Uliani, Hanna Mentari
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Case management of young patients with temporomandibular Osteoarthritis joint disorders using stabilization splint,self-therapy, and chondroitin sulfate-glucosamine supplements Uliani, Hanna Mentari; Ricca Chairunnisa; 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.v5i2.200

Abstract

Introduction: Osteoarthritis (OA) is a disorder of the temporomandibular joint which results in permanent changes to TMJ. Scissors bite and bad habits are one of the etiological factors of OA. OA causes deviation when opening the mouth, limitations of mouth opening, and joint crepitus sounds. Use of stabilization splints (SS), physical therapy, and consumption of chondroitin sulfate-glucosamine supplements aimed at reducing joint pain, relaxing TMJ muscle, and preventing joint damage. Case report: A 22-year-old female patient came to North Sumatera of Dental Hospital with complaints stiff jaw when opening her mouth, especially in the morning. Complaints of pain occurred since skelling treatment 3 years ago. Clinical examination showed scissors bite and a habit of chewing on the right side. Palpation of the right anterior temporalis muscle revealed familiar pain and joint crepitus sound. Based on DC/TMD assessment, the patient had OA where the mouth opening is 35 mm without pain and 38 mm with pain accompanied by a left deviation of 1.5 mm. On CBCT examination there was flattening on the TMJ surface. Treatment is carried out by using SS every day and consuming chondroitin sulfate-glucosamine supplements once a day accompanied by self-therapy. Self-therapy is carried out alone by practicing opening and closing the jaw for 15 minutes every day. After 6 months is obtained without assisted mouth opening of 36 mm to 41 mm. There is no pain on palpating muscles but there is still a crepitus sound when opening and closing the mouth. Conclusion: Treatment of OA with SS, self-therapy, and consumption of Chondroitin Sulfate-Glucosamine supplements is effective in reducing TMJ joint pain and muscle stiffness through chondroitin stimulation mechanism so that prevents further degenerative processes. Keywords: Temporomandibular joint disorder, Osteoarthritis, Stabilization splints, Cone beam computed tomography, Chondroitin sulfate-glucosamine.
The role of intraoral abrasion pressure with alumunium oxide on the bond strength of resin cement in adhesive bridge restorations Uliani, Hanna Mentari; Putri Welda Utami Ritonga; Haslinda Z. Tamin
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.v5i1.199

Abstract

Background: Adhesive bridge is a fixed denture with minimal abutment preparation attached with resin cement. Exposure of the dentin during preparation in the posterior region causes frequent detachment of the adhesive bridge. This is due to the presence of fluid and changes in the smear layer on the dentinal tubules, to increase bond strength, the intraoral abrasion method was developed. Intraoral abrasion is a mechanical technique using air and water sprays to produce tooth surface roughness while increasing bond strength without damaging the tooth structure. Objective: One of the intraoral abrasion materials used is aluminum oxide (Al2O3). One of the operating parameters of intraoral abrasion that can affect bond strength between resin cement and the tooth surface is pressure. Optimal intraoral abrasion pressure with Al2O3 and the right type of resin cement aims to create tooth surface roughness while increasing the bond strength of resin cement in adhesive bridge restorations. Conclusions: The success of adhesive bridges, especially in the posterior area, cannot be separated from the role of optimum intraoral abrasion pressure on the tooth surface. The correct use of intraoral abrasion pressure can increase the bond strength of resin cement on the tooth surface while reducing tooth structure damage. Keywords: adhesive bridge, adhesive resin cement, intraoral abrasion, alumunium oxide, water airborne abrasion.