Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 45 / No. 2 / Published : 2012-06
Order : 1, and page :59 - 67
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Original Article :
The importance of masticatory functional analysis in the diagnostic finding and treatment planning for prosthodontic rehabilitation
Author :
- Harry Laksono*1
- Agus Dahlan*2
- Sonya Harwasih*3
- Department of Prosthodontics Faculty of Dentistry, Airlangga University, Surabaya - Indonesia
- Department of Prosthodontics Faculty of Dentistry, Airlangga University, Surabaya - Indonesia
- Department of Prosthodontics Faculty of Dentistry, Airlangga University, Surabaya - Indonesia
Abstract :
Background: The masticatory system as a biologic system is subjected to harmful influences of varying severity. Almost half of routine patients requesting prosthodontic treatment indicated at least one sign or symptom of temporomandibular disorders. Analysis of the masticatory system often neglected by dentist. Untreated temporomandibular disorders may significantly implicated in the perpetuation of the disorder and may interfere with routine prosthodontic clinical procedures. It would be resulted unsuccessful long term goal of prosthodontic rehabilitation because of the uncompleted diagnoses and treatment plan. Purpose: The purpose of this case report was to give the information of the importance of masticatory functional analysis in the diagnostic finding for treatment planning in the prosthodontic rehabilitation. Case: Patient was male, partial dentate with reduced chewing efficiency, mild pain in right preauricular region in function, left click in opening mouth, severe attrition on all anterior lower teeth with vertical dimension of occlusion decreased due to loss of posterior support. He wanted to make a new denture. Case management: Record and analyze of active and passive mandibular movement, opening pathway, muscle and temporomandibular joints palpation, load testing, and vertical dimension of occlusion with manual functional analysis (MFA), occlusal condition and radiographic examination. Were done treatment plan was formulated into 3 phases: stabilization of the masticatory system, definitive treatment and periodical control. The result of this treatment was good for 1 year evaluation after permanent cementation. Conclusion: Masticatory functional analysis is very important and must be done in the diagnosis finding for treatment planning in every case of prosthodontic rehabilitation.
Keyword :
Severe attrition, masticatory functional analysis, prosthodontic rehabilitation, -, -,
References :
Okeson JP,(2008) Management of temporomandibular disorders and occlusion St Louis, Missouri : Mosby Elsevier
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Volume : 45 / No. : 2 / Pub. : 2012-06 |
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