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All Journal Indonesian Journal of Prosthodontics
Murti Indrastuti
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Dentistry

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A Immediate Surgical Obturator and Interim Obturator for Recurrent Nasal Cavity Cancer Patient with Aramany’s Class II: A Case Report Wardhana, Eugenius Bramianta; Franciscus Wihan Pradana; Murti Indrastuti; Intan Ruspita
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.v5i1.194

Abstract

The maxillary defect can interfere a patient’s speech, masticatory, aesthetic and psychologic. To overcome this problem, an obturator prosthesis is needed. This case report focuses on prosthetic rehabilitation for Aramany’s class II patient. In January 2022, a woman, 46 years old, was diagnosed with recurrent cavum nasi cancer. She got a subtotal maxillectomy at RSUP Dr. Sardjito. After maxillectomy, the patient was assigned a surgical obturator with vacuum formed retainer material to close the palate gap. One month after the operation, the patient came to Oral Clinic RSUP Dr. Sardjito for evaluation. On the intraoral examination, there was a maxillary defect in Aramany’s class II. Resin acrylic obturator with hollow bulb was made as an obturator interim. The obturator insertion showed that the palate gap was tightly closed by the acrylic plate. In this case, the obturator interim successfully helps the patient bring back the function of speech, masticatory, and aesthetics
Eyeglass Frame - Supported Nasal Prosthesis Rehabilitation: A Case Report Putri Dhianita Pratiwi; Haryo Mustiko Dipoyono; Murti Indrastuti; Titik Ismiyati
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.v5i1.237

Abstract

Patients with facial defects resulting from neoplasm, congenital malformation or trauma can be restored aesthetically and emotionally with facial prosthesis using different materials and retention methods to restore missing tissues and help patients to overcome social, psychological difficulties, and function. A nasal prosthesis can re-establish esthetic form and anatomic contours for midfacial defects. For successful results, a lot of factors such as harmony, texture, color matching and blending of tissue interface with the prosthesis are important. This clinical report describes the details of a prosthodontic rehabilitation of a 52-years old female patient, who came to RSGM UGM Prof. Soedomo who received partial rhinectomy and complaints of esthetic appearance. The treatment plan was making nasal prosthesis using high temperature vulcanized (HTV) silicone rubber using an eyeglass frame and adhesive silicone. Mechanical devices such as eyeglass frames can provide more retention and support for the nasal prosthesis. One week after insertion, the patient felt comfortable and had no complaints. Nasal prosthesis can cover the nasal defect and help to improve the patient’s quality of life.
Complex aesthetic rehabilitation with lithium disilicate veneers Wijaya, Wina M.; Murti Indrastuti; Intan Ruspita; Titik Ismiyati
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.v6i1.282

Abstract

Currently, demand on society for dental aesthetics has become increase especially dental veneer. Minimal invasive technique is the most advantageous technique in dental veneer due to pulp tissue remained safe and aesthetic aspect fulfilled. In this case is to give detail of aesthetic procedure to correct irregularities anatomical of the teeth using lithium disilicate veneers. A 20-year-old female patient came with a complaint of multiple diastema on anterior upper teeth. Based on objective examination 12 and 22 having peg-shaped and 53 maintain prolonged retention, agenesis and still sufficient. Multiple diastema between 53, 12, 11, 21, 22 and 23. Crown lengthening was performed on 53 to improve inciso-gingival ratio and tooth preparation for this case were using minimal invasive. Six units of lithium disilicate indirect veneer were placed using resin cement. Indirect veneers are placed with overjet and overbite are 3 mm, there is no changing contact maxillary and mandibular prior and following placement indirect veneers. Minimal invasive preparation involves in making the space needed for the restorative material of choice, outlining requirements for aesthetic needs, and outlining requirements that will make fabrication easier and created satisfactory result. After 2 months follow-up, veneers still retained well and stable, the veneers colour resembles natural teeth, tissue adaptation was also performed good and the patient is satisfied with the treatment results. Lithium disilicate veneers can be used as a treatment option for anterior teeth with deformities and primary tooth which still sufficient was performed. Keywords : indirect veneer; peg-shaped; primary tooth; lithium disilicate; cosmetic dentistry
Ocular prosthetic of patient with shallow socket: Different impression technique Putri, Nadya K.; Adella S. Maharani; Murti Indrastuti; Sri B. Barunawati
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.v6i1.283

Abstract

ABSTRACT The loss of an eyeball can be caused by trauma, surgery, or defects in the ocular area. Missing this part of the body can result in loss of vision and a decrease in self-confidence for the patient. Through our clinical report, a custom-made ocular prosthesis was made using acrylic resin materials which aims to provide rehabilitative care and restore patient self-confidence. A 27-year-old patient came to RSGM Prof. Soedomo for an ocular prosthesis after losing her eyeball due to an infection. Clinical examination revealed that the patient's ocular profile is convex while her eye sockets are shallow. This makes it challenging to create an ocular prosthesis. In this case report, the impression of work model uses two methods to determine the best way to make an impression of shallow eye sockets. Using an individual tray, one impression uses putty and light body, and the other uses light body only. Better results were obtained when the impression was made using the light body only in this case. The patient expressed satisfaction with her new custom-made ocular prosthetic. When compared to manufactured ocular prosthesis, custom-made prostheses offer superior fitting, comfort, and aesthetics, as they closely resemble the contralateral patient's natural eye. Keywords: Ocular prosthesis, Shallow eye socket, Impression technique.
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
Co-Authors Adella S. Maharani Endang Wahyuningtyas Franciscus Wihan Pradana Haryo Mustiko Dipoyono Intan Ruspita Pramudya Aditama Putri Dhianita Pratiwi Putri, Nadya K. Santoso, Tania Sri B. Barunawati Titik Ismiyati Wardhana, Eugenius Bramianta Wijaya, Wina M.