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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

Patientâ€™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. Patientâ€™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 infantâ€™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.

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

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 patientâ€™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 patientâ€™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

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 patientâ€™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

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.

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

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.

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

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 patientâ€™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 patientâ€™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 patientâ€™s appearance, thus increase their self-esteem, and improve the quality of life.

Stem Cells Approach for Implant Therapy in Diabetes Model Kuntjoro, Mefina; Hendrijantini, Nike; Agustono, Bambang; Salim, Sherman
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Objective of Investigation: Dental implant osseointegration in patients with hyperglycemic conditions was reported to be delayed so the restoration procedure must be postponed. Mesenchymal Stem Cells (MSCs) is a tissue engineering material that has the potential to treat various systemic diseases. Human Umbilical Cord Mesenchymal Stem Cells (hUCMSCs) is proven to improve bone microenvironment and have osteogenic potential. Their excellent capability can be a new approach for osseointegration acceleration. The purpose of this study was to determine the capability of hUCMSCs to accelerate dentalimplant osseointegration in hyperglycemic condition through angiogenesis and osteoblastogenesis. Experimental methods used: 28 Wistar rats were injected intraperitoneally with Streptozotocin 20mg/kg body weight for 5 days in a row to make the diabetic model. The treatment was carried out after fasting blood sugar levels 300 mg/dl and waited 5 days for the glycation period. The source of stem cell is human umbilical cord which has been isolated and cultured until passage 6. The experimental animals were divided into 4 groups, namely the 2-week implant group (K1), the 4-week implant group (K2), the 2-week implant + hUCMSCs group (P1) and the 4-week implant + hUCMSCs group (P2). The variables examined were BIC (Bone Implant Contact), VEGF and Runx2 expression. Data were analyzed using Analysis of Variance (ANOVA). Result : BIC, VEGF and Runx2 expresssion was higher in treatment groups compared with control groups. The highest expression of VEGF and Runx2 occurred in the P1 and decreased in the P2 group. While for BIC in groups P1 and P2 remained high to maintain osseointegration. Conclusion : With the limitation of this study, stem cells was proven to accelerate the osseointegration of dental implants through osteoblastogenesis and angiogenesis in diabetes model.

Interdisciplinary Treatment Approach of Skeletal Class III Malocclusion Patient with Multiple Missing Teeth: A Case Report Halim, Himawan; Halim, Ivan Anthony
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

A 30 years old female patient with Class III malocclusion and several missing maxillary anterior and posterior teeth and also mandibular posterior teeth came to the clinic to improve both her esthetic and function. Patient had a unilateral cleft lip and palate. History of combination between poor dental hygiene and dentistry was the cause of the multiple missing teeth. Periodontic, orthodontic, oral maxillofacial surgery and prosthodontics treatments were undertaken in the proper timing and sequence with an interdisciplinary approach. Proper diagnosis and treatment planning were crucial to solve this case. After initial periodontal care was completed, orthodontic treatment was completed to prepare her orthognathic surgery. Space consolidation and occlusion correction were also completed to prepare her for final prosthesis post-surgery. Partial denture were delivered by the prosthodontists. As a result, a stable Class I occlusion with good esthetic and function treatment results were achieved. The case showed that proper diagnosis and treatment planning is very important especially in an interdisciplinary treatment of Class III malocclusion.

Effect of PNAM with Nasal Stent on Infant Nasal Symmetry Correction of Complete Unilateral CLP Pre-Labioplasty: Three-dimensional Anthropometric Analysis Alamsyah, Gian Nur; Damayanti, Lisda; Aminah, Helmi Siti; Kusumadewi, An-Nissa
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Introduction: Infants with complete cleft lip and palate (CLP) exhibit asymmetrical characteristic of nasal deformation. Pre-surgical treatment by making presurgical nasalveolar molding (PNAM) with a nasal stent aims to assist the sucking and swallowing function of infants with CLP as well as passively moving separated alveolar segments and correcting nasal deformities in order to obtain more functional and aesthetically satisfactory surgical results. Objective: This study aimed to analyze the effect of PNAM insertion with a nasal stent on the correction of nasal symmetry in infants with complete unilateral cleft lip and palate. Methods: This research is a quasi experimental with one-group pre-treatment and post-treatment design. Five unilateral complete CLP infants were subjected to anthropometric measurements of alar displacement, columella height, nostril width nostril height and nostril axis inclination to obtain anthropometric ratios on the cleft and non-cleft sides with three-dimensional surface scanning before (T1) and after (T2) insertion of PNAM with nasal stent. Results: Analysis of the students' t-test showed a significant (p-value 0.05) between T1 and T2 in four anthropometric-ratio. Insertion of PNAM with nasal stent has resulted symmetrical nasal morphology of infants with complete unilateral CLP pre labioplasty with an increased ratio of columella height, nostril width, nostril height and nostril axis inclination between the cleft and non-cleft sides. Conclusion: Installation of PNAM with nasal stent can correct pre-labioplasty nasal symmetry.

The Surgical and Definitive Obturator after Hemimaxillectomy of the Palate Tumor Rifai, Yusalvi; Rhamdani, Riezki; Mude, Acing Habibie
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Patient chief complaint: A 53-year-old female patient came to the UNHAS RSGM upon a referral from an ENT specialist, patient was planned to undergo surgical removal of the left upper jaw due to the presence of a tumor, the patient needed a prosthesis. Patient status: Clinical examination, there was enlargement with hard palpation of the left hard palate with involvement of teeth 21 to 27, caries in 18, 12, 38, 37 and root remnants in 17, 16, 26, 27, and 36. Patient will undergo hemimaxillectomy surgery in the area. On the panoramic radiograph, a radiopaque mass extends over the right hard palate. Treatment plan: The patient was planned to undergo surgical removal of the left upper jaw due to the presence of a tumor, needed a prosthesis (surgical obturator) after removal of the tumor for her oral cavity. Details of therapy: Then an initial impression was also performed using irreversible hydrocolloid material to obtain a diagnostic model for the maxilla and mandible. Multidisciplinary discussion was conducted with the ENT specialist. The surgical obturator was made of heat cured acrylic material, equipped with artificial teeth elements and clasps. All the abutment teeth were gripped with the half Jackson type. The clasps were placed on 18, 15, 11, and 28. the position of the obturator base in contact with the tissue. Clinical significance: The use of an obturator can help patients in swallowing, masticating, and speaking, as well as helping to restore aesthetic function.

Home Page

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Reviewer

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Contact Name
Eri Hendra Jubhari

Contact Email
erihjubhari@gmail.com

Phone
+62216339191

Journal Mail Official
erihjubhari@gmail.com

Editorial Address
Ketapang Business Centre Block A7Jl. KH.Zainul Arifin No 20 West JakartaDKI Jakarta 11140 Indonesia

Location
Kota adm. jakarta barat,

Dki jakarta

INDONESIA

Abstract

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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Eri Hendra Jubhari

Contact Email erihjubhari@gmail.com

Phone +62216339191

Journal Mail Official erihjubhari@gmail.com

Editorial Address Ketapang Business Centre Block A7Jl. KH.Zainul Arifin No 20 West JakartaDKI Jakarta 11140 Indonesia

Location Kota adm. jakarta barat, Dki jakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Eri Hendra Jubhari

Contact Email
erihjubhari@gmail.com

Phone
+62216339191

Journal Mail Official
erihjubhari@gmail.com

Editorial Address
Ketapang Business Centre Block A7Jl. KH.Zainul Arifin No 20 West JakartaDKI Jakarta 11140 Indonesia

Location
Kota adm. jakarta barat,

Dki jakarta

INDONESIA