Shafira Kurnia
Department of Periodontology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

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The aesthetic management of gingival enlargement and hyperpigmentation in maxillary anterior region: a case report Shafira Kurnia
Journal of Case Reports in Dental Medicine Vol 1, No 1 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1068.012 KB) | DOI: 10.20956/jcrdm.v1i1.82

Abstract

Objective: To describe the aesthetic treatment stage of gingival enlargement with gingival hyperpigmentation. Determination of the type of action detail will assist many clinicians in diagnosis and treat gingival enlargement with hyperpigmentation.Methods: The 17-year-old male patient, coming with his enlarged gums. Patients claimed to have no hypertension, blood disorders, diabetes and hepatitis. After general check-up and early treatment, gingivectomy and gingival depigmentation were performed using scalpel no. 15c. The oral administration administered was 500mg tid amoxicillin and 500mg tid.prn mefenamic acid.Results: after gingivectomy has performed multiple diastema appears and suggested orthodontia treatment. Conclusion: The combination of gingivectomy treatment with gingival depigmentation may be performed simultaneously using a scalpel periodontal instrument.Keywords: Gingival enlargement, Gingival hyperpigmentation, Gingivectomy, Gingival depigmentation
Minimally invasive crown lengthening with the bone reduction to minimize gingival recession Neira N. Sakinah; Shafira Kurnia
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Abstract

ABSTRACTObjective: This case performs minimally invasive crown lengthening to minimize the incidence of gingival recession in the interdental area after the crown lengthening procedure. Methode: A patient has subgingival caries in teeth 12, 11, 22, and a lack of clinical crown length of tooth 22 for retention of the restoration. Clinical examination, radiographic photograph, and analysis of case models indicated the need for a crown lengthening procedure with a bone reduction to support the restoration. Crown lengthening was performed minimally invasive by maintaining the attachment of the papilla interdental of central incisors intact. The flap is only performed in areas that required bone reduction without breaking the attachment of the interdental gingiva. The bone reduction was performed using tungsten carbide bur. Results: One week after the crown lengthening showed fast healing and good repositioning of the gingival margins. After 3 months of crown lengthening showed no recession and no inflammation of the gingiva. Conclusion: This technique was effective to minimize gingival recession and increase the stability of the periodontal tissue after crown lengthening.