Hasil Pencarian  ::  Simpan CSV :: Kembali

"Orthodontic space closure of every single patient should be planned individually based on the diagnosis and treatment plan. Failure on this procedure due to anchorage loss will inhibit correction of the bimaxillary protrusion because mesial movement of the posterior teeth occupied most of the premolar extraction space. The diagnosis and treatment plan should be considered carefully especially those of the amount of crowding, anchorage, axial inclination of canine and incisors, midline discrepancies and left/right symmetry, also the vertical dimension. In general there were two methods of space closure, non-sliding mechanics and sliding mechanics. To achieve space closure with the movement of the teeth desired, we must planned the anchorage control strategies. Differential force system are an excellent means in anchorage control, where the M/F ratio of the anchor teeth must be stronger then the teeth which moved."

"ABSTRAKKeberhasilan perawatan ortodonti, ditentukan oleh penegakan diagnosis yang tepat. Penegakan diagnosis ortodonti berisikan data-data lengkap, yang terkumpul dalam satu bentuk rekam medis terdiri dari anamnesis, analisis wajah, analisis fungsional, analisis kebutuhan ruangan dan analisis radiografi. Pengetahuan untuk menegakkan diagnosis, dan menentukan rencana perawatan ortodonti cekat didapat melalui suatu program pendidikan spesialis yang mempunyai standar kompetensi yang ditetapkan oleh kolegium dan disahkan oleh KKI. Tujuan dari penelitian ini adalah untuk melihat bagaimana penggunaan prosedur diagnostik ortodonti sebelum perawatan ortodonti dimulai serta melihat gambaran kasus maloklusi yang dilakukan oleh ortodontis dan non ortodontis. Penelitian dilakukan terhadap 61 murid-murid SMP dan SMA Yaspen Tugu Ibu I Depok yang memakai alat ortodonti cekat. Penelitian dimulai dengan pengisian kuesioner yang telah disediakan dan dipandu oleh peneliti sendiri. Penelitian ini dilanjutkan dengan pemeriksaan ekstra oral berupa digit examination dan pengambilan foto profil untuk pemeriksaan profil wajah dan sudut tangent line. Hasil yang diperoleh menunjukkan bahwa penggunaan prosedur diagnostik ortodonti lebih banyak dilakukan oleh kelompok ortodontis dibandingkan oleh kelompok non ortodontis. Pada gambaran kasus maloklusi yang dilakukan oleh ortodontis dan non ortodontis, terlihat bahwa kelompok non ortodontis melakukan perawatan ortodonti dengan alat cekat pada variasi maloklusi yang sama dengan kelompok ortodontis.

---

ABSTRACTThe success of orthodontic treatment is determined by correct diagnose. Determination of orthodontic diagnose shall consists of complete data, which was collected in a form of medical record consisting of anamnesis, facial analysis, functional analysis, space requirement analysis and radiographic analysis. Knowledge in determining diagnoses and deciding correct fixed orthodontic treatment plan shall be obtained from specialist educational program which has competency standard issued by collegium and endorsed by KKI. The intention of this research was to see how the implementation of orthodontic diagnostic procedure prior to orthodontic treatment started and to see malocclusion case overview done by orthodontist and non orthodontist. Research was conducted toward 61 SMP and SMA Yaspen Tugu Ibu I Depok students using fixed orthodontic appliance. Research was started by filling in questionnaire prepared and guided by the researcher herself. Research was continued by extra oral examination in the form of digit examination and capturing profile pictures to analyze facial profile and tangent line angle. The result shows that implementation of orthodontic diagnostic procedure is more often done by orthodontist group rather than non orthodontist group. In malocclusion case overview done by orthodontists and non orthodontist, it is shown that non orthodontist group does orthodontic treatment with fixed appliance on the same malocclusion variation with orthodontist group."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 408-411Radiography is very useful as diagnostic aids and is widely used in dentistry. Panoramic radiography, as an inherent part of orthodontic examination, is a very usetul in evaluating the condition of the jaw. This paper will discuss the role of panoramic radiography examination in pathologic condition and abnormalities of teeth and jaw to support the treatment planning of orthodontic treatment."

"Pendahuluan: Kehadiran jenis braket sistem self-ligating pasif menambah variasi jenis braket yang digunakan dalam perawatan ortodonti saat ini, sehingga timbul pertanyaan mengenai efektifitasnya terhadap perawatan ortodonti. Salah satu parameter yang menentukan efektifitas tersebut adalah durasi waktu perawatan yang dibutuhkan untuk memperbaiki maloklusi, misalnya kecepatan penutupan ruang secara en-masse menggunakan elastomeric chain. Tujuan: Mengetahui efektifitas perawatan ortodonti yang dilakukan menggunakan sistem braket self-ligating pasif dan sistem braket konvensional selama tahap penutupan ruang secara en-masse. Metode: Penelitian prospective randomized controlled clinical trial dengan teknik split mouth ini dilakukan selama 11 bulan. Sebelas subyek (3 pria dan 8 wanita usia minimal 15 tahun) dengan pencabutan premolar satu rahang atas dan akan memasuki tahap space closure diikutsertakan dalam penelitian ini. Setiap subyek dipasangkan braket konvensional di satu sisi rahang dan self-ligating pasif di sisi lainnya, dimana penentuannya dilakukan secara random, kemudian diberikan gaya sebesar 150 g dengan powerchain pada kawat SS .019 x .025. Pengukuran jarak penutupan ruang dan kehilangan penjangkaran dilakukan pada T0, T1 (4 minggu), dan T2 (8 minggu). Hasil: Terdapat perbedaan rata-rata kecepatan penutupan ruang yang signifikan antara kelompok sistem braket self-ligating pasif dan kelompok sistem braket konvensional (p=0,010) dimana kelompok braket self-ligating pasif memiliki kecepatan yang lebih besar dibandingkan kelompok braket konvensional, namun tidak terdapat perbedaan rata-rata kehilangan penjangkaran yang signifikan secara statistik antara kedua kelompok tersebut. Kesimpulan: Sistem braket self-ligating pasif memiliki efektifitas yang lebih baik karena dapat mempercepat durasi waktu perawatan ortodonti.

---

Introduction: The presences of passive self - ligating bracket system add variety of bracket type used in today's orthodontic treatment, so that raised question in regard to the effectiveness of the treatment. One of the parameters that determines the effectiveness of the treatment is the time required to fix malocclusion, e.g. rate of en - masse closing space using elastomeric chain.

Objectives: To study the effectiveness of orthodontic treatment using passive self - ligating system and conventional system during space closure stages.

Methods: Prospective randomized controlled clinical trial with a split mouth technique was carried out for 11 months. Eleven subjects (3 men and 8 women with age minimum of 15 year old) with the extraction of the first premolars, where it will enter the space closure stage were included in this study. Each subject was bonded with conventional bracket on one side of the arch and with passive self - ligating on the other side which was determined randomly, was given a force of 150 g with power chain on .019 x .025 SS wire. The measurement of space closure and loss of anchorage were performed at T0, T1 (4 weeks), and T2 (8 weeks).

Result: There was significant differences of the average rate of closing space between passive self - ligating system and conventional system group (p = 0.010), for which a group of passive self - ligating system has a greater speed compare than conventional group, though there was no difference in loss of anchorage between the two groups.

Conclusion: The passive self - ligating system is more effective because it can reduce the duration of orthodontic treatment."

"Children are a nation's greatest inheritance shaping the country's future. In Indonesia, it is estimated that almost 40% of the population or around 85 million are children who are in their developing years. One of a parents' roles is to observe that their children's dental structure is growing suitably for their age. Most parents have a concern that their children have (or will have) a malocclusion or malposition caused by combined features of disharmony in their teeth. Such a disharmony will affect the overall facial structure development process, e.g. in the jaw, facial bones and soft tissues such as lips, cheeks and even the tongue. Should such condition occur on a child, it may have a negative psychological affect on a growing child, such as causing low self-esteem. A child's dental development needs parents' special attention as it concerns their overall dental health. On the other hand, many parents do not have proper knowledge of the normal dental growth/development. In case of abnormal development the parents should at least know whether or not their child needs orthodontic care. With the Orthodontic Treatment Needs Indicator (OCNI) the parents can easily determine at an early stage whether or not the child needs to have an orthodontic treatment. The OCNI involves a set of question to parents and child regarding the child's dental development, and has a simple a self-assessment-based scoring with the help of a dentist as consultant. An OCNI score intends to achieve a better orthodontic treatment process for the potential patient, to improve the quality of the child's dental health and to achieve healthy and productive teeth."

"Latar belakang: Penggunaan alat ortodonti lepas dapat menyebabkan retensi plak dan bakteri yang menyebabkan menurunnya derajat keasaman saliva. Agen anti mikroba diperlukan untuk mengurangi jumlah plak dan bakteri tersebut. Tujuan: Untuk mengetahui efektivitas perendaman alat ortodonti lepas dengan bahan pembersih gigi tiruan terhadap perubahan pH saliva pada pasien di RSGM-P FKG UI. Metode: Dua puluh subjek dibagi menjadi dua kelompok K1 dan K2 dilakukan perendaman alat ortodonti lepas menggunakan aquabides untuk kelompok (K1) dan larutan bahan pembersih gigi tiruan untuk kelompok (K2). Perendaman dilakukan 5 menit selama 4 hari berturut-turut. Subjek diinstruksikan membersihkan alat ortodonti lepas dua kali sehari dan mengurangi konsumsi makanan manis, asam, dan soda. Dilakukan pengukuran pH saliva pada awal dan hari kelima pemakaian alat ortodonti lepas. Hasil: Berdasarkan analisa statistik uji t, perubahan pH saliva sebelum dan setelah alat ortodonti lepas direndam dengan aquabides dan bahan pembersih gigi tiruan menunjukkan hasil yang signifikan dengan nilai p < 0,01. Hal ini menunjukkan bahwa bahan pembersih gigi tiruan efektif membersihkan plak dan bakteri serta menjaga kestabilan pH saliva. Kesimpulan: Perendaman alat ortodonti lepas menggunakan bahan pembersih gigi tiruan efektif menjaga kestabilan pH saliva di rongga mulut pada pasien pengguna alat ortodonti lepas.

---

Background: The usage of removable orthodontic appliance can cause plaque retention and bacterias can decrease pH level of saliva. Antimicrobial agent is needed to reduce the number of plaque and bacterias.

Aim: To know the submersion’s effectivity of removable orthodontic appliances with prothese’s cleansing agent towards patient’s alteration of pH saliva in RSGMP-FKG UI.

Methods: Twenty subjects are divided into two groups, K1 and K2. For group K1, removable orthodontic appliances is submerged in aquadest and prothese’s cleansing agent for group K2 for five minutes and four days (once per day). Subjects are instructed to clean removable appliance twice per day and to reduce the consumption of sweet and sour dietary and soda. The measurement of pH saliva is done on the first and the fifth day of removable orthodontics appliance’s usage.

Result: Based on statistic analysis, the alteration of pH level of saliva percentage after removable orthodontic appliance is submerged with aquadest and Polident prothese’s cleansing agent show a significant result with p<0.01. It shows that the prothese`s cleaning agents is effective for plaque and bacterical cleaning and keep the pH level of saliva`s normally.

Conclusion: Removable orthodontic appliance submersion using prothese’s cleansing agent is effective to maintain pH level of saliva’s stability in normal condition."

"Perawatan ortodontik terus berkembang seiring dengan perkembangan tuntutan masyarakat. Fasial merupakan bagian yang penting bagi manusia, demikian pula dengan profil fasial sehubungan dengan kebutuhan estetis. Pertimbangan perawatan ortodontik terkait erat dengan perubahan jaringan lunak profil fasial. Dibutuhkan perangkat yang relatif sederhana dan terjangkau secara luas untuk memprakirakan perubahan fasial dan menjelaskannya kepada pasien. Tujuan: Memperoleh cara memprakirakan perubahan jaringan lunak profil fasial pasien pasca perawatan ortodontik yang terjangkau secara luas. Tempat dan Waktu: Penelitian dilakukan di Departemen Ortodonti dan Klinik Radiologi Kedokteran Gigi, Rumah Sakit Gigi dan Mulut, Fakultas Kedokteran Gigi Universitas Indonesia, Jakarta, bulan November 2010 sampai dengan September 2011. Metode: Radiograf sefalometri lateral standar sebelum dan sesudah perawatan dari 133 paseien pasca perawatan ortodontik sejak tahun 1995 sampai dengan tahun 2005, yang diambil secara konsekutif. Penelitian dilakukan dalam dua tahap, yaitu penelitian pendahuluan pada 29 radiograf sefalometri untuk mengevaluasi keandalan (reliability) pengukuran dan kesahihan (validity) metode pengukuran menggunakan uji Bland-Altman. Penapakan dan pengukuran terhadap landmarks dilakukan secara manual pada radograf sefalometri analog dan secara digital pada radiograf sefalometri yang telah didigitasi menggunakan alat pindai Medi 2000. Penapakan dan pengukuran secara manual menggunakan pinsil mekanik dan kaliper digital, serta piranti lunak Adobe Photoshop Extended CS4 untuk penapakan dan pengukuran digital. Penelitian kedua untuk memperoleh formula indeks perubahan jaringan lunak profil fasial lateral, melalui analisis uji t, analisis korelasi dan regresi linier terhadap landmarks jaringan lunak, jaringan keras, ketebalan jaringan lunak, posisi gigi, serta faktor risiko terkait. Selanjutnya dilakukan uji manova untuk memperoleh indeks tiap titik jaringan lunak profil fasial setelah perawatan ortodonti. Hasil: Uji reliabilitas dan validitas pengukuran pada penelitian pendahuluan menunjukkan tidak terdapat perbedaan bermakna antara pengukuran manual dan digital. Pada penelitian kedua terdapat perubahan pada landmarks jaringan lunak: Labrale superior, Stomion superior, Stomion inferior, Labrale mental, dan Pogonion. Pada komponen dento-kraniofasial terdapat perubahan pada: jaringan keras titik A, ketebalan Labrale superior, ketebalan Pogonion, posisi geligi insisif sentral atas, insisif sentral bawah, molar atas dan molar bawah. Dari analisis regresi linier diperoleh formula indeksperubahan jaringan lunak profil fasial lateral pasca perawatan ortodontik. Dari uji manova diperoleh formulasi indeks perubahantiap titik yang berpengaruh terhadap perubahan jaringan lunak profil fasial. Kesimpulan: Indeks perubahan jaringan lunak profil fasial pasca perawatan ortodontik dapat dilakukan melalui pengukuran radiograf sefalometri yang telah didigitasi, dengan menggunakan piranti lunak yang tersedia secara umum, menggunakan formulasi hasil analisis terhadap jaringan lunak, komponen dento-kraniofasial, komponen karakteristik dan komponen perawatan. Indeks ini dapat digunakan secara luas, sekaligus untuk menjelaskan perubahan jaringan lunak pada pasien.

---

Orthodontic treatment continues to develop along with the community demand. Facial is an important part of human body, as well as facial profile with respect to aesthetic needs. Orthodontic treatment considerations are associated with changes in soft tissue facial profile. It requires a relative simple and easy method to predict changes in patient?s facial profile and to explain possible treatment result to the patient.

Objective: The aim of this study is to obtain the method to predict patient?s facial profile soft tissue changes after orthodontic treatment.

Time and place of study: The study was conducted at the Department of Orthodontics and the Dento-maxillofacial Radiology Clinic, Dental Hospital, Faculty of Dentistry, Universitas Indonesia, Jakarta, from November 2010 to September 2011.

Method: Good quality standard lateral cephalometric radiographs before and after treatment of 133 patients who had completed the orthodontic treatment from 1995 until 2005, were consecutively taken from the medical records. The study was conducted in two stages. The preliminary study on 29 radiographs that aimed to evaluate the reliability and the validity of measurement as the intra and inter observer agreement value, using the Bland-Altman test. Tracing of landmarks and measurements are carried out manually and digitally on lateral cephalometric radiograph that had been digitized using the Medi2000 scan tool. Tracing and measurements manually using mechanical pencil and digital calipers. Digital tracing and measurements were performed by the image-editing using the Adobe Photoshop CS4 Extended software. The second as the main study was to obtain index of the lateral soft tissue facial profile, using t test, correlation analysis, and linear regression analysis of the soft and hard tissue landmarks, the soft tissue thickness, position of the teeth, as well as the related risk factors. Manova test were then performed to obtain the index of each soft tissue facial profile landmark points after treatment.

Results: Reliability and validity test of the measurements on preliminary research showed no significant differences between the manual and digital measurements. In the main study there were changes of the soft tissue landmarks: superior Labrale, Stomion superior, Stomion inferior, Labrale mental, and Pogonion. In the dento-craniofacial components there were changes in: hard tissue A-point, the thickness of the Superior Labrale, Pogonion thickness, position of the upper and lower central incisivus, upper and lower anchorage molars. The index of the lateral soft tissue facial profile changes after orthodontic treatment, the index of the lateral soft tissue facial profile landmark points during treatment were obtained. The manova test on the twelve landmark points were then performed to obtain the index of the each soft tissue facial profile points.

Conclusions: The index of the soft tissue facial profile after fixed orthodontic treatment could be acquired from digitized lateral cephalometric radiograph, using the available and common image editing software. The index formulation consist of the analysis of the soft tissues, dento-craniofacial components, characteristics components and treatment components. This index could then be used widely, as well as be used to explain the possible alterations in soft tissue after orthodontic treatment to the patient."

"ABSTRAKLatar Belakang: Tren dan biaya murah membuat masyarakat menggunakan jasatukang gigi untuk perawatan ortodonti cekat. Tujuan: Mendapatkan gambarankepuasan masyarakat pengguna ortodonti cekat oleh tukang gigi dan korelasinyadengan dimensi mutu pelayanan. Metode: Studi analitik potong lintang pada 96pengguna ortodonti cekat di SMP, SMA, SMK Ksatrya Jakarta, SMKN 14 Jakarta,tempat usaha tukang gigi di Depok dan Bogor. Pengumpulan data melalui kuesionermenggunakan dimensi SERVQUAL. Hasil: Dimensi mutu pelayanan dengan tingkatkepuasan tertinggi adalah reliability (96,8%) dan terendah tangible (90,01%).Kesimpulan: Terdapat hubungan (p<0.01) dimensi mutu pelayanan dengankepuasan pasien ortodonti cekat oleh tukang gigi.

---

ABSTRACTBackground: Trends and low cost of fixed orthodontic treatment motivate people toseek fixed orthodontic treatment from dental quacks. Objective: To describe patientssatisfaction and its correlation with dimensions of service quality. Method: Analyticcross-sectional study performed on 96 fixed orthodontic patients of dental quacks atSMP,SMA,SMK Ksatrya Jakarta, SMKN 14 Jakarta, dental quacks’ practices inDepok and Bogor. Data was collected using questionnaire with SERVQUALdimensions. Result: The highest satisfaction level value is reliability (96.8%) and thelowest is tangible (90.01%). Conclusion: Significant relationship was found betweendimensions of service quality and patient satisfaction who used the dental quacks."

"ABSTRAKLatar belakang: Masyarakat masih mencari perawatan ortodonti cekat kepada non-ortodontis. Tujuan: Mengetahui faktor-faktor yang berhubungan dengan penentuan pemilihan pemberi jasa pelayanan ortodonti cekat. Metode: Studi deskriptif analitik potong lintang pada 96 remaja yang sedang memakai alat ortodonti cekat. Data tentang faktor kepercayaan kesehatan, pendapatan orang tua, ketersediaan, aksesibilitas, kebutuhan (perceive need), biaya dan informasi diperoleh melalui kuesioner. Hasil: 55,2% memilih tukang gigi, 30,2% memilih dokter gigi, dan 14,6% memilih dokter gigi spesialis ortodonti, dan variabel kebutuhan merupakan faktor yang paling berhubungan dan berpengaruh terhadap pemilihan tenaga pemberi jasa pelayanan ortodonti cekat, diikuti biaya, aksesibilitas, serta informasi.

---

ABSTRACTBackground: People are still seeking fixed orthodontic treatment from non-orthodontist. Aim: To find various factors and the most influential ones in the selection of operator of fixed orthodontic appliance. Method: Descriptive analytic cross-sectional study was implemented in 96 adolescents using fixed orthodontic appliance. Questionnaire about health belief, income, availability, accessibility, perceived need, cost, and information was constructed. Results: 55,2% respondents chose dental quacks, 30,2% chose general dentist, and 14,6% chose orthodontist, the need, cost, accessibility and information found to be significant for selecting fixed orthodontic treatment operators. Variable need found being the most influential factor."

"ABSTRAKPada masa sekarang ini, perawatan ortodonti dengan alat cekat telah menggunakan sistim rekat langsung. Sistim rekat langsung ini mempunyai banyak keuntungan. Tetapi dalam sistim ini, kadang-kadang braket dapat lepas dari permukaan enamel karena tekanan-tekanan yang diterima oleh braket atau karena kekuatan rekat dari bahan perekat yang kurang baik. Untuk itu perlu dilakukan pengukuran kekuatan tahan tarikan dan kekuatan tahan geseran dari dua macam bahan yang banyak digunakan oleh para Ortodontis yaitu bahan perekat Unite dan System 1+. Uji tarik dilakukan dengan menggunakan gigi Premolar pertama dari gigi manusia secara in-vitro dengan menggunakan alat uji tarik Comtent. Dari hasil uji tarik, dengan analisa statistik t-test diperoleh bahwa ada perbedaan bermakna antara kekuatan tahan tarikan antara bahan perekat Unite dengan bahan perekat System 1+. Sedangkan dalam hal kekuatan tahan geseran antara kedua bahan tersebut ada perbedaan tidak bermakna. Jadi bahan perekat Unite lebih kuat dibandingkan dengan bahan perekat System 1+."