Prihandini Iman
Bagian Ortodonsia, Fakultas Kedokteran Gigi Universitas Gadjah Mada, Yogyakarta, Indonesia

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Perawatan Kaninus Ektopik Menggunakan Teknik Begg dengan Pencabutan Premolar Kedua Puspita Ndaru Putri; Prihandini Iman; JCP Heryumani
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 1, No 1 (2015)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (684.245 KB) | DOI: 10.22146/mkgk.11918

Abstract

Ektopik kaninus seringkali dijumpai dalam praktek bidang ortodontik. Sebagian orang yang merasa terganggu dengan keadaan ini akan datang ke dokter gigi untuk mendapatkan perawatan. Perawatan ortodontik dilakukan untuk mengoreksi gigi yang ektopik dan memperbaiki fungsi estetik. Pada perawatan kasus ektopik kaninus ini, pencabutan gigi premolar kedua dilakukan karena tidak diperlukan perubahan profil. Teknik Begg merupakan teknik ortodontik yang menggunakan gaya ringan dengan kawat busur berpenampang bulat. Kawat busur akan bergerak bebas tanpa friksi dan menghasilkan gerak tipping mahkota gigi. Tujuan dari studi kasus ini adalah untuk memaparkan perawatan kaninus ektopik dalam tahapan teknik Begg. Pasien perempuan usia 19 tahun mengeluhkan gigi depan yang gingsul dan berjejal. Hasil pemeriksaan objektif menunjukkan ektopik pada gigi 13, 23 dan 33, overbite 5 mm, crowding anterior mandibula, dan crossbite anterior pada gigi 22 dan 33. Maloklusi kelas I skeletal dengan protrusif bimaksiler dan protrusif bidental, ektopik kaninus maksila bilateral, ektopik kaninus mandibula unilateral, deep bite, crowding anterior mandibula dan crossbite anterior. Dilakukan perawatan ortodontik cekat teknik Begg multiloop dengan pencabutan 15, 25, 36 dan 46. Sembilan bulan setelah perawatan, crossbite anterior, dan gigi 13, 23 dan 33 yang ektopik telah terkoreksi. Crowding anterior mandibula telah mengalami perbaikan dan perawatan masih berlanjut hingga saat ini. Perawatan teknik Begg multiloop dengan pencabutan gigi premolar kedua merupakan alternatif perawatan untuk koreksi ektopik kaninus, jika tidak diperlukan perubahan profil wajah pasien. ABSTRACT: Ectopic Canines Treatment Using Begg Technique with Second Premolar Extraction. Ectopic canines are often found in the field of orthodontic practice. People who are annoyed with this situation usually come to an orthodontist to seek for treatment. Orthodontic treatment has been performed to correct ectopic teeth and improve the function of aesthetics. In this case of ectopic canines, a second premolars tooth was extracted because profile changes are not required. Begg orthodontic technique is a technique that uses light forces by using round archwire. Archwire will move freely without friction and produce a tipping movement of dental crowns. A 19 year old female patient complained of ectopic and crowding anterior teeth. The objective examinations find ectopic of 13, 23 and 33, overbite: 5 mm, anterior mandibular crowding, and anterior crossbite of 22 and 33. Class I skeletal malocclusion, bimaxillar protrusive, bidental protrusive, bilateral ectopic canine maxilla and lateral ectopic canine mandibula, deep bite, anterior crowding and anterior crossbite. A fixed orthodontic treatment was performed by multiloop Begg technique with tooth extraction of 15, 25, 36, and 46. 9 months after treatment, anterior crossbite and ectopic 13, 23, 33 have been corrected by using multiloop Begg technique. Crowding in the lower arch has improved compared to initial condition and treatment still continues to this day. Multiloop Begg technique with second premolars extraction is an alternative treatment for ectopic canines correction if patient’s facial profile changes are not required.
Perawatan Maloklusi Kelas 1 Angle dengan Agenese Gigi 12, 14, 34, 44 dan Gangguan Sendi Temporomandibular dengan Alat Ortodontik Cekat Teknik Begg Disertai Pemakaian Trainer For Braces Komang Sri Mahayeni; Prihandini Iman
Majalah Kedokteran Gigi Indonesia Vol 19, No 1 (2012): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (794.684 KB) | DOI: 10.22146/majkedgiind.15684

Abstract

Background: TMJ disorder is define as a condition of acute or chronic inflammation of TMJ in association with mandibular, myofunctional condition, teeth malposition and or malocclusion. TMJ disorder could lead to significant pain and anatomical damage. There are signs and symptoms of TMJ disorder, such as devition of jaw movement, clicking when openingor close the jaw, mastication disorder and decreasing interincisal distance. Purpose: To describe the result of orthodontic treatment with begg technique and trainer for braces on angle’s class I malocclusion with agenese involving 12, 14, 34, and 44 along with TMJ disorder and bad habit which is one side mastication. Case: 19 years old female complaining limited mouth opening, pain on the right side of TMJ when opening the mouth and when chewing hard food and also complaining of multiple diastema on upper and lower teeth. Diagnose : Angle’s class I with  bidental protrusive, 3mm midline midline shifting  to the left side, agenese involving 12,13,34,44, and one side mastication. Treatment : Patient treated witg begg technique and braces which is wear 1 hour at day time distance, and feel comfort when chewing hard  foord  and after 24 months of treatment with fixed begg appliance, malposition and interdigitation are corrected.