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"Ekstraksi premolar dalam perawatan ortodonti membantu proses uprighting gigi molar 3 impaksi sehingga dapat erupsi dengan baik. Tujuan: mengukur perubahan angulasi gigi molar 3 rahang bawah yang impaksi mesioangular sebelum dan sesudah perawatan ortodonti. Metode: penelitian ini menggunakan 25 radiograf panoramik berusia 10-21 tahun sebelum dan sesudah perawatan ortodonti. Hasil: uji Wilcoxon dan uji T berpasangan (p<0,05) menunjukkan tidak ada perubahan angulasi molar 3 yang bermakna pada kedua sisi (p>0,05) dan cenderung mengalami peningkatan angulasi dengan meskipun secara statistik perbandingan perubahan keduanya tidak berbeda bermakna (p>0,05). Peningkatan angulasi paling banyak terjadi pada kelompok usia dewasa (17-21 tahun). Kesimpulan: ekstraksi premolar dalam perawatan ortodonti tidak memengaruhi angulasi gigi molar 3 impaksi secara bermakna. ......Premolar extraction in orthodontic treatment helps uprighting process of impacted third molars so that they could erupt well. Aim: to measure mesioangular impacted lower third molars angulation change during orthodontic treatment. Methods: this study used 25 panoramic radiograph aged 10-21 years old before and after orthodontic treatment. Result: Wilcoxon test and paired Ttest (p<0,05) showed there were no significant change in lower third molars angulation on both sides (p>0,05) and tended to experience the increase in angulation though statistically comparison between them were not significant (p>0,05). These increase happen the most in the adult group (17-21 years old). Conclusion: premolars extraction in orthodontic treatment does not affect impacted third molars angulation significantly."

"Latar Belakang: Kebersihan mulut yang baik dibutuhkan oleh pasien yang dirawat dengan alat ortodonti cekat, karena adanya alat-alat ortodonti seperti brackets, arch wire, bands, ligatures dan auxaillaries dapat memudahkan plak dan debris terkumpul di sekitarnya. Salah satu cara kontrol plak gigi yang paling umum ialah dengan menyikat gigi. Tujuan: Menganalisis perbedaan indeks plak antara penggunaan sikat gigi ortodonti dan sikat gigi konvensional pada pasien yang dirawat dengan alat ortodonti cekat. Metode: Pada penelitian eksperimental klinis ini, 32 (tiga puluh dua) subjek yang dibagi secara acak ke dalam dua kelompok yaitu kelompok sikat gigi ortodonti dan kelompok sikat gigi konvensional. Subjek diberikan pasta gigi yang sama dan diinstruksikan untuk menyikat gigi dua kali sehari dengan metode Bass selama dua menit. Skor Indeks Plak diukur sebelum dan sesudah penggunaan sikat gigi selama tiga minggu berturut-turut. Hasil: Hasil uji Mann-Whitney menyimpulkan tidak terdapat perbedaan bermakna secara statistik antara penggunaan sikat gigi ortodonti dan sikat gigi konvensional pada pasien perawatan ortodonti cekat (p>0,05). Kesimpulan: Penggunaan sikat gigi ortodonti maupun sikat gigi konvensional sama-sama efektif menurunkan indeks plak pada pasien yang dirawat dengan alat ortodonti cekat. ......Background: Patients with fixed orthodontic appliances need to maintain good oral hygiene because the presence of orthodontic appliances such as brackets, arch wire, bands, ligatures and auxaillaries can facilitate plaque and debris accumulation around those sites. The most common way to control dental plaque is by toothbrushing. Aim: To analyze plaque index differences between the use of orthodontic toothbrush and conventional toothbrush in patients with fixed orthodontic treatment. Method: In this clinical experimental study, thirty two subjects were randomly divided into two groups which are orthodontic toothbrush group and conventional toothbrush group. Subjects were given the same toothpaste and instructed to brush their teeth twice a day with Bass method for two minutes. Plaque index scores were measured before and after three consecutive weeks of toothbrush usage. Result: The results of Mann-Whitney test concludes that there is no statistically significant difference between the use of orthodontic toothbrush and conventional toothbrush in patients with fixed orthodontic appliances (p>0,05). Conclusion: The use of orthodontic toothbrush and conventional toothbrush equally effective to decrease plaque index in patients with fixed orthodontic appliances."

"Tujuan: Menganalisis perbedaan Indeks Gingiva antara penggunaan sikat gigi ortodonti dan sikat gigi non-ortodonti pada pasien yang dirawat dengan piranti ortodonti cekat. Metode: Penelitian eksperimental klinis, blinded-examiner dengan 32 (tiga puluh dua) subjek yang dibagi secara acak menjadi dua kelompok sikat gigi. Dilakukan pemeriksaan Indeks Gingiva Löe dan Silness pada gigi 16, 21, 25, 36, 41, dan 45 sebelum perlakuan dan tiga minggu setelah perlakuan. Hasil: Tidak terdapat perbedaan Indeks Gingiva yang bermakna antara penggunaan sikat gigi ortodonti dan sikat gigi non-ortodonti pada pasien perawatan ortodonti cekat (uji Mann-Whitney; p>0,05). Kesimpulan: Penggunaan sikat gigi ortodonti maupun sikat gigi non-ortodonti, keduanya dapat menurunkan Indeks Gingiva pada pasien perawatan ortodonti cekat. ......Objective: To analyze the differences of Gingival Index between usage of orthodontic toothbrushes and non-orthodontic toothbrushes in fixed orthodontic patients. Method: The study is clinical experimental with blinded examiner. Thirty-two subjects were randomly divided into two groups of toothbrushes. Examinations were done using Gingival Index Löe and Silness on teeth 16, 21, 25, 36, 41, 45 before experiment and three weeks after experiment. Result: There was no significant difference in Gingival Index between usage of orthodontic toothbrushes and non-orthodontic toothbrushes in fixed orthodontic patients (Mann-Whitney test; p>0,05). Conclusion: Usage of orthodontic toothbrush and non-orthodontic toothbrush both can reduce Gingival Index in fixed orthodontic patients."

"Kompleksitas maloklusi seperti ketidakteraturan gigi anterior menjadi salah satu hal penting dalam menentukan hasil perawatan dengan alat ortodonti lepas. Indeks iregularitas Little merupakan indeks yang digunakan untuk menilai perubahan susunan gigi anterior. Tujuan: untuk mengetahui gambaran kompleksitas maloklusi terutama ketidakteraturan gigi anterior dan hasil perawatan dengan alat ortodonti lepas di Klinik Integrasi RSKGM FKG UI menggunakan indeks iregularitas Little. Metode: Penelitian ini merupakan penelitian deskriptif dengan sampel berupa 47 cetakan model gigi pasien sebelum dan setelah perawatan dengan alat ortodonti lepas di Klinik Integrasi RSKGM FKG UI yang dirawat dalam periode 2013-2017 diukur menggunakan indeks iregularitas Little. Hasil: Pasien yang paling banyak datang untuk melakukan perawatan dengan alat ortodonti lepas memiliki kondisi ketidakteraturan gigi anterior berupa ketidakteraturan minimal dan ketidakteraturan sedang, setelah dilakukan perawatan terdapat perubahan kondisi gigi anterior pasien menjadi tidak ada ketidakteraturan dan ketidakteraturan minimal serta tidak ditemukan lagi pasien dengan kondisi ketidakteraturan berat. Kesimpulan: Terdapat perbaikan kondisi gigi anterior pasien pada rahang atas dan rahang bawah setelah dilakukan perawatan dengan alat ortodonti lepas yang dilakukan oleh mahasiswa profesi di Klinik Integrasi RSKGM FKG UI tahun 2013-2017, sehingga perawatan dapat dinyatakan baik dan sesuai dengan indikasi perawatan serta fungsi alat ortodonti lepas. ......The complexity of malocclusion such as anterior teeth irregularity had become one of the important things to determine the outcome of removable orthodontic appliance treatment. Little's irregularity index is an index used to assess the change of anterior teeth alignment. Aim: To determine the complexity of malocclusion especially the irregularity of anterior teeth and the outcome of removable orthodontic appliance treatment at RSKGM FKG UI Integration Clinic patients using the Little's irregularity index. Method: This study is a descriptive study with a sample of 47 pretreatment and post treatment patient's study model at RSKGM FKG UI Integration Clinic patients which are treated within the period 2013 2017 measured using Little's Irregularity Index. Result: Most patients who came to seek treatment using a removable orthodontic appliance had an anterior teeth irregularity of minimal and moderate irregularity, and there were changes in anterior teeth region after treatment to no irregularity and minimal irregularity and none of the patients with severe irregularity. Conclusion: There's improvement of the anterior teeth condition of the patient on the maxilla and mandible jaw after treatment with removable orthodontic appliance performed by clinical students at RSKGM FKG UI Integration Clinic in 2013 2017, so that the treatment can be stated good and in accordance with the indication of treatment and the function of removable orthodontic appliance."

"Objectives: (1) To assess the masticatory muscles activity in patients with Temporomandibular Disorder (TMD) before orthodontic treatment, (2) to determine the correlation between TMD and the masticatory muscles activity (masseter muscles and anterior temporalis muscles). Methods: Twenty-two patients with malocclusion before undergoing orthodontic treatment (8 males, 14 females; mean age of 26,78 ± 4.34 years) were enrolled in the study and were divided into two groups: 11 patients with TMD and 11 patients without TMD (Non- TMD). The masticatory muscles were evaluated using standardized electromyography during 5 seconds of maximum voluntary contraction (MVC) through cotton-roll biting. For statistical analysis, the root mean square (RMS) valueof masticatory muscles was calculated and compared between the two groups. Results: The TMD groups showed alower electromyographic activity than the non- TMD group during MVC, with no significant differences in the right and left masticatory muscles between these groups. A weak negative correlation and no statistically significant differences were found between TMD and the electromyography activity of masseter muscles. Conclusions: Patients with TMD had a lower electromyographic activity in the masticatory muscles than those without TMD. Thus, electromyography can be an objective parameter to assess muscles activity for TMDdiagnosis.......Objectives: (1) To assess the masticatory muscles activity in patients with Temporomandibular Disorder (TMD) before orthodontic treatment, (2) to determine the correlation between TMD and the masticatory muscles activity (masseter muscles and anterior temporalis muscles). Methods: Twenty-two patients with malocclusion before undergoing orthodontic treatment (8 males, 14 females; mean age of 26,78 ± 4.34 years) were enrolled in the study and were divided into two groups: 11 patients with TMD and 11 patients without TMD (Non- TMD). The masticatory muscles were evaluated using standardized electromyography during 5 seconds of maximum voluntary contraction (MVC) through cotton-roll biting. For statistical analysis, the root mean square (RMS) valueof masticatory muscles was calculated and compared between the two groups. Results: The TMD groups showed alower electromyographic activity than the non- TMD group during MVC, with no significant differences in the right and left masticatory muscles between these groups. A weak negative correlation and no statistically significant differences were found between TMD and the electromyography activity of masseter muscles. Conclusions: Patients with TMD had a lower electromyographic activity in the masticatory muscles than those without TMD. Thus, electromyography can be an objective parameter to assess muscles activity for TMDdiagnosis."

"Fase awal pergerakan gigi ortodontik diawali dengan respon inflamasi akut. Proses ini menimbulkan respon dari sel paradental dan sel pertahanan tubuh dengan mensintesis dan melepaskan berbagai biomolekul seperti sitokin. Tumor necrosis factor-a TNF-? merupakan sitokin pro-inflamasi penting yang meregulasi respon awal inflamasi pada pergerakan gigi ortodontik. Tujuan dari penelitian ini adalah untuk menganalisis ekspresi TNF-? dengan membandingkan konsentrasinya pada gingival crevicular fluid GCF antara sistem self-ligating SL dan preadjusted edgewise appliance PEA pada tahap awal perawatan. Metode: Delapan belas pasien usia 15-35 tahun yang berpartisipasi dalam penelitian ini dibagi menjadi dua kelompok eksperimental PEA dan SL dan satu kelompok kontrol tanpa perawatan ortodontik. Pasien dipilih berdasarkan kriteria inklusi: indeks iregularitas Little sebesar 4-9 mm pada anterior maksila dengan indikasi perawatan non-ekstrakasi serta tanpa karies aktif, penyakit periodontal, dan penyakit sistemik terkait kerusakan tulang. Cairan krevikular gingiva subjek diambil pada lima titik di anterior maksila sebelum perawatan dan pada: 1, 24, dan 168 jam setelah aplikasi gaya ortodontik. Konsentrasi TNF-? pada sampel GCF diperiksa menggunakan metode enzyme-linked immunoabsorbent assay ELISA. Hasil: Konsentrasi TNF-? meningkat pada 1 jam dan 24 jam setelah aplikasi gaya ortodontik pada kedua sistem baik pada kelompok SL dan PEA. Konsentrasi TNF-? menurun signifikan pada 168 jam setelah aplikasi gaya ortodontik pada kelompok PEA. Sementara itu, pada kelompok SL konsentrasi TNF-? pada 168 jam tetap meningkat walaupun secara statistik tidak signifikan. Kesimpulan: Konsentrasi TNF-? meningkat pada 1 jam dan 24 jam setelah aplikasi gaya ortodontik pada kelompok PEA dan SL. Pada kelopok PEA, konsentrasi TNF-? menurun signifikaan pada 168 jam, sedangkan pada kelompok SL konsentrasi TNF-? tetap meningkat. Perbedaan konsentrasi TNF-? antara kelompok PEA dan SL mungkin disebabkan oleh perbedaan braket, kawat, dan sistem ligasi yang digunakan antara kedua sistem tersebut. ......The early phase of orthodontic tooth movement begins with acute inflammation response. This processes engender a response on the part of paradental cells and migrating inflammatory cells from periodontal ligament capillaries via the synthesis and release of various biomolecules such as cytokines. Tumor necrosis factor a TNF is an important pro inflammatory cytokine that regulates the early phase of inflammation reaction during orthodontic tooth movement. The aim of the present study was to analyze TNF expression by comparing its concentrations in the gingival crevicular fluid GCF between self ligating SL and preadjusted edgewise appliance PEA systems during the early levelling stage of orthodontic treatment. Methods: Eighteen patients aged 15 35 years who participated in this study were divided into two experimental groups PEA and SL and control group without orthodontic treatment. Patients were selected according to the inclusion criteria Little irregularity index on maxillary anterior teeth ranging from 4 9 mm non extraction orthodontic treatment for the experimental group no active dental caries, periodontitis, and medical history of bone disorder. The GCF was taken at five sites in the maxilla anterior teeth from each subject just before bracket bonding and at 1, 24, and 168 hours after orthodontic force application. TNF levels in GCF were determined by enzyme linked immunoabsorbent assay ELISA. Results: The concentration of TNF was significantly higher in the experimental groups than in the control group at 24 hours after force application. TNF levels were significantly decreased at 168 hours after force application in the PEA group. Meanwhile, in the SL group, the level of TNF at 168 hours was still increased, although there was no statistically significant difference. Conclusion: TNF concentration was increased at 1 hour and 24 hours after orthodontic force application in both the PEA and SL groups. In the PEA group, TNF concentration was significantly decreased at 168 hours, meanwhile in the SL group, this value remained increased at this time point. The differences in TNF concentration between the PEA and SL groups may be caused by their different types of brackets, wires, and ligation methods."

"Latar Belakang: Dental Aesthetic Index DAI merupakan indeks untuk melihat kebutuhan perawatan ortodonti dengan menilai komponen klinis dan estetik. Indeks ini memberikan penjelasan secara objektif mengenai kebutuhan perawatan ortodonti melalui 10 komponen penilaian. Tujuan: Mengetahui gambaran kebutuhan perawatan ortodonti berdasarkan DAI pada pasien di Klinik Spesialis Ortodonti RSKGM FKG UI tahun 2010 ndash; 2014. Bahan dan Metode: Digunakan 52 pasang model studi awal pasien ortodonti. Dilakukan penilaian DAI dengan melibatkan 10 komponen. Hasil penilaian berupa skor dibagi menjadi 4 kategori. Kategori 1 yaitu tidak/sedikit dibutuhkan perawatan, kategori 2 yaitu dapat dilakukan perawatan sesuai pilihan pasien, kategori 3 yaitu sangat membutuhkan perawatan, dan kategori 4 yaitu harus dilakukan perawatan. Hasil: Diperoleh gambaran kebutuhan perawatan ortodonti yaitu kategori 3 36,5 , kategori 4 32,7 , kategori 2 25 , dan dan kategori 1 5,8 . Gambaran permasalahan yang banyak ditemukan yaitu ketidakteraturan gigi anterior RB 96,2 dan RA 94,2 , overjet tidak normal 81 , dan hubungan molar tidak normal 76,9. Kesimpulan: Gambaran kebutuhan perawatan ortodonti berdasarkan DAI pada pasien di Klinik Spesialis Ortodonti RSKGM FKG UI tahun 2010-2014 sebagian besar sangat membutuhkan perawatan 36,5 . Hal ini menunjukkan bahwa pasien yang datang sebagian besar adalah membutuhkan perawatan dan sesuai dengan hasil penilaian DAI pada penelitian ini. ......Background: Dental Aesthetic Index is an index to see the orthodontic treatment need by assessing clinical and aesthetic component. This index objectively explains the orthodontic treatment needs based on 10 components of assessment. Purpose: To identify the description of orthodontic treatment need based on DAI on patients from orthodontic specialist clinic of RSKGM FKG UI in 2010 2014. Materials and Method: 52 pairs of pre treatment orthodontic study models were used. The assessment was based on DAI by involving 10 components. Assessment results in scores and categorized into 4 category. Category 1 is no slight treatment need, category 2 is elective treatment need, category 3 is highly desirable of treatment need, and category 4 is mandatory treatment need. Result: The description of orthodontic treatment need are, category 3 36,5 , category 4 32,7 , category 2 25 , and category 1 5,8 . The description of problems that were found are mandibular anterior irregularity 96,2 , maxillary anterior irregularity 94,2 , abnormal anterior overjet 81 , and abnormal molar relationship 76,9. Conclusion: The orthodontic treatment need based on DAI on patients from orthodontic specialist clinic of RSKGM FKG UI are mostly patients who need treatment as highly desirable 36,5 . This result shows that the patients who came were mostly patients who need the treatment, and in accordance with the result of DAI assessment in this study."

"ABSTRAKWajah yang asimetri mempengaruhi daya tarik seseorang. Oleh karena itu, gambaran asimetri wajah berdasarkan komponen skeletal dan dental penting untuk diketahui terkait diagnosis dan rencana perawatan ortodonti. Tujuan penelitian ini adalah untuk mengetahui gambaran asimetri wajah berdasarkan komponen skeletal dan dental pada pasien di klinik ortodonti RSKGM FKG UI. Penelitian ini merupakan penelitian deskriptif yang menggunakan 46 hasil penapakan sefalometri postero-anterior pasien pria berumur > 14 tahun 4,2 bulan dan pasien wanita berumur > 11 tahun 6,24 bulan dengan menggunakan analisis Grummon. Diperoleh proporsi arah asimetri berdasarkan deviasi menton, garis tengah gigi rahang bawah dan atas yang terdiri dari 27 sampel 58,7 dengan arah asimetri lebih condong ke sisi kiri sedangkan 19 sampel 41,3 dengan asimetri lebih condong ke sisi kanan. Komponen skeletal yang ditemukan dalam arah vertikal memiliki nilai selisih rerata yang lebih besar dibandingkan dalam arah transversal. Garis tengah gigi rahang bawah memiliki nilai selisih rerata lebih besar dibandingkan atas. Sehingga dapat disimpulkan gambaran arah asimetri wajah pada pasien klinik ortodonti RSKGM FKG UI memiliki proporsi lebih besar ke kiri dibandingkan ke kanan dengan komponen skeletal dalam arah vertikal lebih besar dibandingkan arah tranversal. Sedangkan pada arah transversal diperoleh wajah sisi kiri lebih besar dibandingkan sisi kanan. Selain itu, asimetri dental lebih sering terjadi pada garis tengah gigi rahang bawah dibandingkan atas.Kata Kunci: Asimetri wajah, skeletal, dental, sefalometri postero-anterior, Analisis Grummon

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ABSTRACTFacial asymmetry affects people rsquo s attractiveness. Therefore, it is important to know facial asymmetry based on the skeletal and dental components regarding the diagnosis and treatment plan. This study is to describe facial asymmetry based on skeletal and dental components in patients at orthodontic specialist clinic of RSKGM FKG UI. It is descriptive using secondary data from the tracing of postero anterior cephalograms of patients aged 14 years 4.2 months for male and 11 years 6.24 months for female with Grummon rsquo s Analysis. This study showed the proportion of asymmetric direction based on menton, maxillary midline, and mandibular midline deviation consist of 27 samples 58.7 tend to the left side while 19 samples 41.3 tend to the right side. The skeletal component found in vertical direction has a larger mean value difference than in transverse direction. The mean value difference is greater in the midline of mandibular teeth than the maxillary teeth. In conclusion, the proportion of facial asymmetry direction in patient at orthodontic specialist clinic of RSKGM FKG UI is greater to the left side than to the right side with skeletal component in greater vertical direction than transverse direction. While in transverse direction, it is obtained that left side of the face is greater than the right side. In addition, dental asymmetry is more common in the midline of mandibular teeth than maxillary teeth.Keywords facial asymmetry, skeletal, dental, postero anterior cephalometric, Grummon rsquo s Analysis"

"Latar belakang: Maloklusi merupakan kondisi penyimpangan dari oklusi normal yang dapat ditangani dengan perawatan ortodonti. Perawatan ortodonti untuk sebagian besar kasus maloklusi idealnya dimulai saat periode awal gigi tetap, yaitu pada usia remaja awal. Berdasarkan data Riskesdas 2013, prevalensi remaja usia 12-14 tahun di Indonesia dengan gigi berjejal adalah 14,5%, sedangkan remaja yang menerima perawatan ortodonti hanya 0,8%. Salah satu faktor penyebabnya adalah kurangnya kesadaran mengenai perawatan ortodonti. Belum pernah dilakukan penelitian pada remaja awal di Indonesia tentang kesadaran perawatan ortodonti.Tujuan: Mengetahui distribusi frekuensi tingkat kesadaran perawatan ortodonti pada siswa SMPN 111 Jakarta.Metode: Studi deskriptif dengan desain penelitian potong lintang pada 107 siswa SMPN 111 Jakarta yang berusia 12-14 tahun. Pengumpulan data dilakukan dengan pengisian kuesioner yang diadopsi dari penelitian Shekar et al. (2017). Digunakan analisis univariat untuk menggambarkan distribusi.Hasil: Rata-rata skor total dari kuesioner kesadaran perawatan ortodonti siswa SMPN 111 Jakarta adalah 25,34 sehingga termasuk dalam kategori sedang. Tingkat kesadaran mengenai perawatan ortodonti paling banyak berada dalam kategori sedang (45,8%), diikuti dengan kategori tinggi (33,6%) dan rendah (20,6%). Rata-rata skor total kesadaran perawatan ortodonti pada siswa perempuan adalah 26,55, sedangkan pada siswa laki-laki 24,13.Kesimpulan: Tingkat kesadaran perawatan ortodonti pada remaja awal di SMPN 111 Jakarta termasuk dalam kategori sedang. Tingkat kesadaran perawatan ortodonti pada siswa perempuan lebih tinggi dibandingkan siswa laki-laki.

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Background: Malocclusion is defined as the deviation of normal occlusion, which can be treated with orthodontic treatment. The orthodontic treatment for most of malocclusion cases are ideally initiated at the early permanent dentition period, that is around the age of early adolescence. According to Indonesian Health Survey 2013, the prevalence of adolescent aged 12-14 in Indonesia with crowded teeth is 14,5%, while those who received orthodontic treatment is only 0,8%. One of the reasons it happened is the lack of awareness regarding orthodontic treatment. The research has never been conducted to early adolescents in Indonesia regarding the awareness of orthodontic treatment.Objective: To describe the distribution of the awareness level of orthodontic treatment in students of SMPN 111 Jakarta.Methods: A descriptive study using cross-sectional design was held to 107 students of SMPN 111 Jakarta aged 12-14 years old. The level of awareness was measured using a questionnaire adopted from Shekar et al. (2017). This study was analyzed with univariate analysis.Result: Mean total score of the questionnaire is 25,34, which fell into the moderate category. The awareness level of most students is moderate (45,8%), followed by high level of awareness (33,6%) and low level of awareness (20,6%). The mean total score of the questionnaire among female students is 26,55, while in male students is 24,13.Conclusion: The awareness level of orthodontic treatment in early adolescents of SMPN 111 Jakarta is moderate. The awareness level of orthodontic treatment in female students is higher than male students."