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All Journal Majalah Kedokteran Gigi Indonesia Padjadjaran Journal of Dentistry
Nursin, Rohmat
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Fabrication of complete dentures with aluminum foil spacer for torus palatinus: a case report Alifiani, Rizki Indah; Prissynisa, Sarah Taskia; Kunsputri, Fahma Aldihyah; Nursin, Rohmat
Padjadjaran Journal of Dentistry Vol 36, No 3 (2024): November 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no3.59222

Abstract

Introduction: The success of denture fabrication depends on retention and stabilization. The condition known as torus palatinus manifests as a nodular exophytic proliferation of compact bone along the central axis of the hard palate. The large size of the torus palatinus compromises retention and stabilization of dentures. This article describes the prosthodontic treatment for an edentulous patient with a big palatal torus palatinus, utilizing an aluminum foil spacer for the fabrication of a complete denture. Case report: A 69-year-old woman presented to RSGM UMY, reporting difficulty chewing and having all her teeth missing in the arch with a torus palatinus. A maxillary prosthesis was constructed utilizing a spacer that incorporated aluminum foil specifically within the region of the palatine torus. The presence of this bony growth in the palatine region can make the process of creating a complete denture for a patient with a torus palatinus more difficult. The modifications made to ensure patient comfort, functional stability, and optimal denture retention while accommodating the torus are what make the treatment process special. Furthermore, the aluminum foil spacer was designed to provide retention support for the complete denture. Conclusion: To ensure the stability and retention of the complete denture in a patient with a torus palatinus, the impression must generate a vacuum space. In cases of torus palatinus, in addition to employing a window design on the maxillary base plate, an aluminum foil spacer can be utilized over the relief of the torus, with the maxillary base plate covering the torus completely.
Analysis of condylar head density and morphology in osteoporosis and non-osteoporosis patients: an observational descriptive study Putri, Gina; Jamil, Nur; Epsilawati, Lusi; Sitam, Suhardjo; Lita, Yurika; Nursin, Rohmat
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): March 2025
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59209

Abstract

Introduction: Osteoporosis is a systemic bone disease characterized by increased bone fragility and susceptibility to fractures, decreased bone mass and changes in the bone’s microscopic structure, leading to increased porosity and decreased strength. This study aimed to evaluate the differences in the mandibular bone density and condylar head morphology between osteoporosis and non-osteoporosis patients. Methods: The study used an observational descriptive design with a cross-sectional approach. The study population using secondary data consisted of all panoramic radiography photos collected over a six-month period from July to December 2019.  A total of 24 radiographs were included, comprising women with osteoporosis (age 40 to 60 years) and without osteoporosis (aged 40 to 50 years). Bone density was measured using a region of interest (ROI) of 3x3mm through histogram analysis, while condyle shape was evaluated visually. The collected data were processed with t-test results. Results: This study found that right condyle osteoporosis mean 137.51 ± 17.3, right condyle non osteoporosis 143.65 ± 21,1. Left condyle osteoporosis 133.46 ± 18,6, and left condyle non osteoporosis 143.64 ± 18. The mandibular bone density in condylar region was lower in osteoporosis patients by 6.14 pixels on the right side and 10.48 pixels on the left side. The result of the statistical analysis in all groups were p value > 0,05. However, the t-test results indicated no statistically significant differences between two groups. In terms of morphology, the oval shape was the most common in both groups. The bird beak shape was observed exclusively in the osteoporosis group, while the flat shape was more prevalent in the non-osteoporosis group. Conclusion: This study suggests that the mandibular bone density in osteoporosis patients is lower than in the non-osteoporosis group. However, this difference was not statistically significant. Additionally, changes in condylar head morphology did not correlate with osteoporosis status or reflect the observed differences in bone density.
Differences in bone quality and condylar head shape between patients with type 2 diabetes mellitus and non-diabetic patients Amalia, Rahmi; Harqad, Teuku; Epsilawati, Lusi; Damayanti, Merry; Nursin, Rohmat
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.103504

Abstract

This study aimed to compare bone quality—assessed through mandibular bone density—and condylar head shape between patients with type 2 diabetes mellitus (DM) and non-diabetic (non-DM) individuals, using bone histogram values derived from panoramic radiographs. An observational descriptive design with a cross-sectional approach was employed. The study population comprised all panoramic radiographic records collected during the study period. The sample consisted of 25 radiographs: 11 from male patients (DM and non-DM) and 14 from female patients (DM and non-DM), aged 40–60 years. Bone density was measured using a histogram analysis within a 4 × 4 mm region of interest (ROI) in the condylar head area, and the condylar head shape was also evaluated. Statistical analysis was subsequently performed. The findings revealed no statistically significant difference in mandibular bone density in the condylar area between DM and non-DM patients (p > 0.005). Similarly, the condylar head shape was predominantly oval in both groups. While individuals with type 2 DM tended to exhibit lower bone density values than non-DM individuals, the difference was not statistically significant. No significant differences in bone density were observed between the left and right condylar heads. However, variations in condylar head morphology were noted.
Co-Authors Alifiani, Rizki Indah Amalia, Rahmi Damayanti, Merry Harqad, Teuku Jamil, Nur Kunsputri, Fahma Aldihyah Lita, Yurika Lusi Epsilawati Prissynisa, Sarah Taskia Putri, Gina Suhardjo Sitam, Suhardjo