Tri Nurrahman
Department Of Oral And Maxillofacial Surgery, Faculty Of Dentistry University Of Lambung Mangkurat Banjarmasin, Indonesia

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Mandibular quality assessment in women aged 40-60 years using mandibular cortical index and antegonial index on panoramic radiographs Norlaila Sarifah; Riky Hamdani; Tri Nurrahman
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 6 No 3 (2022): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v6i3.943

Abstract

Objectives: This study aimed to describe the cortical quality of the mandible in women aged 40-60 years by analyzing the mandibular cortical index and antegonial index on panoramic radiographs. Materials and Methods: This study was a cross-sectional analytic descriptive study, population, and sample using secondary data on panoramic radiographs of women aged 40-60. The descriptive analysis technique used in this study was the average value (mean), standard deviation, and thickness of the mandibular cortex in radiographs of female patients aged 40-60 years. Results: This study observed variations in mandibular cortical bone quality on panoramic radiographs, with increasing age, bone quality tends to decrease, and there is an effect of gender involvement. Women tend to have lower bone quality, one of which is due to hormonal factors. This study observed variations in mandibular cortical bone quality on panoramic radiographs, with increasing age, bone quality tends to decrease, and there is an effect of gender involvement. Women tend to have lower bone quality, one of which is due to hormonal factors. The age group at risk of osteoporosis had the lowest mandibular cortex width value in the age group of 51-60 years. Conclusion: This study produced a variety of panoramic radiographs of the mandibular cortical bone quality. The value of the width of the mandibular cortex gradually decreases with age. The value of mandibular cortex width is higher in the younger generation.
Surgical obturator of upper jaw post hemi-maxillectomy sinonasal cancer Debby Saputera; Hamita; Tri Nurrahman; Ita Amelia Fransiska; Hengki Robiyansyah
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.v4i1.173

Abstract

Surgical obturator is a maxillofacial prosthesis used in post-hemimaxillectomy patients to close defects and main-tain the integrity of components presents in the oral and nasal cavities due to sinonasal cancer. Maxillary defects in maxillofacial patients will lead to stomatognathic disorders and loss of confidence. Prosthetic rehabilitation is an im-portant procedure in palate reconstruction after sinonasal cancer surgery, include forms of treatment carried out in multidisciplinary cooperation with the ear, nose and throat, surgical oncology, oral surgery, and prosthodontics. This article provides information on post-hemimaxillectomy patient management with a surgical obturator. A 65-year-old female patient came to the prosthodontist of Gusti Hasan Aman Banjarmasin Dental and Oral Hospital, on referral from the Banjarmasin Alert Surgery Special Hospital with a diagnosis of sinonasal cancer with hemimaxillectomy and palate reconstruction. Before the operation, impression is carried out first on the maxillary area using algi-nate. The obturator shape is created by optimizing the retention of the remaining anatomical structures, creating de-signs on the model, creating clasp retention using wire 0.8, processing with acrylic, followed by postoperative obtu-rator insertion. It is concluded that surgical obturator can be used as post hemimaxillectomy rehabilitation.