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Hijryana M, MacDougall M, Ariani N, Kusdhany LS, Walls AWG. Impact of Periodontal Disease on the Quality of Life of Older People in Indonesia: A Qualitative Study. JDR Clin Trans Res 2021; 7:360-370. [PMID: 34549639 PMCID: PMC9490441 DOI: 10.1177/23800844211041911] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Introduction: The impact of periodontal disease on oral health–related quality of life (OHRQoL) has often been investigated from a quantitative research perspective, which is based on clinical findings and an OHRQoL questionnaire. Very few studies have examined the issue from the view of qualitative research. To our knowledge, there have been no previous qualitative studies focusing the effect of periodontal disease on OHRQoL in Indonesian older people. Objectives: To explore and understand the impact of periodontal disease on the OHRQoL of older people as a subjective reflection in relation to periodontal disease experiences. Methods: Semi-structured interviews were conducted in a sample of 31 older people with generalized chronic periodontitis. Thematic analysis was used to identify the key issues in participants’ accounts. The analysis was undertaken by 2 independent coders to ensure reliability. To achieve thematic saturation, successive interviews were undertaken until 5 sequential interviews did not bring new themes. Results: Participants reported the negative effects likely related to periodontal disease. The impacts of periodontal disease were described by these older people as affecting more than pain, physical discomfort, and physical function restrictions. Periodontal disease also affected their psychological and social aspects of daily living. In addition, this study identified themes related to individual and environmental factors that may modify and personalize periodontal disease experiences. Furthermore, this study identified a misleading belief that problems related to periodontal disease were a normal part of aging, which might influence individuals’ expectations toward oral health. Relatedly, participants frequently reported that the progression of tooth mobility to tooth loss was an inevitable part of the aging process. Conclusions: Periodontal disease negatively affected participants’ OHRQoL. It is fundamental to understand older people’s perceptions toward their periodontal disease as well as individual and environmental factors that may have an influence on their periodontal disease experiences. Knowledge Transfer Statement: This study is a reflection of Indonesian older people’s subjective periodontal disease experiences. Therefore, the present study can be used to understand older people’s perceptions, attitudes, behaviors, and experiences toward periodontal disease and how this disease may affect their quality of life. This study also highlights a widespread and misleading belief that oral problems related to periodontal disease are an inevitable part of aging in this study population.
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Affiliation(s)
- M Hijryana
- Edinburgh Dental Institute, University of Edinburgh, Edinburgh, UK
| | - M MacDougall
- Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK
| | - N Ariani
- Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - L S Kusdhany
- Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.,Centre for Ageing Studies, Universitas Indonesia, Jakarta, Indonesia
| | - A W G Walls
- Edinburgh Dental Institute, University of Edinburgh, Edinburgh, UK
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Hijryana M, MacDougall M, Ariani N, Saksono P, Kusdhany LS, Walls AWG. Periodontal Disease and Oral Health-Related Quality of Life in the Older Population in Indonesia. JDR Clin Trans Res 2021; 7:277-288. [PMID: 34282670 PMCID: PMC9203662 DOI: 10.1177/23800844211021391] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Introduction: Despite being acknowledged as the second global burden of oral disease, periodontal disease has few epidemiologic studies in the literature, particularly for developing countries. Many previous studies have assessed the relationship between periodontal disease and oral health–related quality of life (OHRQoL), with patients attending dental clinic or hospitals rather than a general population. This study attempted to fill the knowledge gap in limited information about periodontal disease and OHRQoL, with reference to a general population in a developing country. Objectives: To investigate the relationship between OHRQoL and periodontal diseases in an older population in Indonesia. Methods: We invited 582 older people from community health centers. The 369 (63.4%) older people who agreed to participate consented to an oral health examination and a questionnaire capturing demographic, socioeconomic, behavioral, and Oral Health Impact Profile–14 (OHIP-14) data. Results: Almost 75% of the older people had generalized periodontitis; 3% had healthy periodontal status; and around 22% had localized periodontitis. There was a lack of statistical evidence for an association between periodontal disease status and OHRQoL. This result was based on the appraisal of the prevalence of the impact (Odds ratio [OR], 0.95 [95% CI, 0.54 to 1.59]; P = 0.77), difference in mean severities (0.07 [95% CI, –1.66 to 1.80]; P = 0.94), and extent of the impact (P = 0.996). However, we found evidence for a relationship between tooth mobility and OHRQoL for all of the OHIP assessments, including prevalence of the impact (OR, 1.87 [95% CI, 1.16 to 3.01]; P = 0.009), difference in mean severities (–2.98 [95% CI, –4.50 to –1.45]; P < 0.001), and extent of the impact (P = 0.001). Conclusion: There was a lack of statistical evidence for a relationship between periodontal disease status and OHRQoL in this society. However, we found evidence that tooth mobility, as a sign of periodontal disease progression, is related to OHRQoL. Knowledge Transfer Statement: The present study can be used by dentists, community health workers, and policy makers in Indonesia to understand the prevalence, severity, and extent of the negative impacts of periodontal disease on older people’s quality of life. In addition, this study provides information about factors that might considerably affect the oral health–related quality of life in this society, such as brushing habits, dental visit, family income, DMF-T status, and subjective appraisal toward dental health.
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Affiliation(s)
- M Hijryana
- Edinburgh Dental Institute, University of Edinburgh, Edinburgh, UK
| | - M MacDougall
- Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK
| | - N Ariani
- Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - P Saksono
- Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - L S Kusdhany
- Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.,Centre for Ageing Studies, Universitas Indonesia, Jakarta, Indonesia
| | - A W G Walls
- Edinburgh Dental Institute, University of Edinburgh, Edinburgh, UK
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Ariani Ayub F, Gita F, Ariani N. The Association Between Masticat The Association Between Masticatory Performance, Or formance, Oral Health al Health Status, and Dental Prostheses in Adults at a Dental Hospital in Jakarta. J Dent Indones 2021. [DOI: 10.14693/jdi.v28i1.1237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Masticatory performance has been studied extensively in the past few decades. Age, gender, the number of teeth in occlusion, occlusal contact area, salivary flow, and neurophysiological deficits influence the masticatory process. The replacement of missing teeth with dental prostheses, whether fixed or removable, is often used to achieve an acceptable level of masticatory performance. Objective: The present study aimed to analyze the association between masticatory performance and age, gender, and oral health status based on the decayed, missing, and filled teeth (DMF-T) score, denture use, and denture condition in an adult population. Methods: This study included a total of 152 individuals (60 males and 92 females) aged 17 years or older (mean ± standard deviation: 33.4 ± 13.1 years). Masticatory performance was evaluated using color-changeable chewing gum. The chi-squared test was used to assess the association between masticatory performance and age, gender, DMF-T score, dental prosthesis use, and prosthesis condition. Results: Age (p=0.001), missing teeth (p=0.001), and prosthesis use (p=0.011) had significant relationships with masticatory performance. However, the correlations between masticatory performance and gender, tooth decay, fillings, and prosthesis condition were not statistically significant (p> 0.05). Conclusion: Age, missing teeth, and prostheses are strongly associated with masticatory performance.
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Tanti I, Wira VVW, Pragustine Y, Himawan LS, Ariani N. Validation of the Indonesian version of the graded chronic pain scale 2.0 in pain-related temporomandibular disorders. Med J Indones 2020. [DOI: 10.13181/mji.oa.191790] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
BACKGROUND Pain associated with oral problems is one of the most frequent chronic pain of temporomandibular disorders (TMDs). This study was conducted to analyze the psychometric properties of the Indonesian version of the graded chronic pain scale 2.0 (GCPS-ID) in Indonesian patients with TMDs.
METHODS The English version of the GCPS version 2.0 was translated and back-translated according to international guidelines. This study conducted from June to December 2016 at the Dental Hospital, Faculty of Dentistry, Universitas Indonesia, and the participants were 202 TMDs patients who had never undergone temporomandibular joint surgery or suffered facial pain for more than 6 months. The evaluation of the GCPS-ID included the internal consistency test, test-retest reliability, and construct validity tests.
RESULTS The GCPS-ID had a high internal consistency (Cronbach’s alpha = 0.896). The intraclass correlation coefficient of the pain intensity and the disability score were 0.789 and 0.706, respectively. The convergent validity demonstrated a moderately positive correlation between the GCPS-ID and the Indonesian version of oral health impact profile for TMD for pain (r = 0.595; p<0.001) and disability (r = 0.488; p<0.001). The discriminant validity between GCPS-ID and the subjective patient’s quality of life revealed a weak positive correlation (r = 0.195; p = 0.191).
CONCLUSIONS GCPS-ID is a reliable and valid assessment tool for evaluating TMD pain in Indonesia.
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Budiman L, Masulili C, Ariani N. Can Denture Wearing Increase the Nutritional Status in Pre-Elderly and Elderly Patients? Pesqui Bras Odontopediatria Clín Integr 2020. [DOI: 10.1590/pboci.2020.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Saksono P, Hijryana M, Walls A, Kusdhany L, Indrasari M, Ariani N. Relationships Between Tooth Loss and Masticatory Performance, Nutrition Intake, and Nutritional Status in the Elderly. Pesqui bras odontopediatria clín integr 2019. [DOI: 10.4034/pboci.2019.191.148] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Tarigan ISB, Ariani N, Koesmaningati H, Gita F. Relationships Between Infant Birth Weight and Maternal Mastication Ability, Caloric Intake and Prepregnancy Body Mass Index of Women with Posterior Tooth Loss. Pesqui bras odontopediatria clín integr 2019. [DOI: 10.4034/pboci.2019.191.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Ariani N. Tooth Replacement and Nutrition in Older People: Is There a Future for Traditional Removable Prosthodontics? J Indian Prosthodont Soc 2018; 18:S5-S6. [PMID: 30532390 PMCID: PMC6238438 DOI: 10.4103/0972-4052.244586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Nina Ariani
- Indonesian Prosthodontic Society Faculty of Dentistry Universitas Indonesia
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Ariani N, Pragustine Y. The Use of CAD/CAM Trial Pattern for Facial Prosthesis Fabrication of a Maxillofacial Patient with Large Defect. J Dent Indones 2017. [DOI: 10.14693/jdi.v24i3.1138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Ariani N, Reintsema H, Ward K, Sukotjo C, Wee AG. Maxillofacial prosthodontics practice profile: a survey of non-United States prosthodontists. J Otolaryngol Head Neck Surg 2017; 46:35. [PMID: 28449725 PMCID: PMC5408459 DOI: 10.1186/s40463-017-0211-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2017] [Accepted: 04/19/2017] [Indexed: 11/25/2022] Open
Abstract
Background This study surveyed non-United States maxillofacial prosthodontists (MFP) to determine their practice profile and rationale for pursuing an MFP career. Methods Email addresses for the MFP were obtained from the International Society for Maxillofacial Rehabilitation, American Academy of Maxillofacial Prosthetics, and International Academy for Oral Facial Rehabilitation. Emails with a link to the electronic survey program were sent to each participant. Chi-square and Mann–Whitney-U tests were used to investigate the influence of formal MFP training on professional activities and type of treatments provided. Results One hundred twelve respondents (response rate 39%) from 33 nationalities returned the survey. The top three reasons for pursuing an MFP career were personal satisfaction, prosthodontics residency exposure, and mentorship. The predominant employment setting was affiliation with a university (77%). There were significant differences between respondents with and without formal MFP training regarding provision of surgical treatments (P = 0.021) and dental oncology (P = 0.017). Most treatments were done together with otolaryngology, oral surgery (68%) and head and neck surgery (61%). Practitioners not affiliated with a university spent significantly more time in clinical practice (P = 0.002), whereas respondents affiliated with universities spent significantly more time in teaching/training (P = 0.008) and funded research (P = 0.015). Conclusions Personal satisfaction is the most important factor in a decision to choose an MFP career. Most of the MFPs work at a university and within a multidisciplinary setting. There were differences regarding type of treatments provided by respondents with and without formal MFP training.
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Affiliation(s)
- Nina Ariani
- Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.,Division of Preventive Dentistry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Harry Reintsema
- Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Kathleen Ward
- Creighton University School of Dentistry, Omaha, NE, USA
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL, USA
| | - Alvin G Wee
- Department of Prosthodontics, Creighton University School of Dentistry, Omaha, NE, USA. .,Department of Surgery, Dental Service, Veterans Affairs Nebraska-Western Iowa Healthcare System, 4101 Woolworth Ave, Omaha, NE, 68105, USA.
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Ariani N, Visser A, Teulings MRIM, Dijk M, Rahardjo TBW, Vissink A, van der Mei HC. Efficacy of cleansing agents in killing microorganisms in mixed species biofilms present on silicone facial prostheses--an in vitro study. Clin Oral Investig 2015; 19:2285-93. [PMID: 25843050 PMCID: PMC4656749 DOI: 10.1007/s00784-015-1453-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2014] [Accepted: 03/11/2015] [Indexed: 12/01/2022]
Abstract
OBJECTIVES The purpose of this study was to assess the efficacy of different cleansing agents in killing mixed species biofilms on silicone facial prostheses. MATERIALS AND METHODS Two bacterial and three yeast strains, isolated from silicone facial prostheses, were selected for the mixed species biofilms. A variety of agents used to clean facial prostheses were employed, viz., antibacterial soap, essential-oil-containing mouth rinse, ethanol 27 %, chlorhexidine mouth rinse, and buttermilk. Colony forming units (CFUs) and live/dead staining were analyzed to assess the efficacy of these cleansing agents against 24-h and 2-week biofilms and regrown biofilms on silicone samples. RESULTS Chlorhexidine was the most effective cleansing agent. Chlorhexidine killed 8 log unit CFUs (>99.99 % killing) in a 24-h biofilm and 5 log unit CFUs (>99.99 % killing) in 2-week biofilms. Also, after regrowth and repeated treatment of the biofilm, chlorhexidine was the most effective cleansing agent showing no detectable CFUs. The essential-oil-containing mouth rinse (containing 26.9 % ethanol) showed a similar efficacy as ethanol (27 %) alone. Antibacterial soap and buttermilk were the least effective agents tested. CONCLUSIONS Chlorhexidine showed the highest reduction in CFUs in 24-h, 2-week, and regrown mixed species biofilm of microorganisms isolated from silicone facial prostheses. CLINICAL RELEVANCE Chlorhexidine mouth rinse (easy obtainable and relatively cheap) is very effective in killing bacteria and yeast present in biofilms on silicone facial prostheses. When applied on a regular basis, cleansing a facial prosthesis with chlorhexidine will presumably increase its lifetime and reduce skin irritations.
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Affiliation(s)
- Nina Ariani
- University of Groningen and University Medical Center Groningen, Department of Biomedical Engineering, Antonius Deusinglaan 1, 9713 AV, Groningen, Netherlands.,Department of Prosthodontics, Faculty of Dentistry, University of Indonesia, Jakarta, Indonesia
| | - Anita Visser
- University of Groningen and University Medical Center Groningen, Department of Oral Maxillofacial Surgery, Antonius Deusinglaan 1, 9713 AV, Groningen, Netherlands
| | - Margot R I M Teulings
- University of Groningen and University Medical Center Groningen, Department of Biomedical Engineering, Antonius Deusinglaan 1, 9713 AV, Groningen, Netherlands
| | - Melissa Dijk
- University of Groningen and University Medical Center Groningen, Department of Biomedical Engineering, Antonius Deusinglaan 1, 9713 AV, Groningen, Netherlands
| | - Tri Budi W Rahardjo
- Department of Prosthodontics, Faculty of Dentistry, University of Indonesia, Jakarta, Indonesia
| | - Arjan Vissink
- University of Groningen and University Medical Center Groningen, Department of Oral Maxillofacial Surgery, Antonius Deusinglaan 1, 9713 AV, Groningen, Netherlands
| | - Henny C van der Mei
- University of Groningen and University Medical Center Groningen, Department of Biomedical Engineering, Antonius Deusinglaan 1, 9713 AV, Groningen, Netherlands.
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Riadiani B, Dewi RS, Ariani N. Tooth Loss and Perceived Masticatory Ability in Post-Menopausal Women. J Dent Indones 2014. [DOI: 10.14693/jdi.v0i0.212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Ariani N, Visser A, van Oort RP, Kusdhany L, Rahardjo TBW, Krom BP, van der Mei HC, Vissink A. Current state of craniofacial prosthetic rehabilitation. INT J PROSTHODONT 2013; 26:57-67. [PMID: 23342336 DOI: 10.11607/ijp.3220] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
PURPOSE This study aimed to review the current state of the techniques and materials used to rehabilitate maxillofacial defects. MATERIALS AND METHODS The MEDLINE and EMBASE databases were searched for articles pertinent to maxillofacial prostheses published from January 1990 to July 2011. The main clinical stages were the subject of analysis. RESULTS A multidisciplinary approach is preferred when rehabilitating maxillofacial defects. Surgical reconstruction can be used for smaller defects, but larger defects require a prosthesis to achieve an esthetic rehabilitation. Implant retained prostheses are preferred over adhesive prostheses. Silicone elastomer is currently the best material available for maxillofacial prostheses; however, longevity and discoloration, which are greatly influenced by ultraviolet radiation, microorganisms, and environmental factors, remain significant problems. In the near future, the widespread availability and cost effectiveness of digital systems may improve the workflow and outcomes of facial prostheses. Patients report high satisfaction with their prostheses despite some areas that still need improvement. CONCLUSIONS Maxillofacial prostheses are a reliable treatment option to restore maxillofacial defects and improve quality of life. Significant progress has been made in the application of implants for retention and digital technology for designing surgical guides, suprastructures, and craniofacial prostheses. Further improvements are necessary to enhance longevity of prostheses.
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Affiliation(s)
- Nina Ariani
- Department of Biomedical Engineering, University Medical Center, Groningen, the Netherlands
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Ariani N, Mursid S, Odang RW, Sukotjo C, Kusdhany LS. Indonesian undergraduate dental students' perceptions toward implant treatment and education. ACTA ACUST UNITED AC 2012; 4:107-12. [DOI: 10.1111/j.2041-1626.2012.00166.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2012] [Accepted: 06/30/2012] [Indexed: 11/30/2022]
Affiliation(s)
- Nina Ariani
- Department of Prosthodontics; Faculty of Dentistry; University of Indonesia; Jakarta; Indonesia
| | - Saraventi Mursid
- Department of Prosthodontics; Faculty of Dentistry; University of Indonesia; Jakarta; Indonesia
| | - Roselani W. Odang
- Department of Prosthodontics; Faculty of Dentistry; University of Indonesia; Jakarta; Indonesia
| | - Cortino Sukotjo
- Department of Restorative Dentistry; University of Illinois at Chicago; College of Dentistry; Chicago; IL; USA
| | - Lindawati S. Kusdhany
- Department of Prosthodontics; Faculty of Dentistry; University of Indonesia; Jakarta; Indonesia
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Abstract
The composition of microbial biofilms on silicone rubber facial prostheses was investigated and compared with the microbial flora on healthy and prosthesis-covered skin. Scanning electron microscopy showed the presence of mixed bacterial and yeast biofilms on and deterioration of the surface of the prostheses. Microbial culturing confirmed the presence of yeasts and bacteria. Microbial colonization was significantly increased on prosthesis-covered skin compared to healthy skin. Candida spp. were exclusively isolated from prosthesis-covered skin and from prostheses. Biofilms from prostheses showed the least diverse band-profile in denaturing gradient gel electrophoresis (DGGE) whereas prosthesis-covered skin showed the most diverse band-profile. Bacterial diversity exceeded yeast diversity in all samples. It is concluded that occlusion of the skin by prostheses creates a favorable niche for opportunistic pathogens such as Candida spp. and Staphylococcus aureus. Biofilms on healthy skin, skin underneath the prosthesis and on the prosthesis had a comparable composition, but the numbers present differed according to the microorganism.
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Affiliation(s)
- Nina Ariani
- Department of Biomedical Engineering, W.J. Kolff Institute, University Medical Center Groningen and the University of Groningen, Groningen, The Netherlands
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Ariani N, Kusdhany MLS. REMOVABLE PARTIAL DENTURE MANAGEMENT ON POST-MENOPAUSE OSTEOPOROTIC FEMALE. J Dent Indones 2008. [DOI: 10.14693/jdi.v13i2.299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Himawan LS, Kusdhany LS, Ariani N. Temporomandibular disorders in elderly patients. Med J Indones 2007. [DOI: 10.13181/mji.v16i4.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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