Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
P-Index
This Author published in this journals
All Journal Indonesian Journal of Prosthodontics
Ira Tanti
Unknown Affiliation
Dentistry

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Management of TMD in patient with canted occlusal and asymmetry Fitrya Dyah Wijayanti; Ira Tanti
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.v5i2.271

Abstract

Facial asymmetry can disturb not only appearance but also function. The most characteristic of the TMJ internal derangement (ID) is the disc displacement in patient with face asymmetry. To report the successful treatment of TMJ ID in class 2 malocclusion with canted occlusal plane and facial asymmetry. A 22-year-old male patient came refer by the Orthodontics Department with chief complaints of slanted jaw and bite, soreness, tension in front of right ear region. History of closed lock on his right jaw and had clicking on his left. He’s a daytime bruxer. Clinical examination showed visible canting in the occlusal plane, reciprocal clicking in the left TMJ, limited movement and deviation when opening and closing the mouth. Based on panoramic x-ray, the left mandibular ramus was longer than the right. The DC-TMD diagnosis is disc displacement with reduction on the left and disc displacement without reduction without limited opening on the right TMJ. A stabilization appliance (SA) was fabricated for him. Patient was instructed to do jaw exercise, and physical-self regulation (PSR). Patient was also told that emotional stress, and bad habit should be reduced. After 4 months using the SA, and doing the jaw exercise and PSR, the patient showed significant improvement. Soreness and tension had disappeared, and facial asymmetry was getting better. Patient then was referring to Orthodontic Department to treat his malocclusion. SA, jaw exercise and PSR were a good treatment choice to manage the TMJ ID. Keywords: facial asymmetry, TMJ internal derangement, disc displacement
Semirigid fixed bridge management with nonvital abutment and narrowed space Delivia; Ira Tanti
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.298

Abstract

The prevalence of partial edentulism in adults underscores the increasing demand for tooth replacement options. Fixed partial dentures (FPDs) are widely accepted for this purpose. FPD success hinges on factors such as abutment condition, retainer, connector type, pontic design, and edentulous span. A five-unit fixed bridge with a pier abutment requires a non-rigid connector to enhance prosthetic longevity. Moreover, narrowed spaces require more attention. Analysis and diagnostic wax-up are needed for treatment planning. This case presenting the management of a five-unit semirigid fixed bridge with a non-vital pier abutment and narrow space using diagnostic wax-ups. A 62-year-old woman presented with a missing right mandibular first premolar and first molar, with the right mandibular canine and second molar serving as terminal abutments, and a non-vital second premolar serving as a pier abutment. The space between the canine and non-vital second premolar is narrower than normal. Analysis and diagnostic wax-up were done to ensure the space is enough and to avoid excessive reduction, mainly the canine, as it is a vital tooth. The non-vital pier abutment, which has been endodontically treated before, was strengthened with a fiber post. Continued with tooth preparation and fabrication of a five-unit porcelain fused to metal semi-rigid fixed bridge. The design of FPD plays an important role in the success of FPDs. The edentulous span and non-vital pier abutments require more attention; also, non-rigid connectors act as stress breakers to maintain the longevity of all components of FPDs. Keywords: fixed partial denture, non-rigid connector, pier abutment, non-vital abutment
Co-Authors Delivia Fitrya Dyah Wijayanti