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INDONESIA
Indonesian Journal of Prosthodontics
Published by Indonesia Prosthodontic Association
ISSN : 27230880     EISSN : 27230899     DOI : https://doi.org/10.46934/ijp
Core Subject : Health,
Dentistry
Indonesian Journal of Prosthodontics publishes research articles the best practices and policies of dental research regarding all aspects of oral and occlusal rehabilitation, fixed/removable prosthodontics, oral implantology and applied oral biology and physiology
Arjuna Subject : Kedokteran Gigi - Periodontik
Articles 152 Documents
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Communityserviceforinfantswithcleftlipand palate at Mitra Sejati andGrandmed Hospital North Sumatera Syafrinani, Syafrinani; Chairunnisa, Ricca; Rusdy, Hendry
Indonesian Journal of Prosthodontic Vol 2, No 1 (2021): June 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.958 KB) | DOI: 10.46934/ijp.v2i1.26

Abstract

Cases of cleft lip and palate (CLP) in infants were many in Medan and surrounding areas.There were about 150 cases of infants with CLP in a year handled by Mitra Sejati Medan Hospital andGrandmed HospitalLubuk Pakan,butthetreatmentgiven was only surgical treatment,while the follow-up care,which isthefabricationofartificialpa-late or feeding plate before or after surgery,cannot be facilitated.Until now CLP further treatment cannot be done becausetheparentsdonotknowthetreatmentand most of them came from groups with low socio-economic level andthefabricationof feedingplaterequiredhigh costs.To overcome this problem,we held communityserviceby fabricating feeding plates as feeding aids for babies with CLP.The method used to achieve this goalofserviceis collectingdatafrompatientswithCLPinthetwohospitals,generalexaminationbypediatrician,makingtheimpression of the oral cavity to create the working cast,making outline design,doing thewaxpatternandfeeding plate fabrica-tioninthe laboratory using hard and soft acrylic materials combination.The insertion of feedingplatesisperformed at the hospital and evaluated whether the baby can drink milk normally using a bottle. Body weight changes are evaluated every month until the baby is declared ready for surgery.
Nasoalveolar Molding (NAM) in Early Management for Newborn with Labiognatopalatoschizis Raodah, Raodah; Sutiyo, Sutiyo; Dammar, Irfan
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.943 KB) | DOI: 10.46934/ijp.v2i0.91

Abstract

Patient’s chief complaint: A 1-week-old female infant with bilateral cleft lip and palate was referred to the Department of Prosthodontic, Hasanuddin University Dental Hospital. Her parents provided informed consent prior to her treatment. Her nutrition was managed through a nasogastric tube (NGT). The patient was in primary need of appliance that could support her feeding. Patient’s oral status: Intraoral examination revealed bilateral complete cleft lip and palate deformity diagnosed as bilateral complete labiognatopalatoschizis. Treatment plan: Fabrication of NAM to reduce the severity of the initial cleft deformity and to achieve better and more stable results in cleft lip and palate infants, in particularly advantageous to lengthen the deficient columella prior to the primary surgical repair of the lip and nose. Details of the therapy: Preliminary impression were done at the first appointment using custom tray and elastomeric impression material. At 2 weeks after birth, a conventional molding plate was fabricated on the maxillary cast obtained by preliminary impression. After the NAM was completed, try in was performed on the patient's mouth and adjustment were made to the edges of the NAM. Summary: Nasolalveolar molding (NAM) allows an overall improvement in functional activity thus increasing infant’s weight prior to surgery, also correct the aesthetics of the nasolabial complex in bilateral cleft conditions while minimizing the extent of the surgery and the overallnumber of surgical procedures.
Full mouth rehabilitation in anterior crossbite and posterior bite collapse patient – A case report Lunardhi, Louisa Christy; Salim, Sherman; Laksono, Harry
Indonesian Journal of Prosthodontic Vol 1, No 2 (2020): December 2020
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (921.01 KB) | DOI: 10.46934/ijp.v1i2.18

Abstract

Background: Esthetically and functionally successful full mouth rehabilitation requires careful attention and me-ticulous treatment planning. Successful restoration in a patient with anterior crossbite and a partially edentulous situation can be challenging especially when bilateral posterior segment teeth is missing. Combination restora-tion using attachment retained removable partial denture (RPD) and removable partial overdenture (RPO) is such kind of treatment modality in prosthodontics. Purpose: This study was to provide an overview of a case about full mouth rehabilitation in anterior crossbite and posterior bite collapse patient. Case: A 64-year-old female pa-tient came to Prosthodontic Department of RSGMP Universitas Airlangga to have dentures replacing her missing teeth with aesthetic issue on her anterior teeth in order to eat well and be more confident. The patient wants to change her smile into new smile with acceptable aesthetic and function. Management: Diagnostic wax-up was made to capture the right occlusal vertical dimension (OVD) in centric relation (CR) that will be used in the first stage of full mouth rehabilitation, followed by management of the remaining teeth by endodontic and periodontal intervention by crown lengthening. Then, definitive restorations were made by maxillary attachment retained RPD with splint four anterior crowns and mandibular RPO with two single crowns on the lower teeth to correct anterior crossbite and posterior bite collapse. Conclusion: Patient had a satisfactoryly aesthetic and functional results with new occlusion using maxillary attachment retained RPD and mandibular RPO.
Stabilization Appliance as Treatment Modality for Headache Attributed to TMD Alexander, Steven; Himawan, Laura Susanti
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.106 KB) | DOI: 10.46934/ijp.v2i0.55

Abstract

A 25-year-old female visited Universitas Indonesia Specialty Dental Clinic seeking treatment for her migraine headache (HA). With visual analog scale of 8, the pain was so severe that she often fell from motorcycle several times and suffered sacro-iliac joint pain due to her loss of balance. Upon presentation she appeared to be physically sound, yet she experienced continuous tinnitus and photophobia that affect her daily routine. Her oral status showed missing tooth 18,28,38,48 with occlusal interference at tooth 22 against 32. Her jaw movement were shown to be restricted during protrusive and laterotrusive movement, with pain in her right masseter muscle upon palpation. Trans-cranial x ray examination showed her condyle position to be inferiorly displaced during bite and relax position. After thorough examination using diagnostic decision tree developed by DC/TMD, she was diagnosed with Headache attributed to TMD. 400mg of Ibuprofen were given three times a day for two weeks and a stabilization appliance (SA) was also fabricated. This SA were indicated to provide patient with optimal and simultaneous tooth contact that promoted stability in patient’s stomatognathic relationship. She was also encouraged to do physical self-regulation regime as well as removal of bad habits that contributed to her TMD. After one year and a half, her migraine condition improved and her mandible functioned within normal limits. It is important to note that temporomandibular joint disorder (TMD) and HA are often found to be a co-morbid condition. These conditions were related by them sharing similar neural pathway that converges into Spinal Trigeminal Nucleus. Treatment using stabilization appliance may show a very slow improvement due to how HA can negatively affects patient’s motivation. It is crucial for operator to provide continual support so that patient could adhere to the treatment planned.
Custom Made Hand Painted Iris Ocular Prosthesis: A Case Report Mohamed, Nusima; Azahar, Muhammad Amin
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.266 KB) | DOI: 10.46934/ijp.v2i0.46

Abstract

Trauma to eye, tumor, severe eye disease and infection can cause enucleation of the eye resulting to permanent defect of sight and aesthetic. Defects because of removing part of or the entire orbit will interfere to the patient’s psychology and confidence. Thus, by restoring the defect with custom made ocular prosthesis will restore aesthetics and improve their life in community. This is a case report of construction the natural look of a custom-made ocular prosthesis of a patient with missing her left eye due to trauma. The iris was made by hand painted method to improve the aesthetic outcome. The case describes the construction process including the method of fabrication, fitting and maintenance. It is aimed to highlight the importance of good clinical skill and management, advantages of custom-made prosthesis as compared to prefabricated ocular prosthesis and maintenance by good hygiene practice to promised good prognosis and aesthetic satisfaction.
Neutral Zone and Copy Denture Techniques in a Geriatric Patient Rawas, Matheel AL-; Johar, Yanti; Ariffin, Azirrawani; Husein, Adam
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.323 KB) | DOI: 10.46934/ijp.v2i0.105

Abstract

Severe alveolar ridge resorption is a key problematic feature in the fabrication of full dentures. The instability and looseness of a lower full denture are among the most prevalent issues observed in an edentulous patient. Complete dentures are mechanical devices. Functionally, they must be fashioned in harmony with normal neuromuscular function in oral cavity. This report describes the treatment of a 72-year-old female who came with a complaint of an unstable, loose lower denture due to a severely resorbed mandibular residual ridge. Medically, the patient presented with multiple systemic diseases with various medications taken. Clinical examination showed that the mandibular ridge was flat with insufficient width and height. Treatment consisted of maxillary and mandibular dentures construction utilizing the neutral zone technique. At one year review, the patient expressed her satisfaction with her existing dentures and requested to have similar dentures made as a spare in case she ever lost the current dentures due to her old age condition. Hence, she was offered a copy denture. The neutral zone technique is a physiological and functional strategy to manage unstable lower full denture cases by determining optimal teeth positioning in relation to neuromuscular activities as well as the shape of the polished surface of the denture. On the other hand, copy denture increases neuromuscular adaptation to new denture, minimizes patient-clinician chairside time, decreases laboratory processes, reduces the number of patient visits, simplifies jaw relation registration and offers greater guidance to tooth position. Overall, the patient was satisfied with the results. Combination of neutral zone technique in elderly patient and subsequently, copy denture provision at a later stage proved to be a successful treatment modality in elderly patient.
Comparison of diagnosis of temporomandibular joint disorders based on RDC/TMD Axis I and DC/TMD Axis I Lestari, Brigitta Swasti; Rikmasari, Rasmi; Bonifacius, Setyawan
Indonesian Journal of Prosthodontic Vol 2, No 2 (2021): December 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (144.684 KB) | DOI: 10.46934/ijp.v2i2.37

Abstract

Introduction: The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) has become the most widely used diagnostic protocol for research in temporomandibular disorders (TMD). The invalidity of RDC/ TMD in clinical application causes the revision of RDC/TMD to be the Diagnostic Criteria for Temporomandibular Disorder (DC/TMD). The purpose of this study was to determine the differences in diagnosis of TMD between RDC/ TMD examination and DC/TMD Axis I on students of Faculty of Dentistry, Padjadjaran University. Method: The type of this research was comparative survey approach using clinical examinations and questionnaires. The sample was collected from 48 people using random sampling techniques. The diagnosis of TMD was obtained by filling in the symptom questionnaire and clinical examination based on RDC/TMD Axis I and DC/TMD Axis I, which is then entered into the RDC/TMD diagnosis algorithm and DC/TMD decision tree. Results: The results showed that from 48 samples there were 36 (75%) people with the same diagnosis of RDC/TMD and DC/TMD, and 12 (25%) people with different diagnoses between RDC/TMD and DC/TMD. Conclusions: Based on the results of the study, the diagnosis of TMD based on RDC/TMD were still categorized the same as the diagnosis based on DC/TMD.
Fabrication of Metal Frame Partial Dentures with Alter Cast Technique Syamsuddin, Rezki Wahyuni; Thalib, Bahruddin; Sutiyo, Sutiyo; Ikbal, Muhammad
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.989 KB) | DOI: 10.46934/ijp.v2i0.96

Abstract

Patient chief complaint: A female aged 48 years came to the Hasanuddin University Dental Hospital, Makassar. She complains difficulty of chewing and a lack of confidence. Patient status: Full edentulous maxillary and edentulous partial mandible. Diagnosis full edentulous maxillary and class 1 Kennedy mandible. Treatment plan: Fabrication of partial metal frame dentures using the altered case impression technique. Detail of therapy: Panoramic Radiological images appear to be missing all teeth in the maxilla, available teeth: 33,32, 31, 41, 42, and 43, residual the roots of teeth 15 and 28. The pre-prosthetic treatment plan was scaling and extracting the remaining roots on teeth 15 and 28. The first prosthodontic treatment is Preliminary impression was made. Subsequently, the diagnostic model is placed on top of the surveyor for inspection and design of the metal frame. Making individual impression upper and lower jaw using self-curing acrylic material, then doing border molding with greenstick. An additional laboratory procedure for altered cast technique is done by splitting the master cast with a saw. A groove or indentation is made on the cut surface of the mold to help retain the cast to be mixed. The denture metal frame is placed over the grooved mold. The final impression was then beading, and boxing made before it was cast with a cast so that an altered cast was obtained. Making bite rims of the maxilla and mandible and determining the alignment, vertical dimensions, using a bite rim made from the final impression, face-bow transfer, and installation on the articulator. Try the arrangement of teeth. Acrylic processing, selective remounting, and grinding. Denture inserted and controlled, checked for occlusion, articulation, retention, and stability. Clinical significance of therapy: Metal frame partial denture with Alter cast impression technique provides better and stable denture.
The difference of surface roughness in acrylic resin self-cured with addition of zirconium dioxide particles as a denture repaired materials Ariestania, Vivin; Teguh, Paulus Budi; Yusuf, Dedy
Indonesian Journal of Prosthodontic Vol 1, No 2 (2020): December 2020
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.318 KB) | DOI: 10.46934/ijp.v1i2.23

Abstract

Background: Tooth loss is one of the effects of periodontal disease and dental caries. Tooth loss can be resolved by making a denture prosthesis. Several factors that influence society on denture use include aesthetic, social, func-tional, educational, and cultural factors. The large number of lost teeth will certainly increase the demand or desire to manufacture dentures to restore the function of the missing teeth. One of the materials that are often used in den-tures is acrylic resin. Acrylic resins frequently used for denture base materials are cold polymerized acrylic resin and hot polymerized acrylic resin. Cold polymerized acrylic resin uses chemical activation, and this type of resin is often used for denture repair materials. Denture repair aims to repair prostheses that have many fractures in the mid-line area. Chemical polymerization acrylic resin is often used as a repair material because it is easy to apply and can be done directly on the patient. This resin has a disadvantage because it often leaves residual monomer in the polymerization process, so it impacts porosity. This problem can be overcome by modifying the resin's chemical structure using polyethylene glycol or by adding ZrO2. Objective: This study aims to determine the effect of adding 3%, 5%, and 10% of zirconium dioxide (ZrO2) nanoparticles to the surface roughness of self-cured acrylic resin as a denture repair material. Methods: Four sample groups, each consisting of 10 samples, were divided into the con-trol group (K), the treatment group with ZrO2 addition 3% (P1), the treatment group with the addition of ZrO2 5% (P2), and the treatment group with the addition of ZrO2 10% (P3). The results of all treatments and controls were tested for surface roughness using the MST-301 surface roughness test profilometer. Results: Based on the results of the descriptive test, the mean of group K = 0.395 ± 0.161, group P1 = 0.813 ± 0.525, group P2 = 1.284 ± 0.336 and group P3 = 1.093 ± 0.558. In the Kruskal-Wallis test, there were significant differences in all groups. Conclusion: The self-cured acrylic resin with the addition of 3% concentration of ZrO2 has the lowest surface roughness com-pared to the other groups, and the roughness is almost similar to the surface roughness of the control group.
Prosthetic Approach Following Traumatic Evisceration: A Case Report Juanita, Mariska; Ramdhani, Riezky; Dammar, Irfan
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.086 KB) | DOI: 10.46934/ijp.v2i0.60

Abstract

Patient Chief Complaint: A 20-year-old male patient was referred to Prosthodontic Department Hasanuddin University Dental Hospital, Makassar with disfiguration of the face as chief complaint. Medical history revealed a significant trauma to the left eye 6 months ago which had been thereafter eviscerated. Patient has never used prosthetic eye afterwards. Patient Status: Examination of the left eye socket revealed a healthy conjunctiva covering the posterior wall of the anophthalmic socket with synchronous motions and absence of infection or inflammation signs. Sulcus depth was sufficient to retain prosthetic eye. Treatment Plan: Rehabilitation of the ocular defect with customized acrylic-based ocular prosthesis to increase patient’s appearance and to prevent further shrinkage of the eye socket. Details of Therapy: Preliminary impression was done using customized tray fabricated from modelling wax and hydrocolloid irreversible impression material. An intraocular custom tray for secondary impression was fabricated with acrylic resin and modified with a syringe that attached to the custom tray. Secondary impression of the defect was recorded using polyvinyl siloxane light viscosity material followed by wax pattern fabrication using modelling wax. The wax pattern was tried in patient’s socket and checked for size, comfort, support, fullness, and then packed with tooth colored heat cure acrylic resin. After determining the location and diameter of the iris with an optical vernier pupillary distance ruler, the color of sclera was determined by shade guide and confirmed with technician using digital photo. Ocular prosthesis was fabricated afterwards and inserted into the eye socket and evaluated for suitability, aesthetic, and movements with the contralateral eye. Clinical Significance: Customized ocular prosthesis was significantly more aesthetic than pre-fabricated one with better contouring, color matching, and coordinated movements with the contralateral eye. This prosthetic approach may restore patient’s appearance, thus increase their self-esteem, and improve the quality of life.

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