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All Journal Jurnal Kedokteran Gigi Terpadu
Marie Louisa
Dosen Bagian Periodonti, FKG Universitas Trisakti
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology

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Penggunaan laser dalam perawatan gingivektomi (Tinjauan Pustaka) Marie Louisa; Stephanie Vilit
Jurnal Kedokteran Gigi Terpadu Vol. 4 No. 2 (2022): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v4i2.15654

Abstract

Introduction: Gingival hyperplasia is often treated with gingivectomy. Nowadays, gingivectomy can be done using a laser. This review aims to describe several types of laser used in gingivectomy along with their benefits and disadvantages. Literature review: There are 4 types of laser that can be used in gingivectomy: diode, CO2, Neodymium YAG (Nd:YAG), and erbium: YAG (er:YAG). Laser gingivectomy provides precise cutting, minimal trauma, and good hemostatic property, thus increasing patients comfort. Discussion: Each type of laser has its own benefits and disadvantages. Diode laser provides effective soft tissue cutting and good hemostatic properties along with economical price and size. Conclusion: Laser gingivectomy offers more benefits than conventional gingivectomy. Diode laser can be used effectively for gingivectomy due to its good soft tissue penetration and economical properties
Peran photodynamic therapy dalam perawatan periodontal non-bedah Marie Louisa; Laurencia Angelina
Jurnal Kedokteran Gigi Terpadu Vol. 5 No. 1 (2023): Jurnal Kedokteran Gigi Terpadu
Publisher : Fakultas Kedokteran Gigi Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jkgt.v5i1.16954

Abstract

Introduction: The main of non-surgical periodontal treatment is mechanical debridement. However, the treatment success rate is greatly influenced by ease of mechanical instrument access. Therefore, adjunctive antimicrobial therapy is indicated for complete removal of periodontal pathogen. Since long term systemic antimicrobial treatment can cause resistency, local antimicrobial treatment such as photodynamic therapy may serve as a better choice. Literature review: Photodynamic therapy (PDT) consists of 3 elements: photosensitizer, oxygen, and visible light. After photosensitizer binds with target cells, they are activated by visible light with suitable wavelength, thus producing singlet oxygen and Reactive Oxygen Species (ROS) to create toxic environment for anaerobic periodontal pathogen. PDT increases clinical attachment gain in both chronic and aggressive periodontitis treatment. It also decreases bleeding on probing and pocket depth. Discussion: The advantages of PDT are non invasive, short treatment time required, and reduced possibility of antimicrobial resistency. The disadvantages of PDT are tissue thermogenesis effect and temporary pigmentation of gingiva by photosensitizer. Several precautions should be made while using PDT such as adequate eye protection, irrigation, and isolation. Conclusion: Combination of mecahnical debridement and PDT is proven effective to increase clinical parameters and decrease bacterial burden in peridontitis treatment.
Co-Authors Laurencia Angelina Stephanie Vilit