Vincensia Maria Karina
Department Of Periodontics, Faculty Of Dentistry, Universitas Gadjah Mada, Yogyakarta

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Effectiveness of Non-Surgical Procedures for the Treatment of Black Triangle Cases in the Aesthetic Zone on the Height of the Interdental Papilla: Narrative Review Yusuf, Muhammad; Syaify, Ahmad; Karina, Vincensia Maria
Odonto : Dental Journal Vol 10, No 2 (2023): December 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.10.2.306-313

Abstract

Background: The black triangle is a cervical embrasure to the proximal contact that is not filled with gingival tissue. Until, the treatment of black triangle cases has evolved to offer non-surgical procedures such as hyaluronic acid injection, Injectable Platelet Rich Fibrin (i-PRF), and photobiomodulation therapy. Various studies have also reported the use of hyaluronic acid, i-PRF and photobiomodulation therapy to increase the height of the interdental papillae.Method: Literature searches were carried out systematically from various international databases such as PubMed, ScienceDirect, Google Scholar, and Semantic Scholar. The literature selection stages are carried out through the process of identifying articles, screening, and fulfilling inclusion criteria. A total of 52 articles were published in 2012 – 2022 and have met the criteria for data extraction examination of various clinical parameters from the black triangle case.Result: The results of the review showed that the use of hyaluronic acid injection, i-PRF and photobiomodulation therapy showed significant treatment results in cases of black triangle class I and II. Conclusion: It was reported that the non-surgical procedure for the treatment of black triangle cases produce better result and predictable results, an easy technique, more effective time than surgical procedures and reduced discomfort and met the aesthetic demands of patients based on clinical parameters after 6 month injection.
Surgical Intervention Of Z-Plasty Frenulum Technique In The Fixed Orthodontic Treatment Of Patients With Oligodontia Handoko, Evan Kurniawan; Karina, Vincensia Maria; Suryahapsari, Nastiti Mayangjati
Odonto : Dental Journal Vol 11, No 1 (2024): July 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.1.81-87

Abstract

Background: Oligodontia is a genetic disorder in which the individual does not have more than six teeth either permanent, deciduous, or both teeth. This condition causes multiple diastemas and requires orthodontic treatment.  Abnormal attachment of the superior labial frenulum also causes midline diastema, and recurrence of diastema after orthodontic treatment. Z-plasty frenectomy is commonly used for patients with thick frenulum and shallow vestibule. The presence of two transposed flaps in this technique can provide stress distribution in the tissue to minimize the occurrence of scar tissue formation. Case Report: A female patient, 20 years old and systemically healthy, came to RSGM Prof. Soedomo with complaints of a maxillary front tooth gap that disturbed her self-confidence. The patient was referred by an orthodontist colleague.Result: Clinical examination in the form of a blanch test and vestibule depth. From the examination, it was found that the patient had frenulum attachment to the anterior interdental papilla (Kotlow class III) and a shallow vestibule. In this situation, the Z-plasty technique was chosen. Satisfactory results were obtained with no scarring and no residual connective tissue that could cause diastema recurrence. Conclusion: Frenectomy using the Z-plasty technique was succeessful in removing the thick frenulum without the formation of scar tissue, and proved to be more aesthetically pleasing than other conventional methods.
Chicken bone hydroxyapatite enhances collagen density and osteoblast cell number during bone formation of post-extraction socket wound healing process (an in vivo study) Humani, Maria Bonita Cerebrina; Kintani, Dayinta Sekar; Arindra, Pingky Krisna; Karina, Vincensia Maria; Haniastuti, Tetiana
Majalah Kedokteran Gigi Indonesia Vol 11, No 1 (2025): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.103626

Abstract

Tooth extraction is a common dental procedure. Osteoblasts (bone-forming cells) and collagen are key indicators of wound healing following tooth extraction. Hydroxyapatite is a calcium-rich material that promotes the secretion of Fibroblast Growth Factor (FGF), Platelet-Derived Growth Factor (PDGF), and Transforming Growth Factor Beta (TGF-β)—all of which play critical roles in the wound healing process. Chicken bones, a natural source of hydroxyapatite, contain approximately 85% calcium phosphate minerals. This study aimed to determine the effect of chicken bone-derived hydroxyapatite on osteoblast cell count and collagen density in post-tooth extraction wounds in Wistar rats. Thirty male Wistar rats were randomly divided into treatment and control groups. Tooth extraction was performed on the lower left incisor of each rat. Hydroxyapatite was prepared by calcining chicken bones at 700 °C to remove organic material. The resulting hydroxyapatite powder was implanted into the tooth sockets of rats in the treatment group, while the control group received no implantation. Both groups were sutured and treated with povidone-iodine. Three rats from each group were sacrificed on days 3, 5, 7, 10, 14, and 21. Histological samples were prepared using hematoxylin-eosin and Mallory’s Trichrome staining. Osteoblast cells (100× magnification) and collagen density (400× magnification) were examined using a light microscope and Optilab Viewer, across five fields of view per sample. Two-way ANOVA showed significant differences in both osteoblast cell counts and collagen density between groups and across observation days (p < 0.05). Least Significant Difference (LSD) post hoc analysis also revealed significant differences between groups on all observation days (p < 0.05). In conclusion, chicken bone-derived hydroxyapatite significantly increases osteoblast numbers and collagen density during the post-extraction wound healing process in Wistar rats.
Comprehensive gummy smile correction: a case report on combined lip repositioning and crown lengthening Nurbaiti, Mentari Salma; Murdiastuti, Kwartarini; Karina, Vincensia Maria
Majalah Kedokteran Gigi Indonesia Vol 11, No 2 (2025): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.104349

Abstract

A gummy smile, or excessive gingival display (EGD), is a clinical condition in which more than 3–4 mm of gingiva is visible during smiling. This condition often raises aesthetic concerns and may negatively affect self-esteem. This report presents the clinical management of a 26-year-old male patient whose gummy smile was attributed to altered passive eruption, compounded by hyperactivity of the upper lip elevator muscles. To address these issues, a combined surgical approach was employed: crown lengthening and lip repositioning. Crown lengthening was performed on teeth 12, 11, and 22 to establish an appropriate tooth–gingiva ratio, while lip repositioning was carried out to limit excessive elevation of the upper lip. Postoperative evaluations revealed a significant correction of the gingival display and improved tooth dimensions. These results highlight the effectiveness of a combined periodontal and soft tissue surgical approach in achieving harmonious and predictable smile aesthetics.