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All Journal MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM ODONTO Dental Journal Odonto dental journal
Pritia, Mardha Ade
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Dentistry Health Professions Medicine & Pharmacology

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OPEN FLAP DEBRIDEMENT TREATMENT WITH BOVINE-DERIVED XENOGRAFT IN CHRONIC PERIODONTITIS : A CASE REPORT Pritia, Mardha Ade; Karina, Vincensia Maria
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.317-323

Abstract

Backgrounds: Chronic periodontitis is a periodontal tissue disease caused by specific microorganisms, resulting in periodontal tissue destruction. The gold standard for cases of periodontal tissue destruction is regenerative flap surgery combined with bone graft. The aim of this case report is to describe the repair of bone defects caused by chronic periodontitis with open flap debridement treatment combined with bovine-derived xenograft bone graft and pericardium membrane. Case: A 46-year-old female patient came complaining that her right upper back tooth was swollen and hurt while eating. Clinical findings showed that tooth 16 had grade 2 mobility with a 7 mm periodontal pocket on the distal side accompanied by vertical bone loss on radiographic examination.Method: Emergency treatment was carried out for drainage of the abscess on tooth 16, and then antibiotic medication was given. Initial treatment involves scaling and root planing, occlusion adjustment and splinting. Next, open flap debridement was carried out on tooth 16, bone graft application (Ti-OSS®), followed by pericardium membrane application. Discussion: Evaluation of the results was carried out up to 3 months after treatment; it was found that clinical attachment loss (CAL) was reduced, and radiographic images showed an increase in bone in the distal tooth 16.Conclusion: The use of bovine-derived xenograft bone-graft and pericardium membrane is able to increase the regeneration of alveolar tissue and bone in cases of chronic periodontitis.
OPEN FLAP DEBRIDEMENT TREATMENT WITH BOVINE-DERIVED XENOGRAFT IN CHRONIC PERIODONTITIS : A CASE REPORT Pritia, Mardha Ade; Karina, Vincensia Maria
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.317-323

Abstract

Backgrounds: Chronic periodontitis is a periodontal tissue disease caused by specific microorganisms, resulting in periodontal tissue destruction. The gold standard for cases of periodontal tissue destruction is regenerative flap surgery combined with bone graft. The aim of this case report is to describe the repair of bone defects caused by chronic periodontitis with open flap debridement treatment combined with bovine-derived xenograft bone graft and pericardium membrane. Case: A 46-year-old female patient came complaining that her right upper back tooth was swollen and hurt while eating. Clinical findings showed that tooth 16 had grade 2 mobility with a 7 mm periodontal pocket on the distal side accompanied by vertical bone loss on radiographic examination.Method: Emergency treatment was carried out for drainage of the abscess on tooth 16, and then antibiotic medication was given. Initial treatment involves scaling and root planing, occlusion adjustment and splinting. Next, open flap debridement was carried out on tooth 16, bone graft application (Ti-OSS®), followed by pericardium membrane application. Discussion: Evaluation of the results was carried out up to 3 months after treatment; it was found that clinical attachment loss (CAL) was reduced, and radiographic images showed an increase in bone in the distal tooth 16.Conclusion: The use of bovine-derived xenograft bone-graft and pericardium membrane is able to increase the regeneration of alveolar tissue and bone in cases of chronic periodontitis.
Perawatan invasif minimal menggunakan electrosurgery pada kasus perikoronitis Pritia, Mardha Ade; Karina, Vincensia Maria
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 10, No 1 (2024)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.96977

Abstract

Perikoronitis adalah peradangan yang terjadi pada jaringan gingiva di sekitar mahkota gigi molar. Salah satu faktor yang dapat memperparah perikoronitis adalah trauma mekanis dari gigi antagonis yang dapat menyebabkan ulserasi atau pembengkakan pada operkulum. Operkulektomi dengan electrosurgery dapat menghilangkan operkulum dengan lebih mudah. Pasien wanita berusia 28 tahun dirujuk oleh residen ortodonti dengan keluhan gusi bengkak yang menutupi permukaan gigi molar kiri paling belakang. Kondisi tersebut dirasakan mengganggu saat makan dan keluhan ini telah dirasakan selama sebulan terakhir. Pada kunjungan pertama dilakukan perawatan awal berupa scaling dan root planing serta edukasi kebersihan mulut (dental health education). Selanjutnya, dilakukan operasi operkulektomi yang dimulai dengan anestesi infiltrasi di lipatan mukobukal gigi 37. Eksisi menggunakan electrosurgery dilakukan pada operkulum yang menutupi mahkota gigi 37. Area bedah dibersihkan dengan larutan salin dan kemudian ditekan menggunakan kasa steril. Penggunaan electrosurgery pada operkulektomi dapat meminimalkan perdarahan dan mengurangi durasi operasi. Pasien merasa lebih nyaman selama prosedur. Satu minggu pasca operasi, jaringan gingiva masih menunjukkan kemerahan dan nyeri saat palpasi. Satu bulan pasca operasi, pasien tidak merasakan keluhan, jaringan gingiva dalam kondisi baik, tidak ada kemerahan, pembengkakan, atau nyeri. Penggunaan electrosurgery untuk perawatan perikoronitis kronis dapat menjadi alternatif dari tindakan bedah konvensional dengan perdarahan minimal dan durasi prosedur yang lebih cepat.
Co-Authors Vincensia Maria Karina