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All Journal Sriwijaya Journal of Dentistry
Sulistiawati
Department of Periodontics, Dentistry Study Program, Faculty of Medicine, Sriwijaya University, Palembang, Indonesia
Dentistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Public Health

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Gingival Curettage Treatment in Chronic Periodontitis Patients: A Case Report Rahmi Sania Yuliani; Sulistiawati; Ifadah
Sriwijaya Journal of Dentistry Vol. 5 No. 2 (2024): Sriwijaya Journal of Dentistry
Publisher : Dentistry Study Program, Faculty of Medicine Universitas Sriwijaya 

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Abstract

Introduction: Periodontitis is defined as an inflammatory disease of the tooth-supporting tissues caused by certain microorganisms. One of the surgical treatments for generalized chronic periodontitis is gingival curettage. Gingival curettage is a closed surgical procedure involving the removal of inflamed soft tissue lateral to the pocket wall. The goal is to promote the attachment of new connective tissue to the root surface by removing the pocket lining and junctional epithelium using a curette.Purpose: To determine whether gingival curettage is an effective treatment for patients with generalized chronic periodontitis. Case presentation: A 26-year-old female patient presented to the Special Dental and Oral Hospital of South Sumatra Province with complaints of rough masses on all of her teeth. Clinical examination revealed calculus in all regions, an OHI-S score of 1.83 (medium), and an O'Leary plaque index score of 41.37%. Probing depths ranged from 1 to 5 mm, with positive BOP on almost all teeth. After scaling and root planing, the decision was made to proceed with gingival curettage for the patient.Conclusion: In this case, gingival curettage helped reduce pocket depth and restored the gingiva to a more normal appearance. This demonstrates that gingival curettage can be an effective treatment for chronic periodontitis.
Gingival Depigmentation in Maxillary Anterior Region Using Conventional Surgical Scraping A Case Report Maghfiera Ihzanie; Sulistiawati; Ifadah
Sriwijaya Journal of Dentistry Vol. 5 No. 2 (2024): Sriwijaya Journal of Dentistry
Publisher : Dentistry Study Program, Faculty of Medicine Universitas Sriwijaya 

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Introduction: Gingival pigmentation can result from melanin deposits in the gingival epithelial layer. This condition is caused by tobacco in cigarettes, which stimulates melanin production by melanocytes, leading to pigmentation changes in the gingiva. Gingival depigmentation is a procedure aimed at removing pigmentation from the gingiva to achieve improved aesthetic outcomes. Purpose: This case report aims to discuss the management of gingival depigmentation cases using the scalpel method in patients with smoker's melanosis. Case presentation: A 21-year-old male patient presented with complaints of brownish discoloration on his upper and lower gingiva, which he had noticed for approximately 2 years ago. Gingival depigmentation was performed using the scraping technique to remove the gingival hyperpigmentation. Conclusion: Gingival depigmentation using the scalpel technique is a recommended treatment with a simple technique and tools, easy to perform, economical, and can restore gingival aesthetics.
Management of Gingival Hyperpigmentation by Scalpel Technique: A Case Report Gina Dhiya Salsabila; Sulistiawati; Ifadah
Sriwijaya Journal of Dentistry Vol. 6 No. 1 (2025): Sriwijaya Journal of Dentistry
Publisher : Dentistry Study Program, Faculty of Medicine Universitas Sriwijaya 

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjd.v6i1.63

Abstract

Introduction: Gingiva is a mucous membrane that is closely attached to the periosteum of the jaw. The color of the gingiva varies, it ranges from pink to dark brown. Melanin is the most common natural pigment that contributes to endogenous gingival pigmentation. The degree of pigmentation depends on a few factors. This gingival hyperpigmentation is considered a normal variation, but the discoloration is aesthetically displeasing to some patients. Thus, surgical intervention may be necessary. Purpose: Report the procedure of gingival depigmentation using a scalpel in a 39-year-old woman with gingival hyperpigmentation.. Case presentation: A 39-year-old female visited the Hospital complaining that her upper front gums were dark brown since 1 year ago. Clinical examination showed brown discoloration of the anterior attached gingiva of the upper and lower jaws. Based on clinical and radiographic examinations, the patient was diagnosed with generalized chronic periodontitis accompanied by gingival hyperpigmentation in the anterior maxilla and mandible. In the nonsurgical phase, scaling was carried out, oral hygiene education was performed. After that, gingival depigmentation surgery was performed using the scrapping technique. Follow-up was carried out after surgery. Satisfactory results were obtained, marked by the clinical appearance, rapid healing and the patient felt comfortable with minimal pain during the healing process. Conclusion: Scalpel technique is one of the procedures performed in cases of gingival hyperpigmentation. This technique can restore the aesthetics of the patient's gingiva in a simple, safe and non-invasive way and shows satisfactory results and has a fast wound healing time. Keywords: Gingival hyperpigmentation; periodontal surgery; scalpel technique
Co-Authors Gina Dhiya Salsabila Ifadah Ifadah Ifadah Maghfiera Ihzanie Rahmi Sania Yuliani