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"Orthodontic medical treatment is performed to move a tooth to the optimal position to obtain optimal occlusion. Orthodontic treatment is accompanied by mechanical stress due to orthodontic force and by psychological stress that is experienced as pain or displeasure. The purpose of this study was to identify stress marker proteins during orthodontic treatment. Levels of receptor activator of NFκB (RANKL) and heat shock protein 70 (HSP70) in the gingival crevicular fluid (GCF) were analyzed as markers of mechanical stress, and levels of chromogranin A (CgA) and amylase in whole saliva were analyzed as markers of psychological stress. GCF was collected from control and experimental teeth at initiation of treatment and 24 h after treatment. Whole saliva was collected before treatment, at initiation of treatment and 24 h after treatment. RANKL was expressed at 24 h after treatment in the experimental GCF, but not in the control GCF. HSP70 appeared to be constitutively expressed in GCF, and its levels showed no major change between the control and experimental groups from initiation of treatment to 24 h after treatment. Amylase activity in whole saliva was enhanced at 24 h after treatment compared to control, but CgA levels showed little change between the groups. These results indicated that RANKL and amylase may be the candidate markers for mechanical and psychological stress, respectively, during orthodontic treatment, even though the total protein concentration and amylase activity displayed a large standard deviation among subjects. Further studies are therefore required to establish these markers for clinical use."

"Latar Belakang: Perawatan ortodontik, yang bertujuan memperbaiki maloklusi dan meningkatkan estetika serta fungsi dentofasial, membutuhkan keterlibatan aktif pasien untuk mencapai hasil yang optimal. Peran pasien menjadi semakin penting dengan pendekatan Pengambilan Keputusan Bersama (PKB), yang mendorong partisipasi pasien dalam pengambilan keputusan perawatan. PKB, didukung oleh komunikasi efektif dan pendidikan manajemen diri, menawarkan peluang untuk meningkatkan kepuasan, kepatuhan, dan hasil klinis, meskipun menghadapi tantangan dalam implementasinya. Pembahasan: PKB memberikan banyak manfaat, termasuk peningkatan pengetahuan pasien, hubungan yang lebih baik antara pasien dan ortodontis, serta penggunaan sumber daya yang lebih efisien. Komunikasi efektif, baik verbal maupun nonverbal, memainkan peran penting dalam membangun kepercayaan dan menyampaikan informasi secara jelas. Pendidikan manajemen diri juga berkontribusi signifikan, membantu pasien memahami tanggung jawab mereka dalam menjaga kebersihan mulut selama perawatan, mengurangi risiko iatrogenik, dan membentuk kebiasaan sehat jangka panjang. Ringkasan: Peran aktif pasien dalam perawatan ortodontik merupakan kunci keberhasilan perawatan jangka panjang. Dengan memperkuat PKB, komunikasi efektif, dan pendidikan manajemen diri, hasil perawatan dapat ditingkatkan secara signifikan.

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Background: Orthodontic treatment, aimed at correcting malocclusion and improving dentofacial aesthetics and function, requires active patient involvement to achieve optimal outcomes. The role of patients has become increasingly significant with the adoption of Shared Decision Making (SDM), which promotes patient participation in treatment decisions. Supported by effective communication and self-management education, SDM offers opportunities to enhance patient satisfaction, compliance, and clinical outcomes, despite challenges in its implementation. Discussion: SDM provides numerous benefits, including increased patient knowledge, stronger relationships between patients and orthodontists, and more efficient resource utilization. Effective communication, both verbal and nonverbal, plays a critical role in building trust and delivering clear information. Self-management education also makes a significant contribution by helping patients understand their responsibilities in maintaining oral hygiene during treatment, reducing iatrogenic risks, and fostering long-term healthy habits. Summary: Active patient involvement in orthodontic treatment is key to achieving long-term success. Strengthening SDM, effective communication, and self-management education can significantly improve treatment outcomes."

"Latar belakang: Maloklusi merupakan bentuk penyimpangan oklusi ideal dan menjadi masalah gigi dan mulut dengan prevalensi tertinggi ketiga di dunia. Berdasarkan data Riskesdas 2018, proporsi penduduk Indonesia yang melakukan perawatan ortodonti untuk mengatasi maloklusi masih sangat rendah yaitu hanya 0,3%. Rendahnya proporsi tersebut kemungkinan disebabkan berbagai faktor seperti pengetahuan, motivasi, dan hambatan. Tujuan: Mengetahui hubungan pengetahuan, motivasi, dan hambatan terhadap perawatan ortodonti pada mahasiswa Universitas Indonesia Metode: Studi analitik observasional potong lintang pada 318 mahasiswa Universitas Indonesia Angkatan 2017. Instrumen yang digunakan yaitu tiga buah kuesioner tentang pengetahuan, motivasi dan hambatan melalui adaptasi lintas budaya. Hasil: Lebih dari 50% responden memiliki pengetahuan, hambatan, dan kemampuan terhadap perawatan ortodonti dengan kategori sedang. Terdapat 36,2% responden yang memiliki motivasi terhadap perawatan ortodonti tinggi. Uji korelasi Spearman menunjukan terdapat hubungan yang bermakna (p≤0,05) antara pengetahuan dan motivasi terhadap perawatan ortodonti; antara pengetahuan dan hambatan terhadap perawatan ortodonti; serta antara motivasi dan hambatan terhadap perawatan ortodonti. Motivasi merupakan faktor yang memiliki nilai korelasi terbesar (r=0,798, p≤0,05)terhadap perawatan ortodonti. Kesimpulan: Mahasiswa Universitas Indonesia angkatan 2017 memiliki tingkat motivasi tinggi untuk melakukan perawatan ortodonti, tetapi memiliki tingkat pengetahuan, hambatan, dan kemampuan terhadap perawatan ortodonti sedang. Terdapat hubungan antara pengetahuan, motivasi, dan hambatan terhadap perawatan ortodonti. Motivasi memiliki nilai korelasi paling besar terhadap perawatan ortodonti.

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Background: Malocclusion is a deviation from ideal occlusion and becomes a dental and oral health problem globally with the third-highest prevalence. According to Riskesdas 2018, the proportion of the Indonesian population who had undergone orthodontic treatment to treat malocclusion is still very low, only 0,3%. The low proportion is probably due to various factors such as knowledge, motivation, and barriers. Objective: To assess the relationship between knowledge, motivation, and barriers to orthodontic treatment among University of Indonesia students. Methods: An analytical cross- sectional study was conducted among 318 University of Indonesia students class of 2017. The instrument used was three questionnaires about knowledge, motivation, and barriers through cross-cultural adaptation. Results: More than 50% of the respondents have a moderate level of knowledge, barriers, and orthodontic treatment ability. There are 36.2% of respondents who have high motivation towards orthodontic treatment. The Spearman correlation test shows a significant relationship (p≤0,05) between knowledge and motivation to orthodontic treatment; between knowledge and barriers to orthodontic treatment; and between motivation and barriers to orthodontic treatment. Motivation shows the highest correlation to orthodontic treatment (r=0,798, p≤0,05). Conclusion: University of Indonesia students class of 2017 have a high level of motivation to perform orthodontic treatment but have a moderate level of knowledge, barriers, and ability to orthodontic treatment. There is a relationship between knowledge, motivation, and barriers to orthodontic treatment. Motivation has the greatest correlation value to orthodontic treatment."

"Latar Belakang: Kooperasi pasien merupakan faktor yang penting dalam perawatan ortodonti. Tujuan: Mengetahui gambaran tingkat kooperasi pasien ortodonti cekat di klinik spesialis ortodonti RSGMP FKG UI.Metode: Penelitian dilakukan pada 94 pasien ortodonti cekat di klinik spesialis ortodonti RSGMP FKG UI yang sudah dirawat selama paling sedikit 12 bulan. Pasien diminta mengisi kuesioner tentang tingkat kooperasi yang digambarkan melalui frekuensi kontrol rutin.Hasil: 43,6% pasien tergolong kooperatif, 43,6% pasien tergolong cukup kooperatif, 7,4% pasien tergolong tidak kooperatif, dan 5,3% pasien tergolong sangat tidak kooperatif.Kesimpulan: Sebagian besar pasien ortodonti cekat di RSGMP FKG UI tergolong kooperatif dan cukup kooperatif.

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Background: Patient's cooperation is important in determining the result of orthodontic treatment.Objective: To understand the cooperation level of patients with fixed orthodontic treatment in Postgraduate Orthodontic Clinic at RSGM-P FKG UI.Methods: A descriptive study of 94 patients with fixed orthodontic treatment treated for at least 12 months. They're asked to fill a questionnaire about cooperation predicted by frequency of miss-appointment.Results: 43.6% patients are cooperative, 43.6% patients are cooperative-enough, 7.4% patients are non-cooperative, and 5.3% patients are very non-cooperative.Conclusion: Majority of patients with fixed orthodontic treatment in Postgraduate Orthodontic Clinic at RSGM-P FKG UI are cooperative and cooperative-enough."

"Latar belakang: Perawatan ortodonti interseptif dapat mengurangi prevalensi maloklusi di Indonesia yang tinggi yaitu sebesar 80, namun hingga saat ini faktor-faktor yang berhubungan dengan kebutuhan subjektif akan perawatan ortodonti interseptif belum diketahui. Tujuan: Menganalisis hubungan kebutuhan normatif perawatan ortodonti interseptif, sikap terhadap estetika gigi, pengetahuan kesehatan gigi dan mulut, jenis kelamin, dan tingkat sosioekonomi dengan kebutuhan subjektif perawatan ortodonti interseptif. Metode: Desain penelitian adalah cross sectional, subjek penelitian adalah 101 murid SDI Al-Azhar 17 Bintaro berusia 8-11 tahun, yang dilakukan pemeriksaan klinis menggunakan kaca mulut dan probe, sedangkan untuk mengetahui kebutuhan normatif perawatan ortodonti interseptif digunakan alat ukur IKPO-I, dan untuk mengetahui variabel lainnya dengan kuesioner. Hubungan antarvariabel dianalisis dengan uji koefisien kontingensi dan uji korelasi Eta. Hasil: Menunjukkan tidak terdapat hubungan yang bermakna antara jenis kelamin dengan kebutuhan subjektif perawatan ortodonti interseptif p-value=0,625, kebutuhan normatif perawatan ortodonti interseptif r=0,178, sikap terhadap estetika gigi r=0,059, pengetahuan kesehatan gigi dan mulut r=0,028, dan tingkat sosioekonomi r=0,068 dengan kebutuhan subjektif perawatan ortodonti interseptif. Kesimpulan: Tidak terdapat hubungan yang bermakna antara kebutuhan normatif perawatan ortodonti interseptif, sikap terhadap estetika gigi, pengetahuan kesehatan gigi dan mulut, jenis kelamin, dan tingkat sosioekonomi dengan kebutuhan subjektif perawatan ortodonti interseptif.

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Background: Interceptive orthodontic treatment can reduce the high prevalence of malocclusion in Indonesia which is 80, however, factors influencing the perceived need for interceptive orthodontic treatment is unknown.

Objectives: To analyze the relationship between normative orthodontic treatment need, dental aesthetic self perception, oral health knowledge, gender, socioeconomic status, and perceived need for interceptive orthodontic treatment.

Methods: The design of this study is cross sectional, subjects are 101 students at Al Azhar 17 Bintaro Elementary School aged 8 11 years. Data were obtained through clinical examination using dental mirror and probe. IKPO I is used to know the normative interceptive orthodontic treatment need and questionnaire is used to know other variables. The relationship between variables are analyzed with contingency coefficient analysis and Eta correlation analysis.

Results: Showed no significant relationship between gender p value 0,625, normative orthodontic treatment need r 0,178, dental aesthetic self perception r 0,059, oral health knowledge r 0,028, socioeconomic status r 0,068, and perceived need for interceptive orthodontic treatment.

Conclusion: There are no significant relationship between normative orthodontic treatment need, dental aesthetic self perception, oral health knowledge, gender, and socioeconomic status and perceived need for interceptive orthodontic treatment need."