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Abstrak :
ABSTRAK Latar belakang : Keberhasilan gigi tiruan dukungan implan sangat ditentukan oleh stabilitas awal (primary stability) pada saat pemasangan, sehingga terjadi osseointegrasi. Stabilitas tersebut dipengaruhi oleh beban oklusal yang diterima melalui restorasi sementara. Beban oklusal yang diterima implant pada , dapat secara langsung pada saat implantasi (immediateloading) atau setelah terjadi osseointegrasi (delayed loading). Masih banyak kontroversi mengenai pengaruh besar beban pada stabilitas implan. Oleh karena itu, perlu dilakukan penelitian seberapa besar pengaruh kontak oklusal pada restorasi terhadap stabilitas implan yang dipasang secara immediate loading. Metode : Pada tiga ekor Macacafascicularis, dilakukan pemasangan Sembilan implant gigi. Segera setelah implant ditanam pada tulang, restorasi sementara dipasang pada implant dengan kontak ingan, normal dan tanpa kontak. Nilai stabilitas implant diukur menggunakan Ostell ISQ segera setelah pemasangan implan, bulan pertama dan kedua setelah pemasangan implan. Hasil : Terdapat perbedaan bermakna dari nilai stabilitas implan (p<0,05) antara kelompok kontak oklusal normal dengan tanpa kontak; dan kontak oklusal normal dengan kontak ringan. Namun tidak ditemukan perbedaan bermakna (p>0,05)pada kenaikan nilai stabilitas implan yang terjadi antara periode baseline, bulan pertama dan bulan kedua pada seluruh kelompok kontak oklusal. Simpulan: Terdapat pengaruh kontak oklusal restorasi sementara pada implan yang dipasang secara immediateloading terhadap stabilitas implan dan kontak oklusal yang menghasilkan nilai stabilitas paling besar setelah pemasangan implan adalah restorasi tanpa kontak.

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ABSTRACT Introduction: successful of dental implant were determined by primary stability when placement. The stability were influnced by occlusal loading thriugh provisional restoration. There are two types of loading protocol that usually used, immediate and delayed loading. But there are still controversies about the influence of occlusal loading on implant's stability. Therefore, it was necessary to study the influence of immediate loading to implant's stability. Method: Nine dental implants were placed on the mandibular of three Macacafascicularis. Provisional restorations with various occlusal contacts (no contact, light, and normal contact) were placed to the implant. Implant stability was measured using the Ostell ISQ three times, immediately (baseline), first month and second month after implant placement. Result: Implant stability between implant with no occlusal contact and normal contact and also light occlusal and normal occlusal contact were found significantly different (p<0,05). However, there was no significant increased (p>0,05) found on implant stability measured at baseline, first and second month after implant placement for all occlusal contact groups. Conclusion: There were influence of immediate loading to implant's stability and provisional restoration of implant without occlusal contact showed highest implant good stability result.

Abstrak :
Latar belakang: Akurasi hasil pencetakan merupakan hal penting dalam pembuatan gigi tiruan terutama pada gigi tiruan lengkap dukungan implan. Tinjauan sistematik ini disusun untuk membandingkan akurasi hasil pencetakan digital menggunakan pemindai intra oral dibandingkan dengan pencetakan konvensional. Metode: Tinjauan sistematik ini disusun berdasarkan literatur penelitian klinis berdasarkan Preferred Reporting Items for Systematic Review and Meta Analysis (PRISMA) dan teregistrasi pada PROSPERO dengan nomor CRD42023478021. Terdapat empat database dan sistem pencarian manual yang digunakan dalam periode 2008-2023. Literatur yang dievaluasi merupakan penelitian yang membahas tentang akurasi hasil pencetakan gigi tiruan dukungan implan secara digital dan konvensional yang dilakukan pada kasus dengan minimal empat implan terpasang pada rahang yang telah kehilangan seluruh gigi. Penilaian risiko bias dilakukan dengan menggunakan Cochrane RoB-2 dan ROBINS-I. Hasil: Total 368 literatur diperoleh dari empat database dan 297 literatur diseleksi berdasarkan judul dan abstrak setelah eliminasi duplikat. Total tujuh literatur dari database memenuhi kritera inklusi dan digabungkan dengan satu literatur hasil pencarian manual. Delapan literatur dilakukan analisis. Akurasi hasil pencetakan secara tiga dimensi memiliki nilai yang bervariasi namun masih dalam rentang yang dapat diterima secara klinis (200μm). Gigi tiruan yang dihasilkan juga memiliki passive fit yang baik. Secara radiografis, mayoritas gigi tiruan yang dihasilkan tidak memiliki celah di antara superstruktur dengan implan. Hasil analisis Grading of Recommendation Assessment Development and Evaluation (GRADE) seluruh kualitas literatur yang diperoleh memiliki kualitas yang tergolong tinggi. Kesimpulan: Berdasarkan hasil analisis tersebut, hasil pencetakan digital memiliki keakurasian yang setara dengan pencetakan konvensional dalam aplikasi klinis. ......Background: Accuracy of the impression is important in making dentures, especially in implant-supported complete dentures. This systematic review conducted to compare accuracy of digital impressions using intra-oral scanners and conventional impressions. Method: This systematic review followed the Preferred Reporting Items for Systematic Review and Meta Analysis (PRISMA) and registered on PROSPERO with number CRD42023478021. Four databases and a manual search system limited to publication date 2008-2023 period. Literature evaluated based on data discusses accuracy of digital and conventional implant-supported denture impressions carried out in cases with minimum four implant on fully edentulous jaw. Risk of bias assessment was performed using the Cochrane RoB-2 and ROBINS-I. Result: A total of 368 literature was obtained from four databases and 297 literature was selected based on title and abstract after duplicate removal. A total of seven literature from the database met the inclusion criteria and was combined with one literature resulting from a manual search. Eight literature were analyzed. Three- dimensional accuracy of impressions varies but is still within the clinically acceptable range (200μm). Dentures from all impressions also has a good passive fit. Radiographically, the majority of dentures produced do not have voids between the superstructure and the implant. Quality assessment with Grading of Recommendation Assessment Development and Evaluation (GRADE) shows high level of quality evidence for all literature. Conclusion: Based on the results of this analysis, conventional and digital impressions results have comparable accuracy in clinical applications.

Abstrak :
The overall objective of this study is to evaluate the long term results of interpositional connective tissue graft and horizontal and vertical bone augmentation in recessed area of interproximal papilla.Atrophic ridges rebuilt through GBR procedures. For this study, 2 major alterations are made in the surgical technique describes. First, the horizontal and vertical bone augmentation graft is obtained from autograft like ascending ramus or allograft with or without platelet-rich plasma and barrier membrane. Second, connective tissue for interpositional grafting is obtained from hard palate. This interpositioning graft would be success by use of pouch technique or envelope flap technique. From 1998, among over than 120 patients of implant treated for this study, regardless of 1-staged or 2-staged surgery or type of implant surface treated, 60 implants of 18 patients which has a dissatisfaction on anterior region, food impaction on posterior region subjectively or has a black-triangle on anterior and flattened inter-implant spaces clinically was selected. Differences of success rate between inter-dental and inter-implants depend on blood supply and distance between implants. Autografts, PRP and anorganic bovine bone Bio-Oss have been successfully employed for isolated augmentation area. It is essential to make the CT graft neovascularize to a recipient site, overcorrection of graft, immobilization of graft and tension-free suture. based on annual measurements of gross texture, pocket probing depth, attachment level, and width of keratinized mucosa, this 5-year study indicates that interpositional CT graft when used in conjunction with appropriate bone augmentation technique, can become successfully esthetics and yield predictable maintenance results.

Abstrak :
Kasus implan sederhana dalam bidang kedokteran gigi umum. Implan kedokteran gigi telah menjadi bidang yang berkembang cepat dan dinamis dalam praktek sehari-hari. Hal ini diakui sebagai modalitas perawatan yang dapat diprediksi dengan tingkat keberhasilan klinis yang tinggi. Gigi tiruan cekat konvensional tidak lagi dianggap sebagai pilihan perawatan utama untuk menggantikan gigi yang hilang. Meskipun jumlah pasien yang meminta perawatan implan meningkat, namun dokter gigi yang menawarkan perawatan implan dalam praktek sehari-hari masih terbatas. International Team for Implantology (ITI) atau tim implantologi internasional mendeskripsikan kasus straightforward segai kasus sederhana. Dinyatakan bahwa penempatan implan dilakukan pada jaringan lunak dan keras yang memadai, dan restorasi gigi tunggal di zona non-estetika. Tinjauan pustaka saat ini banyak membahas tentang penerapan implan kedokteran gigi di perguruan tinggi seluruh dunia dan dimasukkan ke dalam kurikulum mereka untuk program sarjana maupun pascasarjana dalam bidang kedokteran gigi umum. Konsensus Eropa tentang pendidikan implan kedokteran gigi menyimpulkan bahwa sebaiknya pendidikan teknik bedah untuk penempatan implan kasus straightforward disertakan ke dalam kurikulum. Berbagai tingkat dan keterbatasan implan kedokteran gigi dan keterampilan terkait harus diajarkan dan ditentukan oleh para staf pengajar. Malah ini bertujuan untuk meningkatkan kesadaran para praktisi kedokteran gigi dan lembaga terkait di Indonesia terhadap pergeseran paradigma perawatan dalam penatalaksanaan kehilangan gigi. Dengan demikian para praktisi akan dapat menyertakan implan kedokteran gigi dalam perencanaan dan perawatan pasien.

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Dental implant has become a fast developing and dynamic field in dental practice. It is acknowledged as a predictible treatment modality with high clinical success rates. Conventional fixed prostheses are no longer considered to be the first choice treatment for replacing a missing tooth. Despite the increasing number of patients requesting dental implant treatments, there are only some clinicians who are offering implant therapy in their daily practice. The international Team for implantology described a straightforward case as a simple case such as implant placements in adequate soft and hard tissue conditions and single-tooth restoration in a non-aesthetic zone. A review of the current literature discussed the implementation of implant dentistry in universities worldwide into their curriculum for both undergraduate and postgraduate programs in general dentistry. The European consensus in implant dentistry education concluded that it is desirable to include the surgical technique for implant placement for straightforward cases into the dental curriculum. The levels and limitations to which the various aspects of implant dentistry and related skills are to be taught are determined by the academic community. This review aimed at promoting awareness amongst dental practitioners and institutions in Indonesia of the shifting treatment paradigm in the management of a missing tooth. Hence clinicians with able to include implant dentistry in the treatment planning of their patients and also undertake a significant part in the execution of such treatments.