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Pembuatan Prothesa Telinga dengan Metode Pencetakan Tiga Lapis Fathurrahman, Helmi; Ismiyati, Titik; Saleh, Suparyono; Dipoyono, Haryo Mustiko
Majalah Kedokteran Gigi Indonesia Vol 21, No 1 (2014)
Publisher : Majalah Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Defek telinga unilateral ataupun bilateral dapat disebabkan oleh berbagai faktor, diantaranya trauma, kelainan pertumbuhan, atau prosedur pengangkatan kanker. Kondisi ini akan mempengaruhi psikologis pasien karena telinga merupakan organ vital yang membentuk estetika wajah. Salah satu perawatan rehabilitasi pada defek telinga adalah dengan pembuatan protesa telinga. Tahapan penting dari pembuatan protesa telinga adalah mendapatkan cetakan yang akurat untuk membuat pola malam. Teknik pencetakan dalam pembuatan prothesa telinga diantaranya metode reversible hydrocolloid dengan sendok cetak malam, irreversible hydrocolloid dengan sendok cetak kaku dan metode pencetakan tiga lapis. Keunggulan teknik pencetakan tiga lapis adalah mudah di lakukan dan akurasi hasil pencetakan yang baik. Tujuan laporan kasus ini adalah mengaplikasikan teknik pencetakan tiga lapis dalam pembuatan prothesa telinga.Perawatan dilakukan pada seorang pria berusia 14 tahun yang mengalami defek kongenital telinga dextra (unilateral). Langkah pertama dalam pembuatan prothesa yaitu pencetakan telinga normal dan defek, dilanjutkan pembuatan pola malam dan basis protesa, kemudian tahap try in pola malam, processing silikon, dan insersi. Prosedur pencetakan telinga dengan teknik tiga lapis yaitu mengaplikasikan irreversible hidrocolloid pada regio post aurale (lapisan pertama), regio pra aurale, permukaan internal, (lapisan kedua), dan permukaan luar telinga (lapisan ketiga). Hasil pencetakan telinga dengan teknik tiga lapis adalah tiga lapisan irreversible hidrocolloid yang solid dan mudah untuk dipisahkan sehingga menjamin akurasi hasil pengecoran. Kesimpulan laporan kasus ini adalah teknik pencetakan tiga lapis dapat diaplikasikan dalam pembuatan prothesa telinga.ABSTRACTS: Triple Layer Impression Method For Auricular Prosthesis. An unilateral or bilateral auricular defect can be caused by several factors including trauma, congenital malformation or surgical removal of neoplasm. These condition will affect patient psycologic because ear is a vital part of facial aesthetic. One of rehabilitation care of auricular defect is an auricular prosthesis. Important stage of making auricular prosthesis is to obtain accurate impression to make wax pattern. Impression technique including method of reversible hydrocolloid with wax collar, irreversible hydrocolloid with rigid tray and triple layer impression method. The excellence of the triple layer impression technique are easy to do and accuracy of good impression result. The aim of this case report is to apply triple layer impression method in the making of auricular prosthesis. The treatment was done in 14 years old male patient with chief compain of congenitally defect of external dextra ear. First step of making auricular prosthesis is making an impression of defect area and opposite ear, making prothesa basis and wax pattern, try in the wax pattern, sillicone processing, and insertion the prothesa. Triple layer impression method was done in three step, first the impression material was injected to post aurale region (first layer), than injected to internal surface of ear (second layer). Subsequently, the third layer of impression material was partially filled into the tray and external surface of ear.The result of triple layer impression method in the making of auricular prosthesis is triple layer of solid irreversible hydrocolloid but separatable completly. Conclusion of this case report is the triple layer impression method is suitable for making an auricular prosthesis.

THE EFFECT OF DIFFERENT LIGHT CURED UNIT INTENSITIES ON THE DEPTH OF POLYMERIZATION OF BULK FILL SCULPTABLE COMPOSITE RESIN RESTORATIONS Alphania Esty Luthfaida; Arlina Nurhapsari; Helmi Fathurrahman
Jurnal Medali Vol 3, No 1 (2021): Media Dental Intelektual September 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.v3i1.16382

Background : The latest development of dental material restoration is a bulk fill sculptable composite resin. This material can be applied to a 4 mm cavity at once irradiation. The success of polymerization can be affected by improper irradiation. Both the physical and mechanical properties of the material also can be decreased by improper irradiation. This study aimed to determine the effect of different light-cured unit intensities on the depth of polymerization of bulk fills sculptable composite resin restorations.Method : This research method was an experimental analytic type of post-test only control group design laboratory, consisting of 24 bulk fill sculptable composite resin with a diameter of 4mm x 6mm thickness divided into 6 groups:A1(3M ESPE-low intensity),A2(3M ESPE-high intensity),A3(3M ESPE-soft start intensity),B1(Ivoclar vivacity-low intensity),B2(Ivoclar vivadent-high intensity) and B3(Ivoclar vivadent-soft start intensity). Result : The results showed a significant effect of the low, high, and soft start intensity light-cured units in the bulk fill sculptable composite resin groups by Kruskal-Wallis test 0.00 (p <0.05).Conclusion : The best polymerization depth of bulk fill sculptable composite resin was 3M ESPE and it was affected by the high and low-intensity light-cured units

Pembuatan Prothesa Telinga dengan Metode Pencetakan Tiga Lapis Helmi Fathurrahman; Titik Ismiyati; Suparyono Saleh; Haryo Mustiko Dipoyono
Majalah Kedokteran Gigi Indonesia Vol 21, No 1 (2014): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Defek telinga unilateral ataupun bilateral dapat disebabkan oleh berbagai faktor, diantaranya trauma, kelainan pertumbuhan, atau prosedur pengangkatan kanker. Kondisi ini akan mempengaruhi psikologis pasien karena telinga merupakan organ vital yang membentuk estetika wajah. Salah satu perawatan rehabilitasi pada defek telinga adalah dengan pembuatan protesa telinga. Tahapan penting dari pembuatan protesa telinga adalah mendapatkan cetakan yang akurat untuk membuat pola malam. Teknik pencetakan dalam pembuatan prothesa telinga diantaranya metode reversible hydrocolloid dengan sendok cetak malam, irreversible hydrocolloid dengan sendok cetak kaku dan metode pencetakan tiga lapis. Keunggulan teknik pencetakan tiga lapis adalah mudah di lakukan dan akurasi hasil pencetakan yang baik. Tujuan laporan kasus ini adalah mengaplikasikan teknik pencetakan tiga lapis dalam pembuatan prothesa telinga.Perawatan dilakukan pada seorang pria berusia 14 tahun yang mengalami defek kongenital telinga dextra (unilateral). Langkah pertama dalam pembuatan prothesa yaitu pencetakan telinga normal dan defek, dilanjutkan pembuatan pola malam dan basis protesa, kemudian tahap try in pola malam, processing silikon, dan insersi. Prosedur pencetakan telinga dengan teknik tiga lapis yaitu mengaplikasikan irreversible hidrocolloid pada regio post aurale (lapisan pertama), regio pra aurale, permukaan internal, (lapisan kedua), dan permukaan luar telinga (lapisan ketiga). Hasil pencetakan telinga dengan teknik tiga lapis adalah tiga lapisan irreversible hidrocolloid yang solid dan mudah untuk dipisahkan sehingga menjamin akurasi hasil pengecoran. Kesimpulan laporan kasus ini adalah teknik pencetakan tiga lapis dapat diaplikasikan dalam pembuatan prothesa telinga.Triple Layer Impression Method For Auricular Prosthesis. An unilateral or bilateral auricular defect can be caused by several factors including trauma, congenital malformation or surgical removal of neoplasm. These condition will affect patient psycologic because ear is a vital part of facial aesthetic. One of rehabilitation care of auricular defect is an auricular prosthesis. Important stage of making auricular prosthesis is to obtain accurate impression to make wax pattern. Impression technique including method of reversible hydrocolloid with wax collar, irreversible hydrocolloid with rigid tray and triple layer impression method. The excellence of the triple layer impression technique are easy to do and accuracy of good impression result. The aim of this case report is to apply triple layer impression method in the making of auricular prosthesis. The treatment was done in 14 years old male patient with chief compain of congenitally defect of external dextra ear. First step of making auricular prosthesis is making an impression of defect area and opposite ear, making prothesa basis and wax pattern, try in the wax pattern, sillicone processing, and insertion the prothesa. Triple layer impression method was done in three step, first the impression material was injected to post aurale region (first layer), than injected to internal surface of ear (second layer). Subsequently, the third layer of impression material was partially filled into the tray and external surface of ear.The result of triple layer impression method in the making of auricular prosthesis is triple layer of solid irreversible hydrocolloid but separatable completly. Conclusion of this case report is the triple layer impression method is suitable for making an auricular prosthesis.

TITANIUM MESH APLICATION ON ANTERIOR ALVEOLAR PROCESS AUGMENTATION PROCEDUR : A CASE REPORT Helmi Fathurrahman; Rikko Hudyono
ODONTO : Dental Journal Vol 7, No 1 (2020): July 2020
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.7.1.68-72

Background: Bone reconstruction in a dental implant is a big challenge work, especially in a large defect where there was no anatomic supporting tissue. Nowadays there is no ideal membrane to be considered. In this case, titanium, even though second surgery is needed, seems the best choice as it can maintain its shape under the flap. Titanium may cause a membrane perforation on the mucosa in a thin gingival phenotype case. Purpose: This case report aimed to present a bone reconstruction procedure using 3D titanium membranes for dental implant treatment. Case. A 37 years old male patient came to the clinic with a chief complaint was a defect on his anterior tooth. Intraoral examination revealed an 11 fractured and luxated. Methode and Treatment Result: We used an allograft covered with 3D Titanium mesh after loading a dental implant. At the end of the surgery, a resorbable membrane was applied. Conclusion: It is concluded that 3D Titanium mesh can be an application for anterior bone reconstruction.

PENGARUH FRAKSI VOLUME FIBER SISAL (Agave sisalana) TERHADAP KEKUATAN FLEKSURAL RESIN KOMPOSIT Eko Hadianto, Liftia Layyinatus Syifa, Helmi Fathurrahman Hanafie
ODONTO : Dental Journal Vol 5, No 2 (2018): December 2018
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.5.2.139-144

Background: Composite resin is filling material that used in dentistry fieldbecause of good aesthetic. Use of fiber as reinforced composite resin (FRC)begins to be developed because it has a lot of functions, such as increasestrength, stiffness, material hardness from fracture, and decrease shrinkage.Fiber composite resin has syntetic characteristic and needs chemical processalso has an expensive price. Therefore, natural fiber is easier to find, cheaper and can be developed as an alternative substitute of syntetic fiber. One of the natural alternative is sisal fiber. This study aims to know the effect of volume fraction of sisal fiber to composite resin flexural strength with sisal fiber concentration 1%, 2%, 3%, 4%.Method: This study was true experimental with post test only control groupdesign which divided into 4 groups RK+FS 1% (K1), RK+FS 2% (K2), RK+FS3% (K3), RK+FS 4% (K4). The data was analized using one way ANOVA assayand Post Hoc with significant degree 5%.Results: Mean of flexural strength sum K1=50,87 MPa, K2=42,96 MPa,K3=33,94 MPa, K4=24,32 MPa. Result of one way ANOVA assay showed valuep=0,000. Result of further assay Post Hoc showed K1 with K2 p=0,002, K1 withK3 p=0,000, K1 with K4 p=0,000, K2 with K3 p=0,001, K2 with K4 p=0,000, K3with K4 p=0,000.Conclusions: Concluded that there is good effect of sisal fiber volume fractionto composite resin flexural strength. Flexural strength RK+FS 1% has higherstrength than RK+FS 2%,3%,4%. Sisal fiber could become a natural fiberalternative in dentistry restoration material.

PENGARUH POSISI SERAT KACA (FIBERGLASS) YANG BERBEDA TERHADAP KEKUATAN FLEKSURAL FIBER REINFORCED ACRYLIC RESIN Aprilia Dian Fatimina; Benni Benyamin; Helmi Fathurrahman
ODONTO : Dental Journal Vol 3, No 2 (2016): December 2016
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.3.2.128-132

Background: One of factor that increases the flexural strenght of fiberreinforced acrylic resin is a fiberglass position . Fiberglass is one of type that can be used in dentistry. The aim of this was to determine the influence of position of fiberglass to the flexural strenght of fiber reinforced acrylic resin.Method: This study was in vitro laboratory experimental. Samples was 16plate spesimens (65x10x2.5mm). The study group was divided into 4 group : 3 groups of fiber reinforced acrylic resin were given fiberglass at the upper, middle, and bottom side and 1 control group of resin acrylic without fiberglass. All of groups would be in the flexural strenght test with a three-point bending test using a universal testing machine.Result: Based on One Way ANOVA test showed that there were significantvalue 0.000 (p<0.05), it concluded that there were significant influencebetween all the groups. Based on the LSD Post Hoc test showed that therewere significant value between all of groups with fiberglass reinforced andcontrol group without fiberglass reinforced. Comparisson between the group that given fiberglass in a upper and middle side with the group that given in bottom side showed value of significant difference (p < 0.05).Conclusion: The result of study was concluded that there was an influenceon the position of fiberglass to flexural strenght of fiber reinforced acrylic resin

The Effect of Consumption of Marine Fish Nanoparticles on the Hardness of Teeth Enamel in Mice (Mus Musculus) Waritsa Arbyta Putri; Sandy Christiono; Helmi Fathurrahman
Jurnal Kesehatan Gigi Vol 8, No 2 (2021): Desember 2021
Publisher : Jurusan Keperawatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v8i2.7611

Struktur enamel terdiri dari 96 % bahan anorganik, 4% bahan organik, air dan jaringan fibrosa. Ikan laut memiliki banyak kandungan seperti Kalsium, Taurine, Omega 3, PUFAs, Vitamin A, Vitamin D, dan Fluorida yang memiliki fungsi dapat meningkatkan kekerasan enamel gigi. Penelitian ini bertujuan untuk mengetahui pengaruh konsumsi serbuk nanopartikel ikan laut terhadap kekerasan enamel gigi anak mencit (mus musculus).Metode penelitian ini menggunakan jenis penelitian True Experimental dengan rancangan penelitian menggunakan Post Test Only Control Design, terdiri dari 2 kelompok yaitu kelompok kontrol diberi pakan normal dan kelompok perlakuan diberi serbuk nanopartikel ikan laut dengan dosis 2,17 mg / 0,5 ml. Sampel yang digunakan adalah 16 ekor anak mencit kemudian masing-masing anak mencit diambil gigi insisivus. Selanjutnya gigi anak mencit dilakukan uji kekerasan Micro Vickers Hardness Tester, kemudian dianalisa dengan uji statistic. Hasil penelitian menunjukkan bahwa terdapat perbedaan signifikan antara kelompok perlakuan dan kelompok kontrol dengan signifikasi Independent T-test 0,000 (p0,05) pada rahang atas. Kesimpulan yang diperoleh adalah pemberian serbuk nanopartikel ikan laut dapat meningkatkan kekerasan enamel gigi secara signifikan dalam proses tumbuh kembang gigi janin mencit. Kata kunci : kekerasan enamel gigi; serbuk nanopartikel ikan laut; micro vickers hardness tester

Periodontal Splinting Choises For Patient With Edentulous Adisty Restu Poetri; Helmi Fathurrahman; Anggun Amanda Saveria
Denta Journal Kedokteran Gigi Vol 15 No 2 (2021): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v15i2.4

Background: Mobile tooth is a problem that often occurs and result in tooth loss. It caused by disease or periodontal tissue’s injury. Splint is a device that is made to stabilize or tighten mobile tooth due to a trauma or disease. It works by distribute the occlusion pressure to reduce tooth mobility. Removable partial denture frame is one treatment for missing teeth and permanent splints. Objective: The aim of this treatment is to explained effect of periodontal splints for edentulous patient. Case: First case: A woman complained mobile teeth on the incisors. Intraoral examination showed remaining teeth couldn’t be abutment. Second case: A woman complained mobile teeth on the incisors. Intraoral examination showed remaining teeth could be abutment. Case management: First case: Patient was given initial therapy and continued with rehabilitative therapy by removable partial denture metal frame. Second case: Patient was given initial therapy splinting using fiber reinforced composite. A week post treatment patient felt comfortable. Conclusion: It can be concluded periodontal splinting reduced teeth mobility and prevent further damage to the periodontal tissue og Edentulous patient.

EFFECT OF SILANIZED TITANIUM DIOXIDE ON TENSILE STRENGTH OF SELF-CURED ACRYLIC RESIN Helmi Fathurrahman; Teguh Tri Widodo; Wirda Yunita Darwis
Jurnal Medali Vol 4: Special Issue 1. Desember 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.4.3.34-40

Background: Self-curing acrylic resin is a material used to make artificial tooth bases as well as reparate it when there is a fracture on the tooth bases. Titanium dioxide is one of the metal oxides that can be added to acrylic resins as an addition materials. This study aims to determine the effect of adding silanized titanium dioxide filler (TiO2) on tensile strength of self-cured acrylic resin. Methods: This study is a true experimental laboratory study with the design post test only group design, using self-cured acrylic resin plates amounting to 24 plates measuring 165mm x 13mm x 3mm divided into groups of 4 with adding and without adding silanized TiO2. The self-cured acrylic resin plate mixed with silanized TiO2 was tested for tensile strength with a Universal Testing Machine. The data obtained were analyzed with Kruskal-Wallis test. Results: There is an effect of adding titanium dioxide filler (TiO2) to the tensile strengthof self-cured acrylic resin with the highest tensile strength value at 26,1327 MPa ± 2,29608.Conclusion: 5% titanium dioxide filler showed the highest tensile strength than other groups.

TITANIUM MESH APLICATION ON ANTERIOR ALVEOLAR PROCESS AUGMENTATION PROCEDUR : A CASE REPORT Helmi Fathurrahman; Rikko Hudyono
Odonto : Dental Journal Vol 7, No 1 (2020): July 2020
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: Bone reconstruction in a dental implant is a big challenge work, especially in a large defect where there was no anatomic supporting tissue. Nowadays there is no ideal membrane to be considered. In this case, titanium, even though second surgery is needed, seems the best choice as it can maintain its shape under the flap. Titanium may cause a membrane perforation on the mucosa in a thin gingival phenotype case. Purpose: This case report aimed to present a bone reconstruction procedure using 3D titanium membranes for dental implant treatment. Case. A 37 years old male patient came to the clinic with a chief complaint was a defect on his anterior tooth. Intraoral examination revealed an 11 fractured and luxated. Methode and Treatment Result: We used an allograft covered with 3D Titanium mesh after loading a dental implant. At the end of the surgery, a resorbable membrane was applied. Conclusion: It is concluded that 3D Titanium mesh can be an application for anterior bone reconstruction.

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