadi keluhan estetika wajah pasien. Perawatan canting oklusal parah memerlukan kombinasi perawatan ortodonti cekat dengan bedah ortognati. Tujuan laporan kasus ini adalah untuk menjelaskan perawatan ortodonti cekat kombinasi bedah Le Fort 1 pada kasus canting oklusal rahang atas pada maloklusi dentoskeletal kelas III disertai asimetri wajah. Laporan kasus: Seorang pasien perempuan umur 17 tahun 7 bulan datang ke praktek pribadi dengan keluhan gigi rahang atas miring, gigi belakang kanan tidak dapat mengunyah dengan nyaman. Pasien ingin dirawat gigi dan rahangnya. Pemeriksaan ekstra oral menunjukan wajah asimetri, profil cekung dan dagu sedikit menonjol. Pemeriksaan intra oral, garis median rahang atas bergeser ke kiri, rahang bawah bergeser ke kanan, crossbite anterior, crossbite posterior unilateral, retrusi gigi anterior rahang atas dan rahang bawah. Analisis sefalometri lateral: maloklusi dentoskeletal kelas III. Diagnosis yang diberikan adalah maloklusi dentoskeletal kelas III disertai canting oklusal rahang atas, wajah asimetri, crossbite anterior, crossbite unilateral posterior. Rencana perawatan adalah perawatan ortodonti cekat kombinasi bedah ortognati Le Fort 1. Perawatan dilakukan dalam 4 tahap yaitu perawatan ortodonti dekompensasi, perawatan bedah ortognati rahang atas, perawatan ortodonti pasca bedah rahang, debonding dan pemasangan retainer. Simpulan: Maloklusi skeletal kelas III disertai canting oklusal rahang atas, asimetri wajah, crossbite anterior, dan crossbite posterior unilateral, yang dirawat menggunakan alat ortodonti cekat dan bedah ortognati Le Fort 1 dapat berhasil dengan baik. Relasi dental dan skeletal tercapai kelas I, interdigitasi gigi rahang atas dan rahang bawah mengunci, fungsi pengunyahan terkoreksi serta pasien merasa sangat puas dengan estetika wajahnya.Kata kunci: Maloklusi skeletal kelas III, asimetri wajah, canting maksila, crossbite anterior, crossbite posterior unilateral, bedah ortognati. ABSTRACTIntroduction: Facial asymmetry due to maxillary occlusal cant often becomes a facial aesthetics complaint. Treatment of severe occlusal cant requires a combination of fixed orthodontic treatment with orthognathic surgery. This case report was aimed to describe the combined fixed orthodontic treatment of Le Fort 1 in maxillary occlusal cant of class III dentoskeletal malocclusion with facial asymmetry. Case report: A female patient aged 17 years seven months came to the private clinic, complained of oblique maxillary teeth, and the right posterior was unable to masticate comfortably. The patient wants to be treated for her teeth and jaw. Extraoral examination revealed facial asymmetry, sunken profile and slightly protruding chin. The intraoral examination resulted in the maxillary median line that shifted to the left, mandible shifted to the right, anterior crossbite, unilateral posterior crossbite, and retrusion of maxillary and mandibular anterior teeth. The lateral cephalometric analysis resulted in class III dentoskeletal malocclusion. The diagnosis was class III dentoskeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and posterior unilateral crossbite. The treatment plan was fixed orthodontic treatment combined with Le Fort orthognathic surgery. The treatment was carried out in 4 stages: decompensated orthodontic treatment, maxillary orthodontic treatment, post-orthognathic surgery orthodontic treatment, debonding, and retainer placement. Conclusion: Class III skeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and the unilateral posterior crossbite was successfully treated with a fixed orthodontic appliance and Le Fort 1 orthognathic surgery. The dental and skeletal relations were achieved for class I, the interdigitation of the maxillary and mandibular teeth was locked, the masticatory function was corrected, and the patient was very satisfied with her facial aesthetics.Keywords: Class III skeletal malocclusion, facial asymmetry, maxillary cant, anterior crossbite, unilateral posterior crossbite, orthognathic surgery.

Perbandingan tingkat kepuasan pasien terhadap hasil perawatan ortodonti ekstraksi dan non ekstraksi berdasarkan modifikasi Boston Orthodontic SocietyComparison of the patient satisfaction level with the results of the extracted and non-extracted orthodontic treatment according to the modification of the Boston Orthodontic Society Harris Pramono Wardojo; Avi Laviana; Ida Ayu Evangelina; Endah Mardiati
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 34, No 1 (2022): April 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v34i1.35812

Pendahuluan: Perawatan ortodonti untuk memperbaiki maloklusi terus meningkat merupakan perawatan yang paling banyak diminati oleh pasien. Perawatan ortodonti dapat dilakukan dengan ekstraksi ataupun non-ekstraksi yang dapat memengaruhi kepuasan pasien seperti perubahan dentofasial, fungsi dental dan psikososial yang dapat diukur salah satunya menggunakan modifikasi Boston Orthodontic Society (BOS). Tujuan penelitian membandingkan tingkat kepuasan pasien terhadap hasil perawatan ortodonti ekstraksi dan non ekstraksi menggunakan kuesioner BOSS. Metode: Jenis penelitian observasional analitik rancangan cross sectional untuk membandingkan tingkat kepuasan kelompok pasien dengan perawatan ortodonti ekstraksi dibandingkan dengan kelompok non ekstraksi. Sampel berjumlah 60 subjek maloklusi skeletal kelas I, II, III yang terbagi atas 30 subjek ekstraksi dan 30 subjek non ekstraksi. Masing-masing subjek diberi kuesioner Bos dalam Bahasa Indonesia yang telah dimodifikasi dan telah diuji validitas dan reliabilitasnya. Kuesioner Bos modifikasi terdiri dari 22 pernyataan yang terbagi atas 3 subskala yaitu perubahan dentofasial (9 pernyataan), perubahan psikososial (9 pernyataan), dan fungsi dental (4 pernyataan). Hasil: Tingkat kepuasan pasien ekstraksi terhadap hasil perawatan ortodonti menunjukkan hasil yang lebih tinggi dibandingkan non ekstraksi, namun berdasarkan analisis Mann Whitney tidak terdapat perbedaan yang signifikan antara kelompok ekstraksi dengan non ekstraksi pada seluruh sampel; kelompok ekstraksi kasus borderline dengan non ekstraksi kasus borderline; kelompok ekstraksi kasus severe dengan non ekstraksi kasus borderline; kelompok kelas I skeletal ekstraksi dengan non ekstraksi (nilai p>0.05). Simpulan: Tidak terdapat perbedaan tingkat kepuasan pasien terhadap hasil perawatan ortodonti antara kelompok ekstraksi dibandingkan dengan kelompok non ekstraksi.Kata kunci: alat ortodonti cekat; ekstraksi, kuesioner BOS; perawatan maloklusi; tingkat kepuasan pasien ABSTRACTIntroduction: Orthodontic treatment to improve malocclusion is the most popular treatment for patients. Orthodontic treatment can be done by extraction or non-extraction that can affect patient satisfaction such as dentofacial changes, dental and psychosocial functions that can be measured, one of which is using a modification of the Boston Orthodontic Society (BOS). The purpose of the study was to compare patient satisfaction level with the results of the extracted and non-extracted orthodontic treatment using the BOSS questionnaire. Methods: This type of research was an analytical observational cross-sectional design to compare the level of satisfaction of the patient group with extraction orthodontic treatment compared to the non-extraction group. The sample consisted of 60 subjects with skeletal malocclusion class I, II, and III divided into 30 extraction subjects and 30 non-extracted subjects. Each subject was given a BOSS questionnaire in Indonesian, modified and tested for validity and reliability. The Modified BOSS Questionnaire consisted of 22 statements which were divided into three subscales, namely dentofacial changes (9 statements), psychosocial changes (9 statements), and dental function (4 statements). Results: The level of satisfaction of extraction patients with orthodontic treatment results showed higher results than non-extraction but based on Mann-Whitney analysis, there was no significant difference between the extraction and non-extraction groups in all samples; borderline case extraction group with non-borderline case extraction; severe case extraction group with non-borderline case extraction; class I skeletal extraction group with non-extraction (p value>0.05). Conclusion: There was no difference in the level of patient satisfaction with the results of orthodontic treatment between the extraction group and the non-extraction group.Keywords: fixed orthodontics; extraction; BOSS questionnaire; malocclusion treatment; patient satisfaction level

Perbedaan pola rugae palatina sebelum dan sesudah perawatan dengan alat ortodonti lepasanDifferences in palatal rugae patterns before and after the removable orthodontic appliances treatment Sintia Saputra; Endah Mardiati; Indra Mustika Setia Pribadi; Yuti Malinda
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 2 (2017): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Pendahuluan: Pola rugae palatina memiliki karakteristik yang unik pada setiap individu, yang dapat dijadikan sarana identifikasi individu di bidang forensik kedokteran gigi, namun berbagai kontraversi muncul mengenai karakteristik rugae palatina secara kualitatif dan kuantitatif sesudah dilakukan perawatan ortodonti. Tujuan penelitian ini adalah untuk mengetahui perbedaan pola rugae palatina sebelum dan sesudah perawatan dengan alat ortodonti lepasan. Metode: Penelitian bersifat observasional dengan sampel penelitian terdiri dari 111 model studi sebelum dan sesudah dilakukan perawatan ortodonti. Teknik sampling adalah purposive sampling, dari pasien maloklusi dento-alveolar kelas I, usia 18-30 tahun di RSGM FKG Unpad. Data penelitian dideskripsikan dan dianalisis dengan uji statistik Wilcoxon (ɑ = 0,05) untuk mengetahui perbedaan pola rugae palatina sebelum dan sesudah perawatan ortodonti. Hasil: Hasil penelitian menunjukkan, ukuran rugae palatina sebelum dilakukan perawatan terbanyak adalah rugae primer 85,2%, rugae sekunder 13,4%, rugae fragmen 1,37%, sesudah perawatan rugae primer 85.5%, rugae sekunder 13,2%, rugae fragmen 1,3%. Berdasarkan arah, rugae palatina sebelum perawatan arah postero-anterior 44,5%, antero-posterior 38,6%, sesudah perawatan arah posterior-anterior 44,9%, antero-posterior 38,3%. Arah perpendikular 8,7% dan berbagai arah 8,2% baik sebelum maupun sesudah perawatan. Uji beda menunjukan, tidak terdapat perbedaan signifikan sebelum dan sesudah perawatan ortodonti. Simpulan: Pola rugae palatina yang sering muncul sebelum dan sesudah perawatan ortodonti adalah rugae primer dengan arah postero-anterior, tidak terdapat perbedaan signifikan sebelum dan sesudah perawatan ortodonti.Kata kunci: Forensik odontologi, perawatan ortodonti, pola rugae palatina. ABSTRACTIntroduction: Palatal rugae patterns have unique characteristics in each individual, which can be used as a means of identifying individuals in the field of dentistry forensics, but various contraceptives arise about the characteristics of palatal rugae qualitatively and quantitatively after orthodontic treatment. The purpose of this study was to determine the differences in palatal rugae patterns before and after treatment with removable orthodontic devices. Methods: The study was observational with a study sample consisting of 111 study models before and after orthodontic treatment. The sampling technique was purposive sampling, from class I dento-alveolar malocclusion patients, aged 18-30 years at FKG Unpad Hospital. The research data was described and analyzed by Wilcoxon statistical test (ɑ = 0.05) to determine differences in palatal rugae patterns before and after orthodontic treatment. Results: The results showed that the size of palatal rugae before treatment was the primary rugae (85.2%), secondary rugae (13.4%), fragment rugae (1.37%), after primary rugae treatment (85.5%), secondary rugae (13.2%) , rugae fragment (1.3%). Based on direction, palatal rugae prior to postero-anterior (44.5%), antero-posterior (38.6%) treatment, after posterior-anterior (44.9%), antero-posterior (38.3%) treatment. Perpendicular direction (8.7%) and various directions (8.2%) both before and after treatment. Different tests showed that there were no significant differences before and after orthodontic treatment. Conclusion: The palatal rugae pattern that often occurs before and after orthodontic treatment is the primary rugae with postero-anterior direction, there are no significant differences before and after orthodontic treatment.Keywords: Odontological forensics, orthodontic treatment, palatal rugae pattern.

The difference in the ratio of the maxillary anterior teeth mesiodistal to the golden proportion value after class I malocclusion treatment with Edgewise standard fixed appliance Agutina Suherman; Endah Mardiati; Tono Hambali; Bergman Thahar
Padjadjaran Journal of Dentistry Vol 22, No 2 (2010): July 2010
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol22no2.26870

Introduction: The purpose of this study was to determine the difference in the ratio of maxillary anterior teeth as the results of Edgewise Standard fixed orthodontic treatment with and without extraction with golden proportion values. Methods: This study is using a retrospective analitist descriptive method. Sample divided at two groups of 13 patients with extraction of first premolar and 19 patients without first premolar extraction. The study population was patients who had completed the Edgewise Standard fixed orthodontic treatment at the Orthodontics Specialist Professional Program of the Faculty of Dentistry Universitas Padjadjaran at 2000-2009. The study was conducted using frontal intraoral photometry before and af-ter treatment with 3R photo size, then measured with electronic digital calliper software. Results: Evaluation is done by measuring the maxillary anterior teeth ratio using phimatrix software on frontal intra oral photometry of the post standard edgewise orthodontics patients with Class I malocclusion to the golden proportion, then proceed with statistical t-test. Conclusion: The conclusion of this study shows that the maxillary anterior teeth post standard edgewise orthodontic treatment in class I dento-skeletal patients with or without the first premolar extraction whose treated in orthodontic resident’s clinic Padjadjaran University shows a significant differences with the golden proportion.

Finite element method usage in determining pressure distribution of periodontal tissues on maxillary canine as result of orthodontic force E. Elih; Tono S. Hambali; Jono Salim; Endah Mardiati
Padjadjaran Journal of Dentistry Vol 23, No 2 (2011): July 2011
Publisher : Faculty of Dentistry Universitas Padjadjaran

The purpose of this study is to obtain data of pressure distribution on canine periodontal tissues due to the orthodontic force generated by various types of motion using the Finite Element Method. The development of digital technology creates a numerical analysis for orthodontic treatment that can be done by performing 3-D reconstruction by scanning the maxillary canine teeth with a CT scan so that 255 cross-sectional images is obtained. 3 D model is then processed using the Finite Element Method to obtain the pressure distribution on the periodontal tissues caused by tipping movements, bodily, torque, roots, rotation, and extrusion. The analysis used was the analysis of qualitative and quantitative analysis. The results showed that the maximum pressure that occurs in the periodontal tissues caused by a variety of movements ranging from 3.3 x 10-3MPa to 2.9 x 10-2 MPa. This indicates that the force exerted on each movement produces maximum pressure that exceeds capillary pressure was 2 x 10-3 MPa.

Title

Found 30 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 30 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 30 Documents
Search