Ariyanti Rezeki
Department Of Prosthodontic, Faculty Of Dentistry, Universitas Indonesia

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Combination of temporomandibular disorder and trigeminal neuralgia in adolescent: a case report: Kombinasi gangguan sendi temporomandibular dan trigeminal neuralgia pada remaja: laporan kasus Ariyanti Rezeki; Laura Susanti Himawan; Ira Tanti; Nina Ariani
Makassar Dental Journal Vol. 11 No. 3 (2022): Volume 11 Issue 3 Desember 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i3.644

Abstract

Trigeminal neuralgia was uncommon in people younger than 30 years of age. Only 1% of cases reportedly occurring in those younger than 20 years of age, so that this case is quite rare. The diagnosis of temporomandibular joint disorder (TMD) was also present along with the trigeminal neuralgia and confirmed by head and TMJ MRI. This article describes a case of a 17-years-old females who sought help because of pain in the right side of her face, from her temple area down to her cheek and TMJ, continuing to her lower jaw and sometimes at the back of the ear. She also reported increased pain during chewing or otherfunctional activity. The pain already lasted for almost two years and debilitating. The patient was treated with the combi-nation of pharmacotherapy for treating the trigeminal neuralgia, physical therapy (jaw exercise) and stabilization appliance, in order to reduce the pain and restore the normal function of the lower jaw.It was concluded that trigeminal neuralgia and TMD can be treated simultaneously and obtained a good result.
Nasal Reflux Management of Obturator in Dentate Maxillectomy Patients Ariyanti Rezeki; Pinta Marito
Journal of Indonesian Dental Association Vol. 3 No. 2 (2020): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v3i2.590

Abstract

Introduction: Maxillary defects are probably the most common of all intraoral defects. Moreover, their size and location affect the degree of difficulty in prosthetic rehabilitation. Maxillary defects may be divided into two types: (i) defects resulting from congenital malformations and (ii) acquired defects resulting from surgery for oral neoplasms. Acquired maxillary defects in the form of postsurgical defects can cause conditions such as nasal voice (hypernasal speech), nasal cavity leakage, mastication function deterioration, and considerable facial collapse due to extensive bone loss. Case Report: A 34-year-old male patient with resection—without prior surgical or interim obturator placement—performed in 2018 on the premaxillary segment and anterior maxillary alveolar ridge came to the Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia (Depok, Indonesia). The prosthetic rehabilitation goals for this case included the separation of oral and nasal cavities to allow adequate deglutition and articulation, possible support of the orbital contents to prevent enophthalmos and diplopia, support of the soft tissue to restore the midfacial contour, and an acceptable aesthetic result. In this clinical report, a maxillary obturator prosthesis framework was used as a definitive treatment. Conclusion: A proper and detailed treatment sequence is critical for successful prosthetic rehabilitation of a dentate maxillectomy patient. A considerably successful maxillary obturator indicator, such as masticatory function and distinct speech, was regained. The nasal cavity leakage problem was solved after sealing the gap between the oral and nasal cavities by providing adequate extensions of the flange.