Danti Narulita

Pendidikan Profesi, Fakultas Kedokteran Gigi, Universitas Muhammadiyah Surakarta, Indonesia

Vera Megawati

Bagian Ortodonti, Fakultas Kedokteran Gigi Universitas Muhammadiyah Surakarta, Indonesia

DOI: https://doi.org/10.19184/stoma.v20i1.38593

ABSTRACT 

Orthodontic tooth movement occurs due to tissue remodeling. The success of orthodontic treatment is affected by the strength of periodontal health, oral hygiene, and orthodontics. Users of orthodontic appliances have to maintain oral hygiene to avoid periodontal disease. The purpose of this study was to evaluate and review enlargement gingiva in orthodontic user. This literature review was conducted by searching for journals, case reports, and research with the keywords “gingival enlargement”, “fixed orthodontics”, and “orthodontic mechanics”. Research articles and their full texts can be accessed over a 10-year period starting from 2011 to 2021. Based on this literature study, poor oral hygiene during orthodontic treatment causes complications in periodontal tissues. Orthodontic appliances in the oral cavity affect biofilm accumulation and bacterial colonization, and patients with periodontal tissues are more susceptible to swelling and bleeding. Gingival treatment includes surgical and non-surgical gingivectomy. Surgical treatment includes conventional surgery (scalpel), electrosurgery (cautery), diode laser, and chemosurgery. Non-surgical treatment after orthodontic treatment was completed includes oral hygiene instructions, scaling and root planning, the use of a toothbrush and interproximal treatment, and recall scheduling.