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All Journal Jurnal Kedokteran Gigi Universitas Padjadjaran B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah Jurnal of Syiah Kuala Dentistry Society The ASEAN Journal of Military and Preventive Medicine
Prajna Metta
Universitas Padjadjaran
Dentistry Health Professions Medicine & Pharmacology

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Tunneling connective tissue graft sebagai prosedur perawatan resesi gusi kelas I MillerTunnelling connective tissue graft as a treatment procedure for Miller Class I gingival recession Prajna Metta; Heni Puspitadewi; Aldilla Miranda; Nunung Rusminah
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 2 (2020): November 2020 (Suplemen 1)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i1.18042

Abstract

Pendahuluan: Resesi gusi pada regio anterior rahang atas seringkali menjadi perhatian dari segi estetik, bentuk dan fungsi. Resesi dapat terjadi pada satu atau beberapa gigi dan pada satu atau beberapa permukaan, sehingga menyebabkan kehilangan perlekatan dan terbukanya permukaan akar. Tujuan laporan kasus ini mempresentasikan keberhasilan perawatan resesi gusi kelas I Miller menggunakan teknik tunneling connective tissue graft. Laporan kasus: Pasien wanita, 37 tahun, datang dengan keluhan hipersensitifitas pada gigi depan dan belakang rahang atas serta gigi-gigi terasa lebih memanjang. Pemeriksaan klinis menunjukkan resesi gusi yang bervariasi sebesar 2-4 mm tanpa melibatkan mucogongival junction yang meluas dari gigi 15 sampai 25. Terdapat tambalan glass ionomer pada daerah servikal gigi 22 sampai 24. Hasil pengukuran lebar gusi berkeratin lebih dari 3 mm. Diagnosa dari kasus ini adalah kelainan mucogingival multipel Kelas I Miller. Rencana perawatan yang akan dilakukan adalah prosedur tunneling connective tissue graft pada regio anterior labial rahang atas 22 sampai 24. Prosedur dilakukan dengan menutup bagian akar yang terbuka menggunakan connective tissue dari daerah palatal area premolar yang kemudian difiksasi dengan teknik jahitan anchorage. Perawatan ini menunjukkan hasil berupa penambahan ketebalan gusi berkeratin dan pengurangan sensitifitas akar tanpa adanya kekambuhan setelah enam bulan pasca bedah. Simpulan: Teknik tunneling dengan connective tissue graft dapat menjadi pilihan pada perawatan resesi gusi kelas I Miller dalam kasus ini berhasil menutup seluruh permukaan akar yang terbuka dan tidak terjadi relaps setelah enam bulan.Kata kunci: Connective tissue graft, resesi, penutupan akar, tunneling.. ABSTRACTIntroduction: Gingival recession in the maxillary anterior region is often becoming aesthetical, shape, and functional concern. Recession can occur on one or several teeth and one or more surfaces, causing attachment loss and the root surface opening. This case report was aimed to present the successful treatment of Miller Class I gingival recession with the tunnelling connective tissue graft technique. Case report: Female patient, 37 years old, presented with complaints of hypersensitivity in the front and back of the maxilla and elongated-teeth sensation. Clinical examination showed gingival recession varying by 2-4 mm without involving the mucogingival junction extending from teeth 15 to 25. A glass ionomer filling was performed in the cervical area of teeth 22 to 24. The measurement result was keratinised gingival width of more than 3 mm. The case diagnosis was multiple Miller Class I mucogingival abnormalities. The treatment plan performed was the tunnelling connective tissue graft procedure in the maxillary anterior labial region 22 to 24. The procedure was performed by covering the exposed root using the connective tissue from the palatal area of the premolar area, which was then fixed with an anchorage suture technique. This treatment increase in keratinised gingival thickness and reduction in root sensitivity without recurrence after six months after surgery. Conclusion: Tunneling connective tissue graft can become an option in the treatment of Miller Class I gingival recession. In this case, it succeeded in covering the entire exposed root surface and does not relapse after six months.Keywords: Connective tissue graft, recession, root coverage, tunneling.
THE ENAMEL ROUGHNESS AFTER CONVENTIONAL VERSUS AIR POLISHING: A SYSTEMATICAL REVIEW David Tjoea; Maria Theresia Beatrix; Prajna Metta; Aldilla Miranda; Amaliya Amaliya
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 8, Nomor 2, September 2021 (Special Edition)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v8i2.896

Abstract

Introduction: Polishing after scaling and root planing provides a smoother tooth surface and improves patient convenience. Recently, a novel polishing system using the air-driven high-pressured device is introduced, but the advantage over conventional polishing is still questionable. This article aims to provide a comprehensive literature study regarding dental polishing by comparing the surface roughness after conventional and air polishing systems. To conduct this review, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Studies published before November 29th, 2019 were systematically reviewed under “air-polishing”, “enamel roughness”, “conventional polishing”, “scanning electron microscopy” and “10 years” publication dates files with PubMed and Google Scholar database. Review: Dental polishing assists the removal of dental plaque and stains to achieve healthy periodontal tissue. The air-polishing device cleans the deeper surface with minimal damage on enamel, the efficacy depends on handpiece degree angulation to the enamel surface, time of exposure, and the powder particle size used. The air-driven device takes a shorter working time and is easy to handle compared to conventional polishing. Prophylaxis paste in conventional polishing is abrasive, hence flattening the enamel surface. Conclusion: Both techniques show efficacy in polishing procedures, nevertheless air polishing provides a smoother surface compared to conventional devices.
KEBUTUHAN PERAWATAN PERIODONTAL PADA PASIEN OBESITAS DI LINGKUNGAN RSGM FKG UNPAD Aldilla Miranda; Nunung Rusminah; Prajna Metta
Journal of Syiah Kuala Dentistry Society Vol 2, No 2 (2017): JULY
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Body Mass Index (BMI) is very related to various periodontal index such as attachment loss, pocket depth, gingival bleeding and calculus index according to a survey conducted in the United States (the third National Health and Nutrition Examination Survey/NHANES III). This study aimed to determine the Periodontal Treatment Needs of obese patients in FKG RSGM UNPAD. This kind of research is descriptive survey method, obtained a total of 15 obese subjects according to the criteria of BMI (Body Mass Index). Then performed plaque assessment using plaque index of Silness and Loe, and assesment of Community Periodontal Index Treatment Needs (CPITN). The results showed that for the CPITN, 60% of the sample experienced bleeding gums (bleeding), CPITN score 1 and 40% of the sample experienced bleeding and calculus there, CPITN score 2. Conclusions, the results showed all of obese patients in FKG RSGM UNPAD, need OHI, and more than half need scaling and prophylaxis as periodontal treatments.Keyword: Obesity, Periodontal Disease, CPITN
Periodontal and Inflammatory Effects of Switching to Combustion-Free Nicotine Delivery Systems: A 12-Month Randomized Controlled Trial Amaliya Amaliya; Ira Citra Afsari; Prajna Metta
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.78

Abstract

Introduction: Tobacco smoking is a recognized risk factor for periodontal disease, contributing to inflammation and poor oral health. Combustion-free nicotine delivery systems (C-F NDS) have emerged as alternatives, yet their long-term clinical implications on periodontal health remain unclear. Objective: This study aimed to assess the 12-month effects of switching from conventional smoking to C-F NDS on cigarette consumption, gingival inflammation, plaque accumulation, and exhaled carbon monoxide (CO) levels. Methods: A randomized controlled trial was conducted with 40 adult smokers, allocated into two groups: one continued smoking conventional cigarettes, and the other transitioned to C-F NDS (IQOS™ or RELX™). Variables measured included cigarettes per day (CPD), Modified Gingival Index (MGI), plaque accumulation scores (R30, R120, Simple OH Score) using Quantitative Light Fluorescence (QLF) technology with Qraycam , and CO levels. Data were analyzed using parametric and non-parametric tests with significance at p < 0.05. Results: The C-F NDS group showed a significant reduction in CPD (p < 0.0001), and lesser progression of gingival inflammation (MGI Δ: 0.94 vs. 1.25; p = 0.041). Reductions were also observed in early plaque (R30, p = 0.046) and oral hygiene scores (Simple OH Score, p = 0.026). CO levels declined in both groups, with a greater reduction among C-F NDS users (ΔCO: -5.65 ppm vs. -4.25 ppm), although not statistically significant (p = 0.621). Conclusion: Switching to C-F NDS is associated with reduced cigarette use, improved periodontal markers, and decreased exposure to combustion-related toxins. These findings support the inclusion of C-F NDS in harm reduction strategies for tobacco users.
Co-Authors Aldilla Miranda Amaliya Amaliya Amaliya Amaliya David Tjoea Heni Puspitadewi Ira Citra Afsari Maria Theresia Beatrix Nunung Rusminah