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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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Complete denture rehabilitation in a patient with flabby ridge using an open-Window impression technique and double-spacer custom tray: A case report Richard Austeen Halim; 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.v7i1.337

Abstract

ABSTRACT Background: A flabby ridge is an area of mobile soft tissue found superficially, which affects both maxillary and mandibular alveolar ridges. It is a common finding in long term denture wearers, where the rate of bone resorption is very fast leading to development of hyperplastic soft tissue over the alveolar bone. These mobile, hyperplastic tissues compromise denture stability and retention, leading to patient discomfort and functional limitations. 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, open-window technique and 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 63-year-old male patient came to the Department of Prosthodontics, Padjadjaran University, 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 open-window impression techniques. Conclusion: Double spacer custom tray and open-window impression techniques helped in recording flabby tissue with minimal displacement and hence enhanced the stability, support, and retention of the denture. Keywords: Flabby Ridge, Complete Denture, Impression Techniques, Double Spacer Custom Tray, Open-Window Technique
Management of disc displacement with reduction and local myalgia using the wax record technique with aluminum wax on stabilization splints and infrared therapy: A case report Nabilah Fajri Damanik; Ismet Danial Nasution; Ricca Chairunnisa
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.v7i1.338

Abstract

ABSTRACT Background: Disc Displacement with Reduction (DDWR) is one of the most common temporomandibular disorders (TMD), characterized by anterior displacement of the articular disc during mouth opening, typically accompanied by clicking sounds and masticatory muscle pain. DDWR is frequently associated with local myalgia, often worsened by stress and parafunctional habits. Stabilization splints and infrared therapy have demonstrated effectiveness in reducing symptoms. The use of aluminum wax in bite registration helps achieve a stable centric relation, enhancing splint fabrication accuracy. Objective: This case report aims to describe the management of DDWR with local myalgia and arthralgia through bite registration using aluminum wax to support centric relation during stabilization splint fabrication, complemented by infrared therapy. Case Report: A 40-year-old male reported pain in the left cheek and ear, along with clicking during jaw movement for six months. DC/TMD Axis I assessment confirmed DDWR with local myalgia and arthralgia, Axis II revealed psychological stress. Treatment consisted of behavioral counseling, infrared therapy applied to the left masseter, and splint fabrication with bite registration using aluminum wax. Registration was performed using baseplate wax combined with aluminum wax on the occlusal surface to achieve centric relation during articulator mounting. After two weeks, the patient experienced increased mouth opening from 45 mm to 46 mm, reduced muscle tenderness, and improved muscle relaxation. Conclusion: The combination of behavioral counseling, aluminum wax-assisted bite registration for splint fabrication, and infrared therapy proved effective in reducing symptoms and improving mandibular function in a patient with DDWR and local myalgia. Keyword : Disc displacement with reduction; myalgia; arthralgia; aluminum wax; infra-red therapy
Multidisciplinary approach with botulinum toxin (BTX) and 3D printing stabilization splint in cases of temporomandibular joint osteoarthritis exacerbated by bruxism Dina Hudiya Nadana; Ismet Danial Nasution; Ricca Chairunnisa
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.v7i1.339

Abstract

ABSTRACT: Background: Temporomandibular joint disorder (TMD) is a multifactorial condition involving the masticatory muscles and temporomandibular joint. Temporomandibular joint osteoarthritis (TMJ OA), is a degenerative joint disorder marked by articular surface erosion, crepitus, and joint pain. Parafunctional habits such as bruxism can exacerbate OA by increasing biomechanical load on the TMJ, accelerating joint degeneration, and worsening symptoms. Conservative treatments such as stabilization splints are commonly used in TMD management. Recently, botulinum toxin (BTX) type A has gained attention as an adjunct therapy for reducing excessive masticatory muscle activity. Objective: This report aims to describe the multidisciplinary management of a complex TMD case using 3D-printed stabilization splints combined with BTX type A injections. Case Report: A 24-year-old female presented with jaw pain and crepitation sounds upon mouth opening. She reported a history of bruxism and unilateral mastication. Cone-beam computed tomography (CBCT) revealed condylar erosion, osteophyte formation, and flattening. Clinical and radiographic findings confirmed myofascial pain and arthralgia with TMJ OA exacerbated by bruxism. Treatment included a custom 3D-printed stabilization splint and BTX type A injection into the masseter muscle. After 1 week, mouth opening improved from 34 mm to 35 mm, and to 38 mm after 1 month. The patient reported decreased pain during mastication and waking, along with reduced bruxism frequency. Conclusion: A multidisciplinary approach involving 3D-printed stabilization splints and BTX type A injections is effective in alleviating pain and improving function in complex TMD cases associated with bruxism. Keywords: Temporomandibular disorder, botulinum toxin, digital splint, bruxism
Optimizing occlusal schemes to reduce masticatory stress in resorbed class III jaw relations edentulous ridges: A systematic literature review Sonia Nduma Nola Padang; Ismet Danial Nasution; Ricca Chairunnisa
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.v7i1.341

Abstract

Background: An unfavorable jaw relationship, such as Class III, contributes to uneven masticatory stress distribution, accelerating alveolar bone resorption and potentially resulting in a flattened ridge morphology. This condition directly impacts denture stability and retention. Therefore, selecting an appropriate occlusal scheme is essential to guide and balance masticatory forces, enabling more even and physiological stress distribution. However, there is currently no clear consensus on the most effective occlusal scheme for Class III jaw relationships with flat ridges. Objective:This systematic review aims to evaluate and synthesize current scientific evidence regarding the influence of different occlusal schemes on stress distribution in patients with Class III jaw relationships accompanied by flat alveolar ridges. Methods: Following the PRISMA guidelines. A comprehensive electronic search was conducted through PubMed, Cochrane, and ScienceDirect databases to identify relevant studies published between 2015 and 2025. The search strategy included keywords such as: (“alveolar ridge” AND “occlusal schemes”) AND (“stress distribution”), as well as (“alveolar ridge” OR “occlusal schemes”) AND (“stress distribution”). Results: Out of 1061 articles screened, five studies met the inclusion criteria. Lingualized and balanced occlusion demonstrated a more uniform stress distribution compared to monoplane occlusion, particularly in patients with Class III jaw relationships and flat ridges. Conclusions: Occlusal schemes play a crucial role in reducing masticatory stress, especially in patients with Class III jaw relationships and flattened alveolar ridges. Further research is recommended, particularly in vitro biomechanical studies using masticatory simulation models that better represent the clinical conditions of Class III patients with flat ridges. Keywords: occlusal schemes, stress distribution, alveolar ridges, Class III.
The relationship between salivary flow rate and masticatory performance in hypertensive and nonhypertensive complete denture wearers Anggun Ratu Hutauruk; Ismet Nasution; Ariyani
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.v7i1.343

Abstract

Edentulism is the complete loss of natural teeth, leading patients to rely on complete dentures to restore masticatory function. The success of denture use is influenced by salivary flow rate, which affects retention and stability. Salivary flow may be altered by systemic conditions such as hypertension, potentially reducing masticatory performance. This study aimed to determine the mean salivary flow rate and masticatory performance, and to analyze their relationship in hypertensive and nonhypertensive complete denture wearers at the Dental and Oral Hospital of Universitas Sumatera Utara. This analytic cross-sectional study involved 20 subjects (10 hypertensive and 10 non-hypertensive). Salivary flow rate was measured using the spitting method with sugar-free chewing gum, while masticatory performance was assessed using color-changeable chewing gum and the Visual Analog Scale (VAS). Data were analyzed using Spearman’s correlation test (p<0.05). The mean salivary flow rate was 0.36±0.11 ml/min in hypertensive patients and 0.86±0.15 ml/min in nonhypertensive patients. The mean masticatory performance scores were 2.8±0.78 and 3.9±0.99, respectively. A significant correlation was found between salivary flow rate and masticatory performance in both hypertensive (p=0.0001) and nonhypertensive groups (p=0.001).Keywords: complete denture, hypertensive, salivary flow rate, masticatory performance
Correlation between length of usage and temporomandibular disorder presence in complete denture patient Noorfatika Titi Seroja; Ricca Chairunnisa
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.v7i1.344

Abstract

The aim of this study was to see if there was a correlation between the length of usage and the presence of TMD in patients wearing CD at Dental Hospital of North Sumatra University. This study is analytic observational with a cross-sectional design and a sample size of 50 subjects. The samples were separated based on the length of use, which was 12, 18 and 24 months. The FAI was used in interviews, while the DI was used in clinical tests. Subjects were interviewed using the TMD Etiology Index questionnaire to determine the level risk. The findings revealed that the prevalence of TMD risk based on duration of use showed at 12 month group with low risk, followed by 18 months and 24 months who experienced high risk. The results also revealed that the prevalence of TMD status based on duration of use at 12 months without TMD, followed by 18 months and 24 months. The Chi-Square test yielded a value of p = 0.0001 (p<0.05) based on the results of statistical tests evaluating the correlation between duration of usage and TMD status, indicating that there is a correlation between duration of use and TMD status and the highest results were found at 24 months of use of 85.7%.
Posterior mandibular tooth replacement using a porcelain-fused-to-metal adhesive bridge with sanitary and conical pontic designs: A case report Alyssa Salsabila; Nathania; 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.v7i1.345

Abstract

Posterior mandibular tooth loss can significantly impair masticatory function, occlusal stability, and overall quality of life. Among available treatment options, adhesive bridges offer a minimally invasive alternative that preserves tooth structure while restoring function. This case report describes posterior mandibular tooth replacement using a porcelain-fused-to-metal (PFM) adhesive bridge incorporating two different pontic designs, namely sanitary and conical pontics. A 50-year-old female patient presented with missing posterior mandibular teeth and complaints of discomfort during mastication. Clinical examination revealed a Kennedy Class III modification 1 condition with favorable abutment support. A conservative treatment plan was developed using a resin-bonded fixed dental prosthesis. Tooth preparation was performed within enamel, followed by impression procedures and laboratory fabrication. The pontic design was selected based on anatomical and hygienic considerations, with a sanitary pontic applied in one region and a conical pontic in another. Following coping try-in and evaluation of marginal fit and occlusion, final cementation was performed using dual-cure resin cement. Post-insertion evaluation demonstrated satisfactory function, stability, and esthetics, with good periodontal response. This case highlights that appropriate pontic design selection plays a crucial role in achieving functional efficiency, hygiene maintenance, and long-term success in adhesive bridge restorations.
Fabrication of a complete denture using a modified custom tray with a closed-mouth impression on a fully edentulous compromised mandibular flat ridge Jhonson; Ismet Danial Nasution; Ricca Chairunnisa
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.v7i1.347

Abstract

Background: Severe mandibular alveolar ridge atrophy, common in geriatric patients, compromises the functional success of complete dentures due to a reduced denture-bearing area and the proximity of muscle attachments to the ridge crest. This condition increases denture displacement during function in both horizontal and vertical movements, leading to poor retention and stability of the denture. Accurate impression techniques are critical to overcoming these challenges. The closed-mouth functional impression technique allows for the recording of denture-bearing areas and peripheral seal under functional pressure, potentially enhancing retention.Objective: This case report aims to describe the procedure for fabricating a complete denture using a modified custom tray with a closed-mouth impression on a fully edentulous, compromised mandibular flat ridge.Case Report: A 52-year-old woman presented with a loose and poorly fitting lower denture. Clinical examination revealed complete edentulism with a severely resorbed mandibular ridge. A custom tray was fabricated with a detachable handle to support the closed-mouth impression technique without interfering with occlusion during border molding and impression-making. The closed-mouth approach allowed for better muscle molding, recording of functional borders, and a more accurate reflection of the patient’s oral dynamics. As a result, the final denture exhibited significantly improved retention and comfort during function. This case highlights the clinical advantage of the closed-mouth impression technique in managing challenging ridge conditions and emphasizes the practical benefit of modifying tray design to ease the procedure for both clinician and patient. Such adaptation is especially relevant in geriatric care, where functional and anatomical limitations are common.Conclusion: The use of a modified custom tray with the closed-mouth functional impression technique proved effective in managing a severely resorbed mandibular ridge. It resulted in a stable, retentive, and comfortable complete denture, contributing to enhanced patient satisfaction.

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