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"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 243-248The information about immediate denture treatment should be given clearly to the patient. The patient needs to understand about the treatment's aspects in order to give acceptance and agreement toward the treatment. This case represents 41 years old woman with protrusive upper and lower anterior teeth which makes the patient feel inconfident toward her performance. The immediate partial denture was prepared with interseptal alveolectomy on upper and lower jaws. The extraction procedure was planned toward 13, 12, 11, 21, 22, 23, and 32 ,31, 41, 42. The patient refused 13 and 23 extraction based on psychological consideration. The operator approached the patient by re-explaining the treatment procedure and its purposed and they came up with a solution that the extraction would be spritted in two phases. This compromies resulted in satisfying final treatment's result. Patient was satisfied by the dentures and her overall performance since the esthetic problem have been solved."

"Denture treatment can be said successful if the denture can restore masticatory and esthetic function and keep oral tissue in healthy condition. The success of full denture treatment depends on some factors, which are procedural techniques of full denture processing, which include clinical and laboratory phases. Besides technical aspects, there are some nontechnical aspects, which include emotional characteristic of the patient, relation or communication between patient and dentist, patients motivation and information about full denture. These aspects are often forgotten by dentists because they emphasize more on technical aspects. This article describes the aspects of nontechnical procedures in making full denture and its connection with the success of full denture treatment. The conclusion of this paper is that it is necessary to communicate clearly with a patient who needs full denture treatment, orally with simple and understandable language along with demonstrations and written information about diagnosis, prognosis and the treatment plan of the procedure which will be conducted according to the patient's character."

"Good cooperation between patient and the dentist is needed in full denture fabrication. This case report presents problems that occurred when the dentist had to face a hysterical patient with uncontrolled tongue movement. The problems include patient's dentispsychological state that showed hesitant towards the dentist. In this case, the patient already had two pairs of full dentures when seeking for another one. The second problem was related to the uncontrolled tongue movement, which could decrease lower denture stability. The dentist had to be very patient in listening to patient's complaints and assure the patient to adjust with the new dentures."

"Ectodermal dysplasia is a rare congenital disease that effects several ectodermal structures. This disease is usually tranmitted as an x-linked recesive trait in which the gene is carried by female and manifested in male. The orofacial characteristics of ectodermal dysplasia include anodontia or hypodontia, congenital teeth, underdevelopment of alveolar ridges and it is not uncommon for the face of an affected child to take on the appearance characteristic of old age, a prominent forehead, protuberant lips, a depressed nasal bridge, hypotricosis, and hypohidrosis. The treatment to manage orofacial disfigurement may afford the pasient some measure of confidence, esthetics, function and speech. This case report describes the diagnosis and treatment of ectodermal dysplasia in an 18 year patient. The treatment included removable complete dentures."

"Tujuan: Mendapatkan alat ukur kepuasan pasien terhadap gigi tiruan lengkap yaitu Patient's Denture Assessment PDA versi Indonesia yang valid dan reliabel serta menganalisis hubungan antara kepuasan pasien terhadap gigi tiruan lengkap dengan kemampuan mastikasi, usia, jenis kelamin, tingkat pendidikan, pengalaman serta lama pemakaian gigi tiruan lengkap. Metode: 101 subjek 50 laki-laki dan 51 perempuan berusia 45 tahun keatas, berpartisipasi dalam uji validasi dan reliabilitas kuesioner PDA bahasa Indonesia. Uji statistik Chi-Square dan regresi logistik digunakan untuk menganalisis hubungan antara kepuasan pasien terhadap gigi tiruan lengkap dengan kemampuan mastikasi, usia, jenis kelamin, tingkat pendidikan, pengalaman serta lama pemakaian gigi tiruan lengkap. Hasil: Hasil uji validasi dan reliabilitas kuesioner PDA menunjukkan, Cronbach's Alpha pada skor keseluruhan kuesioner PDA 0,708, uji validitas konvergen menunjukkan korelasi antara kepuasan pasien dan kemampuan mastikasi dengan uji spearman p=0,001 r=0,633. Hubungan bermakna secara statistik ditemukan antara kepuasan pasien terhadap gigi tiruan lengkap dengan kemampuan mastikasi p=0,000. Kesimpulan: Kuesioner PDA-ID dapat digunakan untuk mengetahui kepuasan pasien terhadap perawatan gigi tiruan lengkap. Kemampuan mastikasi dan lama pemakaian gigi tiruan.

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Objectives: The purpose of this study is to develop a valid and reliable Patient's Denture Assessment PDA Questionnaire in Indonesian version and to analyze the relationship between patient's satisfaction to their complete denture with masticatory performances, age, sex, education level, denture experience and the duration of their recent complete denture.

Methods: Total of 101 subjects 50 men, 51 women aged 45 years and older was participated in this study. Univariate, bivariate and multivariate test are done in this study, to do validity and reliability tests and also to analyze relationship between patient's satisfaction towards their complete denture with masticatory performances, age, sex, education level, denture experiences and the duration of current complete denture.

Results: Validation and reliability test shows Cronbach's Alpha in summary score PDA 0,708, convergent validity shows correlation between the masticatory performances with patient's satisfaction p 0,001 r 0,633. Statistically, a significant correlation P."

"Tujuan: Menganalisis faktor yang paling berpengaruh antara tinggi dan densitasmandibula, usia, jenis kelamin, tingkat pendidikan, lama tidak bergigi dan pengalamanmemakai gigi tiruan sebelumnya dengan kepuasan pasien terhadap hasil perawatan gigitiruan lengkap.Metode: Penelitian potong lintang dilakukan pada 92 subjek (55 laki-laki dan 37perempuan) berusia 45 tahun ke atas yang memakai gigi tiruan lengkap dan dibuat diRSGM FKG Universitas Indonesia. Subjek dipilih melalui consecutive samplingmethod dan diminta mengisi kuesioner PDA-ID 1 bulan pasca insersi gigi tiruanlengkap. 92 radiograf panoramik dari subjek tersebut digunakan untuk mengukurketinggian tulang (di regio anterior serta posterior mandibula) dan densitas mandibulamenggunakan metode Xie dan MCI (Mandibular Cortical Index). Uji intraobserver daninterobserver dilakukan untuk mengetahui konsistensi pengukuran tinggi dan densitastulang mandibula di antara 2 pengamat. Skor PDA-ID digunakan untuk mengukurkepuasan subjektif pada subjek dengan perbedaan kelompok usia, jenis kelamin,tingkat pendidikan, lama tidak bergigi dan pengalaman memakai gigi tiruansebelumnya.Hasil: Hasil uji intraobserver dan interobserver menunjukkan tidak terdapat variasipengukuran antar pengamat untuk tinggi mandibula (p>0,05) serta Kappa Valuedensitas mandibula = 0,78 tergolong baik. Analisis bivariat menunjukkan hubunganbermakna pada tinggi tulang mandibula (p=0,000), tingkat pendidikan (p=0,013) danpengalaman memakai gigi tiruan sebelumnya (p=0,000). Variabel yang dapat diolahkedalam analisis multivariat (p<0,250) yaitu tinggi mandibula (p=0,000), densitasmandibula (p=0,160), tingkat pendidikan (p=0,013), jenis kelamin (p=0,174), lamatidak bergigi (p=0,202) dan pengalaman memakai gigi tiruan sebelumnya (p=0,000).Analisis multivariat menunjukkan faktor yang paling berpengaruh pada kepuasan pasienterhadap hasil perawatan gigi tiruan lengkap yaitu tinggi tulang mandibula di anterior(p=0,000). Pengalaman memakai gigi tiruan sebelumnya merupakan faktor confoundingyang penting (selisih Odds Ratio = 30%).Kesimpulan: Tinggi tulang mandibula di anterior merupakan faktor yang palingberperan dalam kepuasan pasien terhadap hasil perawatan gigi tiruan lengkap.

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Objective: To analyze the most important factor affecting patients satisfactiontowards complete denture treatment with vertical heights and bone density of mandible,age, sex, education level, duration of edentulism, and denture experiences.Method : A-cross sectional study assessed the data of 92 subjects (55 men, 37 women),aged 45 years and older who wore complete denture constructed in Dental TeachingHospital Faculty of Dentistry, Universitas Indonesia. All participants selected throughconsecutive sampling methods were asked to complete the PDA-ID questionnaire at 1-month post complete denture insertion. 92 Panoramic radiograph of the subjects wereused in this study to evaluate the vertical heights (at the anterior and posterior ofmandible) and bone density of mandible using Xie methods and MCI (MandibularCortical Index). Intraobserver and interobserver reliability test for the heightmeasurement and bone density of mandible was assessed between two observer. PDAID score was compared between the patients with different age group, sex, educationlevel, duration of edentulism and previous denture experiences.Result: Intraobserver and interobserver reliability test show there were no significantdifference in vertical height measurement of mandible (p>0,05) and bone density ofmandible (Kappa Value=0,78) between two observer. Statistically, there weresignificant differences in patient satisfaction between different vertical heights ofmandible (p=0,000), education level (p=0,013) and previous denture experiences(p=0,000). Predictive factors could be included in multivariate analysis (p<0,250) werevertical heights of mandible (p=0,000), bone density of mandible (p=0,160), educationlevel (p=0,013), sex (p=0,174), duration of edentulism (p=0,202) and previous dentureexperiences (p=0,000). Multivariate analysis shows patients satisfaction with completedenture treatment was mostly affected by vertical heights of anterior mandible(p=0,000). Meanwhile, the previous denture experiences was contributed as animportant confounding factor (Odd Ratio difference = 30%).Conclusion:.Vertical height of the anterior mandible is a determinant factor affectingpatients satisfaction towards complete denture treatment."

"Proper and clear pronunciation are problems that usually rising in patients with edentulous ridge. To overcome that problem a full denture is highly needed, so that the patients can eat well, to fulfill the esthetic problems and good in speaking. In Phonetics there is a difference between vocal and consonant, it depends on how the modification of the air flow in respiration in the oral cavity. In this research, the point of view is the linguopalatal consonant /c/ and /j/ that had a place of articulation in front of the palatum. In full denture wearers there is a difficulty in pronouncing this consonant properly because the Upper Full Denture has a palatal plate, in which this linguopalatal consonant has a place of articulation in the middle of the palatum. This research evaluated the quality of pronouncing the linguopalatal consonant after the day of insertion, after 3 days, 10 days and also before using denture. 25 respondents using denture for the first time and 3 researchers evaluated the proper and clear pronunciation of 6 words (cacah, cicih, cucu, jajah, jijik, juju). The results of this study is there is no progress in proper pronunciation using word cacah, cicih and cucu. On the other hand there is an increase about 20% in good pronouncing the word jajah, and also there is a decreasing percentage in pronouncing word jijik and juju. After day 10, all of the words can be pronounced well except word jijik. So there is a special characteristic in full denture wearers for consonant /c/ and /j/"