KnE Medicine

ISSN: 2519-125X

The latest conference proceedings on all fields of medicine.

Multidisciplinary Treatment of Periodontia--Orthodontia to Improve Aesthetics: A Case Report

Published date: Apr 25 2022

Journal Title: KnE Medicine

Issue title: The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar

Pages: 343-349

DOI: 10.18502/kme.v2i1.10867

Authors:

Vincensia Maria Karinavincensia.maria.k@mail.ugm.ac.idDepartment of Periodontology, Faculty of Dentistry, Gadjah Mada University, Jl. Denta Sekip No. 1, Sinduadi, Sleman, Yogyakarta, 55281, Indonesia

Leo Trido SaputroPeriodontics Residency Programme, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia

Abstract:

Background: Overgrowth of the gingiva during orthodontic treatment is a very common condition characterized by gingival enlargement which is seen in pseudo-pocket formation with or without attachment loss. Gingival enlargement involving the anterior region can affect the quality of one’s life related to aesthetics and function.

Objective: This case report describes the correction of gingival enlargement in orthodontic treatment with gingivectomy.

Case Report: A 21-year-old patient presented to the periodontics clinic of RSGM Prof Soedomo UGM on the referral of an orthodontic clinic with a complaint of gingival enlargement in the anterior region of the lower jaw which interfered with the movement of orthodontic’s wire corrections. Gingival enlargement was treated by gingivectomy using scalpel.

Results: Two weeks’ control showed that the gingival enlargement was corrected and orthodontic treatment could be continued.

Conclusion: Gingivectomy is a procedure that aims to treat gingival enlargement during orthodontic treatment with a fixed orthodontic appliance. In assisting the smooth running of orthodontic treatment, gingivectomy can also reduce the rate of periodontal disease and improve aesthetics.

Keywords: gingivectomy, gingival enlargement, fixed orthodontic appliance

References:

[1] Andriani I. Treatment of gingival enlargement by gingivectomy. Mutiara Medika. 2009;9(1):69-73.

[2] Gorbunkova A, Pagni G, Brizhak A, Farronato G, Rasperini G. Impact of orthodontic treatment on periodontal tissues: A narrative review of multidisciplinary literature. International Journal of Dentistry. 2016; Vol 2016: 1-9.

[3] Kloehn JS, Pfeifer JS. The effect of orthodontic treatment on the periodontium. Angle Orthodontist. 1974;44(2):127–134.

[4] Kavitha J. Generalized gingival enlargement - A case report. International Journal of Scientific Research. 2019;7(10): 128-130.

[5] Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza’s clinical periodontology. 13th ed. Philadelphia: Elsevier; 2019.

[6] Pinto AS, Alves LS, Zenker JE, Zanatta FB, Maltz M. Gingival enlargement in orthodontic patients: Effect of treatment duration. American Journal of Orthodontics and Dentofacial Orthopedics. 2017;152(4):477-482.

[7] Surlin P, Rauten A-M, Pirici D, Oprea B, Mogoanta L, Camen A. Collagen IV and MMP-9 expression in hypertrophic gingiva during orthodontic treatment. Romanian Journal of Morphology and Embryology. 2012;53(1):161–165.

[8] Trackman PC, Kantarci A. Connective tissue metabolism and gingival overgrowth. Critical Reviews in Oral Biology and Medicine. 2004;15(3):165-175.

[9] Zanatta FB, Ardenghi TM, Antoniazzi RP, Pinto TMP, Rösing CK. Association between gingival bleeding and gingival enlargement and oral health-related quality of life (OHRQoL) of subjects under fixed orthodontic treatment: A cross-sectional study. BMC Oral Health. 2012;12(53): 1-9.

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