Background: Overgrowth of the gingiva during orthodontic treatment is a very common condition characterized by gingival enlargement which is seen in pseudo-pocket formation with or without attachment loss. Gingival enlargement involving the anterior region can affect the quality of one’s life related to aesthetics and function. Objective: This case report describes the correction of gingival enlargement in orthodontic treatment with gingivectomy. Case Report: A 21-year-old patient presented to the periodontics clinic of RSGM Prof Soedomo UGM on the referral of an orthodontic clinic with a complaint of gingival enlargement in the anterior region of the lower jaw which interfered with the movement of orthodontic’s wire corrections. Gingival enlargement was treated by gingivectomy using scalpel. Results: Two weeks’ control showed that the gingival enlargement was corrected and orthodontic treatment could be continued. Conclusion: Gingivectomy is a procedure that aims to treat gingival enlargement during orthodontic treatment with a fixed orthodontic appliance. In assisting the smooth running of orthodontic treatment, gingivectomy can also reduce the rate of periodontal disease and improve aesthetics. Keywords: gingivectomy, gingival enlargement, fixed orthodontic appliance
Injectable Platelet Rich Fibrin (i-PRF) is a popular periodontal regenerative therapy in dentistry. i-PRF centrifugation resulted in the fractionation of the yellow layer and buffy coat with a red layer. The red i-PRF contains a greater number of Growth Factor carrier cells than yellow layer, besides that liquid-PRF has a suitable consistency so it easy to combine with other biomaterials. Another biomaterial that can be combined with i-PRF is collagen-chitosan with hydrogel preparations. This study aims to determine the effect of a combination of collagen-chitosan hydrogel formulation with injection of platelet-rich fibrin fractionation on osteoblast cell migration and proliferation. This type of research was an experimental laboratory divided into 3 groups, which were given a combination of the collagen-chitosan hydrogel and i-PRF red layer, a combination of collagen-chitosan hydrogel and i-PRF yellow layer, and only a combination of collagen-chitosan hydrogel. Chitosan collagen hydrogel was prepared with a collagen/chitosan ratio of 25/75, then mixed with i-PRF fractionation with a ratio of 1:1. The cell proliferation test used CCK-8, while the cell migration test used scratch wound healing. Data were tested with One way ANOVA for cell migration and Two way ANOVA for cell proliferation, followed by a Post Hoc test. The results showed that migration of osteoblast cells after 24 hours in the combination group of chitosan collagen hydrogel and i-PRF red layer was higher than the other groups with significance (p<0.05). The results of osteoblast cell proliferation on days 1, 3, and 5 in the combination group of chitosan collagen hydrogel and i-PRF red layer were also higher than the other groups with significance (p<0.05). This study concluded that the combination of chitosan collagen hydrogel with injectable platelet-rich fibrin red layer had a more effect on increasing the migration and proliferation of osteoblast cells than the other groups.
Background: Chronic periodontitis is a disease that causes inflammation of the tooth supporting tissue, loss of periodontal attachment, and loss of alveolar bone. Root planning scaling treatment is carried out to remove irritants and microorganisms. The use of additional materials is required when the pocket depth is more than 5 mm. One of the herbal ingredients that has the potential as an adjunct to periodontal therapy is the 4% ocinumsanctum. Method: The sample consisted of 20 periodontal pockets with a depth of 4-6 mm which were given scaling root planning which were divided into two groups, namely 10 pockets given 4% maximum sanctum gel and 10 pockets given Metronidazole gel 25%. evaluations of the papillary bleeding index, TNF-α, and IL-β were performed at baseline, and on day 21. TNF-α and IL-β levels were taken through the gingival sulcus fluid and then tested using ELISA. Result: Papillary bleeding index, TNF-α, and IL-β levels showed a significant reduction in both groups but there was no significant difference between the 4% ocimum sanctum group and Metronidazole gel. Conclusion: ocimum sanctum application 4% post scaling root planning was able to lower papillary bleeding index score, TNF-α levels, and IL-β.
Background: Teeth with inadequate clinical crowns lead to failure in restorative treatment. This condition complicates the tooth isolation in root canal treatment and results in minimal retention. Functional crown lengthening is the most common surgical procedure performed to increase the length of the clinical crown. Case Report: This case report discusses the functional crown lengthening along with osteotomy on the anterior teeth of a 25-five-year-old male patient with a chief complaint of loose crown denture on the upper left lateral incisor accompanied with soreness after root canal treatment. Area #22 was seen as a gingival excess with a clinical crown remaining <2 mm on intraoral examination and showed non-hermetic obturation on radiographic examination. Conclusion: The effectiveness of the treatment was proven by the nonrecurrence of gingival excess as seen from a one-month follow-up after functional crown lengthening. Keywords: functional crown lengthening, osteotomy, gingival excess
Background: Chronic periodontitis is a condition of inflammation in periodontal tissue. This condition can be treated by reducing plaque and calculus using full mouth debridement with gingival curettage. Objective: To reduce inflammation of deep pockets before planning flap surgery. Case Report: A 49-year-old woman presented with a complaint of bleeding gums and mobility of upper anterior teeth. Probing depths of patient’s upper teeth were at deep measurements and there was also a mobility of grade 1 and 2 with malposition of teeth. Conclusion: The condition of chronic periodontitis can be treated with full mouth debridement with gingival curettage as a pretreatment before flap surgery. Keywords: full mouth debridement, gingival curettage, chronic periodontitis
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