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All Journal B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah Indonesian Journal of Dentistry
Ayuda Nur Sukmawati
Universitas Muhammadiyah Semarang
Dentistry Medicine & Pharmacology Public Health

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SURGICAL GINGIVECTOMY AND SUPERNUMERARY TOOTH EXTRACTION ON PATIENT WITH FIXED ORTHODONTIC APPLIANCE: A CASE REPORT Fidela Matta Nydia; Izaz Zayyan Listy Putri; Reza Purwa Aji Setiya; Ayuda Nur Sukmawati
Indonesian Journal of Dentistry Vol 5, No 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/ijd.v5i2.16014

Abstract

Background: Gingival enlargement is the most common characteristic of various conditions, such as inflammation, medication effects, systemic conditions like pregnancy, leukemia, and can also be caused by orthodontic treatment. There is a positive correlation between the duration of orthodontic appliance use and the incidence of gingival enlargement since it facilitates biofilm accumulation and bacterial colonization, which triggers the inflammation.Case: A 24-year-old female patient came to RSGM UNIMUS with complaints of swollen gums in the posterior maxilla and anterior mandible, causing her teeth to appear shorter. She has experienced this issue for the past five years since using fixed orthodontic appliances. Intraoral examination revealed significant swelling in almost the entire gingival region of both the upper and lower jaws, along with a conical supernumerary tooth in the anterior region of the lower jaw. Physiological pigmentation was noted in the anterior gingiva of the mandible, which is showing a brownish color. Radiographs showedhorizontal bone loss at the alveolar crest in the lower jaw. Gingivectomy with scaling and root planning, extraction of the supernumerary tooth, and depigmentation were planned for this case.Outcome: Following a one-month post-operative evaluation, the treatment outcomes for the patient were promising with minimal pain reported. She noted that her confidence in her appearance has significantly improved.Conclusion: The use of fixed orthodontic appliances is correlated with gingival enlargement due to several factors. These appliances can lead to increased plaque accumulation and biofilm formation around the brackets and wires, which triggers inflammation. The mechanical irritation from the appliances can also exacerbate the condition, making it harder for patients to maintain her oral hygiene.
SURGICAL GINGIVECTOMY AND GINGIVOPLASTY ON UPPER ANTERIOR TOOTH Ayuda Nur Sukmawati; Aulia Puspasari Ramadhani; Hidha Rahma Sintya Dewi
Indonesian Journal of Dentistry Vol 5, No 1 (2025): February 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/ijd.v5i1.16308

Abstract

ABSTRACTBackground: Gingival enlargement can be treated with periodontal therapy, starting with the initial phase therapy, which includes dental health education and scaling-root planing. When the enlargement persists after the initial treatment is carried out, a surgical procedure, namely gingivectomy, is needed.Method: A 22-year-old male patient came to RSGM UNIMUS complaining that his upper front gums appeared enlarged. The patient had been aware of the complaint since the examination during the scaling procedure two weeks ago. There was no pain in the enlarged gums, but they bled when brushing his teeth. The patient wanted to get treatment for his gums. The patient denied any relevant medical history and allergies.Outcome: The gingivectomy in this patient improved the gingiva appearance and lengthened the clinical crown on the upper anterior teeth.Conclusion: Gingivectomy was proven to be an effective surgical therapy to eliminate gingival enlargement and maintain the proportional gingival appearance, especially on the anterior teeth. However, considering the complexity of the case, more extensive mouth rehabilitation is required.
Evaluation of Changes in Alveolar Bone Height Following Removable Orthodontic Appliances at Unimus Dental Hospital Dea Zahra Khairunnisa; Dimar Pangestika Sari; Ayuda Nur Sukmawati; M. Al Haris
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol. 13 No. 1 (2026): Vol 13 No 1 (Juni 2026)
Publisher : Universitas Baiturrahmah

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Abstract

Introduction: Malocclusion is a condition characterized by misalignment of the teeth and improper jaw alignment, which can lead to impaired chewing function. One type of orthodontic appliance that can be used in the treatment of malocclusion is the removable orthodontic appliance. This appliance offers the advantage of being easily removed and reinserted by the patient, thereby helping to maintain better oral hygiene, and carries a lower risk of root resorption and periodontal complications compared to fixed orthodontic appliances. Research on changes in alveolar bone height has largely focused on the use of fixed orthodontic appliances, while studies on removable orthodontic appliances remain limited. Aim: This study aims to evaluate the differences in alveolar bone height before and after the use of removable orthodontic appliances in patients at Unimus Dental Hospital. Methods: This study applied an analytical observational approach with a cross-sectional design. The study was conducted by measuring the alveolar bone height on panoramic radiographs before and after the use of removable orthodontic appliances on 10 teeth in 17 subjects using ImageJ® software. Result: The results of both the paired sample t-test and the Wilcoxon signed rank tests showed p-values greater than 0.05. Conclusion: There was no difference in alveolar bone height before and after the use of removable orthodontic appliances in patients at the Unimus Dental Hospital Keywords: alveolar bone, bone resorption, removable orthodontic appliances
Co-Authors Aulia Puspasari Ramadhani Dea Zahra Khairunnisa Dimar Pangestika Sari Fidela Matta Nydia Hidha Rahma Sintya Dewi Izaz Zayyan Listy Putri M. Al Haris Reza Purwa Aji Setiya