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All Journal Medali Jurnal : Media Dental Intelektual Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)
Ivan Djuarsa
Faculty of Dentistry, Petra Christian University, Surabaya, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Implementation of CAD/CAM Technology for Feeding Obturator Fabrication in Cleft Lip and Palate Infants: A Systematic Review Vania Ewitrawati; Ivan Djuarsa
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/khjpxr84

Abstract

Background: Infants born with cleft lip and palate (CL/P) face severe feeding difficulties. Conventional fabrication of feeding obturators relies on impression techniques that carry procedural risks and cause stress for both infants and parents. Recent advances in computer-aided design/computer-aided manufacturing (CAD/CAM) provide a digital alternative for obturator fabrication. Objective: This systematic review aimed to evaluate the clinical and technical outcomes of digital workflows compared to conventional techniques in fabricating neonatal feeding obturators. Methods: A systematic literature search was conducted in PubMed, Scopus, and Google Scholar. Nine studies met the inclusion criteria and were qualitatively synthesized. Results: Findings consistently demonstrated that digital workflows using intraoral scanning (IOS) and 3D printing provide significantly higher accuracy, better fit, and improved retention of feeding obturators. Moreover, digital fabrication markedly reduces physical and psychological stress for infants and parents. Clinicians also reported greater efficiency and safety with digital methods compared to conventional impression-based approaches. Conclusion: The digital workflow represents a safer, more efficient, and more accurate approach for fabricating feeding obturators in infants with CL/P. Wider adoption of this technique may support a paradigm shift in clinical practice, although further high-quality trials are needed to confirm long-term clinical and economic benefits.
Beyond A Common Infection: Comprehensive Oral Management Strategies For Severe Recurrent Intraoral Herpes Imme Kris Wicaksono; Cindy Karina Hartono; Ivan Djuarsa; Bernadeth Vindi Januarisca
Jurnal Medali Vol 8, No 1 (2026): Media Dental Intelektual February 2026
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.8.1.75-79

Abstract

Background: Recurrent intraoral herpes (RIH) is caused by reactivation of Herpes Simplex Virus type 1 (HSV-1). While HSV-1 infection is usually self-limiting, severe cases requiring hospitalization are uncommon and present significant clinical challenges. Delayed diagnosis or inadequate antiviral therapy can contribute to disease progression and increased morbidity.This case study aims to illustrate an effective therapeutic approach for managing severe RIH in a patient presenting with intense pain and difficulty swallowing, emphasizing strategies that enhance patient comfort and improve clinical outcomes.Case: An 24-year-old male presented in a markedly weakened condition with severe difficulty swallowing. Examination revealed multiple ulcerative lesions of varying sizes diffusely throughout the oral cavity, with extensive erythema and severe pain (Visual Analog Scale [VAS] score: 8). Vital signs at presentation were blood pressure 90/60 mmHg and oxygen saturation 91%. Due to his weakened state and significant pain, inpatient care was required for close monitoring and nutritional support.Treatment included systemic acyclovir 400 mg, multivitamins, 0.025% hyaluronic acid mouthwash, 0.9% saline, and petroleum jelly 100%. After seven days of therapy, the patient clinically improved. Lesions gradually decreased in size, number, erythema subsided, and pain significantly reduced, allowing resumption of oral intake. VAS score decreased from 8 at admission to 5 at discharge. Conclusion:Severe RIH can necessitate hospitalization and multidisciplinary management. Early initiation of systemic antiviral therapy combined with supportive care effectively reduces symptoms, improves nutritional intake, and prevents further deterioration. Timely, comprehensive intervention is critical for optimal outcomes in severe HSV-1 reactivation.
Co-Authors Bernadeth Vindi Januarisca Cindy Karina Hartono Imme Kris Wicaksono Vania Ewitrawati