Heriyanti Amalia Kusuma
Department of Prosthodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta

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The retention difference between cobalt chromium and zirconia coping in different angulations on telescopic overdenture Kevin Christopher Kawilarang; Heriyanti Amalia Kusuma; Murti Indrastuti
Majalah Kedokteran Gigi Indonesia Vol 6, No 3 (2020): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.44383

Abstract

Telescopic overdenture is one type of removable denture that uses dual coping system that consists of primary and secondary coping. Retention of telescopic overdenture is obtained from the friction between primary and secondary coping, which is mainly influenced by the type of material and coping angulation. The purpose of this study is to determine the retention differences between CoCr and zirconia coping with 0°, 1°, and 2° angulations. Twenty four pairs of telescopic overdenture coping samples with 6 mm length were divided into 6 groups (n = 4), CoCr 0°, CoCr 1°, CoCr 2°, zirconia 0°, zirconia 1°, and zirconia 2°. Measurement of retention between coping is done by pull-off test using universal testing machine (UTM) and data were analyzed by two way ANOVA. The results showed that the largest average retention was found in zirconia coping with 0° angulation group (22.48 N), while the smallest average retention was found in CoCr coping with 2° angulation group (10.28 N). Two way ANOVA revealed that there were significant differences among groups (p<0.05). LSD tests showed that there were significant differences among all of groups. This study concludes that zirconia coping has higher retention than CoCr coping and coping with 0° angulation has the highest retention.
Two-piece hollow bulb obturator after partial maxillectomy on ameloblastoma case Nova Mayasari; Heriyanti Amalia Kusuma; Endang Wahyuningtyas
Majalah Kedokteran Gigi Indonesia Vol 6, No 3 (2020): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.50663

Abstract

Ameloblastoma often occurs in the mandibular area, but 15 - 20% of ameloblastoma originates from the maxilla. Ameloblastoma lesions in the maxilla can be treated with partial maxillectomy, which produces defects that alter speech, swallowing function, and aesthetic. The role of prosthodontics is needed to rehabilitate the patient’s condition by fabricating an obturator that helps reduce the morbidity of patients. The main problem with the rehabilitation of substantial defects in the maxilla is the weight of the prosthesis, resulting in non-retentive prosthesis. The purpose of this case report was to evaluate the post-treatment of the partial maxillectomy in the case of ameloblastoma with the hollow bulb to rehabilitate the functions of mastication, phonetics, swallowing function, and aesthetic functions.This case report discussed the treatment of a 58-year-old female who undergone partial maxillectomy, has experienced tooth loss in 15, 14, 13, 12, 11, 21, 22, and 23, and had an anterior palate defect due to mass retrieval under the Aramany class VI classification. The chosen treatment was the fabrication of an obturator with the twopiece hollow bulbmade of acrylic resin. The results of the obturator insertion are good retention, stabilization,occlusion, aesthetics, clear phonetic, and the increasing patient’s confidence. The follow-up control after one week showed good retention, stabilization, occlusion, aesthetics, even clearer pronunciation and a good adaptation from the patient. This case report concludes that the two-piece hollow bulb acrylic resin obturator in ameloblastoma case can rehabilitate the maxillary defect post partial maxillectomy to restore masticatory, phonetic, swallowing and aesthetic functions.