The novel coronavirus disease (COVID-19) caused by the SARS-CoV-2 virus presents with nonspecific symptoms such as fever, dry cough, shortness of breath, weakness, headache, and diarrhea. The primary mode of transmission of SARS-CoV-2 is through direct or indirect inoculation of the mucous membranes (eyes, nose, or mouth) with infectious respiratory droplets or fomites. Periodontal tissue can serve as a barrier to the SARS-CoV-2 virus in infected individuals. There are similarities between COVID-19 and periodontal disease, based on pro-inflammatory cytokines released by the body. A periodontal emergency arises when an acute condition involving the periodontium causes pain, forcing the patient to seek urgent care; therefore, most periodontal treatment can be considered as dangerous work compared to other dental procedures regarding the aspect of bioaerosol generation procedure. Transmission can occur through direct doctor-patient contact, as well as contamination from instruments or surfaces in the dentist’s practice room, and it is recommended to use PPE, to avoid aerosol splashes that occur during the work procedure, where aerosol granules and droplets can last 30 minutes after the treatment procedure is performed. The use of teledentistry is very important in periodontal care, in communication with patients regarding chief compliant, risk factor control, and oral hygiene instruction.
Background: Relationship between periodontal tissue and aesthetic considerations is an important thing to determine the form, function and aesthetics of periodontal tissue itself. For orthodontic cases with gingival enlargement, using the biological width concept in gingivectomy to facilitate an optimal oral hygiene maintenance, function and aesthetic. Bone sounding before gingival recontouring is dictated by the distance from the gingiva crest to alveolar crest. Recommended distance between margins restoration and alveolar bone crest is 3 mm to avoid breaching the biologic width.Case and Case Management: Case 1: A 21 years old female patient whom referred from orthodontist with gingival enlargement in upper front teeth after treated with fixed orthodontic for 1.5 years. PBI: 1,6. After clinical examination, bone sounding was performed = 7mm and gingivectomy without ostectomy was determined. Case 2: A male patient, 24 years old, with gingival enlargement in upper front teeth while treated with fixed orthodontic. After determined the problem, bone sounding (6 mm) was performed along with gingivectomy without ostectomy also for anterior upper right site.Conclusion: The purpose of this report is to provide a diagnostic rationale for gingival recontouring. When gingivectomy is determined, the concept of biological width must be applied achieve a harmonious gingival contour with an optimal oral hygiene maintenance.
Latar belakang: Inflamasi periodontal mengenai jaringan pendukung gigi meliputi ligamen periodontal dan kerusakan tulang alveolar. Tanda klinis yang umumnya dijumpai diantaranya warna kemerahan pada gingiva, disertai perdarahan, resesi gingiva dan kegoyangan gigi. Evaluasi kondisi jaringan periodontal untuk mengamati gambaran klinis dan kondisi jaringan periodontal dapat diukur pada individu dan komunitas dengan menggunakan indeks Community Periodontal Index of Treamnet Needs (CPITN) Tujuan: Penelitian ini bertujuan menunjukkan bahwa prevalensi dan keparahan penyakit periodontal dapat dipengaruhi oleh jenis kelamin, gingivitis memiliki prevalensi yang lebih tinggi pada pria dibandingkan wanita, hal ini dapat disebabkan adanya perbedaan kebiasaan yang mempengaruhi terjadinya gingivitis. Metode penelitian: Penelitian ini dilakukan di Rumah Sakit Gigi Mulut Universitas Prof. Dr. Moestopo (Beragama) dengan menggunakan penilaian survei CPITN, untuk menilai kebutuhan perawatan antara laki-laki dan perempuan pada pasien (usia 20-30 tahun) yang berobat di RSGM UPDM (B) pada kurun waktu November-Desember 2019. Hasil penelitian: Berdasarkan penilaian CPITN, score 1 untuk laki-laki 35% (14 subyek), perempuan 25% (10 subyek); score 2, laki-laki 12,5% (5 subyek), perempuan 22,5% (9 subyek); score 3, laki-laki dan perempuan 2,5% (1 subyek). Kesimpulan: Kebutuhan perawatan periodontal terbanyak adalah pada skor 1 untuk laki-laki sebanyak 14 subyek (35%) dan perempuan 10 subyek (25%), yang artinya dibutuhkan peningkatan OH, melalui oral prophylaksis. Untuk Skor 2, jumlah wanita lebih banyak, yang artinya dibutuhkan peningkatan OH dan tindakan pembersihan karang gigi.
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