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Aesthetic consideration in patient management of severe periodontitis aggravated by oral dexamethasone

Dental Journal (Majalah Kedokteran Gigi) · Vol. 56 No. 2 (2023) · hlm. 73–79

DOI
10.20473/j.djmkg.v56.i2.p73-79
ISSN
2442-9740, 1978-3728
Terbit
2023-03-15
Penerbit
Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Background: The treatment of severe periodontitis must consider immune responses and local conditions, including the aesthetical aspects. The tooth loss in the anterior area can lead to a psychological issue in some patients, and the daily use of dexamethasone contributes greatly to the severity of aesthetical aspects. Periodontal treatments must be cautious of these aesthetical effects. Purpose: To report the aesthetical consideration in patient management of severe periodontitis aggravated by oral dexamethasone. Case: The 44-year-old female patient reported having tooth mobility in the upper right and left central incisor and lower right and left posterior. Due to the condition, the central anterior needed to be extracted. The patient had seafood allergies and consumed oral dexamethasone periodically to prevent allergic reactions for two years. Case management: The initial periodontal therapy was designed prior to the tooth extraction, socket preservation, and immediate denture on teeth 11 and 21. A metal frame combined with an acrylic denture was designed to support the tooth splint and replace the teeth on the mandible. The patient was treated with 20 mg of sub-antimicrobial-dose doxycycline twice a day for three months, and vitamin E was prescribed once a day. Since dexamethasone may contribute to immune response and osteoclastogenesis, dexamethasone was replaced by cetirizine. Conclusion: The treatment of severe chronic periodontitis must consider immune responses, local conditions, and aesthetical aspects. In this case, the use of dexamethasone might worsen the periodontal breakdown. However, the periodontal treatment, use of host modulation therapy, and replacement of dexamethasone with cetirizine are expected to improve these conditions.

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  • Universitas Airlangga
  • Universitas Jember
  • Universitas Gadjah Mada
  • Hiroshima University
  • Mahsa University
  • Hasanuddin University
  • Universitas Hang Tuah
  • Organisasi lain
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Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Irmawati IrmawatiUniversitas Airlangga2
Tania SaskiantiUniversitas Airlangga2
Banun KusumawardaniUniversitas Jember2
Chiquita PrahasantiAfiliasi tidak diketahui2
Padmini HariMahsa University2
Susilowati SusilowatiUniversitas Airlangga1
FX SuhariadjiUniversitas Airlangga1
Murtia MetalitaUniversitas Airlangga1
Prawati NurainiUniversitas Airlangga1
Citra AdindaUniversitas Airlangga1
Teguh Budi WibowoUniversitas Airlangga1
Irmawati IrmawatiHasanuddin University1
Sarah Kartimah DjajusmanUniversitas Airlangga1
Dewi Anggreani BibiUniversitas Airlangga1
Tri Wijayanti PuspitasariUniversitas Airlangga1
Yayi Suryo PrabandariUniversitas Gadjah Mada1
Taufan BramantoroUniversitas Airlangga1
Djauhar IsmailUniversitas Gadjah Mada1
Seno PradopoUniversitas Airlangga1
Dwi Mulia RamadhaniatiUniversitas Airlangga1
Dwi Merry Christmarini RobinUniversitas Gadjah Mada1
Endah PuspitasariUniversitas Jember1
Dea Ajeng Pravita SuendiUniversitas Jember1
Reza Dony HendrawanUniversitas Airlangga1
Niken Luthfiyya AriniUniversitas Airlangga1
Kurnia Dwi WulanUniversitas Airlangga1
Onge Victoria HendroUniversitas Hang Tuah1
Noer UlfahUniversitas Airlangga1
Shahabe Saquib AbullaisKing Khalid University1
Sindy Cornelia NelwanUniversitas Airlangga1
Mega Moeharyono PuteriUniversitas Airlangga1

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Sumber metadata: OAI-PMH (metadata jurnal) https://e-journal.unair.ac.id/MKG/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Aesthetic consideration in patient management of severe periodontitis aggravated by oral dexamethasone</dc:title>
	<dc:creator>Savitri, Irma Josefina</dc:creator>
	<dc:creator>Wijaksana, I Komang Evan</dc:creator>
	<dc:creator>Arief, Okkinardo</dc:creator>
	<dc:creator>Falah, Muhammad Nur</dc:creator>
	<dc:creator>Tedjosasongko, Udijanto</dc:creator>
	<dc:creator>Siswanto, Olivia Bambang</dc:creator>
	<dc:creator>Ouhara, Kazuhisa</dc:creator>
	<dc:creator>Kurihara, Hidemi</dc:creator>
	<dc:creator>Mizuno, Noriyoshi</dc:creator>
	<dc:subject xml:lang="en-US">aesthetic</dc:subject>
	<dc:subject xml:lang="en-US">host modulation therapy</dc:subject>
	<dc:subject xml:lang="en-US">medicine</dc:subject>
	<dc:subject xml:lang="en-US">periodontitis</dc:subject>
	<dc:subject xml:lang="en-US">oral dexamethasone</dc:subject>
	<dc:description xml:lang="en-US">Background: The treatment of severe periodontitis must consider immune responses and local conditions, including the aesthetical aspects. The tooth loss in the anterior area can lead to a psychological issue in some patients, and the daily use of dexamethasone contributes greatly to the severity of aesthetical aspects. Periodontal treatments must be cautious of these aesthetical effects. Purpose: To report the aesthetical consideration in patient management of severe periodontitis aggravated by oral dexamethasone. Case: The 44-year-old female patient reported having tooth mobility in the upper right and left central incisor and lower right and left posterior. Due to the condition, the central anterior needed to be extracted. The patient had seafood allergies and consumed oral dexamethasone periodically to prevent allergic reactions for two years. Case management: The initial periodontal therapy was designed prior to the tooth extraction, socket preservation, and immediate denture on teeth 11 and 21. A metal frame combined with an acrylic denture was designed to support the tooth splint and replace the teeth on the mandible. The patient was treated with 20 mg of sub-antimicrobial-dose doxycycline twice a day for three months, and vitamin E was prescribed once a day. Since dexamethasone may contribute to immune response and osteoclastogenesis, dexamethasone was replaced by cetirizine. Conclusion: The treatment of severe chronic periodontitis must consider immune responses, local conditions, and aesthetical aspects. In this case, the use of dexamethasone might worsen the periodontal breakdown. However, the periodontal treatment, use of host modulation therapy, and replacement of dexamethasone with cetirizine are expected to improve these conditions. </dc:description>
	<dc:publisher xml:lang="en-US">Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en</dc:publisher>
	<dc:date>2023-03-15</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:format>text/xml</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/MKG/article/view/40987</dc:identifier>
	<dc:identifier>10.20473/j.djmkg.v56.i2.p73-79</dc:identifier>
	<dc:source xml:lang="en-US">Dental Journal (Majalah Kedokteran Gigi); Vol. 56 No. 2 (2023): June 2023; 73-79</dc:source>
	<dc:source>2442-9740</dc:source>
	<dc:source>1978-3728</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/MKG/article/view/40987/23969</dc:relation>
	<dc:relation>https://e-journal.unair.ac.id/MKG/article/view/40987/39870</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2023 Dental Journal</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>