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Protesa Maksilofasial dengan Hollow Bulb untuk Rehabilitasi Pasca Hemimaxillectomy Klas IV Aramany Farid Munandar; Heriyanti Amalia Kusuma; Endang Wahyuningtyas
Majalah Kedokteran Gigi Indonesia Vol 18, No 1 (2011): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3541.874 KB) | DOI: 10.22146/majkedgiind.16482

Abstract

Latar belakang. Tindakan operasi pembedahan pada daerah wajah akan mengakibatkan cacat wajah, gangguan fungsi bicara, penelanan, pengunyahan, estetik serta kejiwaan penderita dan dapat menimbulkan masalah pada rehabilitasinya. Tujuan. Penulisan laporan ini untuk menginformasikan bahwa defect atau cacat pada daerah wajah dapat direhabilitasi dengan pembuatan protesa maksilofasial dengan hollow bulb untuk mengembalikan fungsi. Kasus. Pasien laki-Iaki berusia 30 tahun datang ke RSGM atas rujukan dari RS. Dr. Sardjito. Saat datang pasien merasa terganggu dengan adanya defect didalam mulutnya. Operasi hemimaxillectomy telah dilakukan oleh dokter THT R.S Hasan Sadikin setahun yang lalu. Penanganan. Dilakukan pemeriksaan subyektif, obyektif, radiografi dan hasil diagnose terdapat defect klas IV Aramany. Rehabilitasi dapat dilakukan dengan pembuatan protesa maksilofasial dengan hollow bulb klas IV Aramany untuk mengembalikan fungsi dan menghindari akibat dari pasca operasi hemimaxillectomy lebih lanjut. Pemeriksaan retensi, stabilisasi, oklusi, estetik dan pengucapan dilakukan pada waktu insersi, begitu pula pada saat kontrol 1 minggu dan 1 bulan setelah pemakaian tidak ada keluhan. Kesimpulan. Pemakaian protesa maksilofasial dengan hollow bulb ini dapat berguna sebagai alat rehabilitasi yang dapat mengembalikan fungsi bicara dan mengunyah, estetik dan membantu proses penyembuhan jaringan dan psikologi penderita.
Effect of addition titanium dioxide nanoparticles as acrylic resin denture base filler on cytotoxicity Ardhianing Hardita; Titik Ismiyati; Endang Wahyuningtyas
Majalah Kedokteran Gigi Indonesia Vol 5, No 2 (2019): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.38438

Abstract

Denture base material should have a good level of biocompatibility. Acrylic resin is frequently used as a denture base material, however it has a disadvantage of producing residual monomer. Residual monomer is known to have a cytotoxicity effect. Titanium dioxide (TiO2) nanoparticles are used as fillers due to their biocompatibility and ability to enhance the mechanical properties of acrylic resin. The addition of the material to acrylic resin could affect the amount of residual monomer. The aim of this study was to examine the effect of the addition of TiO2 nanoparticles as acrylic resin denture base filler on the cytotoxicity in fibroblast cells. The samples consisted of 24 heat cured acrylic resins in disc shape (5 mm in diameter and 2 mm in thickness), divided into 4 groups (n = 6): three groups given treatment with0.5%, 1%, 2% TiO2, respectively and one control group. Cell viability was measured with MTT assay. The results were tested with one way ANOVA with 95% confidence level followed by LSD post hoc test. The results showed that the highest percentage of cell viability was found in the treatment group of 0.5% TiO2 with value of 91.83 ± 1.75%, while the lowest value was seen in the treatment group of 2% TiO2 with value of 79.38 ± 3.34%. Significant differences were shown between the treatment groups of 0.5% and 2% TiO2, as well as between the control and treatment group with 2% TiO2. The conclusions of this research are the addition of TiO2 nanoparticles as acrylic resin denture base filler has an effect on cytotoxicity; the addition of 0.5% TiO2 nanoparticles filler results in lower cytotoxicity on fibroblast cells compared to the addition of 1% and 2% TiO2.  
The effect of paint types toward iris color changes of ocular prosthetics Gunawan Sri Sarjono; Titik Ismiyati; Endang Wahyuningtyas
Majalah Kedokteran Gigi Indonesia Vol 6, No 1 (2020): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.38706

Abstract

Ocular prosthetics are mainly created to meet the aspect of esthetic consideration. The paint application in ocular prosthetics construction is remaining an option for Prosthodontist. This study aims to examine the effect of types of paint toward iris color change of the ocular prosthetics. Three black types of paint: oil paint (Maries Oil Color, China), automotive paint (Avian, Indonesia), and acrylic paint (Sakura, Japan) were used to paint paper disc to produce 27 iris ocular prosthetics. Chromameter was used to examine the first and the final color after acrylic processing using themicrowave. The measurement results in the process using Commission Internationale de l’Eclairage. One-way ANOVA test showed significant differences between the three types of paints on ocular prosthetics (p<0.05). The LSD test revealed that oil paint groups had more significant results than the automotive paint group and acrylic paint group, while the automotive paint group did not have significant differences with the acrylic paint group (p>0.05). Thus, it is conclusive that oil paint influences the iris color change of the ocular prosthetics.
Effect of glass fiber non-dental’s length and position on the flexural strength of FRC Adella Syvia Maharani; Widjijono Widjijono; Endang Wahyuningtyas
Majalah Kedokteran Gigi Indonesia Vol 5, No 1 (2019): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.898 KB) | DOI: 10.22146/majkedgiind.40074

Abstract

Glass fiber non-dental has a similar composition to E-glass fiber dental that commonly used as fiber reinforced composite (FRC) materials in resin bonded prosthesis. Fiber effectiveness can be determined by the length and the position. The aim of this study was to examine the effect of glass fiber non dental’s length and position on the flexural strength of FRC in resin bonded prosthesis. This study has been done used 36 FRC samples with beam shaped (15 mm x 2 mm x 2 mm). Fiber reinforced composite  samples were consisted of 9 groups (a combination between length: 4 mm, 6 mm, and 12 mm and position: compression, neutral, tension zone). The flexural strength was tested by universal testing machine and statistically analyzed using two-way ANOVA (p<0.05). The result showed that the lowest (compression, 4 mm) and the highest (tension, 12 mm) flexural strength were 104.30 ± 13.90 MPa and 166.18 ± 8.59 MPa. The two-way ANOVA test showed that variation of position, length, and interaction between placement-length had a significant effect on the flexural strength (p<0.05). The conclusion of this study was fiber position on compression zone with 4 mm length had the lowest flexural strength. In addition, fiber position on tension zone with 12 mm length had the highest flexural strength. 
Enhancing the impact strength of acrylic resin base plate by adding non-dental E-glass fiber Mara Gustina; Widjijono Widjijono; Endang Wahyuningtyas
Majalah Kedokteran Gigi Indonesia Vol 6, No 2 (2020): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.42939

Abstract

Non-dental glass fiber is one of the materials that can be used to increase the impact strength of a acrylic resin base plate, containing a similar composition to that of dental e-glass fiber. Orientation and positions of fiber affect the reinforcement effectiveness. This research aimed to examine the effect of the orientation of non-dental glass fiber in the compression position on the impact strength of an acrylic resin base plate. The research was conducted on 16 acrylic resin plates with fiber (65 mm x 10 mm x 2.5 mm) addition. The samples were divided into 4 groups (combination of different woven orientation unidirectional, bidirectional woven in the compression position, and control). The material used in this study was heat-cured acrylic resin QC-20 brand, non-dental glass fiber (without any brand). Impact strength was tested using an impact testing machine. The data obtained were analyzed using one-way ANOVA test and LSD (p<0.05). In this research the impact strength of the base plate with the addition of fiber increased 8.54 ± 2.21; 13.21 ± 2.34; 16.81 ± 2.80 kJ/m2 compared to that of the control group, i.e. 4.98 ± 1.05 kJ/m2. One-way ANOVA test showed a significant effect (p<0.05) of the fiber orientation variations on the compression position. This research concluded that the addition of nondental e-glass fiber (composed of SiO252.56-56.88%), diameter 17.12–20.03 µm) in the compression zone increases theimpact strength of acrylic resin base plate. Fibers with unidirectional orientationprovides the highest increase in the impact strength of acrylic resin base plate.
The effect of Zirconium Dioxide nanoparticles concentrations as filler on heat cured acrylic resin denture base toward viability of fibroblast cells (in vitro study) Rudy S; Titik Ismiyati; Endang Wahyuningtyas
Majalah Kedokteran Gigi Indonesia Vol 6, No 2 (2020): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.44345

Abstract

Heat cured acrylic resin is the most commonly used denture base materials.  Zirconium dioxide (ZrO2) nanoparticles can be applied as additional filler to increase mechanical strength and to reduce the amount of residual monomer. The aim of this research is to analyze the effect of ZrO2 nanoparticles concentrations as filler on heat cured acrylic resin denture base toward viability of fibroblast cells. Twenty four disc-shaped heat cured acrylic resin plate (diameter 5 mm; width 2 mm), were divided into 4 groups (n=6), they were consisted of group I control (acrylic resin), group II acrylic resin with 2.5% ZrO2, group III acrylic resin with 5% ZrO2, and group IV acrylic resin with 7.5% ZrO2. Cell viability was obtained using MTT assay and ELISA plate reader. The result is examined with one way ANOVA followed by LSD post hoc assessment. The result showed highest cell viability percentage on experimental group of 2.5% ZrO2 with value as high as 97.49%. One way ANOVA test and LSD post hoc test showed a significant difference between groups (p<0.05). The conclusion of this research is ZrO2 nanoparticles concentration utilized as filler on heat cured acrylic resin denture base is effect to viability of fibroblast cells, and ZrO2 nanoparticles 2.5% shows the highest viability of fibroblast cell compared to 5% and 7.5% ZrO2 nanoparticles concentrations  
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.
AESTHETIC REHABILITATION OF MAXILLARY AND MANDIBULAR HOPELESS TEETH WITH IMMEDIATE REMOVABLE PARTIAL DENTURE Afif Surya Adena; Endang Wahyuningtyas; Intan Ruspita
Dentino : Jurnal Kedokteran Gigi Vol 6, No 1 (2021)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v6i1.10642

Abstract

ABSTRACTBackground: Edentulism post tooth extraction is an undesirable state among patients, specifically with the involvement of anterior dentition. Immediate denture in cases of anterior teeth extraction is a selected treatment to recover aesthetic and phonetic function. This treatment shows an impact on psychological stability and improves patients’ confidence level. Objective: This case report provides information on the management of immediate removable partial denture for maxillary and mandibular teeth. Case: A female teacher suffered from tooth loss of 26, 28, 36, 46, 47. Tooth 11, 14, 21, 22, 31, 32, 41, 42 were not supported with adequate periodontal tissue and presented with level 3 tooth mobility. Patient expected the teeth to be removed and managed with prosthodontic appliance, yet disfavoring the stage of edentulism because her profession demanded high social performance. Case management: The treatment for this case includes immediate removable partial denture with acrylic material in upper and lower jaw. Denture was fabricated prior to the extraction of tooth 11, 14, 21, 22, 31, 32, 41, 42, and inserted promptly. The insertion result showed good occlusion, retention, stabilization, and tissue adaptation of denture. It also demonstrated good aesthetic result. On 24 hours control post insertion, wound closure was gradually established with the presence of redness. A week after insertion, wounded tissue had been fully covered and redness had been diminished. Conclusion: Immediate removable partial denture provides good aesthetic and function. Patient was satisfied with the treatment because it improved her appearance without experiencing any period of edentulism.Keywords: Aesthetics, Edentulous, Extraction, Immediate Removable Partial Denture.
PREPARATION FOR PALATOPLASTY SURGERY WITH AN ACRYLIC FEEDING OBTURATOR: A CASE REPORT Christine Anita Wardaningrum; Endang Wahyuningtyas; Titik Ismiyati; Sri Budi Barunawati
Dentino : Jurnal Kedokteran Gigi Vol 6, No 1 (2021)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v6i1.10650

Abstract

ABSTRACTBackground: Clefts on the lips and palate are common cases to be found frequently in the field of dentistry. This gap connects the oral cavity and the nasal cavity so that it interferes with the nutritional intake in patients. The age and size of the oral cavity in patients become particular challenges for prosthetic rehabilitation. Another challenge lies at the impression procedure, because it is an essential part in the making of obturator. Objective: To provide information on the management of patient with cleft palate using feeding obturator from acrylic material. Case: A 13-months-old male patient arrived at Prof. Soedomo Gadjah Mada University Dental Hospital with his parents and was seeking for prosthetic therapy to cover the cleft on his palate because it had been muddling with food and beverage intake. Patient had undergone cheiloplasty surgery and further arranged for palatoplasty procedure. Intraoral examination exhibited a cleft extended from hard palate, soft palate, and uvula. Case management: Upper jaw impression was performed for individual tray fabrication, followed by impression procedure in an upright straight position until the patient bawled. The impression result was casted to construct an obturator using acrylic heat cure material. Fitting surface was covered with soft liner. Treatment result showed that the obturator was retentive, stable and able to assist the nutritional intake in patient. Conclusion: Acrylic feeding obturator can recover the condition in patient with cleft palate and improve nutritional intake as well as body weight to prepare patient for palatoplasty surgery.Keywords: Cleft Palate, Feeding Plate, Obturator
The Graptophyllum pictum extract effect on acrylic resin complete denture plaque growth Endang Wahyuningtyas
Dental Journal (Majalah Kedokteran Gigi) Vol. 38 No. 4 (2005): December 2005
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (569.936 KB) | DOI: 10.20473/j.djmkg.v38.i4.p201-204

Abstract

Graptophyllum pictum, in Indonesian is named ‘daun ungu’, is one of the traditional plants usually used as haemorrhoids medicament in Indonesia; it is composed from alkaloid, pectin, saponin, tannin, flavonoid and alcohol. Graptophyllum pictum is able to prevent the growth of Streptococcus mutans. The purpose of this investigation is to study the effect of Graptophyllum pictum extract toward the growth of plaque on acrylic resin complete denture. For this plaque growth research, 40 samples of acrylic resin complete denture were used, which divided into four groups. Those samples were first treated by cleansing each denture from saliva with running water. The existence of plaque on the complete denture was known by means of disclosing agent. The plaque was then scored by using modified Quigley Hein index, in this case until the plaque was scored zero. The second treatment was soaking the Group I to IV denture samples in Graptophyllum pictum extract with various concentration 5%, 10%, 20% and 40%, each for 15 minutes. Following this, the dentures were worn by the patients again for four hours, and then removed and washed with water. Then the disclosing agent were rubbed on the dentures and subsequently washed with water. The obtained data were analyzed by One-way variant analysis and t-test. The study result showed there were significant differences among the growth of plaque on acrylic resin complete denture which was soaked in different concentration of Graptophyllum pictum extract (p < 0.05). Regarding this result it can be concluded that Graptophyllum pictum extract could inhibit the plaque growth on acrylic resin complete denture. And it seems also that the highest plaque growth inhibition on acrylic resin complete denture is caused by the 40% concentration extract of Graptophyllum pictum.
Co-Authors Adella Syvia Maharani Adena, Afif Surya Adi Kristanto Tandadjaja Agnes Endra Purdiana Anak Agung Istri Putri Ayu Agung Subiantari Ayu Agung Subiantari, Ayu Agung Chrisdina Puspita Sari Christine Anita Wardaningrum Dewi Yanti Dimas Anggayuno Dwi Prabowo Edwin Tandra Elka Ayu Amalia Elka Ayu Amalia, Elka Ayu Eri Setia Romadhon Erwan Sugiatno Erwan Sugiatno Erwan Sugiatno Erwan Sugiatno Erwan Sugiatno, Erwan Esti Tjahjanti Fajar Kartika Fajar Kartika, Fajar Farid Munandar Fei In Fransiscus Wihan Pradana Gandis Harumi Gunawan Sri Sarjono Gunawan, Cynthia Hardi Prabowo Hardita, Ardhianing Haris Okta Akbar Sy Haryo Mustiko D Haryo Mustiko D, Haryo Haryo Mustiko Dipoyono Haryo Mustiko Dipoyono Heriyanti AK Heriyanti AK, Heriyanti Heriyanti Amalia Heriyanti Amalia Kusuma Heriyanti Amalia Kusuma Heriyanti Amalia Kusuma Heriyanti Amalia Kusuma Heriyanti Amalia Kusuma Heriyanti Amalia Kusuma, Heriyanti Amalia I Gede Putu Sukrasena Sugiantara Intan Ruspita Iwa Arya Sakti Jaya Atmaja, Herman Lubena Lubena, Lubena Mara Gustina Maria Theresia Esti Tjahjanti Melita Setiana Mohammad Faid Fahlevy Murti Indrastuti Murti Indrastuti Nova Mayasari Owin Bambang Wijanarko Pradana, Franciscus Wihan Pramudya Aditama Pramudya Aditama Rahmadani, Ina Indah Rosa Sharon Suhono Rosa Sharon Suhono, Rosa Sharon Rudy S Rudy S Santoso, Tania Sarjono, Gunawan Sri Sigit Ariawan Sri Budi Barunawati Suparyono Saleh Suparyono Saleh Surdin Suzy Ratna Dinarti Tandra, Edwin Tandra, Edwin Titik Ismiyati W. Widjijono Windha Kharina Yuwono, William