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PRINSIP DASAR PERAWATAN RESESI GINGIVA: BASIC PRINCIPLE IN THE TREATMENT OF GINGIVAL RECESSION Agung Krismariono
Dentika: Dental Journal Vol. 18 No. 1 (2014): Dentika Dental Journal
Publisher : TALENTA

Resesi gingiva ditandai dengan terbukanya permukaan akar akibat migrasi marginal gingiva ke arah apikal. Kondisi initerjadi akibat kehilangan perlekatan periodontal. Resesi gingiva dapat terjadi antara lain akibat: kebersihan mulut yangburuk, cara menyikat gigi yang salah, permukaan akar yang menonjol, perlekatan frenulum yang terlalu tinggi dan traumaoklusi. Resesi gingiva umumnya menyebabkan masalah estetik bila terjadi pada gigi anterior atas. Selain itu, resesigingiva cenderung mengakibatkan peningkatan resiko hipersensitif dentin. Perawatan resesi gingiva dapat dilakukanmelalui prosedur bedah dan non bedah. Prinsip dasar perawatan resesi gingiva adalah menutup permukaan akar yangterbuka untuk memperbaiki estetik dan mengurangi hipersensitif dentin.

Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report: Estetis Crown Lengthening untuk Perawatan Gummy Smile yang Berhubungan dengan Altered Passive Eruption: Sebuah Laporan Kasus Apriantika, Indira; Krismariono, Agung
Dentika: Dental Journal Vol. 23 No. 2 (2020): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v23i2.4278

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.

Gingival Scraping untuk Depigmentasi Gingiva Muhammad Ryan; Agung Krismariono
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 3 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Tingginya kebutuhan pasien akan penampilan yang baik, menjadikan perawatan estetik di bidang kedokteran gigi semakin berkembang dan diminati masyarakat. Salah satu perawatan estetik tersebut adalah depigmentasi gingiva. depigmentasi adalah perawatan yang bertujuan mengoreksi hiperpigmentasi gingiva yang disebabkan oleh deposisi melanin yang berlebihan oleh melanosit. Tujuan utama dari tulisan ini untuk mengetahui teknik penatalaksanaan hiperpigmentasi gingiva yang disebabkan oleh deposisi pigmen melanin. Pasien berumur 23 tahun datang dengan keluhan gusi depan berwana kehitaman. Pasien mengeluhkan warna kehitaman tersebut karena mengganggu estetik ketika tersenyum. Pasien mengaku tidak merokok. Depigmentasi dilakukan pada regio gingiva anterior atas menggunakan scalpel nomor 15. Bagian interdental dihaluskan menggunakan pisau orban kemudian irigasi dengan larutan salin steril. Pack periodontal pada daerah operasi. Gingiva depigmentasi adalah prosedur bedah yang paling sering digunakan pada kasus pigmentasi dan perawatan ini dapat mengembalikan estetika gingiva. Penyembuhan pada gingiva dalam perawatan ini cukup baik tanpa adanya infeksi dan rasa sakit berlebihABSTRACT: Gingival scraping for gingiva depigmentation. The patients high demand for making excellent appearance, make good aesthetic treatments in the field of dentistry and the growing public interest. One of these is the aesthetic treatment is gingival depigmentation. gingival pigmentation is a treatment aimed at correcting the gingival hyperpigmentation caused by excessive deposition of melanin by melanocytes. The main purpose of this paper to learn management techniques gingival hyperpigmentation caused by deposition of melanin pigment. 22-year-old patient came to the front of the black-colored gum complaints. Patients complained about the black color because it disturbs the esthetic when smiling. Patients admitted to not smoke. Gingival pigmentation performed on upper anterior region using a scalpel number 15. The interdental smoothed using a knife orban then irrigated with sterile saline solution. Periodontal pack on the area of operation. Gingival pigmentation is a surgical procedure that is most often used in cases of pigmentation and this treatment can restore the gingival aesthetic. Healing of the gingiva in this treatment quite well without the presence of infection and excessive pain.

Anti-inflammatory role of papaya seed extracts in inhibiting osteoclastogenesis of rats with Periodontitis Ratih Pusporini; Ahmad Basori; Agung Krismariono
Majalah Kedokteran Gigi Indonesia Vol 4, No 2 (2018): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.26829

Some previous studies mentioned that papaya seed extract has anti-inflammatory activity because it contains polyphenols including phenolic and flavonoid acids. Polyphenols of the papaya seed extracts are known to inhibit the severity of periodontitis. It can prevent the release of excessive osteoclastogenesis which may promote bone resorption aggravating periodontitis. Hence, this study aims to determine the role of papaya seed extract in reducing the number of osteoclasts in rats with periodontitis. Twenty-eight male Wistar rats were divided into 4 groups of induced periodontitis using lipopolisakarida (LPS) Porphyromonas gingivalis (P. Gingivalis) and followed by wire ligature in “8” placed around the mandible mandibular incisor. The first group was given standard food without any papaya extract, while each rat in three other groups with periodontitis (P2, P3, P4) was given with Papaya seed extracts of 200 mg/kgBW, 300 mg/kgBW, and 400 mg/kgBW. Seven rats in one group were not induced by periodontitis and were fed with standard food as a control group. On the 30th day, the rat was sacrificed, and its transverse pieces of alveolar bone around the mandibular incisor were stained with Hematoxylin-Eosin. The data analyzed by one way ANOVA indicated a significant result. Thus, it is conclusive that extract of papaya seed ethanol inhibited osteoclastogenesis in Wistar rats induced with periodontitis.

The Effect of Papaya Seed Ethanol Extract in Vivo on The Number of Osteoblasts Cells of Periodontitis-Induced Rats Ratih Pusporini; Ahmad Basori; Agung Krismariono
Majalah Obat Tradisional Vol 24, No 1 (2019)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The papaya seed ethanol extract is rich in antioxidant ingredients, such as flavonoids and phenolic acids. One of the main factors causing chronic inflammatory in periodontitis is oxidative stress. Administration of papaya seed extract is assumed to increase the number of rat osteoblast cells induced periodontitis. This research was conducted to analyze the effect of papaya seed extract on osteoblasts cells of rat induced periodontitis. This research represented an experimental laboratory-based investigation involving 35 rats of the Rattus norvegicus strain divided into 5 treatment groups (K, P1, P2, P3, P4). Control group (K) was not induced by periodontitis and was not given an extract, while group P induced periodontitis using LPS Phorphyromonas gingivalis (P.gingivalis) for 7 days and continued wire mesh installation around the mandibular incisors in the form of number “8” for 7 days. P1 group was given feed only without extract, while the rest were given extract of 200 mg/kgBB, 300mg/kgBB, and 400mg/kgBB. The data obtained were analyzed with a one-way ANOVA test. The results showed that the average number of osteoblasts varied significantly between the groups. There was an increase in the average number of osteoblast cells in rat induced periodontitis after given papaya seed extract.

GINGIVECTOMY AS A CROWN LENGTHENING PROCEDURE FOR ALTERED PASSIVE ERUPTION TREATMENT Wildhan Septianda Bhakti; Agung Krismariono
Dentino : Jurnal Kedokteran Gigi Vol 5, No 2 (2020)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v5i2.8972

ABSTRACTBackground: Altered passive eruption is a condition that can make clinical crown of teeth seems shorten. The excessive gum or dentogingival junction level that overlap to enamel become causal factor for altered passive eruption. Crown lengthening is one of treatment that can treat altered passive eruption. One of crown lengthening procedure is gingivectomy. Purpose: To correct excessive gingiva and achieve ideal teeth appearance by using gingivectomy as crown lengthening procedure. Case: A 21‑years‑old, systemically healthy, non‑smoking female, referred from orthodontist to treat patient’s overlap gingiva. From the patient’s point of view, her upper front teeth were unpleasant to see. There were no abnormalities in extraoral. Intraoral, there were upper front clinical crown of teeth that seem shorter. Case management: The treatment started from administration of anesthetic agent, application of pocket marker forceps, gingival cutting and trimming process, then periodontal pack application. Treatment results were quite good. The appearance of upper front teeth became ideal in width and length ratio. Conclusion: Gingivectomy is one of crown lengthening method that can solve excessive gingiva in altered passive eruption.Keywords: Altered passive eruption; Crown lengthening; Dentogingival junction; Gingivectomy

The decreasing of NFκB level in gingival junctional epithelium of rat exposed to Porphyromonas gingivalis with application of 1% curcumin on gingival sulcus Agung Krismariono
Dental Journal (Majalah Kedokteran Gigi) Vol. 48 No. 1 (2015): March 2015
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Periodontal disease is a chronic, multi-factorial disease. Chronic periodontitis is one of the main causes of tooth loss. Chronic periodontitis is usually caused by Porphyromonas gingivalis (P. gingivalis). P. gingivalis can induce NFκB activation resulting in the increasing of periodontal extracellular matrix degradation. Curcumin can inhibit NFκB activation and reduce the severity of periodontal degradation. Purpose: This research was aimed to observe level of NFκB in gingival junctional epithelium of rat exposed to Porphyromonas gingivalis with local administration of curcumin. Methods: Sixteen Wistar rat were divided into two groups. Group 1 (treatment) consisted of eight rat given 2 x 106CFU/ml P. gingivalis and 1% curcumin. Meanwhile, group 2 (control) consisted of eight rat given 2 x 106 CFU/ml P. gingivalis only. GCF samples were collected from gingival sulcus. The samples were biochemically analyzed with ELISA method. Data were then analyzed statistically by using independent t-test (α=0.05). Results: The examination of NFκB level showed that there was significant difference between treatment group and control group (p<0.05). The level of NFκB in the treatment group was significantly lower than the control group. Conclusion: It can be concluded that 1% curcumin application can reduce NFκB level in gingival junctional epithelium of rat exposed to P. gingivalis.

Immunoglobulin-G level on aggressive periodontitis patients treated with clindamycin Agung Krismariono
Dental Journal (Majalah Kedokteran Gigi) Vol. 42 No. 3 (2009): September 2009
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Aggressive periodontitis might occur as a result of complex interplay between bacteria and host defence, therefore, the host susceptibility plays important role. Antimicrobial agents that could enhance host defence are required. Clindamycin might influence host defence. Purpose: The purpose of this study was to determine the influence of clindamycin on level of Immunoglobulin-G (IgG) patients with aggressive periodontitis, and its mechanism. Methods: This study used the pre-test post-test control group design. Eighteen aggressive periodontitis patients were divided into 2 groups at random. Group 1 (treatment): 9 aggressive periodontitis patients were given with clindamycin of 150mg orally, 4 times a day, for 7 days. Group 2 (control): 9 aggressive periodontitis patients were given with tetracycline of 250mg orally, 4 times a day for 12 days, and then metronidazole of 200mg orally, 3 times a day for 10 days. Blood sample was collected from vena cubiti mediana. Level of IgG was measured at base line and day 28. Data were analyzed statistically by using t-test (a = 0.05). Result: Examination for IgG level showed there was significant difference between pre-test and post-test (p < 0.05). Level of IgG was significantly increased after therapy, both in treatment and control group. The increase of IgG level in treatment group was not different significantly from control group (p>0.05). Conclusions: This study shows that clindamycin can be used as drug of choice for the treatment of aggressive periodontitis since clindamycin can improve the immunity status of aggressive periodontitis patients.

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