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All Journal MDJ (Makassar Dental Journal) Indonesian Journal of Prosthodontics
Sudarman, Ian Afifah
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Dentistry

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Magnetic Attachment as Retained for Mandibular Overdenture: Case Report Sudarman, Ian Afifah; Thalib, Bahruddin; Sutiyo, Sutiyo; Ikbal, Muhammad
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.837 KB) | DOI: 10.46934/ijp.v2i0.95

Abstract

Patient Chief Complaint: A 41-year-old female, came to the Dental Hospital of UNHAS with a chief complaint of difficulty in eating and lack of confidence. Patient Status: Clinical examination shown a complete edentulous in the upper jaw and partial edentulous in the lower jaw. The remaining teeth were 33, 34 and 43. Treatment Plan: Magnetic Attachments were planned on 33 and 43 and metal coping on 34 as retained for mandibular overdenture. Details of Therapy: Pre prosthetic treatment was carried out by root canal treatment on teeth 33, 34 and 43. Primary impression of the maxillary and mandibular arch was made. Magnetic attachments were planned on 33 and 43 and metal coping on 34. The abutment tooth decapitated about the same as the gingival margin. A bevel around the circumference was made. Surface shape of the root tooth was dome-shaped, and the finishing line is shoulderless. Post space impression was made with polyvinyl siloxane. Metal coping for 34 and cast post with keeper magnet for 33 and 43 was fabricated. The metal coping and cast posts metal containing keeper magnet were carefully cemented using glass ionomer cement. Border moulding was done for maxillary and mandibular arch. Occlusal rims were fabricated on final cast. Vertical dimensions and jaw relation was done then face-bow transfer and mounting the rims on the articulator. Try in, then denture was processed and inserted in patient’s mouth. The magnets are placed under the mandibular denture, which is faced the keeper teeth, then polished and checked for comfort, occlusion, and retention. Clinical Significance: Magnetic attachments significantly increase the retention of mandibular overdenture; patient is more satisfied and comfortable. Patient doesn’t experience difficulties in insert and removing the denture because when the denture is slightly shifted, the magnetic attachment returns it to its original position.
Benefits and challenges of presurgical nasoalveolar molding placement for a unilateral cleft lip and palate a case series: Manfaat dan tantangan pemasangan presurgical nasoalveolar molding pada celah bibir lelangit unilateral serangkaian kasus Nurahma, Rifaat; Rahmah, Nur; Permatasari, Andi Sri; Sudarman, Ian Afifah; Alwi, Ita Purnama
Makassar Dental Journal Vol. 14 No. 3 (2025): Volume 14 Issue 3 December 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i3.1428

Abstract

Pre-surgical nasoalveolar moulding (PNAM) has been applied to reshape the divided nasal structure, facilitate surgical interven-tion, and reduce the severity and tension of the cleft. This article presents three cases of patients with unilateral cleft lip and pa-late (UCLP) who underwent PNAM prior to surgery, highlighting the diverse cases of cleft and patient characteristics, which aid in the management of nasal clefts and yield more robust evidence-based outcomes. The main challenge in PNAM therapy is en-suring patient and family caregiver compliance with treatment, given that young patients must adapt to the device fitting and activation. Monitoring also requires regular and repeated visits, which can be time-consuming and cause psychological stress due to witnessing the patient's adaptation to the device. It is concluded that PNAM treatment reduces the width of the alveolar cleft. This treatment improves nasal symmetry by altering the columella angle, maintaining alar width, extending the height of the nos-trils on the affected side, and increasing columella length. Cooperation between patients, family caregivers, and the medical team is essential for better outcomes.
Prosthodontic rehabilitation of an edentulous maxilla opposing natural mandibular teeth: a preventive approach to Kelly’s Syndrome: Prosthodontic rehabilitation of an edentulous maxilla opposing natural mandibular teeth: a preventive approach to Kelly’s Syndrome Sudarman, Ian Afifah; Polanunu, Siti Magfirah Ali; Ikbal, Muhammad; Jubhari, Eri Hendra
Makassar Dental Journal Vol. 14 No. 3 (2025): Volume 14 Issue 3 December 2025
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v14i3.1430

Abstract

Rehabilitation of an edentulous upper jaw that contacts natural lower jaw teeth poses unique prosthodontic challenges due to uneven load distribution. If not managed properly, this biomechanical imbalance can lead to Kelly Syndrome. A 55-year-old wo-man presented to Hasanuddin University Dental Hospital with the primary complaint of difficulty chewing and reduced self-con-fidence due to extensive tooth loss, but had never used dentures. Intraoral examination revealed total edentulism in the upper jaw and posterior tooth loss in the lower jaw, with teeth 33, 32, 31, 41, 42, and 43 remaining. The posterior alveolar bone of the lo-wer jaw was relatively flat, and there was enlargement of the maxillary tuberosity. The patient reported no relevant systemic disea-ses. The patient sought prosthetic rehabilitation to restore chewing function and improve aesthetics. It was concluded that a com-bination of a metal framework, functional impressions using a modified impression technique, and carefully designed lingual oc-clusion together provide optimal tissue support, stability, and load distribution, as well as prevention against the development of Kelly Syndrome.
Co-Authors Bahruddin Thalib Eri Hendra Jubhari Ita Purnama Alwi, Ita Purnama Muhammad Ikbal Nur Rahmah Nurahma, Rifaat Permatasari, Andi Sri Polanunu, Siti Magfirah Ali Sutiyo Sutiyo