Dewi Rachmi Sari and Shafira Kurnia (2019) Manajemen Frenektomi dan Depigmentasi Gingiva di Regio Anterior Atas sebelum Perawatan Ortodontik. In: Proceeding The 4th Periodontic Seminar (Perios4). Program Pendidikan Dokter Gigi Spesialis Periodonsia FKG Unair, Hotel Bumi Surabaya, pp. 85-88. ISBN 978-602-476-051-2

	Text (ARTIKEL) 10. Manajemen Frenektomi dan Depigmentasi.pdf Download (1MB)
	Text (SIMILARTY) 10. Turnitin Manajemen Frenektomi dan Depigmentasi Gingiva di Regio Anterior Atas sebelum Perawatan Ortodontik.pdf Download (1MB)
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Abstract

Background: Attachment of high frenulum has negative impact on periodontal tissue as well as an aesthetic fuction. High attachment of frenulum also cause diastema of central incisors, irritation of the periodontal tissues, bother the teeth cleaning process, interfere the movement of orthodontic tools, interfere with the proper fit of the denture and affect the aesthetics. In addition to high frenulum, a problem that can affect the gingival esthetics is also gingival pigmentation. Gingival pigmentation is a result of melanin granules produced by melanoblast. Melanin hyperpigmentation of the gingiva is not a medical problem but it becomes a complaint from patients who desire aesthetic improvement therapies. Case and Treatment: A 21 year old woman had diastema in maxillary central incisor accompanied by gingival pigmentation in maxillary anterior region. Diastema in maxillary central incisor is caused by a high attachment of the superior labial frenulum. The Treatment for a high attachment of the superior labial frenulum is frenectomy and gingival depigmentation treatment, the next meeting is performed using a scalpel scraping technique. Discussion: Frenectomy is an action that must be done to eliminate the predisposing factors of periodontal disease caused by high frenulum attachment and aims to correct diastema along with orthodontic treatment. In addition to doing frenectomy and gingival depigmentation is also performed for aesthetic improvement. Conclusion: Frenectomy and gingival depigmentation treatment show improved results of the frenulum attachment and remove gingival pigmentation.

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