Indonesian Journal of Prosthodontics
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
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<![CDATA[Shortening Dental Arch and Splint Crown in Mini Dental Implant ]]>
<![CDATA[Azhar, Imam Safari]]>;
<![CDATA[Agustono, Bambang]]>;
<![CDATA[Ari, Muhammad Dimas Aditya]]>;
<![CDATA[Laksono, Harry]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.57
<![CDATA[A male patient, 40-years-old, came to Dental Hospital Universitas Airlangga with a complaint to replace the lower right and left teeth that had been extracted 1 year ago with a denture that could not be removed. The patient wants to make dentures to make them more comfortable when chewing. The tooth extraction was performed ± 1 year ago in the lower left posterior tooth region caused caries. Treatment plan: Implant supported splint crown Based on the existing clinical conditions in patient, we examined the thickness of the existing bone. Then we performed to insert an implant fixture 3.0x10 mm type TS III SA in region 34 and 3.5x10 mm type ET III SA Osstem in region 35. This treatment using one stage surgery with splint crown restoration. Clinical significance of therapy/summary: In this case, patient refused invasive surgical procedure as bone augmentation. Shortening dental arch was chosen due to the loss of the antagonist teeth. Implant supported splint crown can be another solution because it’s able to maintain the long term of mini dental implant especially in the posterior region.]]>
<![CDATA[Tooth Supported Overdenture vs Stud Retained Overdenture: A Case Report ]]>
<![CDATA[Yusof, Hazira M]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.48
<![CDATA[Residual ridge resorption is a continuous process that occurs throughout life. Severely resorbed ridge is classified as a technically difficult case due to the limited structural availability that is integral for the stability of a denture. Overdenture has the advantages of preservation of alveolar bone while providing support and stability to the prosthesis. A 67-year-old lady came to the clinic with a complaint of a loose upper and lower denture. Intraorally patient presented with discoloured and severely attrited upper anterior teeth and worn-down stud attachment on teeth 33 and 43. The treatment plan was to construct a tooth supported partial overdenture for the upper and lower stud retained overdenture. This treatment was chosen due the severely attrited upper anterior teeth and owing to the success of previous stud attachment on the lower overdenture. Stabilization of caries was done and patients’ upper anterior teeth were contoured leaving 2 mm of coronal height for the upper partial overdenture abutment. All treatment stages were done in the same manner as the conventional denture, however, during the try-in stage it is crucial to assess the occlusal vertical dimension to ensure adequate interocclusal space for the tooth overdenture and stud attachment. After assessment of space, old studs on teeth 33 and 43 were removed. Preparation of chamfer margin was done and an impression was taken for the construction of new studs. After cementation, another impression was taken for denture processing and stud housing pick-up. During review visit, patient was happy and functioning well while the stability and retention of the denture was greatly improved. Overdenture is a simple and cost-effective treatment, an alternative to implant retained denture while providing better retention than conventional denture.]]>
<![CDATA[Establishing Clinically Acceptable Threshold for Pink and White Esthetics Scores ]]>
<![CDATA[Booncharoensombat, Supisara]]>;
<![CDATA[Choterungruangkorn, Navin]]>;
<![CDATA[Nanayon, Tirakorn]]>;
<![CDATA[Srimaneekarn, Natchalee]]>;
<![CDATA[Nakaparksin, Pranai]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.103
<![CDATA[Objectives: The esthetic success of single-tooth implant restorations (STIR) requires an objective tool such as one devised by Belser et al., 2009 - pink esthetic scores and white esthetic scores (PES/WES). This study aims to (1) establish a threshold for PES/WES, based on the detectability of STIR by laypeople (2) establish a threshold for PES/WES based on the acceptance rate of STIR by laypeople (3) study the pink and white deficiencies in relation to the detectability (4) study the difference in the ability of laypeople and dentists in detecting STIR. Methods: Thirty-eight photographs of STIR in the esthetic zone were given PES/WES scores by 3 evaluators. The photographs were distributed to 100 laypeople and 60 dentists to identify the STIR and provide reasoning. Then, the participants were asked if the STIR was acceptable. Receiver Operating Characteristics (ROC) analysis was utilized to determine the threshold. Results: At the PES/WES score of 17, 71 laypeople unable to identify the STIR, and at the score of 12, 80 laypeople accepted the implant. Out of 3,800 occasions, laypeople correctly identified the STIR 1,770 (46.58%) of those occasions; 751 (42.43%) of those occasions were correctly identified with pink deficiencies and 1019 (57.57%) of those occasions with white deficiencies. In comparison to the layperson group, out of 2,280 occasions, dentists correctly identified STIR 1,869 (81.97%) of those occasions. Conclusion: The PES/WES score of 12 indicates the clinically acceptable threshold while the score of 17 indicates the detectable threshold for an exceptional esthetic outcome. For both laypeople and dentists, root convexity/soft tissue color and texture are the most focused criteria of pink deficiencies, while overall white deficiencies remain influential. Compared to laypeople, dentists tend to have a higher ability to detect STIR.]]>
<![CDATA[Prosthodontic Treatment for Geriatric Patient with Parkinson Disease ]]>
<![CDATA[Volvina, Maria]]>;
<![CDATA[Sumarsongko, Taufik]]>;
<![CDATA[Rikmasari, Rasmi]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.94
<![CDATA[Introduction: Elder population with associated physical and neurological disorders requires special care that needs to be attended by dentists. Dentists have a significant role in geriatric oral health. This case report explains clinical strategies in maxillary full denture and root-supported mandibular overdenture of a Parkinson patient. Case report: An 87-year-old female patient with Parkinson’s disease (PD) was referred for replacement of completely edentulous maxilla and partially edentulous mandibula. Multiple short visits in the morning and manual manipulation were needed to overcome muscle discoordination problem. Individual trays, fast setting impression material, thermoplastic impression compound, pressure indicator paste, non-anatomical teeth with monoplane occlusion, and denture adhesive are required to enhance denture stability. Prostheses were fabricated with metal framework to avoid fracture and repeated repair. Discussion: Parkinson’s disease is a progressive neurological disorder characterized by tremors, rigidity, bradykinesia and postural instability. These symptoms are worsened by psychological factor such as anxiety and stress. Poor motoric coordination is the cause for their increased susceptibility to dental caries and periodontal diseases as found in this patient. Oral muscular movement is essential in fabricating denture with sufficient retention, stability, and comfort. Adverse effect of Parkinson’s disease medication is xerostomia, which was also found in this patient. This lack of saliva strongly affects denture retention and increased mucosa sensitivity, which in turn exacerbate symptoms of Parkinson’s disease. Conclusion: Effective dentures will help in restoring function, esthetics, and psychological condition of the patient.]]>
<![CDATA[Effect of Sargassum Sp Effervescent on Surface Roughness of Acrylic Resin ]]>
<![CDATA[Endang, Fitri]]>;
<![CDATA[Syamsul, Bashierah Ikasari]]>;
<![CDATA[Utama, Mohammad Dharma]]>;
<![CDATA[Jubhari, Eri Hendra]]>;
<![CDATA[Machmud, Edy]]>;
<![CDATA[Dammar, Irfan]]>;
<![CDATA[Launardo, Vinsensia]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.61
<![CDATA[Background: Denture cleaning materials on the market are available in several forms, one of which is effervescent tablets. Brown algae effervescent granules (Sargassum sp) have been demonstrated in several studies as denture cleansers but it has not been proven whether these materials affect the surface roughness of acrylic resins. Purpose: Analyzing the effect of effervescent Sargassum sp and alkaline peroxide as a soaking agent on the surface roughness of acrylic resin plates. Methods: This research is a laboratory experimental study with 27 samples of acrylic resin plates divided into three groups. Group A was immersed in effervescent granules. Group B was immersed in alkaline peroxide (sodium perborate) and group C was immersed in distilled water. Immersion was carried out for 15 minutes per day and lasted for 4 consecutive days and every day each solution was replaced with a new one. Measurement of surface roughness of samples after immersion using a surface roughness tester hardness measurement using CLSM (Confocal Laser Scan Microscopy). Result: Wilcoxon's test on the Alkaline Peroxide group showed a p value of 0.008 (p 0.05 (0.285 and 0.447) which means that there is no significant difference in surface roughness values before and after immersion. Conclusion: Sargassum sp effervescent granule solution does not affect the surface roughness of the acrylic plate.]]>
<![CDATA[Impression Techniques on the Management of Fibrous Maxillary Ridge ]]>
<![CDATA[Ang, Yee]]>;
<![CDATA[Tew, In Meei]]>;
<![CDATA[Goo, Chui Ling]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.47
<![CDATA[Fibrous or flabby ridges on the edentulous maxillary arch are commonly found in combination syndrome or due to ill-fitting dentures. The main challenge in complete denture fabrication for these cases is the likelihood of displacing the mobile tissue from its resting position due to the forces exerted during impression taking. In this case report, two patients complained of ill-fitting maxillary complete dentures despite multiple adjustments. Upon intraoral examination, the patients presented with moderately to severely displaced flabby ridge on the premaxilla region. As both the patients are medically compromised and denied any surgical treatment, flabby ridges were conservatively managed using two modified impression techniques in fabrication of maxillary complete dentures. A single-step impression technique with simultaneous use of light and medium body silicone impression materials was utilized. It requires high clinical skills but offers a simple and least time-consuming approach in recording the surface details of severely displaced flabby ridge. A two-step technique records normal tissues and flabby ridges using zinc oxide eugenol (ZOE) and light body silicone impression materials respectively in sequence. This technique enables good control over the volume and flow of light body silicone as compared to single-step technique, but precautions should be taken to avoid custom tray misplacement during the second stage of impression taking. Custom trays were designed differently in both techniques, especially on the timing of tray perforations and handle position to further ease the impression making process. Both the dentures were delivered with good support, stability, and retention. The patients were satisfied with the outcome. In a nutshell, simplified solutions are recommended in this case report for clinicians with different levels of competence. A single custom tray with perforations and extra spacers is recommended as the most cost-effective manner to reduce the complexity of the procedure.]]>
<![CDATA[Rugoscopy and Blood Group - An Aid to Forensic Odontology ]]>
<![CDATA[Trivedi, Nupur]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.106
<![CDATA[Statement of problem: Identification plays a major role in any crime investigation. It is difficult to identify people when visual recognition and fingerprint analysis turn out to be ineffective like in advanced stage of decomposition or burnt cases. Aim: The aim of the present study is to determine the correlation of Rugoscopy with Blood groups. Objectives: To evaluate the pattern of palatal rugae and distribution of its characteristics among subjects having different ABO and Rh blood groups. Methods: A total of 40 subjects were enrolled in this study in the age group of 18–60 years. Pattern of palatal rugae regarding the number, size and shape of rugae was identified according to the classification of Kapali et al. The palatal rugae of each subject were recorded by using an irreversible hydrocolloid impression material(alginate) in a perforated tray. Blood sample for blood grouping was taken and verified for blood group. The palatal rugae pattern of 40 subjects were then co related with blood groups and recorded. The data was subjected to chi square test. Results: Primary rugae type showed the highest number while the most frequent shape was the wavy shape, followed by the curved shape. Converging form of unification was also found to be more prevalent than the diverging form. No statistically significant correlation was found between blood group and distribution of its characteristics of palatal rugae. Conclusion: Correlation of palatal rugae patterns and blood groups might give valuable indications for the identification of suspect and help in gaining forensic evidence. This study showed a specific rugae pattern in the studied adult Indian population when compared to other populations’ patterns that were reported in the literature.]]>
<![CDATA[Improve the Quality of Life with Magnetically Implant-Supported Overdenture ]]>
<![CDATA[Darmiaty, Darmiaty]]>;
<![CDATA[Arfa, Sitti]]>;
<![CDATA[Machmud, Edy]]>;
<![CDATA[Habar, Ike Damayanti]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.97
<![CDATA[Patient chief complaint: A 50-year-old woman comes to the Dental Hospital Hasanuddin University Makassar with complaints of masticatory disorders because the dentures that have been used for 9 years are loose and wobbly so that they feel painful when used to eat. Patient’s Oral Status: Intra-oral examination revealed the upper and lower jaws the patient is completely edentulous. In the lower jaw is also accompanied by alveolar ridge resorption. Treatment plan: Using an implant-supported overdenture with magnetic retention in the mandible while in the maxilla a conventional denture because there was still a portion of the maxilla that could be used for retention. Detail of therapy: After obtaining the patient's consent and confirming that the patient had no parafunction, two implants were placed on the body of the mandible using a single stage. Right and left implant length 12.0 mm, diameter 4.0 mm. Surface Both the magnet and the attachment guard are coated with titanium nitride (TiN). Clinical significance of therapy: Magnetically implant-supported overdenture can restore masticatory function and restore quality of life]]>
<![CDATA[Management Of Fully Edentulous Patient with Semi-Adjustable Articulator: A Case Report ]]>
<![CDATA[Reinaldo, Evander]]>;
<![CDATA[Rikmasari, Rasmi]]>;
<![CDATA[Damayanti, Lisda]]>
<![CDATA[ Indonesian Journal of Prosthodontic Special Issue 2021 ]]>
Publisher : <![CDATA[Indonesia Prosthodontic Association ]]>
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DOI: 10.46934/ijp.v2i0.110
<![CDATA[Introduction: Loss of tooth could cause many anatomical, physiological, and functional changes, also could cause psychological trauma. Patient who loss all their tooth needed denture to fulfil their needs, both functionally and esthetically. Case report: This article showed treatment for 71 years old man came to Universitas Padjadjaran Dental Hospital with chief complaint pain in left mandibular ridge from the past 6 months and couldn’t masticate well. This patient wore acrylic full denture made by denturist from the past 7 years. Intraorally, both occlusion at posterior part of the denture were open, found enlargement of palatal mucosa because usage of vacuum chamber dan mandibular flat residual ridge. Treatment plan of this patient was fabrication upper and lower denture with facebow transfer and semi adjustable articulator. Discussion: Full denture in flat ridge cases needed proper treatment because lack of retention and stability. Extension of denture flange at sublingual area could increase stability and retention in this case. Fabrication of full denture with facebow could record maxillary relation with rotation of the mandible and allowed maxillary cast model placed according to the semi adjustable articulator. Semi adjustable articulator was an effective tool to fabricate full denture because could minimize adjustment of artificial tooth and occlusal contact. Conclusion: The usage of facebow and semi adjustable articulator could help dentist to achieved artificial teeth arrangement like patient occlusal scheme while function so that dentist could minimize reduction and adjustment of artificial teeth also increased patient’s comfort while wearing the denture.]]>
