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Husni Adam - Enlargement Gingiva - Utama No1
Husni Adam - Enlargement Gingiva - Utama No1
Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) December 2016, Volume 1, Number 3: 196-200
P-ISSN.2503-0817, E-ISSN.2503-0825
Abstract
Objective: Gingival enlargement in the interdental papillae, palatal (mesial: 3, medial: 1, distal 1). Gingivectomy treatment and
thickened, rounded gingival contour and discomfort became major gingivoplasty were performed with the aim of eliminating pockets
issues that must be treated in order to be optimal appearance and and restore physiologic gingival contour which can help prevent the
function. Gingival enlargement that experienced fibrosis would recurrence of the disease periodontal.
not disappear with only plaque control, but required surgery that is Results: In inflammatory gingival enlargement, clinical evalution
gingivectomy and gingivoplasty. pasca gingivectomy surgery performed optimum healing, without any
Methods: The 24-year-old woman came to the periodonsia clinic with inflammation signs.
complaints maxillary anterior gingiva swelled at teeth 11-21 with Conclusion: In performing surgical gingivectomy and gingivoplasty,
plaque index 52%. The depth of the tooth pocket 11: labial (mesial: which must be considered is to minimize the disposal of gingival tissue
4, medial: 1, distal: 3). Palatal (mesial: 3, medial: 2, distal 1). The to maintain the aesthetic, adequate access to the bone defect.
depth of the tooth pocket 21 is labial (mesial: 4, medial: 1, distal: 1),
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CASE REPORT
enlargement such as chronic and acute. Drug- shape and morphology, position of the base pocket
induced enlargement (drugs). Associated with is more apical than the mucogingival junction,
systemic diseases/special conditions: pregnancy, esthetic considerations, especially on the anterior
pubertal, vitamin-C deficiency, cell gingivitis maxilla.
plasma, non-specific (pyogenic granuloma), Gingivoplasty was performed to eliminate
systemic diseases: Leukemia, Granulomatous periodontal pockets and included resharping as
diseases. Neoplastic enlargement (gingival part of the technique. Gingivoplasti is resharping
tumors): benign Tumors, malignant Tumors, false gingiva to create physiologic gingival contour,
enlargement, based on the location and distribu- with the sole aim to recontur gingival without
tion: localized: one/a group of teeth, generalized, pockets. Gingivoplasti can be performed with
marginal; only the gingival margin affected, papil- a periodontal knife, scalpe, diamond stone, or
lary: only interdental papilla, diffuse: margin, electrodes. These techniques include procedures
attached gingiva and papilla, discrete: peduncu- that represent what is performed in festooning
lated, sessile, like tumors.3,4 dentures: sharpen the gingival margin, creating
Gingivectomy is an excision or removal of a line of scalloped marginal, deplete attached
gingiva tissue, with the aim of eliminating the gingiva and create vertical interdental grooves, as
pocket wall. Gingivectomy improve the visibility well as form a papilla in order to provide floodgate
and accessibility to lift the calculus overall, facili- road (sluiceway) for food way. The main object of
tate the smoothing the root surface, create a good gingivoplasti is to restore the physiologic gingival
environment for gingival healing process and the contour which can help to prevent the recurrence
restoration of gingival physiologic contour.1 of the perodontal disease. Gingivoplasty is a way
Gingivectomy indications are:1,4-6 eliminate to improve the gingival esthetic. Gingivoplasty is
suprabonipockets, regardless of the depth of the usually indicated to an abnormal gingival contour.
pocket, if the wall pockets fibrous and hard, elim- Tissues are chewy and fibrotic and can be easily
inate gingival enlargement, eliminate supraboni excised and formed.4-6
periodontal abscess.
Gingivectomy contraindications are:1,4-6 bone
Case Report
surgery is required or the examination of bone
Main complaint
A 24-year-old female patient came to the periodon-
tic clinic with complaints of swelled maxilla front
teeth gum so that patients feel disturbed in
appearance. To the patient performed scaling by
private dentists but the gums still enlarged. Patients
wanted to be treated.
Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) December 2016; 1(3): 196-200 | doi: 10.15562/jdmfs.v1i3.317 197
CASE REPORT
Tooth 48 47 46 45 44 43 42 41 31 32 33 34 35 36 37
Facial X 245 435 521 111 211 111 111 211 121 111 111 335 514 212
Lingual X 111 211 121 111 111 211 211 111 111 111 111 111 212 212
Mobility - - - - - - - - - - - - - -
198 Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) December 2016; 1(3): 196-200 | doi: 10.15562/jdmfs.v1i3.317
CASE REPORT
Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) December 2016; 1(3): 196-200 | doi: 10.15562/jdmfs.v1i3.317 199
CASE REPORT
200 Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) December 2016; 1(3): 196-200 | doi: 10.15562/jdmfs.v1i3.317
CASE REPORT
CONCLUSION
In inflammatory gingival enlargement, clinical eval-
uation post gingivectomy surgery was performed
for optimum healing without any inflammation
signs. Gingivectomy has some applications to
reduce minimally over gingival tissue, but other
inhibitory factors must be considered. Periodontal
surgery must be considered to (1) maintain keratin
tissue in gingiva, (2) Minimal loss gingival tissue
to keep the elasticity, (3) enough way in conducting
repairment of osseous damage, and (4) minimalize
some discomfort and blood loss after operation.
This cure is encouraging the patient because it
reduces discomfort of gingival enlargement and
better ethical appearance can be reached.
REFERENCES
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Figure 14 1 month control periodontal disease. Quintessence Publishing Co Inc;
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performed, this shows that home care for teeth and 3. Carranza, F.A., and Takei, H.H., 2010 Gingival Surgical
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Klokkevold dan F.A. Carranza (eds): Carranza’s clinical
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hoping that there will be no complication afterward Carranza’s clinical periodontology. 10th ed. St. Louis:
Elsevier; 2006.
and its prognosis is optimum. Sealing cause to the 5. Rateitschak KH & EM, Wolf HF, Hassell TM. Color atlas of
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at control week 1 evaluation pasca initial phase 6. Lindhe J, Karring T, Lang NP. Clinical periodontology and
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The result of the clinical evaluation shows that
the healing occurs in a week pasca operation, there
is tissue generation and gingival contour advances
in the operated area. The healing process of gingival
tissue continued for 3–4 weeks with 1 week control
in 1 month, the patient’s gingiva showed a signifi- This work is licensed under a Creative Commons Attribution
cant healing.
Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) December 2016; 1(3): 196-201 | doi: 10.15562/jdmfs.v1i3.317 201