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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 170 Documents
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Complete denture fractures: Insights into clinical failures and management strategies Kartikasari, Nadia; Nathaniela, Annora OI.; Kurniawan, Samuel K.; Putri, Fionna A.; Irawan, Hilaria R.; Sitalaksmi, Ratri M.; Mundiratri, Karina; Kurdi, Abil
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.309

Abstract

Background: Complete denture fractures are a common complication in edentulous patients, mainly due to a combination of anatomical, biomechanical, material, and technical factors. This condition affects masticatory function, comfort, and quality of life in elderly patients, who are the largest users of dentures. Purpose: This article aims is to review the epidemiology, etiology and contributing factors, and management of complete denture fractures. Review Summary: Various studies show that fractures most often occur within first two to four years of the denture age, especially in the mandible and midline area due to flexural fatigue. The main causes include poor fit, unbalanced occlusion, fall trauma, and material defects such as porosity or an overly thin base. Repairs can be made using autopolymerizing resin, heat-cured resin, microwave polymerization, or visible light-cured resin, with reinforcement techniques such as E-glass fiber reinforcement, which has been shown to increase denture strength. Prevention focuses on proper design, good stress distribution, occlusal balance, and regular monitoring. Conclusion: A clear understanding of the etiology and fracture patterns is essential to improving clinical outcomes in denture fracture management. Strengthening clinical protocols through better diagnostic awareness and preventive strategies can help reduce the overall risk of denture fractures.
The perspective of prosthodontic treatment in adolescent Kartikasari, Nadia; Rudhanton, Riddo A.; Prajugo, Charlie S.; Gofur, Aisyah RP.; Sitalaksmi, Ratri M.; Mundiratri, Karina
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.310

Abstract

Background: Tooth loss among adolescents may impair masticatory function, alter speech articulation, and affect facial aesthetics. Prosthodontic treatment provides essential restorative options for replacing missing teeth. However, despite its importance, a considerable gap remains in the literature regarding adolescents’ perspective toward prosthodontic treatment. Objective: This study aims to evaluate the adolescents’ perspective toward prosthodontic treatment. Methods : A self-administered questionnaire were given to participants. The perspective of prosthodontic treatment was evaluated using three sections: awareness, knowledge, and attitude. The data respondent were collected and categorized into poor, fair and good. The statistical analysis was performed using reliability and validity tests, as well as the Kolmogorov–Smirnov test (P > 0.05).Write your abstract here. Maximum 200 words, single paragraph, in English. Include background, objective, method, result, and conclusion. Result: The adolescents have fair awareness, knowledge, and attitude regarding the prosthodontic treatment. Conclusion: These study showed that adolescents’ fair perspective of prosthodontic is still insufficient, highlighting the need for improved early education.
Prosthodontic management of angle class III malocclusion with a maxillary single complete denture and mandibular partial denture: A case report Meliana; Ahmad Masruri
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.311

Abstract

Background:Angle Class III malocclusion presents a challenge in prosthodontic rehabilitation, especially when a maxillary single complete denture must oppose a partially dentate mandibular arch. Achieving acceptable esthetics and function requires careful planning of the occlusal scheme, tooth position, and vertical dimension, particularly in patients who refuse or are unsuitable for orthodontic or orthognathic treatment. Case Report: This case report describes the prosthodontic management of a 63-year-old male patient with Angle Class III malocclusion, presenting with a completely edentulous maxilla and a partially edentulous mandible. The patient’s chief complaint was poor esthetics due to reverse overjet, sunken lip support, and disharmonious smile appearance, compounded by functional difficulties in mastication. A maxillary single complete denture and a mandibular removable partial denture were planned to correct anterior esthetics while maintaining a stable and functional occlusion. Conclusion:In patients with Angle Class III malocclusion who decline or are not candidates for orthodontic or surgical correction, careful prosthodontic planning with a maxillary single complete denture opposing a mandibular partial denture can provide satisfactory esthetic and functional outcomes. A case-based, individualized approach is essential to respect the underlying skeletal pattern while optimizing dental and facial esthetics. Keywords:Angle Class III malocclusion; single complete denture; removable partial denture; esthetic rehabilitation; occlusal scheme; prosthodontic management.
Aesthetic rehabilitation with crowns and laminate veneers on maxillary anterior teeth and altered cast impression technique for mandibular metal framework partial denture Andrian T.; Mia Syafitri; Meliana; Akmal S. Ikhwan
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.312

Abstract

ABSTRACT Introduction: Partial tooth loss in the mandible can impair masticatory function, phonetics, and occlusal stability, and reduce quality of life. Discoloration and disharmony in the shape of the maxillary anterior teeth also affect smile esthetics and self-confidence. A combination of veneers and crowns on the maxillary anterior teeth with a metal-framework removable partial denture in the mandible is a functional and relatively affordable prosthodontic rehabilitation option. Case Report: A 46-year-old female patient presented to the Dental and Oral Hospital of Hasanuddin University with a chief complaint of feeling insecure about her appearance due to the shape of her teeth and various teeth in the maxilla. The patient also complained of difficulty chewing due to the loss of several teeth in the mandible. She had never used any dentures before. The patient requested a denture that could improve her appearance and be comfortable so that she could chew food properly. Conclusion: Rehabilitation using a combination of crowns and laminate veneers on the maxillary anterior teeth and a metal-framework removable partial denture (RPD) with the Altered Cast technique in the mandible successfully improved aesthetics, occlusal function, and patient comfort. This approach provides more stable prosthesis adaptation, natural restorative results, and good clinical success. Comprehensive care and periodic control are required to maintain long-term results. Keywords: Veneer, crown, Metal framework, Removable Partial Denture, Partially Edentulous, Altered Cast Technique
Differences in milling speed and sintering speed using cad/cam technique on the marginal gap of zirconia dental crown Putri, Nadya K.; Murti Indrastuti; Sri B. Barunawati
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.313

Abstract

Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) is a digital approach to fabricating dental restorations, including zirconia crowns. Compared to conventional techniques, CAD/CAM offers a more efficient and precise workflow. The laboratory workflow in CAD/CAM process provides advantages such as high accuracy and a broader selection of materials, although it generally requires more time than chairside workflows. Manufacturing parameters—particularly milling speed and sintering speed—may influence the mechanical characteristics of restorations, especially marginal gaps, which are critical for long-term clinical success. Excessive marginal gaps can lead to restoration failure. This study aims to examine the effects of milling and sintering speeds on the marginal gap of zirconia crowns made using CAD/CAM technology. This experimental laboratory study involved 24 zirconia crowns divided into six groups based on combinations of three milling speeds (fast, normal, gentle) and two sintering speeds (conventional and speed). Marginal gaps were measured using micro-computed tomography (micro-CT), and data were analyzed with a two-way ANOVA followed by a Post-Hoc LSD test. Results revealed significant differences in marginal gaps related to both milling and sintering speeds (p < 0,05). The combination of gentle milling and speed sintering resulted in the smallest marginal gap (86,36 μm), while fast milling with conventional sintering produced the largest (118 μm). All values remained within the clinically acceptable range (50–120 μm). In conclusion, both milling speed and sintering speed significantly affect the marginal gap of zirconia dental crowns, highlighting the importance of optimizing these parameters for improved restoration quality.
Integration of leaf gauge technique in the digital fabrication of stabilization splint for temporomandibular disorder: A case report Justin, Alexander; Syafrinani; Ricca Chairunnisa
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.316

Abstract

AbstractBackground: Temporomandibular disorder (TMD) is a multifactorial musculoskeletal condition characterized by jaw pain, limited mandibular movement, and joint sounds. A common subtype is disc displacement with reduction (DDWR), often accompanied by local myalgia and arthralgia. Stabilization splints are a standard treatment modality, with 3D printing offering benefits such as precision, efficiency, and reduced clinical time. However, the effectiveness of splint therapy depends on accurate recording of the mandibular-maxillary relationship, which can be reliably achieved using a leaf gauge.Objective: To report the management of a TMD case involving DDWR, myalgia, and arthralgia in an adolescent patient using a leaf gauge to establish centric relation during the fabrication of a 3D-printed stabilization splint.Case Report: An 18-year-old male presented with right-sided jaw pain and clicking upon mouth closure. History revealed parafunctional habits, including unilateral mastication and academic stress. Diagnosis was confirmed via DC/TMD Axis I and II, along with clinical and radiographic assessment, indicating DDWR with myalgia and arthralgia. Treatment includes behavioral treatment, infrared light therapy, and fabrication of a stabilization splint. Centric relation was determined using a leaf gauge to ensure accurate mandibular positioning.Conclusion: The use of a leaf gauge in this case facilitated precise centric relation, enhancing the efficacy of the 3D-printed stabilization splint. This approach contributed to significant symptom improvement and underscores the value of integrating analog tools within digital workflows in TMD management.Keywords: disc displacement with reduction, leaf gauge, 3D printing, local myalgia, arthralgia
Accuracy of intraoral scanning influenced by different scanning distance and ambient light : A systematic literature review Thamran, Brandon; Haslinda Z. Tamin; Ariyani
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.317

Abstract

Background: Intraoral scanning is now widely used in clinical dental practice. The accuracy of impressions obtained using intraoral scanners is a critical factor in the success of fixed prosthodontic restorations. The accuracy of digital intraoral scanning is influenced by scanning distance and ambient lighting conditions. Objectives: This systematic review aims to evaluate the impact of scanning distance and ambient light on the accuracy of intraoral digital impressions. Methods: Following the PRISMA 2020 guidelines, this study conducted a thorough electronic search across PubMed, ScienceDirect, and ProQuest to identify relevant studies.. The Robins I tool assessed the risk of bias in various study types. Data extraction occurred based on predetermined parameters for studying specimens and assessing outcomes. Results: Multiple studies consistently highlight that maintaining an optimal intraoral scanner (IOS) tip distance, typically around 2,5-10 mm, is critical for achieving high-precision digital models, while both closer and farther distances tend to reduce accuracy. Furthermore, extremes in illumination intensity (0 lux and 1500 lux, especially at 7500 K) leading to diminished scan trueness and prolonged scanning times. Conclusion: Scanning distance and ambient lighting conditions affect the accuracy of digital impressions produced using intraoral scanners. Keywords: scanning distance, ambient light, precision, accuracy, intraoral scanners
Integrated approach of splint, face and full-body yoga, and smartphonebased cognitive behavioral therapy for temporomandibular disorder: A case report Athirah, Annisa; Nasution, Ismet D.; Chairunnisa, Ricca
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.319

Abstract

ABSTRACT Background: Temporomandibular disorders (TMD) can result from stress, occlusal imbalance, trauma, and poor posture. Stress often triggers parafunctional habits such as clenching, leading to masticatory muscle hyperactivity, fatigue, stiffness, and pain radiating to the head and other body regions. Conservative therapies include splints, yoga, and cognitive behavioral therapy (CBT). Objective: To report the management of a TMD case diagnosed as myofascial pain with spreading and arthralgia using a combination of stabilization splint, face and full-body yoga, and smartphone-based CBT. Case Report: A 28-year-old female presented with muscle pain radiating to the head, neck, and lower back, and limited mouth opening. She had a history of clenching. DC/TMD Axis I confirmed myofascial pain with spreading and arthralgia; Axis II showed mild depression (score = 6). Treatment comprised a stabilization splint, face and full-body yoga, and smartphone-based CBT over six weeks. Post-treatment, mouth opening increased from 25 mm to 33 mm, depression score decreased to 1, and muscle tension was significantly reduced. The patient reported improved quality of life and awareness of parafunctional habits. Conclusion:A multidisciplinary approach integrating splint therapy, yoga, and smartphone-based CBT effectively reduces TMD symptoms. Splints and yoga relax muscles, while CBT enhances stress management and awareness of clenching, contributing to therapeutic success. Keyword: Myofascial, face yoga, full-body yoga, clenching, cognitive behavioral therapy (CBT)
Stress distribution and flexural strength analysis of anterior ceramic fixed prostheses based on connector designs using finite element analysis Uly, Rismayasari; Syafrinani; Ariyani
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.321

Abstract

Background: Anterior ceramic fixed prostheses, such as bridges and resin-bonded fixed partial dentures (RBFPDs), often use zirconia or lithium disilicate. Their success depends on optimal flexural strength and favorable stress distribution to abutment teeth, both influenced by connector design. Objective: This systematic review evaluates the influence of connector design on stress distribution and flexural strength of anterior zirconia and lithium disilicate prostheses using Finite Element Analysis (FEA) or in vitro testing. Methods: Following PRISMA guidelines, studies published between 2015 and 2025 were searched in PubMed, Scopus, and Google Scholar. Eligible full-text English articles examined anterior fixed prostheses made of zirconia or lithium disilicate through FEA or in vitro testing. Results: Seven studies met the criteria. Round connectors in both materials showed the highest flexural strength under oblique loading, while triangular zirconia connectors performed best under vertical loading. Zirconia exhibited uniform stress distribution, whereas lithium disilicate showed balanced stress. Rectangular lithium disilicate connectors displayed more even stress distribution than trapezoidal designs. Double-ended RBFPDs had lower stress than single-ended designs. Conclusion: Connector design and ceramic material critically influence stress distribution and flexural strength in anterior fixed prostheses. Keywords: stress distribution, flexural strength, anterior fixed prostheses, connector design, zirconia, lithium disilicate, FEA
Management of TMD without surgery using prolotherapy with dexamethasone, aquades, and lidocaine hcl for pain and inflammation relief: A case series Ismunandar, Adhe
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.322

Abstract

Background: Temporomandibular Disorder (TMD) is a condition involving inflammation of the temporomandibular joint (TMJ) that causes pain and discomfort. Non-surgical treatments such as prolotherapy using dexamethasone, aquades, and lidocaine HCl have shown potential in managing these symptoms.Case Series: Three TMD patients received prolotherapy treatments containing dexamethasone, aquades, and lidocaine HCl. The treatment effectively reduced pain and inflammation in the patients.Results: Significant reductions in pain and inflammation were observed post-treatment, with improved joint mobility and quality of life for the patients.Conclusion: Prolotherapy with dexamethasone, aquades, and lidocaine HCl is a promising non-surgical treatment for TMD, showing significant reductions in pain and inflammation.Keywords: Temporomandibular Disorder, Prolotherapy, Dexamethasone, Lidocaine HCl, Pain Reduction, Inflammation, Non-Surgical Treatment.

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