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HUBUNGAN JUMLAH DAN KUADRAN KEHILANGAN GIGI DENGAN TINGKAT KEPARAHAN GANGGUAN SENDI TEMPOROMANDIBULA PASIEN RSGM USU hasanah, Uswatun; Chairunnisa, Ricca
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 12 No 3 (2018): Jurnal Ilmiah PANNMED Periode Januari-April 2018
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.834 KB)

Kehilangan gigi posterior dapat menyebabkan perubahan sekunder seperti malposisi gigi yang tersisa. Kehilangan gigi posterior di beberapa kuadran akan diikuti dengan hilangnya kontak oklusal yang mengganggu kestabilan lengkung gigi sehingga mengakibatkan ketidakseimbangan oklusi. Hal ini dapat mengakibatkan gangguan pada sendi temporomandibula. Tujuan penelitian ini adalah untuk mengetahui prevalensi tingkat keparahan gangguan sendi temporomandibula berdasarkan usia dan jenis kelamin serta melihat hubungan antara jumlah dan kuadran kehilangan gigi posterior dengan tingkat keparahan gangguan sendi temporomandibula. Penelitian ini dilakukan dengan wawancara dan pemeriksaan klinis pada 50 orang pasien RSGM USU yang berumur di atas 17 tahun dengan kehilangan gigi posterior. Data dianalisis dengan uji deskriptif univariat dan uji Chi-Square. Hasil penelitian ini menunjukkan bahwa gangguan sendi temporomandibula dengan tingkat keparahan ringan dan sedang paling banyak dialami pada usia 17-25 tahun, dan keparahan berat dialami pada usia 36-45 dan 46-55 tahun. Setiap variasi tingkat keparahan gangguan sendi temporomandibula paling banyak dialami oleh perempuan. Hasil penelitian ini menunjukkan tidak ada hubungan antara jumlah dan kuadran kehilangan gigi posterior dengan tingkat keparahan gangguan sendi temporomandibula, namun tingkat keparahan berat hanya ditemukan pada kelompok jumlah kehilangan gigi posterior lebih dari sama dengan tiga gigi dan jumlah kuadran kehilangan gigi posterior pada keempat kuadran

Communityserviceforinfantswithcleftlipand palate at Mitra Sejati andGrandmed Hospital North Sumatera Syafrinani, Syafrinani; Chairunnisa, Ricca; Rusdy, Hendry
Indonesian Journal of Prosthodontic Vol 2, No 1 (2021): June 2021
Publisher : Indonesia Prosthodontic Association

Cases of cleft lip and palate (CLP) in infants were many in Medan and surrounding areas.There were about 150 cases of infants with CLP in a year handled by Mitra Sejati Medan Hospital andGrandmed HospitalLubuk Pakan,butthetreatmentgiven was only surgical treatment,while the follow-up care,which isthefabricationofartificialpa-late or feeding plate before or after surgery,cannot be facilitated.Until now CLP further treatment cannot be done becausetheparentsdonotknowthetreatmentand most of them came from groups with low socio-economic level andthefabricationof feedingplaterequiredhigh costs.To overcome this problem,we held communityserviceby fabricating feeding plates as feeding aids for babies with CLP.The method used to achieve this goalofserviceis collectingdatafrompatientswithCLPinthetwohospitals,generalexaminationbypediatrician,makingtheimpression of the oral cavity to create the working cast,making outline design,doing thewaxpatternandfeeding plate fabrica-tioninthe laboratory using hard and soft acrylic materials combination.The insertion of feedingplatesisperformed at the hospital and evaluated whether the baby can drink milk normally using a bottle. Body weight changes are evaluated every month until the baby is declared ready for surgery.

Prosthodontic and comprehensive treatment of temporomandibular disorders Andreas, Andreas; Aidilla, Dara; Chairunnisa, Ricca
Indonesian Journal of Prosthodontic Vol 2, No 2 (2021): December 2021
Publisher : Indonesia Prosthodontic Association

Temporomandibular disorder (TMD) is the common term used to describe a range of disorder affecting the temporomandibular joint (TMJ). Facial pain is a common symptom that patients present to their dentist, and TMDs represent a significant proportion of the non-dental causes of this pain. These disorders can have a profound effect on a patientâ€™s quality of life. The management goals for the prosthodontist are patient comfortable, occlusal stability and the complex restoration of the teeth.

Feeding Plate Fabrication for Infants with Cleft Palate Congenital Disorder at Mitra Sejati Hospital Medan and Grandmed Hospital Lubuk Pakam: Pembuatan Alat Feeding Plate untuk Bayi dengan Kelainan Bawaan Celah Langit-Langit di Rumah Sakit Mitra Sejati Medan dan Rumah Sakit Grandmed Lubuk Pakam Chairunnisa, Ricca; Syafrinani; Rusdy, Hendry
Dentika: Dental Journal Vol. 25 No. 1 (2022): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v25i1.8529

Cleft lip and palate (CLP) are one of the birth defects commonly found in Medan and surrounding areas with approximately 150 cases handled annually at Mitra Sejati and Grand Med Hospitals. Generally, labioplasty surgery is the only given treatment, but fabrication of the feeding plate before or after surgery is important to cover the palatal defect. From the prosthodontics aspect, fabrication after surgery cannot be performed because most parents do not know the importance of the feeding plate. To overcome this problem, community service was conducted by fabricating feeding plates that will be given 1 week after surgery. This was achieved by getting information about patients with CLP, general examination by paediatricians, the impression of the oral cavity in the operating room before surgery, outline design, and feeding plate fabrication at the dental laboratory. Subsequently, the insertion was carried out to evaluate whether infants can drink normally using a bottle. A total of 18 infants with CLP recognized the benefits of the feeding plate in Mitra Sejati and Grand Med Hospitals. The education given had a positive effect on knowledge about the importance of feeding plate and motivation for its use to make infants drink normally and gain weight according to age.

The increasing risk of temporomandibular disorder and articular eminence inclination due to tooth loss Chairunnisa, Ricca; Harahap, Rahmadhani
Padjadjaran Journal of Dentistry Vol 34, No 2 (2022): July
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no2.33067

ABSTRACTIntroduction: Tooth loss leads to increased biomechanical pressure in the temporomandibular joint due to changes in the functional movement pattern of the jaw, resulting in joint structure damage specifically change of the articular eminence inclination (AEI) angle, which is one of the increased risks of the temporomandibular disorder (TMD). This study aimed to analyze the relationship between the number and quadrants of tooth loss on TMD and the AEI. Methods: It was descriptive-analytic study using a cross sectional design. The study was done in Universitas Sumatera Utara (USU) Dental hospital, conducted questionnaires and panoramic radiographic on 42 subjects aged over 18-64 years with tooth loss. Data analyzed used Chi-square analysis. Results: The prevalence of TMD on the ≥3 tooth loss group by 82.6% and the four-quadrant group by 93.8%. The prevalence of change in the AEI on the ≥3 tooth loss group was 34.8% on the flat right side, while on the left side of 26.1% was flat, and 13% was steep. Based on the number of quadrants tooth loss, the highest was on the four-quadrant group by 50% on flat right side, and on the three-quadrant group was 25% flat, 25% steep on the left side. There was a significant relationship between the number of tooth loss (p=0.023), the number of tooth loss quadrants, and TMD (p=0.016). There was no relationship between the number of tooth loss and the AEI, except for the number of tooth loss quadrants and the AEI on the right side with a significant result (p=0.017). Conclusion: There was relationship between the number of tooth loss, the number of tooth loss quadrants, and TMD and there was no relationship between the number of tooth loss and the AEI, except for the number of tooth loss quadrants and the AEI on the right side.Keywords: Edentulous; tooth loss; temporomandibular disorder; inclination of articular eminence.

Combination of occlusal splints and light therapy in temporomandibular disorder: Kombinasi splin oklusal dan terapi lampu pada temporomandibular disorder Paulina, Tiroi; Syafrinani; Chairunnisa, Ricca
Makassar Dental Journal Vol. 13 No. 3 (2024): Volume 13 Issue 3 Desember 2024
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v13i3.1172

The most common temporomandibular disorder (TMD) is disc displacement with reduction (DDWR). Clicking as a characteristic symptom of DDWR requires conservative treatment such as occlusal splint. However, other accompanying symptoms such as pain in the masticatory muscles require additional treatment like physiotherapy. This paper aims to describe DDWR treatment using a stabilization splint and physiotherapy using infrared lamp therapy. A 33-year-old male came to the Prosthodontics Clinic with chief complaints that there is soreness on right jaw when he wakes up in the morning and was aware of it since a year ago. The patient has a habit of teeth grinding during sleep. Clinical examination, a sound on the right and left jaw joint when opening and closing the mouth, mouth opening without pain of 50.5 mm with deviation to the right, pain in the muscles around the face, especially the masseter, temporalis and trapezius. Radiograph shows the position of the right and left mandibular condyles an-terior to the articular tubercle. A stabilizing splint is used for symptomatic treatment and physiotherapy is carried out in the form of infrared lamp therapy. It is concluded that the combination of stabilizing splint and infrared lamp therapy can reduce pain and clicking in TMD’s patients.

Evaluation of the effectiveness of occlusal splint therapy and exercise therapy on temporomandibular disorders: A systematic review Cahyani, Irvi; Chairunnisa, Ricca; NA, Ahmad
Padjadjaran Journal of Dental Researchers and Students Vol 8, No 3 (2024): October 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v8i3.58960

ABSTRACTIntroduction: Temporomandibular disorders (TMD) involve the temporomandibular joint, masticatory muscles, and associated structures, presenting with various symptoms such as difficulty in chewing, speaking, and other orofacial functions. Common treatment options for TMD include occlusal splint therapy and exercise therapy. This study aims to evaluate the effectiveness of occlusal splint therapy and exercise therapy in managing TMD through a systematic review. Methods: Literature searches were conducted in PubMed, ProQuest, and Google Scholar, covering publications from 2012 to 2022. The keywords used included ("temporomandibular disorders") AND (exercise OR physiotherapy OR "exercise therapy") AND ("splints" OR "occlusal splints" OR "occlusal appliance" OR "occlusal splint therapy"). Data synthesis was performed using qualitative data analysis techniques. Results: Based on the search results, 1,707 articles were identified. After checking for duplicates and filtering according to PICOS and inclusion criteria, 7 articles were found to be eligible. From the results that had already been obtained and analyzed, occlusal splint therapy and physical exercise therapy had the same effectiveness but had their own advantages and disadvantages. Both therapies demonstrated a reduction in pain and improvement in limited mouth opening. Conclusion: There is no difference in the effectiveness of occlusal splint therapy and exercise therapy for managing TMD. Considering their respective benefits and limitations, exercise therapy may be recommended as an initial treatment for TMD, while occlusal splint therapy can be employed for specific pathological conditions or as a complementary treatment in advanced cases.KEY WORDS: temporomandibular disorders, occlusal splint therapy, exercise therapyEvaluasi efektivitas terapi splin oklusal dan terapi fisik latihan terhadap gangguan temporomandibular: systematic reviewABSTRAK Pendahuluan: Gangguan Temporomandibular (TMD) melibatkan sendi temporomandibular, otot pengunyahan, dan struktur terkait, dengan gejala seperti kesulitan mengunyah, berbicara, dan fungsi orofasial lainnya. Pilihan perawatan yang umum untuk TMD adalah terapi splin oklusal dan terapi latihan. Penelitian ini bertujuan untuk mengevaluasi efektivitas terapi splin oklusal dan terapi latihan dalam menangani TMD melalui tinjauan sistematis. Metode: Pencarian literatur dilakukan melalui PubMed, ProQuest, dan Google Scholar dengan cakupan publikasi dari tahun 2012 hingga 2022. Kata kunci yang digunakan meliputi: ("temporomandibular disorders") AND (exercise OR physiotherapy OR "exercise therapy") AND ("splints" OR "occlusal splints" OR "occlusal appliance" OR "occlusal splint therapy"). Sintesis data dilakukan menggunakan teknik analisis kualitatif. Hasil: Berdasarkan hasil pencarian, ditemukan 1.707 artikel. Setelah dilakukan pengecekan duplikasi dan penyaringan berdasarkan PICOS serta kriteria inklusi, diperoleh 7 artikel yang sesuai. Berdasarkan hasil yang sudah didapatkan dan dianalisis, terapi splin oklusal dan terapi fisik latihan memiliki efektivitas yang sama namun memiliki kelebihan dan kekurangannya masing-masing. Kedua terapi tersebut dapat memberikan hasil mengurangi rasa nyeri dan perbaikan keterbatasan pembukaan mulut. Simpulan: Tidak ditemukan perbedaan dalam efektivitas terapi splin oklusal dan terapi latihan untuk menangani TMD. Berdasarkan kelebihan dan keterbatasannya, terapi latihan dapat direkomendasikan sebagai perawatan awal untuk TMD, sementara terapi splin oklusal dapat digunakan untuk kondisi patologis tertentu atau sebagai perawatan tambahan pada kasus lanjut.KATA KUNCI: gangguan temporomandibular, terapi splin oklusal, terapi latihan

The benefit of chitosan adding as a reinforcement material for polymethyl methacrylate provisional fixed dentures Aidilla, Dara; Chairunnisa, Ricca; Syafrinani
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.v5i2.205

Backgrounds: Provisional fixed partial denture (FPD) is an important procedure in prosthetic treatment such as crown or bridge. In particular cases, like crown lengthening as preliminary treatment, implant procedure until osseointegration process, and temporomandibular disorder as an occlusal therapy, the use of provisional FPD will take 3-6 months until the insertion of definitive restoration. Therefore, materials used in making a provisional FPD should be able to preserve the prepared tooth, maintain the periodontal conditions, and have superior esthetic for a long time. Self-cure polymethyl methacrylate (PMMA) is a most commonly used material due to its biocompatibility, high wear resistance, ease of application, and superior esthetic. Nonetheless, unmodified self-curing PMMA has weaknesses due to its degradation process in the oral cavity, which affects its mechanical and physical properties. To overcome this, addition of reinforcement material, namely chitosan, in provisional FPD is necessary. Chitosan is polymer compound obtain through partial deacetylation of acetyl glucosamine through deacetylation of chitin base and modified into magnetic nanoparticles with size 100-400 nm to increase absorption power. The addition of nanotechnology to polymeric materials has shown significant appeal and improved mechanical and physical properties. Objectives: This review aims to explain the use of chitosan material in addition to self-cure PMMA provisional FPD to improve its mechanical and physical properties. Conclusion: Chitosan material can be an alternative option to improve the mechanical and physical properties of self-cure PMMA. Keywords: provisional fixed partial denture, self-cure PMMA, chitosan

Analysis of Stress Distribution on Knife-Edge with Various Occlusion Schemes Using Jhonson; Chairunnisa, Ricca; Nasution, Ismet Danial
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.v5i2.224

Edentulism is an oral health problem that has an impact on quality of life because it causes a loss of balance in the stomatognathic system with disruption of mastication. The impaired masticatory function can be exacerbated from knife-edge conditions, thus the masticatory load received by the mucous in the form of stress distribution becomes greater. One of the efforts to reduce stress concentration is to modify the occlusion concept and anatomical shape of the artificial teeth. However, measuring the stress distribution on edentulous mucous with various occlusion schemes was difficult with in vivo and in vitro tests due to inability to represent the complex system of stomatognation. In silico test with A) can be a solution because the modeling simulation is obtained from CT-scan or digital design. This paper discusses the stress distribution analysis on knife-edge condition with various occlusion schemes using FEM. Stress distribution that exceeds the mucous pressure-pain threshold during denture function will cause poor mastication performance. This paper discusses the analysis of stress distribution under knife-edge ridge conditions with various occlusion schemes using FEM. Stress distribution that exceeds the mucous pressure-pain threshold during denture function will cause poor mastication performance. The use of Lingualized or Monoplane occlusion schemes can be a solution because they use semi-anatomical and non-anatomical artificial teeth to reduce the load passed on the cusp and also minimize resistance during lateral movement. The advantages of FEM in obtaining accurate modeling and flexibility in testing allow analyses that are difficult to perform in in vivo and in vitro, FEM measure stress distribution and its relationship with pain on knife-edge ridge base on various occlusion schemes in complete dentures.

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