Objective: Periodontal dressing is a protective material that is used on post-surgical periodontal to protect the surface of the wound and provides a comfort sense to patient. This study was conducted to determine the effect of periodontal dressings containing silver nanoparticles by evaluating inflammatory parameters using 99m Tc-ciprofloxacin; a radiopharmaceutical that can be used for diagnosing infection and inflammation. Methods: This research was carried out using purely experimental 24 male Sprague Dawley rats and divided into 4 groups. First group is a group without any treatment, second group was the positive control group (excision procedure and given CoePak(R)), third group was negative group (only excision procedure) and fourth group (excision procedure and given CoePak (R) with silver nanoparticles). On second and fourth days after the procedure, each group was observed of inflammation inside of the excision by injecting 99m Tc-ciprofloxacin through vein and after one hour the rat was sacrificed and dextra palate organ of each rat was counted by Single Channel Analyzer to determine the accumulation of 99m Tc-ciprofloxacin. Results: In rats given CoePak (R) with silver nanoparticles showed a tendency or inclination data which is good in giving effect to promote healing compare to positive control group on day 4 with less accumulation of 99m Tc-ciprofloxacin in dextra palate. Conclusion: Addition of silver nanoparticles in periodontal dressing gave a good effect for wound tissue healing.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
Kasus penyakit pulpa sering melibatkan kerusakan pada jaringan pendukung gigi atau jaringan periodontal, khususnya di daerah furkasi. Penyebab kondisi ini karena adanya saluran lateral yang menghubungkan jaringan pulpa dengan jaringan periodontal. Laporan kasus ini membahas keterlibatan area furkasi setelah perawatan endodontik. Pasien pria usia 45 tahun datang ke RSGM bagian Periodonsia dengan rujukan dari bagian Konservasi untuk dilakukan penata-laksanaan keterlibatan furkasi dengan riwayat pasien telah dikukan perawatan endodontik sebelumnya. Pada pemeriksaan klinis probing menggunakan probe nabers didapatkan keterlibatan furkasi kelas II klasifikasi Glickman disertai dengan resesi kelas I Miller. Pemeriksaan penunjang radiografis periapikal dan CBCT menunjukkan terdapat radiolusensi pada area furkasi. Pada kasus ini dilakukan terapi bedah flap dengan penempatan bonegraft dan membran platelet rich fibrin (PRF) pada area furkasi. Terapi bedah periodontal regeneratif dengan bonegraft dan PRF pada kasus telah banyak di laporkan dalam beberapa literatur periodontal sebagai salah satu terapi penata-laksanaan keterlibatan furkasi gigi molar. Evaluasi dilakukan pada minggu ke-2, bulan ke-1, dan bulan ke-3 pasca tindakan bedah. Evaluasi pada bulan ke-3 secara radiografis menenunjukkan adanya pengisian substansi tulang di daerah furkasi. Disimpulkan bahwa penata-laksanaan kasus keterlibatan furkasi dengan terapi bedah regeneratif kombinasi bonegraft dan membran PRF dapat menunjukkan hasil yang memuaskan baik pada difek vertikal maupun horizontal.
Gingival staining is closely related to aesthetic problems. The frenectomy of the frenulum with coronal attachment to the tooth surface is one of the main causes of periodontal disease due to the difficulty of maintaining oral hygiene. Patients who experience these two conditions require at least two types of surgeries. This case report aims to provide information that two surgeries can be performed in one visit only. A 29-year-old male patient visited the Periodontal Clinic of Dental Hospital, Universitas Padjadjaran with the main complaint of staining of the gingiva and the maxillary labial frenulum obstructing movement during tooth brushing. On intra-oral examination, the maxillary gums looked dark and frenulum attachment extent coronally to interdental papilla of incisive maxillary anterior teeth. The treatments in treating gingival staining and removing highly frenulum attachment were gingival depigmentation and frenectomy performed in one visit. Conclusion: The gingival depigmentation and frenectomy therapies performed in one visit were effective in terms of time and trauma caused, also more efficient in terms of treatment costs. Benefits in the form of aesthetic can be obtained along with the benefits of obtaining periodontal tissue health.
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