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Surgical Excision of Fibrous Epulis in Generalized Periodontitis Stage III Grade C I Komang Evan Wijaksana; Made Talitha Suryaningsih Pinatih
Denta Journal Kedokteran Gigi Vol 16 No 2 (2022): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v16i2.6

Abstract

Background: Fibrous epulis was the most frequent non-plaque-induced gingival lesions categories from biopsied cases included hyperplastic lesions, malignancies and benign neoplasms. Because the lesion is nonspecific and histology is the foundation of a more precise diagnosis, dentists may have difficulty identifying fibrous epulis from other disorders. Furthermore, the recurrence rate is significant, thus long-term follow-up is required for fibrous epulis after therapy. Purpose: to report the therapy of fibrous epulis and the follow up after eight months. Case: A 30-year-old nonsmoker healthy man presented with a 3-month history of an enlarging mass on the anterior left mandible gingiva. A clinical diagnosis was fibrous epulis in generalized periodontitis stage III grade C. Case Management: After evaluation of initial therapy, complete excision with a surgical blade and curettage of the lesion were planned for the lesion therapy. Histopathology finding confirm the prior clinical diagnosis of fibrous epulis. Eight months following surgery, the gingiva around the region had a healthy and desirable shape with no signs of recurrence. The patient's surgical recovery was good. Conclusion: Within the limitations of this case study, complete excision and curettage of the fibrous epulis lesion are the preferred treatments because of its high recurrence rate. The histopathologic examination is crucial for determining the final diagnosis, and long-term follow-up is essential.  
Simultaneous Esthetic Crown Lengthening and Frenotomy Procedure for Smile Rejuvenation I Komang Evan Wijaksana; Made Talitha Suryaningsih Pinatih; Agung Krismariono
Journal of Indonesian Dental Association Vol. 5 No. 2 (2022): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v5i2.857

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.