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All Journal Padjadjaran Journal of Dentistry B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah Jurnal Locus Penelitian dan Pengabdian
Meidarlina, Ista
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Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Electrical & Electronics Engineering Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Public Health

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Prosthetic management of anophthalmic socket with inferior orbital deficiency using custom acrylic ocular prosthesis: a case report Syahputra, Arman Adrian; Pramudita, Seto; Meidarlina, Ista; Damayanti, Lisda
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): April 2025 (Supplements 1)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59301

Abstract

Introduction: The loss of the bulbus oculi can occur due to congenital abnormalities or trauma. In severe trauma cases, enucleation is often necessary, involving the removal of the entire eyeball while preserving surrounding muscle and tissue. However, trauma may also damage the periocular muscles, affecting the fit and mobility of an ocular prosthesis, making rehabilitation more complex. The aim of this case report is to describe the clinical procedure and outcomes of fabricating a custom ocular prosthesis for a post-enucleation patient with compromised periocular muscle support due to trauma, emphasizing the importance of individualized prosthesis design in achieving optimal fit, aesthetics, and patient satisfaction..Case Report: This case presents the fabrication of a custom ocular prosthesis for a 40-year-old male patient who lost his left eye in a motorbike accident seven years ago. He previously used a prefabricated ocular prosthesis, which was uncomfortable, frequently dislodged, and did not fit his eye socket properly, significantly affecting his confidence and daily activities. His occupation as an online motorcycle taxi driver emphasized the need for a stable and aesthetically pleasing prosthesis. The rehabilitation process involved impression-taking with polyvinyl siloxane, wax sclera try-in for contour and retention assessment, acrylic sclera formation, iris and pupil positioning, and final prosthesis placement. Conclusion: This case report highlights the clinical challenges and solutions in managing an anophthalmic socket with inferior orbital deficiency through the use of a custom acrylic ocular prosthesis. The compromised support from the inferior periocular structures necessitated a highly tailored approach to ensure proper prosthesis retention, mobility, and aesthetic harmony. Through meticulous impression-taking, accurate iris positioning, and precise customization, the prosthesis successfully restored facial symmetry, improved patient comfort, and enhanced psychological well-being. This case underscores the importance of individualized prosthetic design in complex ocular rehabilitation cases, particularly those involving post-traumatic muscle loss. 
Management of Unilateral Cleft Lip and Palate using Presurgical Nasoalveolar-Molding Meidarlina, Ista; Alamsyah, Gian Nur
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 12, No 1 (2025): Vol 12 No 1 (Juni 2025)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v12i1.1738

Abstract

Cleft lip and palate (CLP) is a common congenital defect in craniofacial. The patient with  CLP experiences difficulty in breastfeeding which can affect their nutritional status. The presurgical nasoalveolar molding (PNAM) is a device used to overcome this problem. This case report aims to describe the pre-surgical treatment using PNAM with a Hotz-Kogo modification design.  This case report presented a two-week-old infant who had unilateral CLP. The alar base widened, the pro-labium and columella were shortened on one side and tilted towards the non-cleft side, and the minor segment of the maxilla was hypoplastic and retroposition. This patient experienced difficulty in breastfeeding and will be treated with PNAM with ekstra oral strapping and nasal stent. The PNAM was adjusted regularly. After using PNAM, the patient had a good sucking reflex and was easy to breastfeed, the position of the premaxilla was corrected, and the nasal morphology was more symmetrical before labioplasty. The presurgical PNAM is a device that functions as a feeding aid to help the baby get good nutrition and also as a pre-surgical treatment to reduce the severity of oronasal deformity before surgery.
Non-Retentive Overdenture Combination with Cu-Sil for Multiple Tooth Loss Rehabilitation Huda, Hanifah Hasna; Meidarlina, Ista; Kusumadewi , An-Nissa
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 12 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i12.4569

Abstract

Preservation of the remaining alveolar ridge is one of the factors in the success of dentures. Preserving the remaining teeth maintains the integrity of the alveolar ridge and proprioceptive of the periodontium. This also has a positive psychological effect on the patient. Overdenture and cu-sil denture can be used as treatment options in cases of patients who have few remaining teeth. This case report aims to describe the use of cu-sil denture and metal coping non-retentive overdenture in terms of improving the retention and stability of removable denture. A 67-year-old man came to the prosthodontic clinic of Rumah Sakit Gigi dan Mulut Pendidikan Universitas Padjadjaran with lost a lot of teeth that made it difficult to eat and disturbed his appearance. The patient wanted to retain the remaining teeth 14 and 13. Preliminary root canal treatment was performed on tooth 14, which had experienced pulp necrosis. Then a single coping cast non-retentive was inserted into tooth 14. Tooth 13 was retained as an abutment, then the area was perforated for cu-sil denture access. After two months of use, the patient was satisfied with the denture. A removable denture using non-retentive overdenture combined with cu-sil denture can improve retention and stability in cases of multiple tooth loss.
Co-Authors Gian Nur Alamsyah Huda, Hanifah Hasna Kusumadewi , An-Nissa Lisda Damayanti Pramudita, Seto Syahputra, Arman Adrian