Penatalaksanaan Bedah Estetik terhadap Defek Periodontal pada Pasien Paska Perawatan Orthodontik

The principal objective of orthodontic treatment is to deal with all kind of esthetic problems. In some cases the orthodontic treatment may cause periodontal defect and therefore would create another new esthetic problem. There are various surgical techniques that have been developed to repair the damage of the periodontium lately and further to improve esthetically. This paper reports a case of periodontium defect in form of 5 mm gingival recession, a hard tissue tumorlike on the mucogingiva and loss of interdental papilla, which had occurred on a patient who has had orthodontic treatment. The case was treated at two stage. At stage one, a vital pulpectomy, odontoplasty and coronally repositioned flap were performed consecutively. The second stage, combination of subepithelial connective tissue graft which obtained from the palate and coronally repositioned flap were performed a month following the first. After three months of observation, the result shows that the fingival recession were declined by 80%, the tumorlike hard tissue disappeared and there was improvement on the interdental papilla size. Management of esthetic surgery with combination of both techniques performed in this cases has provided a satisfactory result as well as restores the esthetics proble