Putri WU. Ritonga
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Ocular prosthesis modification with permanent soft liner in anopthalmic socket post evisceration Leo, Andri C.; Syafrinani; Putri WU. Ritonga
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.v6i1.287

Abstract

Background: Enucleation and eviseration are surgical procedures often used for the removal of the eye. Some post-eviserated patients have complaints of discomfort when using conformer or ocular prosthesis. Ocular prosthesis modified with permanent soft liner (PSL) on the intaglio surface is an alternative to reduce the discomfort. Objective: This case report aims to explain the use of PSL in the manufacture of custom ocular prostheses in post-eviscerated patient. Case report: A 72-year-old male patient came to RSGM USU complaining of difficulty to socialize because he lost his eye and wanted to make a prosthetic. The patient had evisceration 4 months ago and was given a silicone surgical conformer. Tearing was the common complaint, followed by itchiness, soreness and uncomfortable when the conformer is fitted. Custom ocular prosthesis is modified using PSL on the intaglio surface. The use of PSL provides comfort to patients because it acts as a shock absorber and shock distributor that can distribute pressure more evenly so that the tissue in the eye socket receives less impact force. Conclusion: Fabrication of new ocular prosthesis with PSL is a novel way to minimize trauma to underlying supporting tissues so it can reduce the discomfort of the patient.Keywords: Evisceration, Custom ocular prosthesis, Permanent soft liner
Accuracy of intraoral scanner on subgingival finish line with gingival retraction Damanik, Nabilah F.; Haslinda Z. Tamin; Putri WU. Ritonga
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.v6i1.289

Abstract

Background: The development of intraoral scanner (IOS) technology has brought about a significant transformation in dentistry, enabling more efficient and accurate digital workflows. Studies show that IOS provides clinically acceptable accuracy similar to conventional methods, especially for fixed prothesis. However, there are special challenges when impression subgingival finish line accurately. The use of gingival retraction methods is essential for easy access to these margins. Objectives: This literature review aims to describe the accuracy of IOS in impression subgingival finish line with the aid of gingival retraction, and compare the effectiveness of mechanical and chemical retraction methods in digital impression of subgingival finish line. Mechanical methods, such as the use of retraction cord, provide stability to the sulcus but may cause discomfort and potential damage to the periodontium. Meanwhile, chemical methods using aluminum chloride-based pastes show good results in displacing gingival tissue with minimal side effects. Summary: Based on existing studies, the combined method of mechanical and chemical retraction provides the best results for impression accuracy in the subgingival area, taking into account patient comfort and quality of the final result. Thus, choosing the right retraction method can improve clinical outcomes and ensure the long-term success of digital- based prosthodontic restorations. Keywords: Subgingival finish line; gingival retraction; trueness; precision; intraoral scanner.
Hybrid ceramic as an alternative material for crown restoration treatment Justin, Alexander; Syafrinani; Putri WU. Ritonga
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.v6i1.292

Abstract

Background: All ceramic materials are often used in crown restorations for anterior and/or posterior teeth due to their aesthetic value and high strength. However, some all-ceramic materials such as monolithic zirconia have the disadvantage that they can cause wear problems on antagonistic teeth due to their high hardness. As an alternative to overcome this problem, hybrid ceramic materials are being developed. Objectives: This literature review aims to look at using hybrid ceramic materials as an alternative material for making crowns. A hybrid ceramic material blends the characteristics of ceramic and composite materials, resulting in a material with excellent mechanical strength and aesthetic qualities. It has a similar elastic modulus value to dentin thus reducing the occurrence of wear on antagonistic teeth. Hybrid ceramic materials is fabricated by CAD/CAM system with subtractive (milling) and additive (3D printing) processes. The subtractive fabrication method (milling) produces restorations with high strength properties but has a longer and more complicated manufacturing process. The additive (3D printing) method, on the other hand, is faster and requires less material than subtractive (milling). Summary: Therefore, hybrid ceramic materials should be considered as an alternative material for crown restorations. Keywords: Hybrid ceramic; CAD/CAM; additive (3D printing); subtractive (milling)
Optimization of complete denture treatment for flat ridges with various occlusal schemes in distributing stress and masticatory force Lubis, Dina HN.; Ismet D. Nasution; Putri WU. Ritonga
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.v6i1.294

Abstract

Edentulism impacts an individual's ability to chew and digest food effectively, leading to a decline in quality of life. This issue worsens with flat ridge conditions, which increase mucosal stress distribution under masticatory load. Excessive stress beyond the pressure-pain threshold results in poor masticatory performance, emphasizing the importance of selecting an ideal occlusal scheme for such ridge conditions. The basic concept of occlusal schemes aims to preserve residual ridge integrity and prevent further damage over time. Lingualized and monoplane occlusions are schemes that can be used in flat ridge complete dentures to evenly distribute stress and reduce masticatory load. The stress distribution between dentures and the underlying dental mucosa is critical for understanding the relationship with the patient's pressure-pain threshold. Therefore, in vitro measurements can simulate stress distribution and masticatory force assessments. This literature review discusses the measurement of stress distribution and masticatory force on flat ridge complete dentures with different occlusal schemes. Keywords: complete denture; flat ridge; stress distribution; masticatory force; direct measurement