Search

The choice of implant shape and size is an important part of the treatment plan procedure in order to obtain an implant that is sta-ble in masticatory function and aesthetic function. The use of implants with a tapered design and surface modification would improve the ultimate stability in low density bone. A comprehensiveand accurate radiographic examination is also an import-ant aspect of dental implant treatment planning. This article is aimed to present things about taperedinternal implants starting from indications, shape and dimensions, design, surface characteristics of the implant and drilling guide and selection of the appropriate type and radiographic technique to produce appropriate diagnostic information. So, with the limited facilities of modern radiographic images inIndonesia, conventional radiographic examinations with several projections can be used as an option to obtain optimal diagnostic information according to existing cases. Keywords: tapered implant, dental implant, dental implant radiography.

Losing an eyeball is a traumatic event both medically and psychologically that can cause functional, psychological, and aesthe-tic problems. Ocular prosthesis is part of a whole rehabilitative treatment after the surgery. This article describes the procedure to make a permanent ocular prosthesis to improve appearance, physical and psychological post surgery. A 3-year-old female patient came to Halimah Dg. Sikati Makassar Dental Hospital that was referred by an ophthalmologist after losing her right eye-ball to enucleation procedure for stage 2 tumor at the tender age of 8 months and wishes to have a permanent ocular prosthesis to restore appearance and self-confidence. Ocular prosthesis can help ease the psychological trauma and burden of losing the eyeball. It was concluded that restores the aesthetic appearance of the eyeball can increase the patient's confidence so she can function and feel better socially.

Temporomandibular joint disorders (TMD) do not always indicate a problem in the joints but also involve all disorders related to the function of the masticatorysystem. One of the common signs of TMD is pain and limitations of mouth opening. When a pa-tient has a joint disorder and a masticatory muscle disordersimultaneously and the primary diagnosis cannot be determined, it is generally agreed to treat the masticatory muscle disorder as the primary diagnosis. Thereforethe initial treatment is directed to-wards the muscular symptoms. If symptoms do not decrease, further therapy is required for the joint disorder. This article re-ports on muscles therapy and the use of occlusal splints to rehabilitate pain and limitations of mouth opening. A 16-year-old female came to ProsthodonticDepartment RSGM Unhas, with complaints of pain when opening and closing her mouth. The pain and sound of crack on the right side of the face were felt for a few minutes since 2 months ago. The patient chews fre-quently in the left region because of caries and pain in the maxillary right molar since 2 months ago.Tooth 36 was extracted about 1 year ago due to residual roots. It was concluded that muscles therapy and occlusal splints are effectively overcome the limitations of mouth opening and reduce pain in the jaw joint.

Background: Digital dentistry technology based on computer-aided design and computer-aided manufacturing (CAD/CAM) has been widely applied in the field of prosthodontics, ranging from digital techniques for impression processes, jaw registration, artificial tooth arrangement and base design, along with base and denture fabrication. However, conventional analog workflows are still used and digital workflows have not completely replaced analog workflows. Purpose: Knowing the latest complete digi-tal workflow in the manufacture of removable partial dentures (RPD). Methods: Full-arch digital impressions of the partially edentulous jaw were made with an intraoral scanner or by conventional methods. The denture framework, artificial teeth, and denture base were designed by commercially available CAD software. Each of the denture components including connectors, clasps, and artificial teeth and the denture bases were fabricated separately by the CAM machine, and then assembled using an adhesive material. Conclusion: RPDs were successfully fabricated using a fully digital workflow and no clinical complications were reported.

Several methods are available for the management of partial tooth loss, namely by using removable partial dentures, fixed den-tures, and implants. Combined dentures can be the treatment of choice when implant or FD are not possible and can be an ade-quate alternative to conventional clasps and RPD. This article is intended to determine the maxillary prosthodontic rehabilita-tion with RPD using an extracoronal attachment. The repair of partially missing teeth is a challenge in treatment planning. The technique followed by the care of the patient is effective in providing optimal care for an individual. The use of the combined RPD and FD makes for more retentive and esthetic, stable and function in the replacement of missing teeth. Long-term suc-cess requires sophisticated laboratory techniques, clinical expertise, and depends on biological factors, especially periodontal conditions.

The All-on-4® concept is one of the treatment procedures used in total edentulous patients and as an alternative to the routine care of conventional dentures with successful results in short term, long term and retrospective studies. What needs to be con-sidered in alternative treatments lies in the success of the prosthesis and its prosthodontic perspective which involves the princi-ples of occlusion. This article reviews the All-on-4® concept and its prosthodontic aspects. All-on-4® style dental implant treat-ment is a multi-step process with many potential complications. Reports of success rates for dental implants and final prosthe-ses have been widely published while the dental literature on the barriers and difficulties associated with the treatment of dental implants with the All-on-4 concept has not been widely reported. In the current article, the author describes common problems before, during, and after All-on-4 style dental implant treatment of more than 500 arches and discusses methods for overcoming those barriers.

Cast partial dentures is one of several treatment options that can be applied to rehabilitate partial edentulism with distal extension. Cast metal as a denture base exerts stimulation to the underlying tissue, thus prevents alveolar atrophy. However, one of the disadvantages of partial dentures with metal framework is the obviously visible retentive components attached to it, which could interfere with esthetics. This problem could be solved by using precision attachment that helps improving the esthetics, retention, stability and durability of the denture. There are two types of attachments, namely the intracoronal and extracoronal attachments. In this article, extracoronal attachments were used because they provide better esthetics.

The number of partiallyedentulous adults is increasing, and many patients will require replacement of missing teeth. Although current treatment options also include fixed partial dentures and implants, removable partial dentures (RPDs) can have advant-ages and are widely used in clinical practice. However, a significant need exists to advance materials and fabrication technologies because of the unwanted health consequences associated with current RPDs. The RPDs consists of many components, such as major and minor connector, direct and indirect retainer, also rests. The variety of anatomic considerations related to oral con-ditions may affect selection of these components. The objective of this review is to discuss data related to RPDs design and factors affecting its selection. It was concluded that prosthodontists need to fully understand the basic of RPDs design princi-ples and should be familiar with those structures.

Background: Candida albicans and Streptococcus mutans are microorganisms found in denture plaque and can cause denture stomatitis. To inhibit its growth, denture users are recommended to use denture cleanser. One of the developments of denture cleanser is ingredients derived from herbs. The herbal content can be used as a denture cleanser which has low side effects and can inhibit the growth of denture plaque. Objective: To determine the effect of herbal ingredients as denture cleansers on the growth of Candida albicans and Streptococcus mutans. Method: Literature Review. Result: The content of herbal ingredients that have antifungal and antibacterial properties is found in compounds such as alkaloids, flavonoids, terpenoids, steroids, and saponins. These compounds have bactericidal and bacteriostatic effects that can inhibit the growth of Candida and Streptoccous mutans in dentures by various mechanisms. Conclusion: The herbal content has sufficient effectiveness in fighting microbial growth in dentures and it can be developed into denture cleansers.

Alveolar ridges usually undergo a change in shape and height due to tooth loss. This can make it difficult to install dentures or implants. Preservation of the socket post tooth extraction can maintain the height and width of the alveolar ridge. Preservation of ridges and socketscan be done with atraumatic extraction, the use of bone graft or membrane, and a combination of bone graft and membrane.

Periodontal disease causes damage to the structure of periodontal tissue characterized by the presence of tooth mobility. Splint is one of the therapies to support the healing of periodontal tissue that aims to provide stability so that occlusal pressure can be evenly distributed to other teeth. The design of dentures that can act as splint is important to maintain the stability of the teeth that mobile while restoring the chewing function. Some designs of denture that can be used as periodontal splint, namely external removable permanent splint and internal fixed permanent splint.

Background: The visit of children to the dentist to have their teeth checked is not routinely done. There is still a lack of awareness or concern for children about dental health due to a lack of knowledge about preventive and dental care in children to get opti-mal oral health. Aim: To determine the relationship between the level of motivation, cooperation and knowledge about oral dental health on oral health. Methods: Analytical observational research and cross sectional study approach was carried out in September 2016 at the Dental Clinic for Children, Dental Hospital of Hasanuddin University. With the accidental sampling technique, all children aged 6-17 years who visited the clinic filled out a questionnaire and performed an oral status check. Results: The Kruskall wallis test showed that there was a significant relationship between the level of motivation and knowledge of children on oral health and the level of visits and high levels of cooperation was dominated by patients who were picked up by the operator. Conclusion: There is a relationship between the level of motivation and knowledge about children's oral health and the highest level of cooperation is dominated by patients who are picked up by the operator.

Background: Dental implant is an optional way to replace edentulous area by surgically placing it into soft tissue or jawbone as a root substitute to hold dentures. Placement of the implant, so that the gingival tissue position will restore aesthetics and function properly. Objective: To discuss the importance of prosthetic planning for implant-supported dentures in the aesthetic zone. Case: Sample case of a patient who had previously subjected to dental surgery for implant placement and placement of a crown on tooth 11. The patient reported poor aesthetics due to gingival retraction and changes on the surface of the ceramic material. After proper planning, the prosthesis is reproduced, with the selection of new components and periodontal surgery using modification techniques for handling soft tissue. Nine months postoperatively, patients had better gingival alignment and reported aesthetic and functional satisfaction. Conclusion:Prosthetic planning to implant-supported dentures in the esthetic zone is very important. Several factors have contributed to the success of the treatment, such as implant position, soft tissue morphology, dental aesthetics, and biomechanics of the prosthetic structure. Complications that can occur after implant pla-cement are gingival recession which will primarily interfere with the esthetics of the anterior teeth so that interventional periodontal surgery is required.

Caries can be caused by various factors such as the amount of salivary flow, salivary acidity, etc. It needs to be known by chewing gum with xylitol and sucrose are most excellent to preventing caries in children. This study aimed to determine the difference of salivary flow while chewing xylitol gum and sucrose bubble gum in students of SD Inpres Toddopuli Makassar. This qualitative research with quase experimental studies method is the pre- and post-test design with control group. The sample criteria were children aged 9-12 years, has a superficial and media dental caries at least three teeth, did not another chewing gum about 60 minutes before examination, and willing to be research samples. As many as 30 samples each in grades 4, 5, and 6 chew xylitol gum on the first day and chew sucrose gum on the secong day of 5 minutes each. Saliva was collected on a cen-trifuge tube, observed amount and acidity of saliva. The results showed significants difference in the amount of salivary flow and acidity between xylitol chewing gum and sucrose chewing gum, namely there was different in amount of salivary flow (0.002) and for salivary pH value (0.000). It was concluded that children who chewed xylitol gum produce more saliva than sucrose chewed gum and sucrose gum had higher acidity than xylitol gum.

xxxx

Saliva adalah cairan yang lebih kental daripada air biasa. Selain kelenjar saliva minor, ada tiga kelenjar saliva mayor yang mengeluarkan saliva, yaitu kelenjar parotis, kelenjar submandibularis, dan kelenjar sublingualis. Dalam setiap hari sekitar 1000-1500 cc saliva dikeluarkan oleh kelenjar saliva, karena dibutuhkan jumlah saliva yang cukup untuk kenyamanan dan memelihara kesehatan mulut. Saliva berperan penting dalam pemakaian gigi tiruan lepasan untuk melindungi mukosa oral dari iritasi mekanik dan infeksi, serta untuk memberikan retensi. Suatu kondisi saliva yang memadai untuk penggunaan gigi tiruan adalah saliva yang encer, yang dihasilkan oleh sel serus.