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Eri Hendra Jubhari
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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 29 Documents
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Search results for , issue "Special Issue 2021" : 29 Documents clear
Comprehensive Approach of Highly Resorbed Mandibular Ridge with Complete Denture Rahmat, Alfian; Permatasari, Nina; Jubhari, Eri Hendra
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.769 KB) | DOI: 10.46934/ijp.v2i0.90

Abstract

Patient’s chief complaint: A 66-year-old female patient referred to the Hasanuddin University Dental Hospital with a fractured lower denture that impaired patient’s chewing ability. Patient’s oral status: Complete edentulous in maxilla and mandible with flat mandibular ridge. Clinical examination showed absence of inflammation and flabby tissues also absence of bone prominences. Treatment plan: Complete denture fabrication with semi-adjustable articulator and modification in impression technique to produce retentive denture. Details of the therapy: Preliminary impression and fabrication of anatomic cast followed by bolder molding and physiological impression. Two Dots method was used to determine the maxillomandibular relation and measure vertical dimension. Position of the maxilla was transferred using facebow which attached to the centric tray followed by mounting the cast on semi-adjustable articulator with guidance from centric tray. Artificial teeth were arranged in lingualized occlusal scheme on waxpattern and try-in was done. After processing denture, remounting and selective grinding were done including finishing and polishing, followed by insertion of denture. Summary: Impression technique is one of primary factors in management of flat mandibular ridge to utilize surrounding tissues to have both active and passive retention in dentures.
Splint-Transfer Technique in Achieving Passive Fit on Implant Tew, In Meei
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.267 KB) | DOI: 10.46934/ijp.v2i0.54

Abstract

Passive fit is of paramount importance to avoid loading stresses on implant-supported fixed partial dentures. Auto-polymerizing acrylic resin is a common splinting material used in impression taking but its high polymerization shrinkage may adversely affect the accurate positioning of implant analog in master cast. This case report describes a modified splinted impression technique to minimize the risk of auto-polymerizing acrylic resin shrinkage. A 60-year-old woman had implant therapy to replace her missing left mandibular teeth. She presented with mandibular partial dentate. 3 units of implant-supported fixed partial dentures were proposed to replace the missing teeth 34-37. After implant placements at edentulous region of 34 and 36, implant level impression was taken to fabricate a working cast containing implant analogs. Appropriate multi-unit abutments together with abutment-level impression posts were attached on implant analogs. A connecting bar with C-shape ring at mesial and distal end was custom made to splint both impression posts. C-shape ring of connecting bar at the distal end was initially joined with autopolymerizing resin extra-orally. Prior to taking abutment-level impression, multi-unit abutments together with impression posts and the connecting bar were transferred and attached onto the 2 implants at edentulous region of 34 and 36 followed by joining of the C-shape ring at the mesial end with auto polymerizing acrylic resin. Ceramo-metal fixed partial denture was fabricated on the abutment-level working cast with a preliminary try-in of the cast metal framework. Passive fit of fixed partial denture was verified clinically and radiographically. This technique managed to establish an optimal implant analog position in the master cast and achieved passive fit on implant-supported fixed partial denture
Indirect Sinus Lift Procedure with Immediate Implant Placement: A Case Report Mody, Eesha
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.078 KB) | DOI: 10.46934/ijp.v2i0.113

Abstract

Chief Complaint: Patient complains of missing teeth in the upper left back region of the jaw Patient’s oral status: Missing teeth : 25, 26, 27, 37, fixed prosthesis: 18, 17, 16, 15, 14, 13, 12, 34, 35, implant retained prosthesis: 37, 36, 35, Siebert’s classification: Class II (Loss of ridge height with normal ridge width). Treatment plan: Implant retained prosthesis with 25,26,27 (maxillary left second premolar and molars) with indirect sinus lift surgery. Details of therapy: On CBCT examination obtained and the bone height in the region of 27 was found to be 5mm. Therefore, an Indirect Sinus Lift procedure was planned with immediate implant placement following the Hydraulic Sinus Lift Technique. The implant size was determined as 4,5 X 8.5mm. The DioNavi Sinus Lift drill kit was used. The drilling protocol to be followed for Sinus Lift procedure. For the 27 region, tissue punch was made, and sequential drilling was followed till 3.2 X 7mm drill. 3,2 X 17mm drill was used with a 5mm stopper and 4mm stopper respectively to create an opening in the sinus floor. The nozzle was then applied to the bone cavity such that the connection is airtight. The syringe, filled with normal saline, is depressed slowly, and helps in detaching the membrane from the sinus floor. Hydroxyapatite bone graft was filled into the cavity and the implant was placed 6 months post the surgical phase, phase II was carried out and the impression was made, and prosthesis delivered. Clinical significance of therapy: To achieve adequate osseointegration, there should be good quality and quantity of bone around the osteotomy. This may be compromised in edentulous posterior maxilla in the vertical direction. Therefore, the Sinus Lift procedure is helpful in overcoming this limitation.
Neutral Zone: A Concept and Technique Application for Managing Severely Resorbed Fitri, Ainy; Agustono, Bambang
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.986 KB) | DOI: 10.46934/ijp.v2i0.104

Abstract

Background: Full dental prosthesis rehabilitation on flat mandibular ridge has been a difficult case for clinician for a long time. A huge resorption of mandibular ridge resulted in not enough retention, tounge muscle force as well as lips and cheek muscle causing a decrease in denture’s stability and retention. Neutral zone is a potential area or position where lips and cheek on one side, and tounge on the other side have balance pressure. Purpose: To acquire optimum stability of the denture, arrangement of the mandibular teeth in full dental prosthesis must follow the neutral zone. Case Report: A 60-year-old male patient with a chief complaint of difficulty in mastication, loosening of upper and lower dentures, he also complained of denture moving during swallowing and speaking. Case Management: Preliminary impression was done using alginate. Then, horizontal and vertical jaw relation was recorded using bite rim. Suction method impression technique was used to acquire functional impression. Lower denture teeth arrangement followed the result of neutral zone impression. Acrylic denture was being contoured to follow natural anatomy of the oral cavity. Conclusion: The result of the treatment is patient get full denture with maximum retention and stability while speaking as well as masticating. This article explains about the making of full dental prosthesis with pressure point on neutral zone impression technique on flat mandibular ridge caused by huge resorption.
A Report of Two Cases with Different Methods of Indexing for Orbital Prosthesis in Craniofacial Rehabilitation Jain, Ajay; Ugrappa, Sridevi; Lan, See Gaik
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (29.691 KB) | DOI: 10.46934/ijp.v2i0.45

Abstract

Prosthetic rehabilitation of an orbital defect plays an important role in restoring the aesthetics of the face; therefore psychology, well-being and social acceptance of the patient in the society. The most difficult task in fabricating an orbital prosthesis is maintaining the position of the eye shell in the silicone without positional discrepancy during processing. This presentation will describe two simplified techniques for the rehabilitation of two patients with an orbital defect, using two different indexing methods to maintain the integrity of an artificial eye with the silicone. The case report one discusses the technique of hollow orbital prosthesis fabrication by indexing on the rear side of an artificial eye and case report two discusses the technique of solid orbital prosthesis fabrication by indexing on the front side of the artificial eye. The techniques presented in this presentation are easy to perform to fabricate hollow and solid orbital prosthesis whereby, the wholeness of silicone with the artificial eye is maintained by two different indexing methods. The technique described is a simple and easy way for the fabrication and rehabilitation of an orbital defect with hollow and solid orbital prosthesis using silicone, where retention is achieved by a combination of medical-grade adhesive and to a very small extent by bony and soft tissue undercut, hence providing a better aesthetic and psychological outcome.
Magnetic Attachment as Retained for Mandibular Overdenture: Case Report Sudarman, Ian Afifah; 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 (87.837 KB) | DOI: 10.46934/ijp.v2i0.95

Abstract

Patient Chief Complaint: A 41-year-old female, came to the Dental Hospital of UNHAS with a chief complaint of difficulty in eating and lack of confidence. Patient Status: Clinical examination shown a complete edentulous in the upper jaw and partial edentulous in the lower jaw. The remaining teeth were 33, 34 and 43. Treatment Plan: Magnetic Attachments were planned on 33 and 43 and metal coping on 34 as retained for mandibular overdenture. Details of Therapy: Pre prosthetic treatment was carried out by root canal treatment on teeth 33, 34 and 43. Primary impression of the maxillary and mandibular arch was made. Magnetic attachments were planned on 33 and 43 and metal coping on 34. The abutment tooth decapitated about the same as the gingival margin. A bevel around the circumference was made. Surface shape of the root tooth was dome-shaped, and the finishing line is shoulderless. Post space impression was made with polyvinyl siloxane. Metal coping for 34 and cast post with keeper magnet for 33 and 43 was fabricated. The metal coping and cast posts metal containing keeper magnet were carefully cemented using glass ionomer cement. Border moulding was done for maxillary and mandibular arch. Occlusal rims were fabricated on final cast. Vertical dimensions and jaw relation was done then face-bow transfer and mounting the rims on the articulator. Try in, then denture was processed and inserted in patient’s mouth. The magnets are placed under the mandibular denture, which is faced the keeper teeth, then polished and checked for comfort, occlusion, and retention. Clinical Significance: Magnetic attachments significantly increase the retention of mandibular overdenture; patient is more satisfied and comfortable. Patient doesn’t experience difficulties in insert and removing the denture because when the denture is slightly shifted, the magnetic attachment returns it to its original position.
The “All-on-X” Implant Prosthesis Opposing the Complete Overdenture on Class 2 Jaw Relation Patient Chandra, Jefry; Atherton, Calvin; Purbasari, I Gusti Ayu Kade Ira
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.891 KB) | DOI: 10.46934/ijp.v2i0.52

Abstract

Nowadays, there are many treatment choices to restore the full edentulous jaw in the elderly patients, such as the implant anchoraged denture. This denture consists of fixed implant retained denture and removable implant supported overdenture. These can be considered as a viable treatment, resulting in a better esthetics, retention, and a more comfortable mastication for the patients. This article describes a 67 years old male patient complained his upper broken old dental bridge had been pulled out two months ago and required new dentures to achieve good esthetic and function. This patient had several systemic problems. From intraoral examination, the maxillary was fully edentulous with sufficient volume of alveolar ridge. Some shortened vital anterior teeth, an old metal bridge, and good posterior alveolar ridge was found in the mandible. The jaw relation was Class 2. All soft tissues were in a good condition. Because the patient refused the sinus lifting procedure, the maxilla would be restored with the “All-on-X” system implant prosthesis (5 implants) with PEEK material. As the mandible would be fabricated an acrylic overdenture with some metal copings on anterior teeth and two Novaloc attachment implants in the posterior area. All the sequences of this treatment were done with mixed conventional and digital ways. An implant anchoraged denture is one of the best treatments for the edentulous patient. The good combination of examination, planning, and execution is required to achieve a positive outcome and satisfaction from the patient. The cooperation of the patient to do the maintenance well is highly required to achieve a long survival rate.
Aesthetic Treatment of Lateral Peg-Shaped Incisive with Indirect Veneer Restoration Using Ceramo Polymer Restoration: A Case Report Patria, Azkya
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (29.633 KB) | DOI: 10.46934/ijp.v2i0.111

Abstract

Introduction: Peg shaped is one of the abnormalities of dental anatomy, ie tooth size is smaller than normal, and tapered shape. These peg-shaped teeth are often found in the maxillary lateral incisors and third molars. The shape on the lateral incisor often causes aesthetic problems because of its anterior position. One of the treatments for peg-shaped teeth is Veneer. Case report: 26 years old woman, had a peg-shaped shape on both lateral incisors. Indirect veneer aesthetic treatment was performed using Ceramage to correct the shape and cover the diastema so that better aesthetics would be achieved. Wax-up is done to see the suitability of the shape and proportion of the veneer. The patient can get a visual picture of the expected treatment results. Discussion: The result of the treatment is Ceramage gave a good shape in improving the shape of the Peg-shaped incisor. The color of the veneers also resembles the color of their natural teeth, and the patient is satisfied with the results of the treatment. Ceramage can be used as a treatment option for anterior teeth with deformities. Conclusion: Ceramage veneer is an alternative that can be done to improve the aesthetic appearance at a more economical cost for anterior teeth.
Management of Completely Edentulous Resorbed Mandibular Ridge with Flabby Tissue Using Suction Method Impression Technique and Lingualized Posterior Occlusal Scheme: A Case Report Sari, Nila; Rostiny, Rostiny; Dahlan, Agus
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.546 KB) | DOI: 10.46934/ijp.v2i0.102

Abstract

Background: Oral health problems often leads to edentulism. Post-extraction alveolar ridge will undergo bone resorption and can be aggravated by ill-fitting denture. There are some treatment options for completely edentulous patients. However, conventional complete denture is still one of the most popular treatment options as it is predictable, cost effective, and non-invasive. There are some principles that should be followed to ensure a more comfortable and functional complete denture. Objective: The purpose of this article is to describe how a case of fully edentulous patient, with flabby tissue and flat mandibular ridge, is managed using suction method impression technique and a lingualized posterior occlusal scheme. Case Report: A female patient aged 68 years old came to the Universitas Airlangga Dental Hospital to get a new denture since her previous denture is ill-fitting and unfunctional. The mandibular alveolar ridge is flat and there is flabby tissue in the anterior region of the maxilla and mandible. Case Management: First, a preliminary impression was taken using the reversible hydrocolloid alginate impression material. Then, a bite rim was fabricated from the preliminary model. Next, the horizontal and vertical position of the mandible was determined using the bite rim. The lower bite rim was cut into 4 pillars so that a suction method impression technique could be done. A neutral zone registration was also done for guiding the lower denture teeth arrangement. The posterior occlusal scheme was arranged to be lingualized occlusion. The denture needed some minor adjustment during control. Conclusion: Suction method impression technique combined with lingualized posterior occlusal scheme will make a more retentive and stable complete denture.
Alternative Measurement of Vertical Dimension of Occlusion with Apikal Software Kusoemo, Andre; Siahay, Andres Jordan; Habar, Ike Damayanti; 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 (86.885 KB) | DOI: 10.46934/ijp.v2i0.93

Abstract

Object: To find out the VDO measurement with digital photo analysis method using Apikal analysis software, which help to measure VDO directly based on patient’s photograph. Methods: The samples are 15 patients, with condition of missing all teeth in the upper and lower jaws for at least 6 (six) months. Then measurements of vertical dimension of occlusion were made using Apikal digital analysis software and the Two Dots technique as comparison. Results: Using the Kruskal Wallis test to compare the measurement of the vertical dimension of the occlusion with the Two Dots technique and Apikal software, there is no difference between the direct and indirect (digital analysis) on vertical dimension of occlusion measurements. An insignificant difference found, and the same result occur between both, with p value 0.05 (0.816*). Conclusion: There is no difference of results on measuring the vertical dimension of occlusion between the Two Dots and Apikal analysis software, and there is a significant relationship between measurements on the face using the Two Dots technique and Apikal software. Apikal analysis software can help determine and as alternative method to do the measurement of vertical dimension of occlusion in patient indirectly

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