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Andi M. Adam, Andi M.
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Dentistry Health Professions

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Early detection of odontoma in patients with clinical features of periodontal disease: a case report Tetelepta, Febri EN; Adam, Andi M.
Journal of Case Reports in Dental Medicine Vol 1, No 1 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (999.324 KB) | DOI: 10.20956/jcrdm.v1i1.83

Abstract

Objective: Chronic periodontitis is an infection of the gingiva that causes damage to the soft tissues and tooth-supporting bones. Chronic periodontitis is usually a slowly progressive disease that does not cause the affected individual to feel pain. For most patients, gingival bleeding during oral cleansing procedures is a sign of reported disease. Odontoma is an odontogenic tumor, characterized by slow growth. The tumor consists of enamel, dentin, cementum and sometimes pulp tissue.Methods: A 38-year-old male patient complaints swollen gums on the right upper back region. Clinical examination showed the presence of gingiva swelling, fistula, and grade 3 teeth mobility. In the systemic condition of the patient, malaise, fever and lymphadenopathy were not found. The treatment plan includes subgingival scaling treatment as well as antibiotic therapy as initial therapy. Advanced treatment is then continued with curative therapy with surgical extirpation, periodontal surgery and bone graft.Results: The success of treatment is shown by controlled inflammatory as well as probing depth. The condition of the teeth and the dental-jaw relationship has been restored after treatment.Conclusions: Chronic periodontitis with odontoma indicates treatment options according to the severity of the disease, access to mechanical care, and the patient's systemic condition.Keywords: Bone grafting, Gingival overgrowth, Odontoma, Surgical flap.
Treatment of dental polyclinic -induced gingivitis caused by secondary caries: a case report Dinyati, Maisaroh; Mapanggara, Surijana; Adam, Andi M.; Oktawati, Sri
Journal of Case Reports in Dental Medicine Vol 1, No 1 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (975.053 KB) | DOI: 10.20956/jcrdm.v1i1.84

Abstract

Objective: This case report aims to present gingival therapy with gingivectomy due to secondary caries and overhanging filling.Methods: A 21-year-old male patient come to the periodontal clinic for treatment. The initial examination revealed deep probing pocket depth with sulcus bleeding at 11, 12, 21 and 22.  Teeth 34, 36, 37 were extracted. Patients was in a good health, smoker, and didn’t take any medication. The patient had scalling a week ago but the gingiva remains enlargement. Periapical radiograph showed bone in good density. Initial treatment performed by non-surgery treatment included Scalling and Root Planing (SRP) and 0.2% chlorhexidine solution twice daily for one week. Gingivectomy with conventional blade. The result of control showed reduced enlarged of gingiva and patient feel satisfied with the treatment. Control one week after surgery. After being cured clinically, composite filling applied on teeth 11 and 21.Results: Gingivitis caused by secondary caries, because of bacterial invasion of caries to the gingival mucosa. Gingivitis therapy performed by gingivectomy, the removal of amount of the hyperplated gingival mucosa. Conventional gingivectomy is an option of gingival enlargement therapy.Conclusion: The aim of gingival therapy is to eliminate inflammatory process and prevent the progression of gingival disease. Gingival disease including gingival enlargement or gingivitis. Gingivitis can be caused by various factors such as secondary caries and overhanging filling. Keywords:  Gingival enlargement, Gingivectomy, Seconder caries.
Co-Authors Dinyati, Maisaroh Mapanggara, Surijana Sri Oktawati, Sri Tetelepta, Febri EN