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B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah
Published by Universitas Baiturrahmah
ISSN : 23015454     EISSN : 26547643     DOI : -
Core Subject : Health,
Dentistry
Jurnal B-Dent (JBD) adalah jurnal kedokteran gigi yang mempublikasikan karya tulis ilmiah (berupa penelitian, laporan kasus dan tinjauan pustaka) yang berhubungan dengan seluruh bidang ilmu kedokteran gigi. Jurnal ini diterbitkan oleh Universitas Baiturrahmah, Padang, Sumatera Barat dan dikelola oleh Dewan Redaksi Fakultas Kedokteran Gigi. Terbit setiap dua kali dalam setahun, saat ini JBD terbit dalam bentuk cetak dan telah didistribusikan ke seluruh Fakultas Kedokteran Gigi di Indonesia, LIPI, Perpustakaan Daerah Sumatera Barat dan Kopertis Wilayah X.
Arjuna Subject : -
Articles 282 Documents
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MANAGEMENT OF MANDIBULAR PARASYMPHYSIS FRACTURE WITH EXTRUSIVE LUXATION: A CASE REPORT Janna, Syadira Putri; Erpita, Andria Fadli; Mirza, Salsabilla Milatul
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol. 12 No. 2 (2025): Vol 12 No 2 (December 2025)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v12i2.2003

Abstract

Mandibular parasymphysis fractures account for approximately 15% of all mandibular fractures, often resulting from high-impact trauma directed upward or obliquely to the lower face. Such injuries may be associated with traumatic dental injuries, including extrusive luxation, which is characterized by loosening and partial displacement of a tooth from its socket. We report a case of a 20-year-old male referred to RSUD Dr. Achmad Mochtar following a motorcycle accident 7 days prior to admission. The patient presented with chin pain, limited mouth opening, masticatory difficulty, and mobility with sensitivity of the maxillary anterior tooth. Clinical examination revealed an abrasion on the left cheek and sutured laceration on the left  upper labial and mental regions, a posterior open bite on the right side, and extrusive luxation of tooth 22. Step deformity and mobility were noted in the right mandibular region at teeth 43–44. Radiographic evaluation confirmed a radiolucent fracture line between teeth 43 and 44. The socket of tooth 22 appeared empty apically, with widening of the periodontal ligament space. Diagnosis of mandibular parasymphysis dextra fracture with extrusive luxation of tooth 22 was established. Management consisted of repositioning and stabilization of tooth 22, followed by closed reduction and internal fixation (CRIF) using  arch bar and intermaxillary fixation. Postoperative outcomes showed satisfactory occlusion and stable adaptation of tooth 22 in its socket. This case highlights the importance of comprehensive evaluation and timely management of mandibular fractures associated with dental luxation to restore function and prevent long-term complications.
Gingivectomy in Altered Passive Eruption US an Aesthetic Gingival Correction Approach: A Case Report Andriani, Ika; Rahmadhani, Nureza; Azzahra, Davina Anindya
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol. 12 No. 2 (2025): Vol 12 No 2 (December 2025)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v12i2.2027

Abstract

Introduction: Altered passive eruption (APE) is a mucogingival condition with the margin being positioned too far coronally, thereby covering a portion of the anatomical crown. This condition often leads to aesthetic concerns, specifically an excessive gingival display known as a gummy smile. This case report aims to demonstrate the effectiveness of gingivectomy as a single surgical procedure in aesthetic correction in cases of APE. Case and Management: A 23-year-old female patient presented with a chief complaint of short and small maxillary anterior teeth. Clinical examination revealed symmetrical gingiva with a rubbery consistency and slight bleeding on probing. Clinical crown length measurements showed a shorter-than-normal size. Periapical radiographs confirmed that the distance between the cemento-enamel junction (CEJ) and the alveolar crest was within normal limits, justifying a soft-tissue-only approach. After an initial phase of periodontal therapy to control inflammation, gingivectomy was performed using an external bevel incision technique. The procedure was followed by gingivoplasty to reshape the gingival contour for a more proportional outcome. Post-operative evaluation showed a significant increase in clinical crown length, improved plaque index, and a more harmonious gingival contour. The patient expressed high satisfaction with both the aesthetic and functional results. Conclusion: Gingivectomy is an effective and minimally invasive surgical option for correcting aesthetic issues resulting from altered passive eruption The success of this case underscores the importance of a correct diagnosis and a clear understanding of the etiology before determining a treatment plan.

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