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All Journal e-GIGI Padjadjaran Journal of Dentistry Indonesian Journal of Prosthodontics
Lindawati S. Kusdhany
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Hubungan antara Kelemahan Fisik dengan Kelemahan Rongga Mulut pada Lansia Handoko, Steffano A.; Kusdhany, Lindawati S.
e-GiGi Vol. 13 No. 1 (2025): e-GiGi
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/eg.v13i1.54175

Abstract

Abstract: Oral frailty is declined oral cavity function, along with a decrease in mental and physical capabilities. This study aimed to provide a review about oral frailty factors affecting general health in the elderly. A systematic search was conducted using three electronic databases (PubMed, Wiley, and Scopus). Articles written in English (randomized clinical trial, prospective study, retrospective study) and published over the last ten years were identified. There were 11 out of 65 articles were included in this study. The results showed that a decreased number of teeth was related to a decrease in cognitive function and physical strength in the elderly. The edentulous ridge, and denture type and condition affect masticatory muscles, occlusal status, and postural balance of the elderly. Masticatory muscle structural changes were related to decreased nutritional intake, weight loss, decreased cognitive function, decreased physical strength (seen from hand grip strength), and increased risk of elderly dependence. Decreased masticatory muscle strength was associated with increased risk of Alzheimer's and postural imbalance in the elderly. In conclusion, oral weakness factors such as the number of teeth, use of dentures, masticatory muscles and maximum bite strength are associated with general health in the elderly. Keywords: oral frailty; oral function; physical frailty   Abstrak: Kelemahan rongga mulut merupakan penurunan fungsi rongga mulut yang disertai penurunan fungsi mental dan fisik. Penelitian ini bertujuan untuk memberikan tinjauan bagaimana faktor kelemahan rongga mulut memengaruhi kesehatan umum pada lansia. Studi sistematis dilakukan dengan tiga database elektronik (PubMed, Wiley, dan Scopus). Identifikasi artikel (uji klinis acak, studi prospektif, studi retrospektif) yang ditulis dalam bahasa Inggris dan diterbitkan selama sepuluh tahun terakhir. Sebanyak 11 artikel disertakan dalam penelitian ini. Hasil penelitian menunjukkan penurunan jumlah gigi berkaitan pada penurunan fungsi kognitif dan kekuatan fisik pada lansia. Edentulous ridge serta jenis dan kondisi gigi palsu berpengaruh terhadap otot pengunyahan, status oklusal, dan keseimbangan postural lansia. Perubahan struktural otot mastikasi berkaitan dengan penurunan asupan nutrisi, penurunan berat badan, penurunan fungsi kognitif, penurunan kekuatan fisik (dilihat dari kekuatan genggaman tangan), dan peningkatan resiko ketergantungan lansia. Penurunan kekuatan otot mastikasi memiliki keterkaitan dengan peningkatan resiko terjadinya Alzheimer dan ketidakseimbangan postural pada lansia. Simpulan penelitian ini ialah faktor kelemahan pada rongga mulut seperti jumlah gigi, penggunaan gigi palsu, otot pengunyahan dan kekuatan maksimum gigitan berhubungan dengan kesehatan umum pada lansia. Kata kunci: kelemahan rongga mulut; fungsi rongga mulut; ketidakmampuan fisik
Comparison of formant scores between complete denture users and subjects with complete dentition: a preliminary study Andryas, Ika; Syarfina, Tengku; Tanti, Ira; Hong, Guang; Kusdhany, Lindawati S.
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): March 2025
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59201

Abstract

Introduction: Edentulism impairs the ability to chew, eat, and speak properly. Dentures, which aim to address this issue, are also believed to contribute to a decrease in the peak intensity value and spectral width of sound formants. Formants refer to the air within the vocal tract that is set in vibration by the vocal fold's action. This study aims to observe changes in formant values between complete denture users and participants with complete dentition. Methods: This preliminary study recruited six voluntary participants, divided into two groups. The first group consisted of subjects with complete dentition, while the second group comprised individuals wearing complete dentures on both arches. All participants introduced themselves, and their speech was recorded using PRAAT® software. For the second group, recordings were made both with and without dentures. Statistical analysis was performed using one-way ANOVA. Results: Significant differences in formant scores were observed across all groups. Post hoc tests revealed a significant difference in formant scores between completely edentulous subjects without dentures and the complete dentition group; Conclusion: Correcting speech defects is the third main objective in fabricating denture prostheses. Enhancing the phonetically beneficial construction of denture quality improves psychosocial parameters, including quality of life and socialization abilities, and accelerates successful Prosthodontic treatment. The findings indicate that the format score of a person with a complete denture is not substantially different from that of an individual with complete dentition. Conversely, individuals who have lost their complete dentures and not using complete denture may exhibit significant differences in formant score.
Modified Suction-Effective denture technique for mandibular flat ridge Joewana, Clinton ST.; Lindawati S. Kusdhany
Indonesian Journal of Prosthodontic Vol 6 No 1 (2025): June 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i1.274

Abstract

Aging is a universal, progressive physiological process affecting all living organisms, leading to the loss of bone, bone mineral density, and muscle in humans. The rate and extent of musculoskeletal decline vary due to factors such as diet, systemic diseases, medications, and clinical interventions. Prolonged denture use can lead to atrophy of the residual alveolar ridge, particularly in cases of a flat mandibular ridge, where achieving adequate denture retention and stabilization is challenging. Proper impression techniques play a crucial role in addressing this challenge. This report aims to describe the management of complete dentures in cases of mandibular flat ridges using a modified suction-effective method. A 70-year-old female presented for a complete denture following the extraction of her last upper left tooth. She had previously used removable partial denture around 3 years ago but has not used them since. Clinical findings revealed significant bone loss in the mandible, sufficient spongy tissue on the sublingual area, and panoramic examination classified the mandibular cortical index and bone density as C2. A centric tray was used to record the vertical dimension to fabricate the bite rim used for closed-mouth impression. Lingualized occlusion scheme was then used during denture fabrication to achieve a more stable denture. The suction-effective denture is an enhanced method for achieving retention and stability in patients with flat mandibular ridge. Creating a good peripheral seal on all borders is crucial to achieve the suction effect, which can be facilitated through proper planning and impression technique. Keywords: mandibular flat ridge, suction denture, suction-effective method, closed-mouth impression
Management of mandibular flat ridge using modified suction-effective method in geriatric patient Leonita, Luluk LA.; Kusdhany, Lindawati S.
Indonesian Journal of Prosthodontic Vol 6 No 1 (2025): June 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i1.296

Abstract

Background: Geriatric patient has compromised medical conditions, physical disability, and cognitive impairment, thus the treatment plan must consider many factors both local and systemic condition of the patient. The main problem that often arises when treating edentulous patients, especially in elderly patients, is severe mandibular ridge resorption. This makes it difficult to achieve retention and stabilization of the mandibular complete denture. One technique to overcome this problem is using suction effective mandibular complete denture introduced by Dr. Jiro Abe. This method can provide sealing of the entire denture border including the retromolar pad area. Objectives: This report aimed to elaborate the management of flat mandibular ridge using modified suction-effective method in geriatric patient. Case report: A 71-year-old male geriatric patient with fully edentulous teeth came with history of hypertension and high risk of falling. The patient had never used any denture before and wanted to be able to eat properly and seek improvement in appearance. The mandibular showed highly resorbed ridge along with spongious tissue. Modification of this technique carried out by utilizing semi-adjustable articulator and the use of bite rim mounted on custom tray which facilitated closed-mouth impression that is in accordance with patient’s functional movement in occlusion state. Conclusion: Rehabilitation of complete denture in elderly patients must consider efficient and appropriate method according to the patient's systemic and local conditions. Flat ridge management in geriatric patient using semi-adjustable articulator and modified suction-effective method can provide retention and stability in mandibular complete denture.
Co-Authors Guang Hong, Guang Handoko, Steffano A. Ika Andryas Ira Tanti Joewana, Clinton ST. Laura S. Himawan Leonita, Luluk LA. Nina Ariani Raden I. Ismail Sitti Fardaniah Tengku Syarfina Yuliana Sundjaja