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"ABSTRAKAbstrak Berbahasa Indonesia/Berbahasa Lain (Selain Bahasa Inggris): Pendahuluan: Kalsifikasi sella turcica (sella turcica bridge) dan kalsifikasi tulang atlas (ponticulus posticus) dapat digunakan untuk memprediksi terjadinya impaksi kaninus di palatal dan hipodonsia. Hal ini dapat terjadi karena sella turcica, tulang skeletal kepala dan leher, serta sel epitel dental memiliki keterlibatan gen dan berasal dari sel embriologi yang sama.Tujuan dari penelitian ini adalah untuk melihat hubungan antara sella turcica bridge dengan ponticulus posticus serta hubungan kedua struktur anatomi tersebut dengan impaksi kaninus di palatal dan hipodonsia.Metode: Penelitian dilakukan secara potong lintang, dengan subjek sejumlah 51 foto sefalometri lateral pasien dari ras Deutro Malayid. Usia subjek diatas 14 tahun yang dibagi menjadi tiga kelompok, yaitu 17 foto sefalometri pada kelompok impaksi kaninus, 17 foto sefalometri pada kelompok hipodonsia dibandingkan dengan 17 foto sefalometri pada kelompok kontrol. Setiap foto sefalometri lateral dilihat klasifikasi sella turcica bridge dan ponticulus posticus (tidak ada kalsifikasi, kalsifikasi parsial, dan kalsifikasi lengkap). Hubungan antara sella turcica bridge dan ponticulus posticus dengan kelompok impaksi dan hipodonsia, serta antara sella turcica bridge dengan ponticulus posticus dianalisis dengan menggunakan uji independent chi square dan uji korelasi Kendall.Hasil: Terdapat hubungan yang signifikan antara sella turcica bridge dengan impaksi kaninus dan hipodonsia, serta antara ponticulus posticus dengan impaksi dan hipodonsia masing-masing, dengan kekuatan korelasi sedang, namun tidak terdapat hubungan yang signifikan antara sella turcica bridge dengan ponticulus posticus.Kesimpulan: Sella turcica bridge dan ponticulus posticus banyak ditemukan pada pasien dengan impaksi kaninus di palatal dan hipodonsia, sehingga adanya sella turcica bridge dan ponticulus posticus yang sudah terbentuk sejak awal dapat menjadi penanda adanya kemungkinan impaksi dan hipodonsia.

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ABSTRACT

Introduction: Calcification of sella turcica known as sella turcica bridge and calcification of atlas vertebra known as ponticulus posticus might predict the occurance of palatally impacted canine and hypodontia. This might occur due to sella turcica, neck and shoulder skeletal development and dental epithelial cells share a common gene and embryologic origin. The purpose of this study was to investigate the association of sella turcica bridge and ponticulus posticus with palatally impacted canine and hypodontia and the association between sella turcica bridge and ponticulus posticus.

Methods: This cross sectional study was performed using lateral cephalogram of 51 Deutro malayid patients, age above 14, and devided into 3 groups. First group consist of 17 cephalograms palatally impacted canine patient, second group consist of 17 cephalograms hypodontia patient, compared with 17 cephalograms control patient. The type of sella turcica bridge and ponticulus posticus (no calcification, partial calcification and complete calcification) were evaluated on every lateral cephalogram. The association between sella turcica bridge with palatally impacted canine and hypodontia, ponticulus posticus with palatally impacted canine and hypodontia and the association between sella turcica bridge with ponticulus posticus was analyzed using independent Chi-Square and Kendall correlation.

Results: The calcification of sella turcica bridge and ponticulus posticus in palatally impacted canine and hypodontia patient is increased when compared to control patient. There is a significant association between sella turcica bridge with palatally impacted canine and hypodontia, ponticulus posticus with palatally impacted canine and hypodontia but there is no significant association between sella turcica bridge with ponticulus posticus.

Conclusion: Calcification of sella turcica bridge and ponticulus posticus is frequently found in patients with palatally impacted canine and hypodontia. The very early appearance during development of sella turcica bridge and ponticulus posticus should alert clinicians to possible impacted canine and hypodontia in life later."

"Latar Belakang: Sella turcica merupakan anatomi yang penting untuk diteliti dikarenakan deformitas bentuknya dapat menjadi petunjuk utama adanya kelainan skeletal. Hal ini dapat mempengaruhi fungsi fossa hipofisis dikarenakan letaknya yang berada di tengah fossa hipofisis dan dapat menghambat pertumbuhan tulang pada regio kraniofasial seperti maksila, mandibula, palatal dan frontonasal. Tujuan: untuk mengetahui bentuk variasi morfologi sella turcica pada kelompok umur tertentu di RSKGM FKG UI. Metode: Radiograf sefalometri lateral digital pada pasien dengan rentang usia 17 tahun ke atas sebesar 258 sampel ditracing dan bentuk morfologi sella turcica dinilai. Hasil: Frekuensi morfologi sella turcica tertinggi yaitu morfologi normal sebesar 52,3%, diikuti dengan morfologi irregular sella turcica sebesar 13,2%, morfologi bridging sella turcica sebesar 10,9%, morfologi oblique dan pyramidal sebesar 9,7%, dan morfologi double contour sebesar 4,3%. Kesimpulan: Bentuk variasi morfologi sella turcica di RSKGM FKG UI yang paling sering ditemukan adalah morfologi normal.

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Background: Sella turcica is an anatomy that is important to study because its deformity form can be indication key of the presence of skeletal abnormalities. This may affect the  function of the pituitary fossa due to its location in the center of the pituitary fossa and can inhibit bone growth in the craniofacial region such as the maxilla, mandible, palatal, and frontonasal.

Objective: To determine the shape of the morphological variation of sella turcica in certain age groups in RSKGM FKG UI.

Methods: Lateral cephalometric digital radiographs in patients with an age range of 17 years and over by 258 samples traced and the morphological forms of sella turcica assessed.

Results: The most frequence morphology of sella turcica is the normal morphology which is 52,3%, followed by the irregular morphology of sella turcica is 13,2%, the morphology of sella turcica is 10,9%, oblique and pyramidal morphology is 9,7%, and the morphology of double contour is 4,3%.

Conclusion: The most shape of the morphological variation of sella turcica that can be found in RSKGM FKG UI is normal morphology."

"ABSTRAK Sella turcica is an anatomic point in the cephalometric tracing of orthodontic treatment. The formula for body mass index (BMI) is calculated by using the height and weight of an individual. Objective: To evaluate the size and morphology of the sella turcica in healthy, overweight, and obese patients. Methods: The 66 individuals (24 males and 42 females; mean age, 15.05 until 1.61 years) selected for the study were divided into three groups: obese; overweight; and healthy, according to the BMI percentile classifcation. The length, diameter and dept measurements of the sella turcica were measured on a lateral cephalometric radiograph. Results: No statistically signifcant differences were found among the groups, although the length, diameter, and depth of the sella turcica were higher in healthy individuals (P > 0.05). Moreover, the normal sella turcica, compared with other sella turcica variations, was more common in 64.7% of the healthy patients, 61.1% of the overweight patients, and 64.3% of the obese patients. Conclusions: Normal sella turcica is more common than other types of sella turcica. In addition, no signifcant difference was found among the groups in terms of length, diameter, and depth of the sella turcica. "

"Latar Belakang: Celah bibir dan langit-langit merupakan kelainan bawaan yang umum ditemukan yang terjadi saat perkembangan janin karena kegagalan proses pertumbuhan organ wajah. Defisiensi pertumbuhan maksila secara tiga dimensi (3D) sering ditemukan pada penderita celah bibir dan langit-langit terutama pada kasus unilateral. Pasien yang telah menjalani prosedur operasi menunjukkan adanya penurunan tinggi basis kranial, maksila yang lebih pendek, retrograntik maksila berlebihan dan inklinasi gigi insisif atas dan bawah yang lebih ke lingual. Perawatan bertahap dibutuhkan untuk penanganan pasien dengan celah bibir dan langit-langit seperti bedah perbaikan tulang alveolar, restorasi prostodontik, dan koreksi dental definitif. Tujuan: Menganalisis pengaruh labioplasti dan palatoplasti terhadap tinggi maksila, volume sinus maksilaris dan ukuran sella turcica pada pasien celah bibir dan langit-langit unilateral. Material dan Metode: Penelitian analitik observasional dengan desain potong lintang. Subjek penelitian ini adalah anak berusia ³13 tahun dengan celah bibir dan langit-langit unilateral, telah dilakukan labioplasti dan palatoplasti, serta tidak mengikuti prosedur perawatan ortodontik cekat di RSAB Harapan Kita, Jakarta dalam kurun waktu 2011-2013. Berdasarkan kriteria inklusi dan eksklusi diperoleh jumlah samepl sebanyak 12 subjek. Setiap subjek dilakukan pengambilan gambaran radiografi CBCT untuk penilaian tinggi maksila, volume sinus maksilaris dan ukuran sella turcica. Perbandingan tinggi maksila dan volume sinus maksilaris dilakukan pada sisi celah dan sisi normal, sedangkan perbandingan ukuran sella turcica dilakukan secara deskriptif menggunakan data sekunder. Hasil penelitian: Terdapat perbedaan tinggi maksila dan volume sinus maksilaris yang signifikan antara sisi celah dan sisi normal (p=0,00 dan p=0,01). Terdapat perbedaan ukuran lebar dan kedalaman sella turcica antara subjek dengan kelompok kontrol. Kesimpulan: Labioplasti dan palatoplasti mempengaruhi tinggi maksila, volume sinus maksilaris dan ukuran sella turcica pada pasien dengan celah bibir dan langit-langit unilateral

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Background: Cleft lip and palate is a common congenital disorder that formed during fetal development due to failure of the developmental processes of the face. Three-dimensional (3D) maxillary growth deficiency is often found in patients with cleft lip and palate, particularly in unilateral cases. Patients who had undergone surgical procedures show a decrease on cranial base height, shorter maxilla, severe maxillary retrograntic and more lingual inclination of upper and lower incisor teeth. Multistage treatment is neccessary for patients with the lips and palate such as alveolar bone repair, prosthodontic restoration, and definitive dental correction. Objective: To analyze the effect of labioplasty and palatoplasty to maxillary height, maxillary sinus volume and sella turcica size in patients with unilateral cleft lip and palate. Materials and Methods: Observational analytic study with cross-sectional design. The subjects of this study were children ³13-years-old with unilateral cleft lip and palate, had undergone labioplasty and palatoplasty, and did not undergo fixed orthodontic treatment procedures at RSAB Harapan Kita, Jakarta in the period of 2011-2013. Based on the inclusion and exclusion criteria, a total of 12 subjects were obtained. Each subject took a CBCT radiographic to assess the maxillary height, maxillary sinus volume and sella turcica size. Comparison of maxillary height and maxillary sinus volume was performed on the cleft and normal sides, while the comparison of the size of the sella turcica was performed descriptively using secondary data. Results: There are significant differences in the maxilla height and maxillary sinus volume between the cleft side and the normal side (p = 0.00 and p = 0.01). There is a difference in width and height of the sella turcica between the subject and the control group. Conclusion: Labioplasty and palatoplasty affect maxillary height, maxillary sinus volume and sella turcica size in patients with unilateral cleft lip and palate."

"Latar Belakang: Angulasi gigi molar 3 rahang bawah impaksi berpengaruh terhadap frekuensi timbulnya berbagai keadaan patologis di rongga mulut. Di sisi lain, jarak antara distal gigi molar 2 rahang bawah dan ascending ramus memiliki pengaruh terhadap keberhasilan erupsi gigi molar 3 rahang bawah. Beberapa penelitian menunjukkan bahwa jenis kelamin dan suku berpotensi untuk mempengaruhi kedua hal tersebut. Tujuan: Meneliti hubungan antara angulasi gigi molar 3 rahang bawah impaksi dan jarak dari distal gigi molar 2 rahang bawah ke ascending ramus dengan jenis kelamin dan suku. Metode: Radiograf panoramik diperoleh dari rekam medik pasien RSKGM FKG UI periode Januari 2018 – Desember 2018. Hasil perhitungan dihubungkan ke deskripsi jenis kelamin dan suku pasien yang tertera pada rekam medik. Hasil Penelitian: Hubungan antara jenis kelamin terhadap jarak dari distal gigi molar 2 ke ascending ramus menujukkan nilai p = 0.016 (p < 0.05). Hubungan antara jenis kelamin terhadap angulasi gigi molar 3 rahang bawah menunjukkan nilai p = 0.28 (p >0.05). Hubungan antara suku terhadap jarak antara gigi molar 2 ke ascending ramus dan angulasi gigi molar 3 rahang bawah menunjukkan nilai p >0.05. Kesimpulan: Terdapat hubungan yang signifikan antara jenis kelamin pasien dan jarak dari distal gigi molar 2 rahang bawah ke ascending ramus. Tidak terdapat hubungan yang signifikan antara jenis kelamin dan angulasi gigi molar 3 rahang bawah impaksi. Tidak terdapat hubungan yang signifikan antara suku dengan angulasi gigi molar 3 rahang bawah impaksi dan jarak dari distal gigi molar 2 ke ascending ramus.

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Background: Impacted mandibular third molar angulation is related to several pathological oral conditions. The width of space between mandibular second molar and ascending ramus influences the likelyhood of there being an impacted mandibular third molar. Several studies suggests that both gender and ethnicity may play a role on determining the former and latter. Objective: Study the influence of patient gender and ethnicity towards impacted mandibular third molar angulation and width of space between mandibular second molar and ascending ramus. Method: Patient medical records containing panoramic radiographs are collected. Measurements of angulation and space width are conducted using a ruler and ruler arc. Measurement results will be correlated to patient gender and ethnicity written on medical record. Result: Relationship between patient gender and width of space between mandibular second molar and ascending ramus resulted in a p value of 0.016 (p < 0.05). Relationship between gender and mandibular third molar angulation resulted in a p value of 0.28 (p > 0.05). The impact of ethnicity towards both mandibular third molar angulation and width of space between mandibular second molar and ascending ramus resulted in a p value higher than 0.05. Conclusion: Gender has a significant influence on the width of space between mandibular second molar and ascending ramus. Gender and ethnicity has an insignificant influence on mandibular third molar angulation. Ethnicity has an insignificant influence on the width of space between mandibular second molar and ascending ramus."

"Pasien gigi impaksi meningkat jumlahnya setiap tahun dan terjadi dalam rentang usia yang luas. Tujuan: Penelitian ini bertujuan untuk mengetahui dan mengevaluasi frekuensi dan distribusi impaksi gigi kaninus, premolar, dan molar ketiga pada pasien RSKGM FKGUI tahun 2010-2013. Metode: Jenis penelitian ini adalah studi deskriptif melalui pengamatan data sekunder yaitu kartu rekam medik di RSKGM FKGUI. Hasil: Terdapat 500 sampel penelitian dengan 904 kasus gigi impaksi yang terdiri dari 0.44% impaksi gigi kaninus, 0.44% premolar, 14.93% molar ketiga maksila, dan 84.18% molar ketiga mandibula. Kesimpulan: Jumlah gigi impaksi di RSKGM FKGUI tahun 2010-2013 mengalami peningkatan, penurunan frekuensi hanya terjadi pada tahun 2012, dengan frekuensi tertinggi terdapat pada perempuan dan kelompok usia 26-35 tahun.

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The number of patient with impacted teeth is increasing every year in a wide range of ages. Objective: This study aims to evaluate the frequency and distribution of impacted canine, premolar, and third molar in RSKGM FKGUI 2010-2013. Methods: A descriptive study through observation of secondary data which is patient’s medical record in RSKGM FKGUI. Results: There were 500 samples with 904 cases of impacted tooth consist of 0.44% impacted canine, 0.44% premolar, 14.93% maxillary third molar, and 84.18% mandibular third molar. Conclusion: The number of impacted teeth in RSKGM FKGUI 2010-2013 was increasing, the frequency decreases only in 2012, the highest frequency mostly happened on female and age group 26-35 years old."

"Tindakan odontektomi gigi molar 3 bawah merupakan salah satu tindakan yang cukup sering dilakukan. Namun, hingga saat ini pengaruh faktor pasien dan faktor dental terhadap tingkat kesulitan bedah masih menjadi kontroversi. Tujuan penelitian ini adalah untuk mengetahui hubungan antara usia, jenis kelamin, dan klasifikasi impaksi dengan lama tindakan odontektomi gigi molar 3 bawah. Lama tindakan bedah masih menjadi standar emas untuk mengukur tingkat kesulitan bedah. Sebanyak 49 pasien yang memerlukan 49 odontektomi gigi molar 3 bawah dilibatkan dalam studi ini. Uji korelasi dilakukan pada faktor pasien dan dental dengan lama tindakan odontektomi. Hasil uji korelasi menunjukkan adanya hubungan yang signifikan secara statistik antara klasifikasi Pell dan Gregory bedasarkan kedalaman impaksi (P=0,037) dan klasifikasi Winter (P=0,039) dengan lama tindakan odontektomi. Studi ini menunjukkan bahwa terdapat hubungan yang signifikan secara statistik antara klasifikasi Pell dan Gregory bedasarkan kedalaman impaksi dan klasifikasi Winter dengan lama tindakan odontektomi.

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Mandibular third molar extraction is a common practice in dentistry. However, the relationship between patient and dental factors on surgical difficulty is still a controversy. The aim of the study is to determine the effect of age, gender, and impacted teeth classification on operation time during mandibular third molar extraction. Operation time has been considered as the gold standard to quantify surgical difficulty A total of 47 patients who required 49 mandibular third molar extraction were involved in the study. The correlation between patient and dental factors and operation time were examined. There were statistically significant correlation between Pell and Gregory's depth of impacted teeth classification (P=0,037) and Winter's classification (P=0,039). This study showed that there were statistically significant correlation between Pell and Gregory's depth of impacted teeth classification and Winter's classification with operation time."

"Latar Belakang: Gigi impaksi merupakan kondisi ketika gigi mengalami kegagalan untuk erupsi sepenuhnya ke lengkung gigi dalam waktu yang diharapkan. Berdasarkan frekuensi kejadiannya, gigi molar tiga rahang bawah (M3 RB) paling sering mengalami impaksi dengan prevalensi mencapai 60.6% di Indonesia. Salah satu faktor lokal utama terjadinya gigi M3 RB impaksi adalah kurangnya ruang pada lengkung rahang bawah yang sering dikaitkan dengan proses pertumbuhan tulang mandibula. Beberapa studi menunjukkan bahwa ukuran morfologi tulang mandibula yang mencerminkan kuantitas dan arah pertumbuhan tulang seperti tinggi simfisis mandibula, panjang badan mandibula, dan sudut gonial berpotensi untuk mempengaruhi kejadian gigi M3 RB impaksi. Tujuan: Mengevaluasi hubungan kejadian gigi M3 RB impaksi dengan morfologi tulang mandibula. Metode: Sebanyak 110 sampel sisi rahang bawah diperoleh dari 67 data radiografi panoramik digital pasien RSKGM FKG UI (50 perempuan dan 17 laki-laki; usia: 21.22–30.91 tahun). Sampel yang tersedia kemudian dibagi menjadi kelompok kasus (sisi rahang dengan gigi M3 RB yang mengalami impaksi baik fully unerupted atau partially erupted) dan kelompok kontrol (sisi rahang dengan gigi M3 RB yang erupsi sempurna) untuk dilakukan perbandingan. Pada studi ini, uji-t independen dan uji Anova 1 arah digunakan untuk menganalisis hubungan status impaksi gigi M3 RB dan klasifikasinya dengan morfologi tulang mandibula pada data berdistribusi normal. Di sisi lain, uji Mann-Whitney U dan Uji Kruskal Wallis digunakan untuk menganalisis hubungan status impaksi gigi M3 RB dan klasifikasinya dengan morfologi tulang mandibula pada data berdistribusi tidak normal. Hasil: Tinggi simfisis mandibula dan sudut gonial secara statistik (p < 0.05) lebih rendah pada kelompok kasus. Sementara itu, panjang badan mandibula antara kelompok kasus dan kelompok kontrol tidak berbeda secara statistik (p > 0.05). Pada hasil tinjauan pasien laki-laki saja, tidak ditemukan adanya perbedaan tinggi simfisis, panjang badan mandibula, dan sudut gonial antara kelompok kasus dan kelompok kontrol secara statistik (p > 0.05). Kesimpulan: Terdapat hubungan kejadian gigi M3 RB impaksi dengan ukuran tinggi simfisis dan sudut gonial. Semakin kecil ukuran tinggi simfisis dan sudut gonial, semakin besar kemungkinan gigi M3 RB mengalami impaksi. Di sisi lain, tidak ditemukan adanya hubungan kejadian gigi M3 RB impaksi dengan ukuran panjang badan mandibula.

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Background: An impacted tooth is a condition when a tooth fails to fully erupt into the dental arch within the expected time. Based on the frequency of occurrence, the mandibular third molar (M3M) is the most frequently impacted with a prevalence of 60.6% in Indonesia. One of the main local factors for impacted M3M is the lack of space in the lower arch which is often associated with the growth process of the mandibular bone. Several studies have shown that the size of the mandibular bone morphology that reflects the quantity and direction of bone growth such as symphisis mandibular height, mandibular body length, and gonial angle has the potential to influence the occurance of impacted M3M.

Objective: To evaluate the relationship between the occurance of impacted M3M and mandibular bone morphology.

Methods: A total of 110 samples of the mandibular side were obtained from 67 digital panoramic radiographic data of RSKGM FKG UI patients (50 women and 17 men; age: 21.22–30.91 years). The data were then divided into the case group (jaw side with M3M that were fully unerupted or partially erupted) and the control group (jaw side with M3M that fully erupted) for comparison. In this study, an independent t-test and 1-way ANOVA test was used to analyze the relationship between the impaction status of M3M and their classification with the morphology of the mandible in normally distributed data. On the other hand, the Mann-Whitney U test and the Kruskal Wallis test were used to analyze the relationship between the impaction status of the M3M tooth and its classification with the morphology of the mandible bone in abnormally distributed data.

Results: Symphisis mandibular height and gonial angle were statistically (p < 0.05) lower in the case group. Meanwhile, the mandibular body length between the case group and the control group was not statistically different (p > 0.05). In the results of the review of male patients only, there was no statistical difference in symphisis height, mandibular body length, and gonial angle between the case group and control group (p > 0.05).

Conclusion: There is a relationship between the occurance of impacted M3M with the size of the symphisis height and gonial angle. The smaller the size of the symphisis height and gonial angle, the more likely the M3M to experience impaction. On the other hand, there was no relationship between the occurance of impacted M3M and mandibular body length."

"Tujuan: Mengetahui perbedaan persepsi antara ortodontis dengan masyarakat awam serta pria dengan wanita dalam menilai hasil perawatan hipodonsia insisif lateral rahang atas bilateral. Metode penelitian: Bentuk, warna, dan tepi gingiva gigi insisif lateral rahang atas bilateral dimodifikasi secara digital sebagai simulasi hasil perawatan hipodonsia insisif lateral rahang atas bilateral. Ketiga foto hasil modifikasi dilampirkan pada kuesioner berbasis digital lalu dinilai oleh 100 ortodontis dan 100 masyarakat awam, terdiri dari 100 pria dan 100 wanita. Penilaian dilakukan dengan metode Visual Analogue Scale (VAS) dan uji statistik dilakukan dengan uji-t tidak berpasangan. Hasil: Perbedaan bermakna secara statistik ditemukan pada persepsi ortodontis dan masyarakat awam terhadap foto perawatan dengan substitusi kaninus tanpa rekonturing dan foto perawatan dengan protesa. Kesimpulan: Ortodontis dan masyarakat awam memiliki persepsi yang berbeda terhadap hasil perawatan hipodonsia insisif lateral rahang atas bilateral, sedangkan jenis kelamin tidak mempengaruhi persepsi terhadap hasil perawatan hipodonsia insisif lateral rahang atas bilateral.

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Objectives: This study aimed to compare the perception of Indonesian orthodontists and laypeople as well as men and women to the treatment of bilateral upper lateral incisor hypodontia. Methods: Shape, color, and gingival margin of bilateral upper lateral incisor were digitally modified as a simulation of bilateral upper lateral incisor hypodontia treatment result. Three modified photos were presented in a digital-based questionnaire and assessed by 100 orthodontists and 100 laypeople, consisting of 100 men and 100 women. The assessment was done using Visual Analogue Scale (VAS) and unpaired t-test was used to process the data. Results: Statistically significant differences were found between the perception of orthodontists and laypeople to the treatment utilizing canine substitution without recontouring, along with the treatment using prosthesis. Conclusions: Orthodontists and laypeople have different perceptions to the treatment results of bilateral upper lateral incisor hypodontia, while gender does not affect the perception to the treatment results.

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"Impaction of the permanent maxillary canine is a relative common problem in orthodontic and paedodontic practice. The diagnostic of canine impaction depends upon through understanding of clinical and radiological examination. There are several approaches available for the treatment of these cases. Combination of surgical intervention and orthodontic treatment is one of the choices. The purpose of this case report is to present a case management of a maxillary permanent canine impaction located in the labial surface with vertical position in an 11 years old child. This impacted teeth was brought into the normal position by a combination of surgery and fixed orthodontic treatment."