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Dr Yudith Kartiko

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Australia
West Ryde, NSW
Dr Yudith Kartiko

BDS Hons.(Usyd),FRACDS, PGDipDImplantology,Grad Dip(Ortho),GradDipClinDent(ClearAligner)FICCDE,FIADFE

01/07/2025

Vale Prof John Mew, one of the most influential teachers I’ve ever had.

21/06/2025

Could jaw expansion influence adenoid and tonsil size?
I would like to share with you, the progress radiographs of the three patients I saw this week.

These radiographs were taken approximately 12 months apart. None of these children had adenoidectomy or tonsillectomy . ENT collaboration was done from the beginning. Two are still under monitoring. None of the children had any steroid sprays within 1 month of radiographs being taken.

Treatment done was orthopaedic expansion, oromyofunctional therapy and dietary recommendations. None has had any tethered tissue releases yet.

Compliance with diet changes and oromyofunctional therapy were not always 100% but in general was good ( parents have a monthly chart that the sign. The score was on average 80% or above each month)

Age of patients : 7 -9 years of age

What we observed:
🔹 Reduced adenoid size in 2 cases
🔹 Reduced tonsillar size in 1 case

While this is not a controlled study, these findings echo existing research (Yoon et al., 2022; Villa et al., 2007) suggesting adenoids and tonsillar size reduction as one of the benefits of palatal expanders treatment .

Possible mechanisms include:
🌀 Increased nasal volume → less airflow resistance and lymphoid irritation
🫁 Improved nasal breathing → better nitric oxide delivery → fewer allergic/infective triggers
🌬️ Lower inspiratory pressure → less airway collapse and stress on lymphoid tissue

Clinical observation — not conclusion — but worth sharing with those curious about growth, function, and airway health.

18/05/2025

I had the pleasure of attending the ASTOT 2025 Symposium this weekend, themed “Collaborative Conversations – Tongue Tie and Other Oral Ties Across the Lifespan.”
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It was an enriching experience connecting with healthcare providers from around Australia and around the world, all sharing knowledge and insights on oral restrictions in infants, children, and adults.
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A lovely surprise was seeing some of my fellow Indonesians presenting their research—so proud to see their contributions on the international stage!

20/03/2025

Every patient has their own journey.

This patient specifically chose a bridge to restore her failing tooth, and she couldn’t be happier with the result!

The after photo was taken immediately after cementation, so you may notice some minor bleeding from where excess cement was removed.

21/01/2025

Orthodontics isn’t just about straightening teeth—it’s about addressing function, improving overall health, and supporting better facial development.

16/11/2024

On the first review appointment, this young girl said to me “The first night I wore my aligners, I had the first best sleep ever!”. Her mum commented on how different she has been since she started treatment. She wakes up happy, she is more energetic, and is a completely different child. She has had her older children have orthodontic treatment in the past but she was amazed at how big of a change this time was , with her daughter.

Sometimes children don’t tell you when they don’t sleep well but we can screen them, look at where they are in growth, where they should be in growth , then choose the right appliances and mechanics to bring them back on better growth trajectory.

In my short talk with , I did mention a few key points in the maxilla and mandible where we could influence growth. These were used in planning this case.

Appliance used for this case was Angel Aligner Kids.

Additional points:
- Releases were done in babyhood ( not by me). Her local OMT and I are monitoring her functions. ( 🚩buccal frenae 😅, …. P.S it really helps when you are also OM trained )
- patient has been seeing body worker since young age mainly for hip issues. Body worker commented that their adjustment had been held up longer
- dietitian/ naturopath support from patient’s family friends

01/11/2024

This is what myofunctional dentofacial orthodontics can achieve. ( and no, patient did not lose weight. If anything she gained more weight)

Family’s main concern was night time grinding and the increased overlap between upper and lower front teeth.

Mother mentioned that older sibling had extraction and she was not too happy of the outcome.

Treatment time was 12 months.

If you are an member, I also discussed this case in the Thursday Night Live session

23/10/2024

What’s Inside the goodie bag? @ Australian Orofacial Myology Collaboration Foundation Course .

23/09/2024

I have shared the upper arch’s progress before. This is the lower arch and the cheek line change ( black arrow ). The cheek line is becoming more parallel with the nose line , indicative of more forward growth of the face.

In my year 5 placement , I heard one dentist I shadowed that teeth crowding happened because one parent has big teeth, the other small jaw. Hence, it is a pure “bad luck” from the gene lottery.

There’s no denying that genetics 🧬 provide codings for what could be, but researches now point towards the role of function /environment in guiding the expressions of what the genes provide.

Hans and Enlow also mentioned “Bone growth is not predetermined within the bone itself but relies on growth-regulating signals derived from functions of the surrounding soft tissue”

To fix atypical growth , one then needs to also rehabilitate functions that has lead to the atypical growth.

The mechanical part (appliances adjustments etc ) is actually the easiest part. The harder parts are catching the child when they are still growing and motivating the family to help the child rehabilitate their dysfunction ( restoration of nasal breathing, rehabilitation of incorrect lips and tongue posture)

I think all parents should know this so they can be empowered to guide their child’s facial growth.

The impact of atypical facial growth is far reaching when the children become adults.

08/09/2024

Today I learnt that Dr Skip Truitt has passed. He was an inspirational teacher. He made sure that concepts were understood and doubts clarified.

Further, he demanded that his students respect the knowledge they gained and the responsibility that comes with it. He always made time to look at cases and critique them at the end of his seminars.

He often quoted Winston Churchill in his lectures.

One memorable quote was : “The truth is incontrovertible. Malice may attack it, ignorance may deride it, but in the end, there it is.”

Thank you, Skip for all that you’ve taught me. Not only you’ve taught me orthodontics, you’ve also inspired me to always pursue the truth instead of just accepting things as they are.

18/08/2024

Some photos from the Annual Retreat of TMJ and Sleep Therapy Centres International. What an amazing program and learning experience that was. (The long flight home is for writing summaries and reading relevant studies so I can help my patients better 😃)

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West Ryde, NSW

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	8am - 6pm
Thursday	9am - 5pm
Friday	8am - 5pm
Saturday	8am - 1pm

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