Aidilla, Dara
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Prosthodontic and comprehensive treatment of temporomandibular disorders Andreas, Andreas; Aidilla, Dara; Chairunnisa, Ricca
Indonesian Journal of Prosthodontic Vol 2, No 2 (2021): December 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.825 KB) | DOI: 10.46934/ijp.v2i2.44

Abstract

Temporomandibular disorder (TMD) is the common term used to describe a range of disorder affecting the temporomandibular joint (TMJ). Facial pain is a common symptom that patients present to their dentist, and TMDs represent a significant proportion of the non-dental causes of this pain. These disorders can have a profound effect on a patient’s quality of life. The management goals for the prosthodontist are patient comfortable, occlusal stability and the complex restoration of the teeth.
The benefit of chitosan adding as a reinforcement material for polymethyl methacrylate provisional fixed dentures Aidilla, Dara; Chairunnisa, Ricca; Syafrinani
Indonesian Journal of Prosthodontic Vol 5 No 2 (2024): December 2024
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v5i2.205

Abstract

Backgrounds: Provisional fixed partial denture (FPD) is an important procedure in prosthetic treatment such as crown or bridge. In particular cases, like crown lengthening as preliminary treatment, implant procedure until osseointegration process, and temporomandibular disorder as an occlusal therapy, the use of provisional FPD will take 3-6 months until the insertion of definitive restoration. Therefore, materials used in making a provisional FPD should be able to preserve the prepared tooth, maintain the periodontal conditions, and have superior esthetic for a long time. Self-cure polymethyl methacrylate (PMMA) is a most commonly used material due to its biocompatibility, high wear resistance, ease of application, and superior esthetic. Nonetheless, unmodified self-curing PMMA has weaknesses due to its degradation process in the oral cavity, which affects its mechanical and physical properties. To overcome this, addition of reinforcement material, namely chitosan, in provisional FPD is necessary. Chitosan is polymer compound obtain through partial deacetylation of acetyl glucosamine through deacetylation of chitin base and modified into magnetic nanoparticles with size 100-400 nm to increase absorption power. The addition of nanotechnology to polymeric materials has shown significant appeal and improved mechanical and physical properties. Objectives: This review aims to explain the use of chitosan material in addition to self-cure PMMA provisional FPD to improve its mechanical and physical properties. Conclusion: Chitosan material can be an alternative option to improve the mechanical and physical properties of self-cure PMMA. Keywords: provisional fixed partial denture, self-cure PMMA, chitosan
Management of lower eyelid laxity with pressure using conformer and custom ocular prosthesis Aidilla, Dara; Ariyani; Z Tamin, Haslinda
Indonesian Journal of Prosthodontic Vol 5 No 1 (2024): June 2024
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v5i1.206

Abstract

Background: One of the successes in making an ocular prosthesis is sufficient eye socket condition, so post-enucleated patient treatment with lower eyelid laxity is a challenge for prosthodontists due to its difficulty in obtaining the retention of an ocular prosthesis. Long-term use of an ill-fitting ocular prosthesis will cause lower eyelid laxity and irritation due to the movement of the prosthesis that is insubordinate with the eye muscles when it is functioning. Objectives: This paper represents the management of lower eyelid laxity in a post-enucleated patient with pressure using conformer and custom ocular prosthesis. Case Report: A twenty-year-old female patient came to Dental Hospital Universitas Sumatera Utara with a red, swollen, and frequent discharge from the eye socket. The custom ocular prosthesis used by the patient often falls out of the socket and she requests a new custom ocular prosthesis. The patient was referred to an ophthalmologist for irritated socket. Then, a definitive impression is made. Two sclera waxes were fabricated in a definitive cast to obtain a conformer and custom ocular prosthesis. Conformer was worn for three weeks to ensure an adequate lower eyelid. Then, a new custom ocular prosthesis was inserted into the socket. Pressing the conformer towards the lower eyelid will stimulate and train the eyelid muscles to move and prevent atrophy, so it can restore the support of the lower eyelid. Conclusion: Lower eyelid laxity can be corrected with a pressure-assisted conformer, resulting in a functionally and aesthetically pleasing custom ocular prosthesis. Keywords: conformer, ocular prosthesis, lower eyelid laxity