Hasanuddin Thahir
Departemen Periodonsia, Fakultas Kedokteran Gigi Universitas Hasanuddin

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PERIODONTAL ESTETIK: PERAWATAN RESESI GINGIVA (TINJAUAN PUSTAKA) Nir Etriyani; Hasanuddin Thahir
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.v8i2.866

Abstract

Introduction: Gingival recession represents a clinical condition in adults frequently encountered. Gingival recession is the main complaint of patients who come to the dentist due to an unsatisfactory aesthetic problem. Handling this condition requires action depending on the severity of the case gingival recession. the dentist must know the best treatment for the case. This article purpose to review some literature regarding the treatment means for the gingival recession to achieve an esthetic gingival appearance. Review:  Gingival recession is the most common clinical manifestation of all oral diseases. The condition can be corrected by two approaches to gain an aesthetic appearance. The first option is mucogingival surgery or gingival plastic surgery. The second option is gingival replacement with artificial substitutes. Treatment of gingival recession is essential to rectify the esthetic and functional deficiencies of the patient and prevent further periodontal destruction. Gingival recession can be treated with different surgical procedures and the root coverage can be obtained from the surgical approach taken. Conclusion:  Increased patient awareness of dental esthetic procedures has increased the demand as well as the responsibility of cosmetic dentistry to have outstanding skill and create pleasing results. 
Maximum Labial Frenektomi Using The Two-Clamps Technique In Fixed Orthodontic Patients: A Case Report Yoseph Saferius Kanisius Ani; Firman Salam; Hasanuddin Thahir
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 3 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i3.9526

Abstract

Introduction: The frenulum is a fold of mucous membranes that attaches the lips to the alveolar mucosa, gingiva, and underlying periosteum. The high and large frenulum attachment between the maxillary incisors can cause aesthetic problems in orthodontic results. Therefore, surgical removal of the frenulum is necessary to prevent a recurrence, gingival recession, difficulty in oral hygiene, interference with labial movement, and esthetic or orthodontic requirements. History and Clinical Findings: A 20-year-old woman with fixed orthodontic wear one month ago was referred from the orthodontics department because there was a high and large frenulum attachment between the maxillary incisors. Clinical examination obtained diastema on teeth 11, 12, 13 and 21, 22, 23, 31, 32, 33 and 41, 42, 43, with Angle Class I occlusion. There were no abnormalities in the oral mucosa and the patient had no history of systemic disease. Case Management: Management of frenectomy using clamps and a scalpel with the two clamps technique method. Discussion: Frenectomy is the frenulum-cutting procedure with the aim of improving esthetics due to central diastema. A frenectomy is performed conventionally with a scalpel using a two-clamp technique to remove the muscle fibers that connect the orbicularis oris to the palatine papillae, with excision covering the interdental tissue, palatine papillae, and frenulum. Concussion: Closure of the diastema between the maxillary incisors with a prominent frenulum is more predictable with frenectomy and concomitant orthodontic treatment than with frenectomy alone.