Gingivektomi Sebagai Perawatan Kesimetrisan Margin Gingival Gingivectomy as a Treatment for Gingival Margin Symmetry

Main Article Content

Andi Supriatna
https://orcid.org/0000-0002-9008-1179

Abstract

Gingival enlargement is an abnormal overgrowth of the gum tissue caused by factors such as inflammation, medications, or systemic conditions. This condition often leads to aesthetic concerns, especially when it involves the anterior region. The aim of this case report is to describe the management of gingival enlargement using conventional gingivectomy to achieve symmetrical gingival margins.


This case report involved a 39-year-old female patient who complained of asymmetry in the upper anterior gingiva. After initial treatment with scaling and pocket depth evaluation, conventional gingivectomy was performed on teeth 11, 12, and 22. The procedure followed standard steps including aseptic preparation, anesthesia, tissue excision, irrigation, placement of periodontal pack, and post-operative instructions.


Evaluation at the first and fourth weeks post-surgery revealed favorable healing without pain, bleeding, or edema. The gingiva appeared clinically healthy and symmetrical, with no signs of recurrence.


Conventional gingivectomy is an effective treatment choice for managing gingival enlargement that affects aesthetics. It enables restoration of gingival symmetry with satisfactory healing and outcomes both functionally and cosmetically.


Conventional gingivectomy in this case successfully improved gingival symmetry and resulted in optimal aesthetic outcomes without complications.

Article Details

How to Cite
Supriatna, A. (2025). Gingivektomi Sebagai Perawatan Kesimetrisan Margin Gingival: Gingivectomy as a Treatment for Gingival Margin Symmetry. Jurnal Abdi Kesehatan Dan Kedokteran, 4(2), 278–286. https://doi.org/10.55018/jakk.v4i2.107
Section
Articles

References

Agrawal, A. A. (2015). Gingival enlargements: Differential diagnosis and review of literature. World Journal of Clinical Cases: WJCC, 3(9), 779.

Carranza, F. A., Newman, M. G., Takei, H. H., & Klokkevold, P. R. (2002). Carranza’s clinical periodontology. SAUNDERS ELSEVIER.-2006.-1286 P.

Chu, S. J., Karabin, S., & Mistry, S. (2004). ‘Short Tooth Syndrome’: Diagnosis, Etiology, and Treatment Management. Journal of the California Dental Association, 32(2), 143–152.

Chu, S. J., TAN, J. H., Stappert, C. F. J., & Tarnow, D. P. (2009). Gingival zenith positions and levels of the maxillary anterior dentition. Journal of Esthetic and Restorative Dentistry, 21(2), 113–120.

Gawron, K., Łazarz-Bartyzel, K., Potempa, J., & Chomyszyn-Gajewska, M. (2016). Gingival fibromatosis: clinical, molecular and therapeutic issues. Orphanet Journal of Rare Diseases, 11(1), 9.

Mistry, S. (2012). Principles of Smile Demystified Design. Journal of Cosmetic Dentistry, 28(2).

MogharehAbed, A., Izadi, M., Shirani, S., Nasiri, S., & Malekzadeh, M. (2012). Gingival Enlargement: A Review Article. Avicenna Journal of Dental Research, 4(2), 71–83.

Moura, D., Lima, E., Lins, R., Souza, R., Martins, A., & Gurgel, B. (2017). The treatment of gummy smile: integrative review of literature. Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral, 10(1), 26–28.

Newman, M. G., Takei, H., Klokkevold, P. R., & Carranza, F. A. (2011). Carranza’s clinical periodontology. Elsevier health sciences.

Pkhsson, P.-A. (1962). The Regeneration of the Marginal Periodontium after Flap Operation: An Experimental Study on Dogs. Acta Odontologica Scandinavica, 20(1), 43–80.

Ragghianti Zangrando, M. S., Veronesi, G. F., Cardoso, M. V, Michel, R. C., Damante, C. A., Sant’Ana, A. C. P., de Rezende, M. L. R., & Greghi, S. L. A. (2017). Altered active and passive eruption: a modified classification. Clinical Advances in Periodontics, 7(1), 51–56.

Ramfjord, S. P., Engler, W. O., & Hiniker, J. J. (1966). A radioautographic study of healing following simple gingivectomy. II The connective tissue.

Tjan, A. H. L., Miller, G. D., & The, J. G. P. (1984). Some esthetic factors in a smile. The Journal of Prosthetic Dentistry, 51(1), 24–28