Erlin Tjokrodiardjo, - and Agung Krismariono, - (2015) Manajemen Kosmetik Hiperpigmentasigingiva Dan Gummy Smile Untuk Mengoptimalkan Komposisi Senyum. In: Periodontic Seminar (Perios2). Airlangga University Press (AUP), pp. 108-112. ISBN 978-602-73529-0-2

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	Text (SIMILARITY) 29.MANAJEMEN KOSMETIK HIPERPIGMENTASIGINGIVA DAN GUMMY SMILE UNTUK MENGOPTIMALKAN KOMPOSISI SENYUM (LAPORAN KASUS).pdf Download (2MB)
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Abstract

Background: Gingival hyperpigmentation and gummy smile are major cause of patient dissatisfaction while smiling. Gingival melanin hyperpigmentation isn’t a disease, but it’s a displeasing condition because the brown-ish gingival discoloration. This problem is aggravated in patients with high smile line, called gummy smile. There are some treatments for these conditions, one of it is periodontal plastic surgery. Periodontal plastic surgery is especially rewarding in such individuals with compromised esthetics. The purpose of this case report is to explain the management and the outline of surgical procedure for this displeasing condition. Case: A18 years old woman has smile esthetic problem due to brown-ish gums and square-ish maxilla front teeth. No confidence of smiling. Patient is aesthetic demanding. Patient agrees with periodontal plastic surgery, using gingivectomy and gingival depigmentation. Case management: Gingivectomy “reverse-beveled” incision was performed first using 15C blade following bleeding point evaluation. Counturing the interdental and marginal gingiva for normal gingival curvature, then gingival depigmentation was performed using 15C blade, followed by saline irrigation. Periodontal pack was placed to protect the surgical area. Conclusion: Cosmetic management with gingivectomy and gingival depigmentation provides good results for gingival hyperpigmentation accompanied by gummy smile

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