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All Journal Dentika Dental Journal Indonesian Journal of Prosthodontics Jurnal of Syiah Kuala Dentistry Society
Ricca Chairunnisa
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Dentistry Medicine & Pharmacology

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PERAWATAN DISC DISPLACEMENT WITH REDUCTION PADA KASUS OPEN BITE ANTERIOR MENGGUNAKAN SPLIN REPOSISI ANTERIOR Marsal Tarigan; Ricca Chairunnisa
Journal of Syiah Kuala Dentistry Society Vol 4, No 2 (2019): DESEMBER
Publisher : Dentistry Faculty

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Abstract

Disc displacement with reduction adalah gangguan temporomandibular non inflamasi yang umumditemukan. Kelainan ini dapat berhubungan dengan open bite anterior. Meskipun perawatan discdisplacement with reduction dengan gejala kliking tanpa gejala lain masih kontroversial, perawatandengan splin dapat menghilangkan kliking dan mengembalikan diskus ke posisi yang tepat. Tulisan inibertujuan untuk menjelaskan perawatan gangguan sendi temporomandibular disc displacement withreduction pada kasus maloklusi open bite anterior tanpa disertai rasa sakit dengan splin reposisianterior. Pasien laki laki usia 24 tahun datang ke Klinik Prostodonsia RSGMP FKG USU dengankeluhan terdengar bunyi saat membuka mulut lebar sejak 5 bulan lalu. Pada pemeriksaan klinisdidapati bunyi disendi rahang kanan, pembukaan mulut 45mm, deviasi kekanan dan tidak ada sakitpada daerah sendi pada saat membuka mulut. Pasien memiliki riwayat pernah jatuh dan dagu koyakkarena terbentur kelantai sekitar 12 tahun lalu. Pasien memiliki kebiasaan mengunyah lebih sering disebelah kiri. Radiografi menunjukkan posisi kondilus kanan dan kiri berbeda saat membuka mulut.Pasien merasakan berkurangnya bunyi kliking saat membuka mulut setelah 2 minggu pemasangan splinreposisi. Splin reposisi anterior digunakan pada perawatan fase simtomatik setelah perawatanpendahuluan berupa anjuran mengunyah dua sisi dan latihan buka-tutup mulut tanpa deviasi padakasus disc displacement with reduction dengan etiologi maloklusi open bite anterior. Splin reposisianterior akan memperbaiki hubungan fossa glenoid, diskus dan kondilus, sehingga mengurangi suarasendi. Dengan menghilangkan gangguan mekanis, maka diskus mampu menyesuaikan kondisi didalam sendi sehingga deformasi diskus tidak semakin parah. Splin reposisi anterior dapat mengatasigejala gangguan sendi temporomandibula, sehingga tercapai keseimbangan oklusi, otot dan sendirahang. Perawatan harus dilanjutkan dengan perawatan ortodonti untuk mengoreksi open biteanterior sehingga tercapai keseimbangan oklusi, otot dan sendi rahang secara defenitif.Keywords : Open bite, Temporomandibular joint, Disc displacement with reduction, Klicking, Splin reposisi anterior.
Accuracy of digital impression scanning strategies for free-end edentulous Athirah, Annisa; Haslinda Z. Tamin; Ricca Chairunnisa
Indonesian Journal of Prosthodontic Vol 6 No 1 (2025): June 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i1.295

Abstract

Background: Scanning using intraoral scanners (IOS) offers better accuracy and time efficiency compared to conventional impression methods, especially in overcoming the challenges of free end edentulous cases. The quality of IOS scans is measured by accuracy, which is influenced by scan strategy. Scan strategies include scanning paths, sequences, and combinations. Study conducted that the right scan strategy can affect accuracy as assessed by trueness and precision. However, there is no manufacturer's standard and only a few study on scan strategies in edentulous free end cases. Objectives: This literature review aims to describe scan strategy in improving digital impression accuracy in free end edentulous case. Summary: A zig zag scanning path will help the IOS to capture the tooth morphology better and a linear scanning path will result in smaller deviations. Scanning sequences from the teeth to ridge will reduce the jigsaw effect at the fulcrum point, resulting in a more stable framework during removable denture fabrication. Keywords: Scan strategy; IOS; free end; trueness; precision
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
Management of disc displacement with reduction and local myalgia using the wax record technique with aluminum wax on stabilization splints and infrared therapy: A case report Nabilah Fajri Damanik; Ismet Danial Nasution; Ricca Chairunnisa
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.v7i1.338

Abstract

ABSTRACT Background: Disc Displacement with Reduction (DDWR) is one of the most common temporomandibular disorders (TMD), characterized by anterior displacement of the articular disc during mouth opening, typically accompanied by clicking sounds and masticatory muscle pain. DDWR is frequently associated with local myalgia, often worsened by stress and parafunctional habits. Stabilization splints and infrared therapy have demonstrated effectiveness in reducing symptoms. The use of aluminum wax in bite registration helps achieve a stable centric relation, enhancing splint fabrication accuracy. Objective: This case report aims to describe the management of DDWR with local myalgia and arthralgia through bite registration using aluminum wax to support centric relation during stabilization splint fabrication, complemented by infrared therapy. Case Report: A 40-year-old male reported pain in the left cheek and ear, along with clicking during jaw movement for six months. DC/TMD Axis I assessment confirmed DDWR with local myalgia and arthralgia, Axis II revealed psychological stress. Treatment consisted of behavioral counseling, infrared therapy applied to the left masseter, and splint fabrication with bite registration using aluminum wax. Registration was performed using baseplate wax combined with aluminum wax on the occlusal surface to achieve centric relation during articulator mounting. After two weeks, the patient experienced increased mouth opening from 45 mm to 46 mm, reduced muscle tenderness, and improved muscle relaxation. Conclusion: The combination of behavioral counseling, aluminum wax-assisted bite registration for splint fabrication, and infrared therapy proved effective in reducing symptoms and improving mandibular function in a patient with DDWR and local myalgia. Keyword : Disc displacement with reduction; myalgia; arthralgia; aluminum wax; infra-red therapy
Multidisciplinary approach with botulinum toxin (BTX) and 3D printing stabilization splint in cases of temporomandibular joint osteoarthritis exacerbated by bruxism Dina Hudiya Nadana; Ismet Danial Nasution; Ricca Chairunnisa
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.v7i1.339

Abstract

ABSTRACT: Background: Temporomandibular joint disorder (TMD) is a multifactorial condition involving the masticatory muscles and temporomandibular joint. Temporomandibular joint osteoarthritis (TMJ OA), is a degenerative joint disorder marked by articular surface erosion, crepitus, and joint pain. Parafunctional habits such as bruxism can exacerbate OA by increasing biomechanical load on the TMJ, accelerating joint degeneration, and worsening symptoms. Conservative treatments such as stabilization splints are commonly used in TMD management. Recently, botulinum toxin (BTX) type A has gained attention as an adjunct therapy for reducing excessive masticatory muscle activity. Objective: This report aims to describe the multidisciplinary management of a complex TMD case using 3D-printed stabilization splints combined with BTX type A injections. Case Report: A 24-year-old female presented with jaw pain and crepitation sounds upon mouth opening. She reported a history of bruxism and unilateral mastication. Cone-beam computed tomography (CBCT) revealed condylar erosion, osteophyte formation, and flattening. Clinical and radiographic findings confirmed myofascial pain and arthralgia with TMJ OA exacerbated by bruxism. Treatment included a custom 3D-printed stabilization splint and BTX type A injection into the masseter muscle. After 1 week, mouth opening improved from 34 mm to 35 mm, and to 38 mm after 1 month. The patient reported decreased pain during mastication and waking, along with reduced bruxism frequency. Conclusion: A multidisciplinary approach involving 3D-printed stabilization splints and BTX type A injections is effective in alleviating pain and improving function in complex TMD cases associated with bruxism. Keywords: Temporomandibular disorder, botulinum toxin, digital splint, bruxism
Optimizing occlusal schemes to reduce masticatory stress in resorbed class III jaw relations edentulous ridges: A systematic literature review Sonia Nduma Nola Padang; Ismet Danial Nasution; Ricca Chairunnisa
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.v7i1.341

Abstract

Background: An unfavorable jaw relationship, such as Class III, contributes to uneven masticatory stress distribution, accelerating alveolar bone resorption and potentially resulting in a flattened ridge morphology. This condition directly impacts denture stability and retention. Therefore, selecting an appropriate occlusal scheme is essential to guide and balance masticatory forces, enabling more even and physiological stress distribution. However, there is currently no clear consensus on the most effective occlusal scheme for Class III jaw relationships with flat ridges. Objective:This systematic review aims to evaluate and synthesize current scientific evidence regarding the influence of different occlusal schemes on stress distribution in patients with Class III jaw relationships accompanied by flat alveolar ridges. Methods: Following the PRISMA guidelines. A comprehensive electronic search was conducted through PubMed, Cochrane, and ScienceDirect databases to identify relevant studies published between 2015 and 2025. The search strategy included keywords such as: (“alveolar ridge” AND “occlusal schemes”) AND (“stress distribution”), as well as (“alveolar ridge” OR “occlusal schemes”) AND (“stress distribution”). Results: Out of 1061 articles screened, five studies met the inclusion criteria. Lingualized and balanced occlusion demonstrated a more uniform stress distribution compared to monoplane occlusion, particularly in patients with Class III jaw relationships and flat ridges. Conclusions: Occlusal schemes play a crucial role in reducing masticatory stress, especially in patients with Class III jaw relationships and flattened alveolar ridges. Further research is recommended, particularly in vitro biomechanical studies using masticatory simulation models that better represent the clinical conditions of Class III patients with flat ridges. Keywords: occlusal schemes, stress distribution, alveolar ridges, Class III.
Co-Authors Alexander Justin Ariyani Athirah, Annisa Chaimongkon Peampring David Fatola Dina Hudiya Nadana Haslinda Z Tamin Haslinda Z. Tamin Iin Ventika Sari br Sinuhaji Ismet Danial Nasution Ivana , Marsal Tarigan Maysfera, Nanda Iswa Nabilah Fajri Damanik Natalia Hotmauli Sianturi Sherina Annastasya Sherley Margan Sonia Nduma Nola Padang Sunny Chailes Syafrinani Syafrinani Syafrinani , Theresia Nuturisa Tarigan Uliani, Hanna Mentari Umaiyah, Triani Wijaya, Olivian `, Syafrinani