Article Per Year (5 Year)
p-Index From 2021 - 2026
0.61
P-Index
This Author published in this journals
All Journal Indonesian Journal of Prosthodontics
Syafrinani
Universitas Sumatera Utara
Dentistry

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Toward optimal prosthetic strategies: the biomechanical impact of design and material in posterior implant-supported fixed partial denture Karina Mutiara Kasih Suwarno; Ricca Chairunnisa; Syafrinani
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.323

Abstract

ABSTRACT Implant-supported fixed partial dentures (iFPDs) are used for posterior rehabilitation. Biomechanical problems arise in the posterior due to complicated occlusal stresses and insufficient bone support. Prosthetic design and material stiffness affect stress distribution on peri-implant bone and components, affecting iFPD success. This systematic review examined the biomechanical performance of zirconia, PEKK, and PEEK two- and three-unit iFPDs with fixed-fixed and cantilever designs. FEA was used to evaluate stress distribution and clinical implications. PICO criteria and Boolean operators were used to search PubMed, Scopus, ScienceDirect, and MyEBSCO for 2020–2025 studies. Five of 158.353 documents met PRISMA 2020 criteria. Von Mises stress, prosthesis configurations, material stiffness, and stress concentration zones were extracted. Cantilever designs had the highest stress values, especially at the connector and prosthesis-abutment interface. Due to its stiffness, zirconia shielded the peri-implant bone, while PEKK and PEEK reduced prosthesis stress but transferred more stress to the bone. Connectors were the most biomechanically susceptible in all designs and materials. The synergistic interplay between prosthetic design, material mechanical properties, and loading direction determines the stress distribution pattern and long-term stability of implant-supported prosthetic structures. Keywords: Stress distribution, zirconia, high-performance polymers, finite element analysis, implant-supported fixed partial denture
Integration of leaf gauge technique in the digital fabrication of stabilization splint for temporomandibular disorder: A case report Alexander Justin; Syafrinani; Ricca Chairunnisa
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.316

Abstract

AbstractBackground: Temporomandibular disorder (TMD) is a multifactorial musculoskeletal condition characterized by jaw pain, limited mandibular movement, and joint sounds. A common subtype is disc displacement with reduction (DDWR), often accompanied by local myalgia and arthralgia. Stabilization splints are a standard treatment modality, with 3D printing offering benefits such as precision, efficiency, and reduced clinical time. However, the effectiveness of splint therapy depends on accurate recording of the mandibular-maxillary relationship, which can be reliably achieved using a leaf gauge.Objective: To report the management of a TMD case involving DDWR, myalgia, and arthralgia in an adolescent patient using a leaf gauge to establish centric relation during the fabrication of a 3D-printed stabilization splint.Case Report: An 18-year-old male presented with right-sided jaw pain and clicking upon mouth closure. History revealed parafunctional habits, including unilateral mastication and academic stress. Diagnosis was confirmed via DC/TMD Axis I and II, along with clinical and radiographic assessment, indicating DDWR with myalgia and arthralgia. Treatment includes behavioral treatment, infrared light therapy, and fabrication of a stabilization splint. Centric relation was determined using a leaf gauge to ensure accurate mandibular positioning.Conclusion: The use of a leaf gauge in this case facilitated precise centric relation, enhancing the efficacy of the 3D-printed stabilization splint. This approach contributed to significant symptom improvement and underscores the value of integrating analog tools within digital workflows in TMD management.Keywords: disc displacement with reduction, leaf gauge, 3D printing, local myalgia, arthralgia
Stress distribution and flexural strength analysis of anterior ceramic fixed prostheses based on connector designs using finite element analysis Rismayasari Uly; Syafrinani; Ariyani
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.321

Abstract

Background: Anterior ceramic fixed prostheses, such as bridges and resin-bonded fixed partial dentures (RBFPDs), often use zirconia or lithium disilicate. Their success depends on optimal flexural strength and favorable stress distribution to abutment teeth, both influenced by connector design. Objective: This systematic review evaluates the influence of connector design on stress distribution and flexural strength of anterior zirconia and lithium disilicate prostheses using Finite Element Analysis (FEA) or in vitro testing. Methods: Following PRISMA guidelines, studies published between 2015 and 2025 were searched in PubMed, Scopus, and Google Scholar. Eligible full-text English articles examined anterior fixed prostheses made of zirconia or lithium disilicate through FEA or in vitro testing. Results: Seven studies met the criteria. Round connectors in both materials showed the highest flexural strength under oblique loading, while triangular zirconia connectors performed best under vertical loading. Zirconia exhibited uniform stress distribution, whereas lithium disilicate showed balanced stress. Rectangular lithium disilicate connectors displayed more even stress distribution than trapezoidal designs. Double-ended RBFPDs had lower stress than single-ended designs. Conclusion: Connector design and ceramic material critically influence stress distribution and flexural strength in anterior fixed prostheses. Keywords: stress distribution, flexural strength, anterior fixed prostheses, connector design, zirconia, lithium disilicate, FEA
Co-Authors Alexander Justin Ariyani Karina Mutiara Kasih Suwarno Ricca Chairunnisa Ricca Chairunnisa Rismayasari Uly