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All Journal Science Midwifery International Journal on Health and Medical Sciences
Edria Benita Tampubolon
Universitas Medika Suherman, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Fissure tongue condition in a patient with down syndrome: A case report Leonardo Jaya Setiadi Tanumiharja; Anna Nur Azizah; Edria Benita Tampubolon; Patoni Patoni; Marvin Jaya Setiadi Tanumiharja
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2222

Abstract

Fissured tongue is a normal variation of the tongue in which the surface of the dorsum of the tongue has fissures, with varying depths. This condition is commonly found in patients with Down's syndrome. The patient comes with complaints of increasing tongue sensitivity to spicy and sour tastes. In general, patients do not feel any complaints or pain if the fissures are not too deep but there is a risk of food ingesting in these cracks. Fissured tongue will become a pathological condition if the depth reaches >5mm, causing the patient to seek treatment. The purpose of this case report is to provide an overview of patients who have Down's syndrome accompanied by fissured tongue. The patient in this case report was not given any medication and was only given oral health education and oral hygiene instructions both directly and to the patient's guardian.
Guided biofilm therapy before recession type 2 coverage: Case report Leonardo Jaya Setiadi Tanumiharja; Winny Suwindere; Edria Benita Tampubolon; Tasya Virania Adristi; Michella Wynne Wijaya
International Journal on Health and Medical Sciences Vol. 4 No. 3 (2026): August: Medical and Health Science
Publisher : Institute of Accounting Research and Novation (IARN)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/healmed.v4i3.764

Abstract

Recession Type 2 defects are challenging because interproximal attachment loss reduces the predictability of complete root coverage. This case report describes the integration of a structured Guided Biofilm Therapy protocol into presurgical and supportive care for a 26-year-old male smoker with a Recession Type 2 defect at tooth 41 after unsuccessful orthodontic treatment. At baseline, the plaque index was 93% and bleeding on probing was 36%. Tobacco-cessation counselling, individualised oral-hygiene instruction, biofilm disclosure, air polishing, and site-specific instrumentation were provided over three preparatory visits. Before surgery, the plaque index and bleeding on probing had decreased to 7% and 4%, respectively. The defect was then treated with a laterally closed tunnel and a palatal subepithelial connective tissue graft. At 6 months, the plaque index was 11% and bleeding on probing was 5%; at 12 months, the corresponding values were 7% and 5%. Complete clinical root coverage was maintained at both follow-ups, and serial radiographs showed changes suggestive of increased interproximal bone fill. The favourable outcome followed a combined program of risk-factor control, professional biofilm management, surgery, and maintenance; the independent effect of Guided Biofilm Therapy cannot be determined from a single case. Standardised controlled studies are required to clarify its adjunctive value in periodontal plastic surgery.
Co-Authors Anna Nur Azizah Leonardo Jaya Setiadi Tanumiharja Marvin Jaya Setiadi Tanumiharja Michella Wynne Wijaya Patoni Patoni Tasya Virania Adristi Winny Suwindere