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All Journal Padjadjaran Journal of Dentistry
Sinaga, Valentine Rosadi
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Management of missing incisor with tooth malposition using removable orthodontic appliances and modified design adhesive bridge: a case report Marshaliana, Cindy Lestari; Sinaga, Valentine Rosadi; Bonifacius, Setyawan; Novianti, Vita Mulya Passa
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): April 2025 (Supplements 1)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59214

Abstract

Introduction: The loss of anterior teeth can lead to aesthetic, phonetic, and functional issues. A lithium disilicate adhesive bridge can be a good alternative and a viable compromise in cases of anterior tooth loss. The advantages include minimally invasive preparation, adhesive system, better retention, and aesthetics compared to metal materials. Removable orthodontic treatment is a preliminary option for cases of minor tooth malposition to achieve an ideal dental arch. This case report describes the management sequence for a missing incisor with tooth malposition using removable orthodontic appliances and modified design adhesive bridge. Case report: A 19-year-old female patient visited Dental Hospital Universitas Padjadjaran, Bandung with an issue of missing left central incisor due to traffic accident, and the right central incisor being in a crossbite position. The patient wanted to use a fixed dental prosthesis to improve her appearance but had not yet undergone correction for the misaligned tooth. Discussion: The patient was provided with a temporary removable dental prosthesis with removable orthodontic modifications including the addition of bite risers. Subsequently, a modified design adhesive bridge with lithium disilicate material was planned. Conclusion: The combination of removable orthodontic treatment with a final restoration utilizing a modified design adhesive bridge using lithium disilicate material for the upper anterior teeth can enhance patient satisfaction by addressing aesthetic concerns and improving phonetic function and chewing ability.
Shear bond strength of two ceramic repair system to lithium disilicate: An in-vitro comparison Sinaga, Valentine Rosadi; Bonifacius, Setyawan; Sumarsongko, Taufik
Padjadjaran Journal of Dentistry Vol 33, No 2 (2021): July 2021
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol33no2.25516

Abstract

Introduction: The improvement of ceramic has increased due to highly demand for aesthetic restoration. Ceramic at its nature is a brittle material that highly susceptible to be cracked, that leads to chipping and fracture of the restoration. Composite resin frequently used as a replacement for ceramic repair as a simple and fast solution. The success relies on the bond strength between ceramic and composite. The purpose of this study was to evaluate the shear bond strength of two ceramic repair system to low-glass ceramic lithium disilicate. Methods: This study was experimental laboratory, ten specimens of lithium disilicate ceramic was fabricated. Specimen was divided into two groups, first group include: grinding and treated with ceramic primer and second group: acid etching with hydrofluoric acid and treated with silane. Each specimen was subjected to a shear load at the parallel speed of 0,5mm/minutes until fracture using universal testing machine. Results: The shear bond strength achieved in group two (acid etching and silane) was higher than the group one (grinding and ceramic primer). The t-test one tailed analysis yielded p value 0,0057. The different was significant (p value < 0,05). Conclusion: In this study it is concluded that when treated with acid etching hydrofluoric acid and silane, lithium disilicate yielded higher bond strength with resin composite than when treated with grinding and ceramic primer.
Co-Authors Marshaliana, Cindy Lestari Novianti, Vita Mulya Passa Setyawan Bonifacius Taufik Sumarsongko