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All Journal Interdental Jurnal Kedokteran Gigi (IJKG)
Dwis Syahrul
Faculty of Dentistry, Universitas Mahasaraswati Denpasar
Biochemistry, Genetics & Molecular Biology Dentistry Medicine & Pharmacology Public Health

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THE USE OF CHLORHEXIDINE MOUTHWORKS CAN REDUCE THE ACCUMULATION OF DENTAL PLAK IN USERS OF FIXED ORTHODONTIC DEVICES: PEMAKAIAN OBAT KUMUR KLORHEKSIDIN DAPAT MENURUNKAN AKUMULASI PLAK GIGI PADA PENGGUNA PIRANTI ORTODONTI CEKAT Dwis Syahrul; Surwandi Walianto; Priscilla Sonia Suwongto
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 19 No. 1 (2023): 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.v19i1.6095

Abstract

Introduction: Treatment of malocclusion with fixed devices is common for us to encounter everyday. In using this device there are parts that are glued to the teeth and cannot be disassembled by the patient himself. This allows food debris and plaque to adhere more easily to the teeth and the fixed appliance.  Review: Dental plaque is a transparent thin layer that adheres tightly to the teeth, which contains bacteria and their products in the form of organic and inorganic materials, oral fluids, loose epithelial cells and blood cells. Plaque is influenced, among other things, by bacteria, buffers and salivary flow, the presence of fluoride and the frequency of carbohydrates consumed, crowding of teeth, rough surfaces, areas that are difficult to clean, position of teeth outside the area of occlusion, and multiplication of bacteria. Therefore, during the process of fixed orthodontic treatment, it is necessary to control plaque which is carried out mechanically or chemically. Mechanical plaque control can be done by brushing teeth and using dental floss, while chemical plaque control can be done by using mouthwash.  The mouthwash that has proven to be the most effective of the other therapeutic plaque control agents is chlorhexidine because it is able to ionically adhere to teeth and oral mucosal surfaces in high concentrations for hours. Chlorhexidine 0.2% can affect the number of salivary bacterial colonies due to the phenol content contained therein. Chlorhexidine itself has a very strong binding ability in the oral cavity, which is its advantage compared to other ingredients. Conclusion: Gargling with chlorhexidine can reduce plaque accumulation and improve oral hygiene status in fixed orthodontic users
FRENECTOMY ON MAXILLARY LABIAL FRENULUM PENETRATING PAPILLA TYPE BY CONVENTIONAL SURGICAL TECHNIQUES: A CASE REPORT Dwis Syahriel; Dwis Syahrul; Arya Kusuma Agraha; Asri Riany Putri
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 19 No. 2 (2023): 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.v19i2.7711

Abstract

Introduction: The frenulum is a fold of mucosa that attaches the lips and cheeks to the alveolar mucosa, gingiva, and underlying periosteum. If the attachment is too high and thick to approach the gingival margin (papilla penetrating type) it causes a central diastema on the upper incisor or recurrence after orthodontic treatment, besides causing oral hygiene problems and gingival recession as well as denture stability. An abnormal frenulum should be removed by frenectomy. History and Clinical Finding: An 18-year-old female patient with a tall and thick maxillary labial frenulum as a cause of central diastema on teeth 11, 21. The patient had been treated with removable orthodontics starting 2 years ago. Since 4-6 months ago the diastema has relapse. The maxillary labial frenulum appears to be attached to the incisive papilla (penetration of the papillae). The Blanch test shows movement of the interdental papillae and blanching (ischemia) of the incisor papillae. Case Management: Frenectomy using a scalpel until all the papillae and fibrous fibers are removed. Control 14 days postoperative, the wound was healed. During the blanching test, there was no movement of the papillae and the color was normally. Discussions: The high maxillary labial frenulum causes the two central incisors to erupt far apart. Orthodontic treatment  must be accompanied by removal of the etiological factor by frenectomy for the treatment to be successful. Conclusions: Penetrating papilla type frenectomy of the maxillary labial frenulum with the conventional technique of using a scalpel effectively eliminates the causes of central diastema.
Co-Authors Arya Kusuma Agraha Asri Riany Putri Dwis Syahriel Priscilla Sonia Suwongto Surwandi Walianto