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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 188 Documents
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Toward optimal prosthetic strategies: the biomechanical impact of design and material in posterior implant-supported fixed partial denture Karina Mutiara Kasih Suwarno; Ricca Chairunnisa; Syafrinani
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.323

Abstract

ABSTRACT Implant-supported fixed partial dentures (iFPDs) are used for posterior rehabilitation. Biomechanical problems arise in the posterior due to complicated occlusal stresses and insufficient bone support. Prosthetic design and material stiffness affect stress distribution on peri-implant bone and components, affecting iFPD success. This systematic review examined the biomechanical performance of zirconia, PEKK, and PEEK two- and three-unit iFPDs with fixed-fixed and cantilever designs. FEA was used to evaluate stress distribution and clinical implications. PICO criteria and Boolean operators were used to search PubMed, Scopus, ScienceDirect, and MyEBSCO for 2020–2025 studies. Five of 158.353 documents met PRISMA 2020 criteria. Von Mises stress, prosthesis configurations, material stiffness, and stress concentration zones were extracted. Cantilever designs had the highest stress values, especially at the connector and prosthesis-abutment interface. Due to its stiffness, zirconia shielded the peri-implant bone, while PEKK and PEEK reduced prosthesis stress but transferred more stress to the bone. Connectors were the most biomechanically susceptible in all designs and materials. The synergistic interplay between prosthetic design, material mechanical properties, and loading direction determines the stress distribution pattern and long-term stability of implant-supported prosthetic structures. Keywords: Stress distribution, zirconia, high-performance polymers, finite element analysis, implant-supported fixed partial denture
Occlusal scheme in complete denture for knife-edge ridge: What works best? Deasy Faradita Putri; Ismet Danial Nasution; Putri Welda Utami Ritonga
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.324

Abstract

Fabrication of complete dentures for atrophic and knife-edge mandibular ridges poses challenges due to uneven stress distribution, which affects support, stability, and comfort. The selection of an occlusal scheme plays an important role in optimizing load transmission to the denture-supporting tissues. This systematic review aims to evaluate stress and strain distribution as well as denture displacement across various occlusal schemes in patients with atrophic or knife-edge ridges. A structured literature search was conducted through PubMed, Scopus, ScienceDirect, SpringerLink, and Google Scholar for studies published between 2015 and 2025. Seven studies met the inclusion criteria, encompassing in vitro experiments, finite element analysis (FEA), photoelastic models, and clinical evaluations. From 407 screened articles, seven studies were analyzed. Lingualized occlusion (LO) demonstrated the most even stress distribution centered along the ridge crest, while bilateral balanced occlusion (BBO) improved stability under functional loading. Monoplane occlusion (MO) reduced vertical strain but exhibited higher localized stress under specific conditions. No single occlusal scheme was universally superior. LO and MO provided favorable biomechanical outcomes in specific conditions, whereas occlusal scheme selection should be adapted to ridge morphology and patient functional needs. Keywords: complete denture, occlusal scheme, knife-edge ridge, atrophic ridge, stress distribution
Heat-Cured Acrylic Resin Plates on Surface Roughness in A 6.25% Siwak (Salvadora Persica) Effervescent Tablet Solution Mohammad Dharma Utama; Chusnul Chotimah; Rhezaldi Rusdi; Aksani Taqwim; Maqhfirah Amiruddin
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.325

Abstract

Background: Heat-cured acrylic resin is widely used as a denture base material due to its favorable aesthetic and biocompatible properties; however, denture hygiene must be maintained using cleaning agents that do not adversely affect surface characteristics. Siwak (Salvadora persica) contains antibacterial and antifungal compounds and has demonstrated inhibitory effects against Candida albicans at a concentration of 6.25%, indicating its potential as a natural denture cleanser. Objective: This study aimed to evaluate the effect of immersing heat-cured acrylic resin plates in a 6.25% siwak effervescent tablet solution on surface roughness. Methods: A true experimental study was conducted using 27 heat-cured acrylic resin plates (65 × 10 × 3.3 mm), divided into three groups: alkaline peroxide solution, 6.25% siwak effervescent tablet solution, and effervescent tablet solution without siwak. Immersion was performed for 15 minutes daily over an 8-day period at 37°C. Surface roughness was measured using a Surface Roughness Tester, and data were analyzed using Welch ANOVA. Results: All groups exhibited an increase in surface roughness after immersion. However, statistical analysis showed no significant difference among the three groups (p > 0.05). Conclusion: Immersion in a 6.25% siwak effervescent tablet solution did not significantly affect the surface roughness of heat-cured acrylic resin and can be considered safe for use as a denture cleaning agent.
Preventing black triangles around posterior maxillary implants using customized peek healing abutments: A case report Raisa Oktaviani Yanto Putri; Vinni Nichianishi; Vita Mulya Passa Novianti; Setyawan Bonifacius
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.327

Abstract

Background: Posterior maxillary implant placement is often challenging due to low bone density, limited soft tissue support, and a higher risk of black triangle formation. Prefabricated healing abutments are manufactured in standard shapes and often fail to guide soft tissue maturation according to individual anatomy. In contrast, custom healing abutments allow precise shaping of the emergence profile and supporting better peri-implant tissue healing. Case: A 31-year-old female presented with a missing upper left second premolar and masticatory discomfort. Clinical and radiographic examinations confirmed adequate bone volume for implant placement. Management: An implant (Dentis Implant s-Clean SQ, 4.0 × 10 mm) was placed using a digitally designed and 3D-printed surgical guide. A custom Polyetheretherketone (PEEK) healing abutment was fabricated and adjusted using flowable composite to mimic the natural gingival contour. This approach minimized repeated abutment disconnection and facilitated soft tissue maturation. After three months, an open-tray impression was made, and a screw-retained zirconia crown was delivered. Conclusion: Custom PEEK healing abutments demonstrate superior adaptation to peri-implant soft tissues, preserve gingival architecture, and effectively prevent black triangle formation compared to prefabricated abutments. Their use is recommended in posterior maxillary implant restorations to enhance functional and biological outcomes. Keywords: black triangle; customized healing abutment; dental implant; PEEK (polyetheretherketone)
Management of disc displacement with reduction with intermittent locking, myofascial pain, and TMD-Related headache : A Case Report Andita Nurseptiani Lukman; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.329

Abstract

Temporomandibular disorders (TMD) refer to a group of problems involving the temporomandibular joint (TMJ) and the masticatory muscles. The most common intra-articular diagnosis is disc displacement with reduction; however, cases with intermittent locking are relatively rare and can be characterized by fluctuating symptoms. This case report describes the conservative management of disc displacement with reduction with intermittent locking accompanied by myofascial pain with referral and headache attributed to TMD in a 23-year-old male patient. The patient came in with a one year history of left TMJ clicking, recurrent locking episodes, jaw pain, and sharp temporal headache. A clinical examination showed corrected deviation while opening the mouth, limited pain-free mouth opening, joint sounds, myofascial pain with referral, and headache reproduction when the muscles were palpated. The final diagnosis was disc displacement with reduction with intermittent locking complicated with myofascial pain with referral and headache attributed to TMD. Management was a combination of mandibular stabilization splint therapy, muscle conditioning exercises, and physical self regulation. Subsequent visits showed improvement in muscle pain, headaches, joint sounds and locking episodes. Conservative management with stabilization splint therapy supported by behavioral and muscle conditioning interventions can lead to successful symptom relief and functional improvement. Keywords: Temporomandibular disorders, disc displacement with reduction, myofascial pain, headache attributed to TMD, stabilization splint
Management of temporomandibular disorders on violinists Arif Winursito; Felix Anthony W. Wong; Seto Pramudita; Ista Meidarlina; Lisda Damayanti
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.330

Abstract

Temporomandibular Joint Disorders (TMD) is musculoskeletal group syndrome involving temporomandibular joint, masticatory muscles, and related tissues. Symptoms that often appear are pain in the joint area, limited mouth opening, and jaw that locks easily. TMD is generally experienced by many violinists. The tilt of the head to one side when playing violin for a long period cause muscle tension and pain in the face and neck region. This case report aims to describe the treatment of TMD on violinist using occlusal splint. A 26 year old female violinist came to prosthodontic clinic with the main complaint of pain in the jaw when opening the mouth too wide and frequent pain in the facial muscles. The patient has a bruxism habit and anxiety for a long time, and had unbearable pain when opening her mouth. Dental impressions are preformed and an immediate splint was made at the first visit, then at the second visit the immediate splint was replaced with a stabilization splint which was used for 3 months and is given physical self-regulation instructions until the pain finally disappears. Occlusal splint therapy accompanied with physical self regulation can overcame TMD in violinist patient.
Management of fully edentulous with flabby ridge using double spacer custom tray and modified impression techniques Sara Stefany; Taufik Sumarsongko; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.331

Abstract

Background: A flabby ridge refers to an area of alveolar ridge with hypermobile and fibrous soft tissue that typically forms as a result of prolonged pressure or unstable occlusion, which posing difficulties in achieving proper denture retention, support, and stability. A precise impression is essential for ensuring the stability of complete dentures with flabby ridge. The fundamental principle for impressions of a flabby ridges is to apply minimal pressure on the flabby area to prevent distortion impression outcome. To achieve that, double spacer custom tray along with selective pressure impression techniques was employed. Objectives: This case report aims to gain impression with minimum pressure on flabby ridge to enhance retention, support, and stability of the complete denture. Case Report: A 70-year-old male patient came to the Policlinic Prosthodontics Oral dan Dental Hospital Universitas Padjadjaran complaining that his old 10-years-used denture felt loose and uncomfortable. Intraoral examination showed that both maxillary and mandibular arches were fully edentulous, with flabby ridges present. Following the assessment, it was decided to make a new complete denture using double spacer custom tray and selective pressure impression techniques. Conclusion: Double spacer custom tray and selective pressure impression techniques have been effective in minimizing pressure that could lead to tissue compression during impression procedures, resulting more comfortable dentures with greater retention and stability. Keywords: Flabby Ridge, Complete Denture, Double Spacer Custom Tray, Selective Pressure Impression Technique
Prosthetic rehabilitation of a severely resorbed mandibular ridge using the effective suction method Novita Gabriela Andreas; Taufik Sumarsongko; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.332

Abstract

Background: Mandibular ridge resorption commonly occurs after tooth loss and progressively reduces ridge height and contour, often resulting in a flat ridge. Severe resorption in edentulous patients creates challenges in complete denture fabrication, particularly in achieving adequate retention and stability. The mandibular suction effective denture technique was developed to improve retention by establishing a complete border seal and negative pressure beneath the denture base. Objectives: This case report aims to describe prosthetic rehabilitation of a patient with a flat mandibular ridge using the effective suction impression technique. Case Report: A 67-year-old female with complete edentulism and a flat mandibular ridge complained of difficulty in mastication and speech due to a loose, fractured denture. Rehabilitation was performed using the effective suction impression technique with a frame cut-back (FCB) tray and a closed-mouth impression method. Procedures included final impression making, jaw relation recording, artificial teeth arrangement, and insertion of complete dentures for both arches. Post-insertion evaluation showed good retention and stability, with improved comfort and masticatory function. Conclusion: The effective suction technique can provide improved retention, stability, and patient comfort in patients with flat mandibular ridges. Further clinical studies are needed to confirm its long-term success.
Maxillofacial esthetic rehabilitation using bilateral custom ocular prosthesis in a case of anophthalmia and phthisis bulbi Tu Bagus Satria Pajajaran; An-Nissa Kusumadewi
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.335

Abstract

Bilateral loss of the eyeballs is a condition that not only causes visual impairment but also significantly impacts the patient’s aesthetic appearance and psychosocial well-being. Rehabilitation through the fabrication of custom ocular prostheses can help restore facial appearance and patient self-confidence. This case report aims to describe the fabrication process and clinical outcomes of bilateral custom-made acrylic ocular prostheses in a patient with right-sided anophthalmia and left-sided phthisis bulbi. A 54-year-old male patient presented to the Prosthodontics Department at RSGM UNPAD, Bandung, with complaints of loose and uncomfortable right and left ocular prostheses. The patient had undergone enucleation of the left eye and had been wearing prostheses for the past five years. A new pair of custom ocular prostheses was planned. The treatment procedure included socket impression using polyvinyl siloxane (PVS), fabrication of a positive model, wax pattern try-in followed by acrylic sclera construction, manual iris painting, and application of clear acrylic as the final layer. The prostheses were inserted following a comprehensive evaluation of adaptation, retention, symmetry, and the psychological response of the patient and family. Custom ocular prostheses provide an effective rehabilitative solution for bilateral ocular loss. With an individually tailored design, they restore facial symmetry, enhance self-esteem, and reduce psychological distress.
Digital copy reference denture: enhancing accuracy and comfort in edentulous geriatric patients: Case report Aditia Kencana Tanuwijaya; Gian Nur Alamsyah
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.336

Abstract

Introduction: Prosthodontic rehabilitation in geriatric patients is often complicated by systemic frailty, reduced neuromuscular adaptability, and limited tolerance for prolonged dental procedures. Conventional denture fabrication frequently requires multiple clinical visits and extended chairside time, which may increase treatment burden and compromise patient comfort. Advances in digital dentistry have enabled streamlined workflows that improve efficiency and predictability. The digital copy reference denture technique allows replication of an existing prosthesis while enabling controlled modification of functional and esthetic parameters, thereby facilitating patient adaptation and reducing clinical complexity. Case Presentation: A 93-year-old woman presented with poor denture retention and instability, leading to impaired mastication. Clinical examination revealed a maxillary complete denture with a suction cup causing palatal mucosal trauma and a mandibular partial denture retained by wire clasps on extruded teeth 33 and 43. Treatment involved fabrication of a new maxillary complete denture using a digital copy denture workflow while re-establishing vertical dimension and centric relation with a leaf gauge. A mandibular overdenture with magnetic attachments was planned. The digital workflow comprising intraoral scanning, digital design, and 3D printing enabled delivery of the definitive prostheses at the second visit while preserving familiar denture contours to facilitate adaptation. Conclusion: A fully digital copy reference denture workflow represents a predictable and patient-centered treatment strategy for prosthodontic rehabilitation in elderly patients. By reducing clinical visits and improving prosthesis retention, stability, and comfort, this approach offers an effective alternative for managing complex geriatric cases.

Page 18 of 19 | Total Record : 188

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