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All Journal Indonesian Journal of Prosthodontics Makara Journal of Health Research
Tew, In Meei
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Dentistry

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Splint-Transfer Technique in Achieving Passive Fit on Implant Tew, In Meei
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.267 KB) | DOI: 10.46934/ijp.v2i0.54

Abstract

Passive fit is of paramount importance to avoid loading stresses on implant-supported fixed partial dentures. Auto-polymerizing acrylic resin is a common splinting material used in impression taking but its high polymerization shrinkage may adversely affect the accurate positioning of implant analog in master cast. This case report describes a modified splinted impression technique to minimize the risk of auto-polymerizing acrylic resin shrinkage. A 60-year-old woman had implant therapy to replace her missing left mandibular teeth. She presented with mandibular partial dentate. 3 units of implant-supported fixed partial dentures were proposed to replace the missing teeth 34-37. After implant placements at edentulous region of 34 and 36, implant level impression was taken to fabricate a working cast containing implant analogs. Appropriate multi-unit abutments together with abutment-level impression posts were attached on implant analogs. A connecting bar with C-shape ring at mesial and distal end was custom made to splint both impression posts. C-shape ring of connecting bar at the distal end was initially joined with autopolymerizing resin extra-orally. Prior to taking abutment-level impression, multi-unit abutments together with impression posts and the connecting bar were transferred and attached onto the 2 implants at edentulous region of 34 and 36 followed by joining of the C-shape ring at the mesial end with auto polymerizing acrylic resin. Ceramo-metal fixed partial denture was fabricated on the abutment-level working cast with a preliminary try-in of the cast metal framework. Passive fit of fixed partial denture was verified clinically and radiographically. This technique managed to establish an optimal implant analog position in the master cast and achieved passive fit on implant-supported fixed partial denture
Impression Techniques on the Management of Fibrous Maxillary Ridge Ang, Yee; Tew, In Meei; Goo, Chui Ling
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.338 KB) | DOI: 10.46934/ijp.v2i0.47

Abstract

Fibrous or flabby ridges on the edentulous maxillary arch are commonly found in combination syndrome or due to ill-fitting dentures. The main challenge in complete denture fabrication for these cases is the likelihood of displacing the mobile tissue from its resting position due to the forces exerted during impression taking. In this case report, two patients complained of ill-fitting maxillary complete dentures despite multiple adjustments. Upon intraoral examination, the patients presented with moderately to severely displaced flabby ridge on the premaxilla region. As both the patients are medically compromised and denied any surgical treatment, flabby ridges were conservatively managed using two modified impression techniques in fabrication of maxillary complete dentures. A single-step impression technique with simultaneous use of light and medium body silicone impression materials was utilized. It requires high clinical skills but offers a simple and least time-consuming approach in recording the surface details of severely displaced flabby ridge. A two-step technique records normal tissues and flabby ridges using zinc oxide eugenol (ZOE) and light body silicone impression materials respectively in sequence. This technique enables good control over the volume and flow of light body silicone as compared to single-step technique, but precautions should be taken to avoid custom tray misplacement during the second stage of impression taking. Custom trays were designed differently in both techniques, especially on the timing of tray perforations and handle position to further ease the impression making process. Both the dentures were delivered with good support, stability, and retention. The patients were satisfied with the outcome. In a nutshell, simplified solutions are recommended in this case report for clinicians with different levels of competence. A single custom tray with perforations and extra spacers is recommended as the most cost-effective manner to reduce the complexity of the procedure.
Oral health related quality of life in stroke survivors at community-based rehabilitation centre: A pilot study Tew, In Meei; Goo, Chui Ling; Said, Shahida Mohd; Zahari, Hafizul Izwan; Ali, Noor Amalina; Masawi, Fatin Athirah; Abdul Aziz, Aznida Firzah; Mohd Dom, Tuti Ningseh
Makara Journal of Health Research Vol. 24, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Despite being a common problem, long-term disability following stroke often improves after survivors receive regular rehabilitative therapy. This study aimed to assess the oral health-related quality of life (OHRQoL) of stroke survivors who had access to a community-based rehabilitation centre after hospital discharge. Methods: Dentate post-stroke patients receiving regular rehabilitative care with slight to moderate dependency (Barthel Index >70) and without severe cognitive impairment were involved in this study. The OHRQoL parameters were measured using the Oral Health Impact Profile-14 (OHIP-14) and EuroQol five dimensions (EQ-5D-5L) questionnaires. Results: Thirty one patients were recruited in this study. Majority of the patients hardly ever or never had problems in all functional, physical, psychological and social domains, including eating discomfort and having to avoid eating, difficulty in chewing food and presumably having bad breath (58.1%, 61.3% and 71.0% respectively). Other than gender, age, ethnicity, co-morbidities and oral hygiene practices, education level was the only variable found to significantly affect patients’ OHRQoL (p = 0.028). Most of the patients had no or slight problem(s) in self-care (87.1%) and carrying out usual activities (57.1%), pain/discomfort (3.2%) and anxiety/depression (6.5%). Conclusion: Stroke survivors under regular rehabilitative care perceived have good oral health-related quality of life.
Co-Authors Abdul Aziz, Aznida Firzah Ali, Noor Amalina Ang, Yee Goo, Chui Ling Masawi, Fatin Athirah Mohd Dom, Tuti Ningseh Shahida Mohd Said, Shahida Mohd Zahari, Hafizul Izwan