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The Orthodontict Treatment Effect of Lower Incisors Proclination on Gingival Recession (A Literature Riew) Karunia, Dyah
The Indonesian Journal of Dental Research Proceeding Book
Publisher : The Indonesian Journal of Dental Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (19.124 KB)

The aim of orthodontic treatment is to obtain healthy, stable, and aesthetically sufficient occlusion. To achieve these objectives, malposititon teeth should be moved mesio-distally, labio-lingually, or proposed retroclination-proclination to an ideal position. Lower Incisor proclination is labially teeth movement to obtain normally dental arch, good of relation with upper teeth, and aesthetic. Orthodontic treatment effect of lower incisors proclination on gingival recession is still controversial. This paper is aimed to discuss the effects of lower incisors proclination on gingival recession. Condition of periodontal tissues is influenced by number of factors, namely individual variations in tissue morphology and their responses, applied pressure type, poor oral hygiene, age, minimal attached gingival, tooth malposition, fenestration, poor oral hygiene, alveolar bone defects, as well as mechanical trauma such as orthodontic treatment. Gingival recession has close relationship with anatomy structure, such alveolar bone thickness and height, gingival thickness and texture, as well as tooth position. Study on 11-15 years old subjects, grouped into 3, and treated with fixed appliance, removable appliance, and activator showed different depth increases in gingival sulcus during the treatment. The worst inflammation symptoms occurred in patients treated with fixed appliances. Boyd studies on periodontal status of adults, youths, and juveniles using fixed appliance showed no significant gingival recession. Condition of thin and delicate texture gingival as well as thin alveolar plate bone support is more sensitive to gingival recession than thick and fibrous gingival, supported by thick alveolar bone. When teeth which supported by very thin alveolar plate is moved labially (proclined) from jaw, gingival recession would occur. Thin supporting bone can cause release of attached gingival, resulting in recession. Tooth with adequate/normal attached gingival can undergo local recession during orthodontic treatment. It relates with excessive orthodontic force application, which impedes recovery or remodel of the alveolar bone. Based on reported results by various authors, it can be concluded that lower incisors proclination does not always cause gingival recession. It depends on several predisposition factors, including anatomy of very thin cortical alveolar bone plate, narrow attached gingival/keratin, inadequate/thin gingival structure, labially positioned lower Incisors, excessive orthodontic forces for proclination movement, far distance of proclination movement, poor oral hygiene, and age. These factors must be considered in developing treatment planning in order to avoid unnecessary risks and achieve optimal and satisfying treatment objectives.

Relationship Between Dental Arch and Vertical Facial Morphology on Deutero-Malays Population Christnawati, Christnawati; Karunia, Dyah
The Indonesian Journal of Dental Research Proceeding Book
Publisher : The Indonesian Journal of Dental Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (19.124 KB)

Introduction: Vertical facial morphology characterized by steepness on mandibular plane (MP-SN) is an important variable in determining orthodontic diagnosis and treatment plan. Subjects with steepest mandibular plane angle tend to have larger teeth and narrower dental arch. The purpose of this study was to determine the relationship between dental arch and vertical facial morphology on Deutero-Malays population. Materials and Methods: Lateral cephalograms were obtained from 50 subjects. Inclusion criteria of subjects were including: 1) at least two original generation of Deutero-Malays; 2) never or not under orthodontic and orthognathic treatment; 3) having Class I Angle first molar relationship; 4) having full dentition except third molars; 5) showing regular or mild degree of irregularity according to Mal-alignment Index (Mal I); 6) no cups or interproximal caries; 7) overjet 2-4 mm; and 8) overbite 1/3 incisally lower incisor teeth. Vertical facial morphology was measured by determining steepness of mandibular plane (MP-SN) on lateral cephalogram using DBSWIN program. The measurement of dental arch perimeter length and width was conducted. Collected data was tabulated and analysed using correlation test. Result: The results of this study showed no significant correlation between steepness of mandibular plane and dental arch perimeter length and width on upper and lower arch. Conclusion: In conclusion, there was no relationship between vertical facial morphology and dental arch perimeter length as well as dental arch width on upper and lower arch.

Penanganan mesial tipping molar II akibat kehilangan molar I dengan L loop Paramita Noviasari; Soehardono Dirdjowihardjo; Dyah Karunia
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 3 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Mesial tipping molar kedua akibat premature loss molar pertama merupakan kasus yang sering terjadi. Gerakan mesial tipping molar kedua dapat menyebabkan traumatik oklusi, gangguan fungsional, gangguan prostetik, dan masalah periodontal. Kekuatan ringan dan terus menerus dari spring pembantu diperlukan selama koreksi mesial tipping molar. Koreksi mesial tipping pada teknik Edgewise dapat dilakukan dengan L loop. Laporan kasus ini bertujuan untuk menganalisis efektifitas L loop pada penanganan kasus mesial tipping molar kedua mandibula. Pasien perempuan berusia 27 tahun, mengeluhkan gigi berjejal, gigi tidak berkontak baik dan kesulitan mengunyah di sisi kanan. Pemeriksaan objektif menunjukkan crowding anterior rahang atas dan bawah, malrelasi gigi dan mesial tipping gigi molar. Diagnosa kasus ini adalah maloklusi angle klas II divisi 1 subdivisi tipe dentoskeletal dengan bidental protrusif disertai pergeseran midline rahang bawah; spasing; mesial tipping 16,47; malrelasi serta malposisi gigi individual. Perawatan dilakukan dengan alat cekat teknik Edgewise dengan L loop di mesial gigi 47, 16, dan vertikal loop pada interdental gigi yang malposisi. Hasil perawatan: Setelah 11 bulan perawatan gigi 47 berhasil tegak, malposisi dan malrelasi gigi terkoreksi namun masih terdapat open bite pada gigi 22, 23 terhadap 32, 33. Perawatan pada pasien masih berlangsung hingga saat ini. Penggunaan L loop pada teknik Edgewise efektif untuk penanganan kasus mesial tipping molar kedua mandibula.ABSTRACT: Uprighting Mesial Tipping of the Second due to loss of Molar with L Loop. Mesial tipping of second molar due to premature loss of first molar is the common case in adult patients. This condition induce the traumatic occlusion, functional disorders, prosthetic disorders and periodontal problems. Light and continuous strength from assisting spring is required during molar mesial tipping correction. Correction of mesial tipping in Edgewise technique can be performed using L loop. The aim of this report is to analyze the effectiveness of using L loops in correcting mandibular second molar mesial tipping. Method: 27-year-old female patient, with a chief complaint of dental crowding, open bite and chewing difficulty on the right side. Objective examinations showed crowding anterior of maxillary and mandibular dentition, malrelation and molar mesial tipping. Diagnosis: angle’s Class II division 1 subdivision type dentoskeletal malocclusion with bidental protrusive, midline shift on the lower jaw; spacing; mesial tipping 16, 47; malrelation and individual malposition. Treatment used a fixed appliance edgewise technique with L loops in mesial teeth 47, 16, and vertical loop at the interdental tooth malposition. The mesial tipping right mandibulary second molar 47 was well uprighted after 11 month of treatment. Malpositions of individual teeth and malrelation were corrected, meanwhile open bite 22, 23 toward 32, 33 has not been corrected and the treatment is still ongoing. Conclusions: The use of L loop on Edgewise technique is very effective for treatment of mandibular second molar mesial tipping.

Hubungan antara Lebar dan Panjang Lengkung Gigi terhadap Tinggi Palatum pada Suku Jawa dengan Metode-Pont dan Korkhaus Gusti Ayu Made Dwita Hayu Paramesthi; Cendrawasih Andusyana Farmasyanti; Dyah Karunia
Majalah Kedokteran Gigi Indonesia Vol 18, No 1 (2011): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Latar Belakang. Setiap ras memiliki ciri-ciri khusus untuk suatu ras tertentu sehingga tidak dapat digunakan sebagai standar untuk ras yang lainnya. Pont dan Korkhaus menggunakan indeks yang didapatkan dari ras Kaukasoid sehingga perlu dilakukan penelitian pada suku Jawa yang tergolong dalam ras Mongoloid. Sering dijumpai pasien dengan palatum tinggi mempunyai lengkung gigi yang panjang dan sempit. Hal itu menandakan adanya hubungan antara tulang kepala, maksila, dan palatum. Tujuan Penelitian. Penelitian ini bertujuan untuk mengetahui nilai indeks lebar lengkung gigi, panjang lengkung gigi, dan tinggi palatum berdasarkan analisis Pont dan Korkhaus dan hubungan lebar dan panjang lengkung gigi terhadap tinggi palatum pada suku Jawa. Metode Penelitian. Penelitian bersifat deskriptif dan analitik. Sebanyak 31 subjek (8 laki-Iaki dan 23 perempuan) diambil dari mahasiswa Fakultas Kedokteran Gigi Universitas Gadjah Mada angkatan tahun 2006-2009 dengan metode selectedsampling. Data diperoleh dari pengukuran pada model studi rahang atas meliputi lebar mesiodistal keempat insisivus, lebar interpremolar, lebar intermolar, panjang lengkung gigi, dan tinggi palatum sesuai dengan parameter yang digunakan oleh Pont dan Korkhaus. Analisis statistik deskriptif, uji t tidak berpasangan, dan uji regresi digunakan untuk menganalisis data yang diperoleh. Hasil Penelltian. Hasil penelitian menunjukkan bahwa suku Jawa mempunyai indeks premolar Pont 82,62 ± 4,41; indeks molar Pont 65,96 ± 4,42; indeks panjang lengkung gigi Korkhaus 163,49 ± 8,02; dan indeks tinggi palatum Korkhaus 36,29 ± 4,42. Hasil penelitian juga menunjukkan bahwa tidak ada korelasi antara lebar dan panjang lengkung gigi terhadap tinggi palatum (p>O,05). Kesimpulan. Tidak terdapat hubungan antara lebar dan panjang lengkung gigi terhadap tinggi palatum berdasarkan metode Pont dan Korkhaus pada suku Jawa.

Contrasting perceptions of male and female dental students regarding smile aesthetics based on their gingival display Yessy Josephine Sijabat; C. Christnawati; Dyah Karunia
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 4 (2018): December 2018
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Perception consists of personal opinion in relation to an object. In terms of aesthetics, perception normally differs from one individual to another based on several factors such as gender. When expressing emotion, a smile is the most important facial expression whose aesthetics are constructed from a number of components, including gingival display. Purpose: This study aimed to establish the comparative perceptions of the smile aesthetics of male and female dental students based on their gingival display. Methods: 36 dental students, divided equally according to gender, were enrolled in this study. Photographic images of the smile of each subject were taken from a frontal direction with a Canon EOS 700D digital camera and subsequently printed. Assessments were conducted by comparing the photographs of subjects from the perspective of smile references based on the gingival display, followed by subject scoring on the basis of smile classification. Assessments were conducted twice within a two-week period to confirm test reliability. The data collected was analyzed by means of kappa statistic and U-Mann Whitney tests. Results: The test results indicated that all subjects demonstrated a coincidence in their analysis (κ=0.84). Statistical analysis showed that a score of 0.902 (p>0.05) had been produced by a U-Mann Whitney test. Conclusion: It can be concluded that no difference exists between male and female students in the perception of smile aesthetics based on the gingival display.

The effect of fixed orthodontic treatment with Edgewise and Straightwire techniques on white spot lesions incidence and accumulation of Streptococcus mutans bacteria Elfira Maharani; Dyah Karunia; Pinandi Sri Pudyani
Dental Journal (Majalah Kedokteran Gigi) Vol. 53 No. 3 (2020): September 2020
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v53.i3.p170-174

Background: Fixed orthodontic appliances, such as Edgewise and Straightwire techniques, can increase the amount of plaque retention containing Streptococcus mutans (S. mutans), which can lead to white spot lesions. Purpose: The aim of this study is to analyse the correlation of fixed orthodontic treatment with Edgewise and Straightwire techniques on the incidence of white spot lesions and accumulation of S. mutans. Methods: The samples consisted of three groups: control group (n=8), Edgewise technique group, and Straightwire technique group. We observed the samples at the sixth month and eighth month of the treatment, after the installation of the fixed orthodontic appliances. The observation of white spot lesions with caries detector was applied in all regions. Bacterial swabs were acquired in the lateral incisor region, then a bacterial culture procedure was carried out on selective media of S. mutans, and then a bacterial count was performed. The data was analysed using two-way ANOVA, the post-hoc least square differences test, and the Pearson’s correlation test. Results: The number of white spot lesions in the Edgewise group was higher than in the Straightwire group in the sixth and eighth month of treatment with insignificant difference (p>0.05). The number of S. mutans bacteria increased in all groups, but there were no significant differences (p>0.05). There was no significant relationship between the number of white spot lesions with the accumulation of S. mutans between groups (p>0.05). Conclusion: The Edgewise and Straightwire techniques increase the incidence of white spot lesions but accumulation of S. mutans with the incidence of white spot lesions has no relationship.

Keberhasilan perawatan ortodonti lepasan dengan ekspansi dan pencabutan gigi incisisivus Paramita Noviasari; Dyah Karunia; Soehardono Dirdjowihardjo
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 6, No 2 (2020)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.76284

Ekspansi lengkung gigi dan pencabutan gigi dalam perawatan ortodonti merupakan prosedur untuk mendapatkan ruang. Ruang yang tersedia akan digunakan untuk koreksi crowding, mengurangi overjet dan overbite. Plat ekspansi merupakan salah satu alat ortodonti lepasan yang sering digunakan sedangkan pencabutan gigi insisivus merupakan pencabutan yang jarang dilakukan. Kombinasi ekspansi dan pencabutan gigi insisivus bawah dapat dilakukan pada beberapa kasus agar oklusi dan interdigitasi yang baik dapat tercapai. Pencabutan gigi insisivus yang malposisi parah pada perawatan ortodonti lepasan merupakan salah satu cara untuk mencegah relaps post perawatan ortodonti, hal ini juga dapat membatasi pergerakan gigi yang tidak diperlukan. Tujuan studi kasus ini adalah untuk mengevaluasi pemilihan pemecahan masalah kebutuhan ruang dengan ekspansi dan pencabutan gigi insisivus bawah. Artikel ini menyoroti pentingnya mengetahui indikasi, keuntungan dan kerugian perawatan dengan pencabutan gigi insisivus. Seorang pasien perempuan berusia 17 tahun mengeluhkan gigi depan atas bawah tidak rapi sehingga sisa makanan sulit dibersihkan. Pasien memiliki maloklusi Angle Klas I dengan hubungan skeletal klas I, bidental protrusif, linguoversi gigi 42, disertai beberapa malposisi gigi individual. Berdasarkan pertimbangan perhitungan Pont, Howe’s, profil wajah yang baik, dan hasil analisis Bolton maka dipilih perawatan ekspansi rahang atas dan rahang bawah kombinasi pencabutan gigi insisivus lateral kanan bawah untuk memenuhi kebutuhan ruang. Pasien dirawat dengan alat ortodonti lepasan, dan kontrol dilakukan setiap 1 minggu sekali. Setelah perawatan 24 bulan didapatkan overjet normal, overbite normal, interdigitasi baik, dan profil muka cembung normal. Kesimpulan studi kasus ini adalah kombinasi ekspansi dan pencabutan gigi insisivus bawah pada perawatan ortodonti memberikan hasil yang memuaskan.

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