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Precision attachment with intraradicular post in bilateral free end edentulous Dimas Anggayuno Dwi Prabowo; Gandis Harumi; Endang Wahyuningtyas
Indonesian Journal of Prosthodontic Vol 4 No 1 (2023): June 2023
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v4i1.175

Abstract

Loss of the molar on both sides can interfere with the important process of mastication and affect the shape of the face, that is greatly interferes mastication process. Therefore, dentures must be replaced immediately. A 63-years-old female complained about her dentures because they feel loose and uncomfortable. The patient lost teeth 16-11, 21-27, 34, 35, 46, and 47. The jaw lost its occlusal support. Loss of the posterior teeth on both sides of the man-dible condition; the teeth with a strong grip are the indication to make a removable denture with precision attach-ments. The treatment is a removable denture with an upper and lower metal frame with a retention ball attachment. First, fiber posts were installed on teeth 45, which have been endodontically treated. Then, teeth 34, 35, 44, and 45 were prepared, and a crown was made with a ball attachment handle as male part on the posterior part of the porcelain fused to metal. It is concluded that the patient is satisfied with her new denture, feels more comforta-ble chewing, and the appearance was much better than before.
Prosthetic Rehabilitation with Artificial Palpebra of an Ocular Defect with Contracted Socket Chrisdina Puspita Sari; Sri Budi Barunawati; Intan Ruspita; Endang Wahyuningtyas
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.v5i1.225

Abstract

Eyes are one of the most important organs of the body which are set inside the protective orbital bone. Loss of an eye can be caused by congenital defects, trauma, or tumors. The removal of the eyeball (enucleation) may cause a massive impact on the self-image, confidence, and personality of an individual. Acceptable cosmetic results usually can be obtained with an ocular prosthesis which is an artificial maxillofacial prosthesis to replace the lost eye. This paper describes the prosthetic rehabilitation of a 71-year-old male patient with a left ocular defect accompanied by a contracted socket caused by the poorly fitting old prosthesis which results in subpar cosmesis. The soft tissue around the eye is normal, but the palpebral conjunctiva forms an abnormal adhesion to the eye socket. An impression was made using a custom tray and alginate in the defect area, followed by filling the impression with gypsum type 3 to get a working model, from which a wax model was made and adjusted to the patient. Sclera and ocular acrylic prostheses were made on the basis of an adjusted wax model. The prosthesis was then polished and colored according to the contralateral eye, followed by the manufacturing of an artificial palpebra made of silicone for a more aesthetic result. The custom-made eye prosthesis with silicone palpebra is an artistic solution for the treatment of ocular defects with contracted sockets. This technique was able to improve the patient’s psychological and emotional status.
Rehabilitasi pasca hemimaksilektomi menggunakan obturator resin akrilik dan protesa bibir silikon dengan penyangga magnet Pradana, Franciscus Wihan; Adena, Afif Surya; Wahyuningtyas, Endang
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 9, No 3 (2023)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.77464

Abstract

Defek nasofaring dan rongga antrum adalah defek maksila intraoral yang paling banyak ditemukan. Penyebab defek maksila dapat berupa faktor kongenital, maupun dampak dari operasi onkologi orofasial. Obturator maksila merupakan protesa yang diperlukan untuk memperbaiki defek tersebut. Pasien wanita berusia 31 tahun dirujuk dari klinik THT untuk pembuatan obturator. Pasien didiagnosis dengan karsinoma klinonasal dan direncanakan untuk pengangkatan massa serta hemimaksilektomi sinistra. Pemeriksaan klinis ekstraoral menunjukkan asimetri wajah. Pasien kehilangan sebagian maksila kiri dan terdapat defek wajah di area bibir atas. Pemeriksaan klinis intraoral menunjukkan bahwa gigi yang dapat dipertahankan adalah gigi 13, 14, 15, dan 16. Perawatan prostodontik yang dilakukan meliputi pembuatan obturator sementara, obturator definitif, dan prostesa bibir. Laporan klinis ini menggambarkan protesa berbasis silikon biokompatibel untuk perawatan defek bibir yang dipertahankan dengan obturator akrilik menggunakan penahan magnet yang memenuhi kebutuhan estetika dan fungsional pasien. Defek maksila yang disertai defek wajah cukup menantang pada perencanaan protesa ini. Pada kasus ini, perawatan prostodontik yang dilakukan adalah pembuatan obturator sementara, obturator definitif, dan protesa bibir. Pasien merasa nyaman dengan penggunaan protesa silikon medis karena menyerupai struktur anatomis yang sesungguhnya, tekstur lembut, ringan, dan biokompatibel. Persepsi kenyamanan dan estetika pasien tercapai pada perawatan ini.
Obturator with hollow bulb after hemimaxillectomy – A Case Report Gunawan, Cynthia; Fransiscus Wihan Pradana; Endang Wahyuningtyas; Intan Ruspita
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.v5i2.195

Abstract

Hemimaxillectomy will create oro-nasal communication which can affect the function of swallowing, masticatory, speech, aesthetic and psychological. This case report describes a method of prosthodontic management of maxillary defects using an obturator prosthesis with a hollow bulb. A 15-year-old male patient was diagnosed with central giant cell granuloma, therefore hemimaxillectomy was performed by ENT doctors at RSUP Dr. Sardjito. He has a surgical obturator that was inserted by a prosthodontist immediately after the surgery. Three weeks after surgery, soft tissues were ready to be made an interim obturator. Seven months later, he came to RSGM Prof. Soedomo with a complaint the old obturator is difficult to adapt. Intraoral examination revealed a large palate defect in the right palate durum segment (Aramany's class II type maxillary defect) and half of the right maxilla is missing. A definitive obturator using metal combination acrylic with a hollow bulb was made to cover the maxillofacial defect and replaced missing teeth. That prosthesis can cover the defects of the maxilla so the patient can speak well, and the function of masticating and swallowing can be restored. Keywords: surgical obturator, definitive obturator, hollow bulb
Prosthetic rehabilitation of a post evisceration patient with Non-Fabricated ocular prosthesis: A case report Jaya Atmaja, Herman; Wahyuningtyas, Endang; Intan Ruspita
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.v5i2.212

Abstract

The disability associated with the loss of eye can cause significant physical and emotional problems in sufferers. Rehabilitation of patients with eyeball loss requires an eye prosthesis that can restore optimal cosmetic and psychological function. Eye prostheses can be made from non-fabricated acrylic resin. In this case report, a 23-year-old female patient came to the RSGM Prof. Soedomo, Faculty of Dentistry, Gadjah Mada University with complaints of missing left eye since 8 years ago with a diagnosis of phthisis bulbi. The results of the clinical examination showed that the conjunctiva was in good health and there was no infection. The treatment in this case was the manufacture of non-fabricated ocular prostheses made of acrylic resin. Custom-made ocular prostheses provide satisfactory results thereby improving psychology and emotional as well the social aspect.
Improving obturator retention in hollow palatal defect using silicone soft-reliner Yuwono, William; Endang Wahyuningtyas; Intan Ruspita; Suparyono Saleh
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.v6i1.278

Abstract

Defect in the intraoral maxilla or palate resulting from surgical hemimaxillectomy can lead to difficulties in chewing, speaking, swallowing, and may also affect psychological function. One effective rehabilitation method for restoring oral function is the obturator prosthesis. This case report discusses the rehabilitation of a palatal defect following hemimaxillectomy, utilizing a hollow bulb obturator with a silicone-based soft liner and incorporating extracted posterior teeth as immediate dental provisions for relining an interim denture. The patient, a 46-year-old male, presented at Universitas Gadjah Mada Dental Hospital with complaints of discomfort, instability, and inadequate palatal coverage from his prosthetic obturator after undergoing tumor removal in the right maxillary area two years earlier. Examination revealed a significant hollow defect under the palate, exposure of the inferior nasal conchae, and mobility in the first and second premolars on the right side. Panoramic radiographs indicated loss of ridge support around these teeth. To enhance retention and comfort, a silicone-based soft liner was applied to the obturator. The use of extracted teeth proved beneficial for improving occlusal force, strength, and aesthetics. Thus, a hollow ground obturator with a soft reliner is recommended for effective rehabilitation post Class II Aramany hemimaxillectomy. Keywords: Palatum defect, Obturator, Hollow bulb, Soft-reliner
Metal frame overdenture retained with metal medium coping and magnet Santoso, Tania; Endang Wahyuningtyas; Murti Indrastuti; Pramudya Aditama
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.v6i1.284

Abstract

ABSTRACT Overdenture is a removable denture that replaces partial or complete tooth loss and rests on remaining natural teeth or implants. The overdenture concept of avoiding bone resorption can be used as a continuation of root canal treatment so that the alveolar bone remains well preserved. This case report describes prosthodontic rehabilitation with coping and magnet overdentures to increase retention, stability, and reduce bone resorption that will occur due to tooth extraction. A 65-year-old female patient wanted to have new dentures because the old dentures were loose and unaesthetic. Overdentures with metal medium coping and a magnet were made to increase retention for the new upper denture. A metal medium coping with a length of 3–4 mm on the second upper molar can increase retention by the friction force between the coping and the denture. A fabricated magnet, 3.6 mm in diameter with an attractive force of 700±50 gf, was mounted on the denture base, and the keeper was cemented to the second upper premolar as a supporting tooth. The metal frame overdentures provided excellent retention, stability, functionally, and aesthetics. Metal frame overdentures can be treatment of choice to increase the retention and stabilization of dentures. Keywords: Metal frame overdenture, Medium coping, Magnet
Tooth-Supported overdenture retained with bareroot, coping and magnetic attachment Surdin; Endang Wahyuningtyas; Sri Budi Barunawati; Intan Ruspita
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.v6i1.286

Abstract

Background : Overdenture is removable denture used to replace missing teeth and cover or rest on one or more remaining natural teeth in the mouth. Types of overdentures are non-copping abutment, abutment with copping (long, medium, short) and abutment with Attachment. Abutment with attachment overdenture can provide good retention and stabilization. Objective : The purpose of the case study is the assessment of retention improvement of overdenture dentures with coping and magnetic abutments in complete denture in the upper jaw and bareroot in complete denture in the lower jaw. Case Report : A 59-year-old woman reported having the chief complaint of difficulty in chewing food and speaking due to missing teeth in the upper and lower arch. Intraoral examination revealed the remaining teeth were 17, 23, 24, 43, and had been extruded. Tooth 23 was done to support magnetic overdenture, tooth 24 supported coping overdenture in the full maxillary denture and 43 supported bareroot overdenture in the full mandibular denture. Conclusion : Magnetic and coping retained overdenture enhance the retention in the full maxillary denture and bareroot improves the stability of the mandibular complete denture.
The effect of nanoparticles TiO2 on the flexural strength of acrylic resin denture plate Tandra, Edwin; Wahyuningtyas, Endang; Sugiatno, Erwan
Padjadjaran Journal of Dentistry Vol 30, No 1 (2018): March 2018
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (372.611 KB) | DOI: 10.24198/pjd.vol30no1.16110

Abstract

Introduction: Acrylic resin is still the most commonly used denture base material due to its ideal properties. However, acrylic resin denture fractures are still considered a major unsolved problem thus the addition of nanoparticles as filler was performed to increase its mechanical properties. The purpose of this study was to discovered the effect of nanoparticles TiO2 on the flexural strength of acrylic resin denture plate. Method: This study used 27 heat-cured acrylic resin specimens sized 65 x 10 x 2.5 mm. The samples were divided into three concentration groups (n = 9), the control group; 1% of nanoparticles TiO2; and 3% of nanoparticles TiO2. The flexural strength was tested using the Universal Testing Machine. All data were analysed using the one-way ANOVA test with 95% confidence level then continued with the Least Significant Difference (LSD) test. Results: There were significant flexural strength differences in different concentration of nanoparticles TiO2. The highest flexural strength value was found in the 1% of nanoparticles TiO2 group (106.99 ± 6.09 MPa), whilst the lowest flexural strength value was found in the 3% of nanoparticles TiO2 group (91.64 ± 5.38 MPa). Significant flexural strength difference was found between the control group and the 1% of nanoparticles TiO2 group, and also between the 1% of nanoparticles TiO2 group with the 3% of nanoparticles TiO2 group (p < 0.05). Conclusion: From this study can be concluded that concentration of 1% of nanoparticles TiO2 was able to increase the flexural strength of acrylic resin denture plate.
Silica coating application on heat-cured acrylic resin plates towards the surface hardness and the amount of residual monomers Suhono, Rosa Sharon; Wahyuningtyas, Endang; Ismiyati, Titik
Padjadjaran Journal of Dentistry Vol 31, No 2 (2019): July 2019
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (345.268 KB) | DOI: 10.24198/pjd.vol31no2.19310

Abstract

Introduction: Silica has been used as a coating material on acrylic resin denture plates to reduce the attachment of C. albicans, and acrylic resin denture coating application has been shown to increase the resistance. Acrylic resin as denture plate has many advantages, including good aesthetical aspect, easy to be manipulated, and relatively low costs. Acrylic resin also has disadvantages, namely the presence of residual monomers, low abrasion resistance, and broken easily. Residual monomers have poor biocompatibility and can weaken the mechanical strength of acrylic resin dentures. The purpose of this study was to analyse the silica coating application on heat-cured acrylic resin plates towards the surface hardness and the amount of residual monomers. Methods: This study used as much as 40 rod-shaped heat-cured acrylic resin specimens measured 13 x 13 x 2 mm. Specimens were divided into 2 groups (n = 20), namely the control group and the acrylic resin plate group applied with silica coating. Specimens in the treatment group applied with silica coating material using the dip-coating method. The surface hardness was tested using the Vickers hardness tester, and the amount of residual monomers was tested using gas chromatography. All data were analysed using an independent t-test. Results: Surface hardness in the group applied with silica coating was significantly higher than the control group (p < 0.05), while the remaining monomers of acrylic resin plate specimens in the group applied with silica coating were significantly lower than the control group (p < 0.05). Conclusion: Silica coating increases the surface hardness and decreases the amount of residual monomer of heat-cured acrylic resin.Keywords: Silica coating, surface hardness, residual monomer, acrylic resin
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