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Root coverage using modified tunneling technique with acellular dermal matrix for treatment of gingival recession associated with orthodontic treatment: A case report Rosa Pratiwi; Irma Dewi Ratnawati; Agung Krismariono
Odonto : Dental Journal Vol 10 (2023): Special Issue 1. October 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.10.0.47-53

Abstract

Background: Gingival recession has a number of causes, including orthodontic therapy. The degree and extent of gingival recession and orthodontic therapy are strongly correlated. Care must be taken in choosing the best soft tissue grafting technique. Development of a number of new and improved surgical techniques, including the modified tunneling technique. Case Management: A-24-year-old female patient came to Periodontic Clinic Dental Hospital of Airlangga University with a chief complain of gingival recession in mandibular central incisors since 6 months ago. The patient complained about dental sensitivity. The dental history revealed that she had undergone fixed orthodontic therapy for 7 years. She revealed the fixed orthodontic appliance was put off since 8 months ago. The patient concern about her appearance and aesthetic problem. Gingival recession on buccal surface tooth 31 and 41 extending 1,5-2 mm apical of the incisors was found in clinical assessment. This case classified as Miller class III. The doctor planned root coverage procedure using modified tunnel technique. Acellular dermal matrix (Surederm®) was chosen as a gingival graft. Discussion: Creating a "tunnel" through the buccal mucosa to treat gingival recession enables coronal repositioning of the soft tissue with predictable root coverage and a pleasing appearance. Tissue graft implantation is made possible by a horizontal incision. Conclusion: In brief, root coverage using modified tunnel technique is effective and predictable treatment modality. Comparing with other root coverage method it give quite satisfying result. The use of Acellular Dermal Matrix (ADM) considered as an alternative to Connective Tissue Graft (CTG).
Deteksi Dini dan Pencegahan Kelainan Periodontal Pada Ibu Hamil dan Kader Kesehatan Sebagai Upaya Pencegahan Stunting I Komang Evan Wijaksana; Eka Fitria Agustina; Irma Josefina Savitri; Novita Kusuma Wardhani; Michelle Suhartono; Agung Krismariono
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2023)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/jb.v4i2.3294

Abstract

Kota Pasuruan merupakan salah satu kota yang masih ditemukan kasus stunting. Adanya Pandemi COVID-19 turut memberikan dampat negatif pada status stunting di Kota Pasuruan yang pada tahun 2021 tercatat sebanyak 23 persen dari tahun sebelumnya sekitar 19 persen. Salah satu sasaran primer pencegahan stunting adalah ibu hamil. Pada ibu hamil, kesehatan rongga mulut berperan besar terhadap kesehatan secara umum, termasuk untuk pencegahan stunting pada calon buah hatinya. Pada pengabdian masyarakat ini, dilakukan pengabdian kepada masyarakat dalam upaya mencegah stunting melalui pencegahan kelahiran Bayi dengan Berat Badan Lahir Rendah (BBLR) dengan cara meningkatkan pencegahan kelainan didalam mulut pada ibu hamil melalui pelatihan deteksi dini dan pencegahan kelainan periodontal pada ibu hamil dan kader kesehatan sebagai upaya pencegahan stunting di Puskesmas Kandangsapi Kota Pasuruan. Tahapan pengabdian dilakukan meliputi tahap persiapan kegiatan, mengorganisasi kegiatan, tahap edukasi dan pelatihan target sasaran, tahap pembentukan kepemimpinan, koodinasi intersectoral dan tahap akhir evaluasi kegiatan. Peningkatan pengetahuan target sasaran menjadi indikator kuantitatif keberhasilan program yang dievaluasi melalui tes tulis sebelum dan setelah pengabdian dilaksanakan. Kegiatan pengabdian masyarakat dapat meningkatkan kemampuan kognitif maupun psikomotor ibu hamil dan kader kesehatan untuk melakukan deteksi dini dan pencegahan kelainan periodontal sebagai upaya pencegahan stunting.
Simultaneous Esthetic Crown Lengthening and Frenotomy Procedure for Smile Rejuvenation Wijaksana, I Komang Evan; Pinatih, Made Talitha Suryaningsih; Krismariono, Agung
Journal of Indonesian Dental Association Vol 5 No 2 (2022): October
Publisher : Indonesian Dental Association

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Abstract

Introduction: Gingival tissue plays an important role in smile aesthetics, especially in the anterior maxillary region. A gummy smile (GS) is a gingival condition that appears excessive when the patient smiles. The prevalence of gummy smile in individuals aged from 20 to 30 is 10% of population. It is more common in women and can cause aesthetic problems. Gummy smile aetiology is multifactorial. This case report discusses gummy smile case caused by altered passive eruption (APE) and associated with the presence of aberrant frenum. Case Report: A 19-year-old female patient with chief complaints of the excessive gingival display. The diagnosis of the case was confirmed by clinically healthy gingiva in an intact periodontium with gummy smile due to the presence of altered passive eruption type I-B accompanied by an aberrant frenum. The final surgical plan was aesthetic crown lengthening (CL) with flap surgery and osteotomy simultaneous with a frenotomy. Conclusion: The aesthetic crown lengthening surgery and frenotomy can be performed simultaneously to correct the gummy condition and improve the patient’s smile profile. Appropriate examination, diagnosis, and treatment planning help achieve optimal patient outcomes.
Rekonstruksi Jaringan Lunak Periodontal dengan Pembatasan Gerak Jaringan Smile Elevator untuk Koreksi Gummy Smile: Laporan Kasus adia, aulia; Maulidi, Shalahuddin; Krismariono, Agung
YARSI Dental Journal Vol. 3 No. 2 (2026): YARSI DENTAL JOURNAL
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/ydj.v3i2.392

Abstract

Introduction : In the modern era, dental esthetics has become an important consideration, particularly in cases of gummy smile, which may significantly reduce a patient’s self-confidence. A gummy smile is defined as excessive gingival display of more than 3 mm in the vertical dimension of the maxillary anterior region during smiling. The etiology of gummy smile is multifactorial and may include hyperactivity of the upper lip elevator muscles, vertical maxillary excess, and delayed passive eruption. Case Report: A 32-year-old woman presented with the chief complaint of excessive gingival display during smiling and dissatisfaction with poorly fabricated veneers, which negatively affected her confidence. She also reported halitosis following veneer placement performed at a non-clinical setting. Intraoral examination of the maxillary and mandibular anterior regions revealed poor-quality veneers, hyperemic and edematous gingival margins, and abnormal gingival texture. Discussion: A pleasant smile requires harmony among tooth shape, color, size, gingival health, and an appropriate amount of gingival display during smiling. This case report describes a surgical approach combining periodontal soft tissue reconstruction with smile elevator tissue containment for the correction of gummy smile. The technique aims to reduce excessive gingival display by limiting the excessive retraction of the smile elevator muscles. Conclusion: Periodontal soft tissue reconstruction in combination with smile elevator tissue containment represents an innovative surgical technique for the correction of gummy smile.