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All Journal Journal of Indonesian Dental Association Interdental Jurnal Kedokteran Gigi (IJKG)
Pinatih, Made Talitha Suryaningsih
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Biochemistry, Genetics & Molecular Biology Dentistry Medicine & Pharmacology Public Health

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Simultaneous Esthetic Crown Lengthening and Frenotomy Procedure for Smile Rejuvenation Wijaksana, I Komang Evan; Pinatih, Made Talitha Suryaningsih; Krismariono, Agung
Journal of Indonesian Dental Association Vol 5 No 2 (2022): October
Publisher : Indonesian Dental Association

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Abstract

Introduction: Gingival tissue plays an important role in smile aesthetics, especially in the anterior maxillary region. A gummy smile (GS) is a gingival condition that appears excessive when the patient smiles. The prevalence of gummy smile in individuals aged from 20 to 30 is 10% of population. It is more common in women and can cause aesthetic problems. Gummy smile aetiology is multifactorial. This case report discusses gummy smile case caused by altered passive eruption (APE) and associated with the presence of aberrant frenum. Case Report: A 19-year-old female patient with chief complaints of the excessive gingival display. The diagnosis of the case was confirmed by clinically healthy gingiva in an intact periodontium with gummy smile due to the presence of altered passive eruption type I-B accompanied by an aberrant frenum. The final surgical plan was aesthetic crown lengthening (CL) with flap surgery and osteotomy simultaneous with a frenotomy. Conclusion: The aesthetic crown lengthening surgery and frenotomy can be performed simultaneously to correct the gummy condition and improve the patient’s smile profile. Appropriate examination, diagnosis, and treatment planning help achieve optimal patient outcomes.
Topical Gel Formulated With Ziziphus Spina-Christi Leaf Extract Decreases Lymphocyte Infiltration in Gingival Incision Wounds Haryani, I Gusti Ayu Dewi; Hervina; Pinatih, Made Talitha Suryaningsih; Youngwoo, Lee
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 3 (2025): 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.v21i3.12200

Abstract

Introduction: Gingival wounds are injuries in the oral cavity that may be caused by various factors such as trauma, infection, and periodontal disease. The wound healing process involves the activation of multiple immune cells, including lymphocytes. Lymphocytes are one of the three main types of phagocytic cells in the immune system and play a vital role in both innate and adaptive immunity, being widely distributed throughout body tissues. One potential alternative material that may accelerate wound healing is the leaf of Ziziphus spina-christi L. (Arab Bidara), which is known to contain several secondary metabolites, including alkaloids, flavonoids, saponins, steroids, and lipids, with wound-healing properties. This study is to investigate the effect of Arab Bidara leaf extract gel on lymphocyte count in gingival incision wounds of male Wistar rats (Rattus norvegicus). Materials and methods: This study was a randomized posttest-only control group experimental design. A total of 30 male Wistar rats were divided into three groups: a control group receiving Gengigel®, a placebo group, and a treatment group administered Arab Bidara (Ziziphus spina-christi L.) leaf extract gel. The gel was applied topically in the oral cavity for six consecutive days. Observations were conducted on days 3 and 5. Results and Discussion: The results showed an increase in lymphocyte count on day 3 and a significant decrease in lymphocyte count on day 5 in the treatment group. Conclusion: It can be concluded that the administration of Arab Bidara leaf extract gel has an effect on reducing lymphocyte count and is effective in accelerating gingival wound healing.
Co-Authors Agung Krismariono Hervina I Gusti Ayu Dewi Haryani I Komang Evan Wijaksana Youngwoo, Lee