Page 54 - MDJ Volume 47 Number 2 ( Jul-Dec 2024)

Abstracts
were referred for OACs complicated post extraction of P019
maxillary molars. PRF from patient’s blood was used as a
clot and a membrane for the closure of OACs. The patients Connective Tissue Graft with Epithelial Collar for
were monitored postoperatively, and successful closure Treating Orthodontic-associated Gingival Recession of
of the defects was observed without any inflammatory Lower Incisors: Case Series
reactions or sinus pathoses. Discussion: PRF demonstrated Engku Ahmad Muzhaffar bin Engku Zainal Abidin , I. Nurul Zatil Amali ,
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its potential in guiding cell migration, stimulating tissue O. Nuzul Izwan , M. H. Muhammad Hadi , A. Rasidah , K. Dewi Mayang Sari 2
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regeneration, and providing a natural fibrin matrix for 1 Department of Periodontics, Dental Specialist Centre Seremban, Seremban,
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healing. The simplicity, cost-effectiveness, and positive Negeri Sembilan, Malaysia, Department of Dental Public Health, Dental
outcomes of using PRF for OAC closure highlight its Specialist Centre Seremban, Seremban, Negeri Sembilan, Malaysia
promising role in maxillofacial surgery. In summary, PRF Introduction: Prevalence of orthodontic-associated gingival
offers several advantages, particularly in terms of enhanced recession (GR) reported to be 10.3%, mainly central incisors,
healing, reduced patient morbidity, and improved blood linked to lower incisor position changes. GR impacts
supply, making it a favorable option for the closure of aesthetics, causes hypersensitivity, and complicates plaque
smaller OACs. control. Although the coronally advanced flap (CAF) with
Keywords: Oralantral communication, platelet-rich fibrin, tissue connective tissue graft (CTG) is the gold standard treatment,
regeneration it is not always feasible. This case series highlights CTG with
epithelial collar (EC) as an alternative treatment. Case Report:
Case 1: A 25-year-old Malay male with class II division I
incisor relationship on class II skeletal base was treated with
P018 fixed orthodontic appliances and orthognathic surgery. Post-
Parry–Romberg Syndrome with Poliosis Circumscripta: orthodontically, he presented with Recession Type (RT)2
A Rare Case Report labial recession on 31, complicated by the absence of apical
keratinised tissue width (KTW) and shallow labial vestibule.
Nur ‘Afirah Binti Maluin, K. Sutina, L. F. Low, M. Mohamad Ropi Following non-surgical periodontal therapy (NSPT), root
Department of Oral and Maxillofacial Surgery, Hospital Tuanku Jaafar Seremban, coverage (RC) surgery on 31 was performed using a CTG
Seremban, Malaysia
with EC. Twelve months postoperatively, 50% RC and >5mm
Background: Parry–Romberg Syndrome (PRS) is a rare of apical KTW were achieved. Subsequently, orthodontic
progressive degenerative disorder manifests as hemifacial re-treatment conducted to tip the 31 root lingually and
atrophy involving the skin, subcutaneous, muscle, and enhance RC surgery outcome. Case 2: A 24-year-old Malay
bone. It may or may not be associated with neurological female with class II division I incisor relationship on class I
dysfunction, ocular changes, and dental anomalies. The skeletal base was treated with fixed orthodontic appliances.
presentation of this disease rarely affects the extremities. Post-orthodontically, she presented with RT1 labial recession
The disease is mainly idiopathic, but often related to on 31-41, complicated by high frenal attachment and
trauma, infections, genetic factors or autoimmunity. shallow vestibule. After NSPT, lower labial frenotomy was
Atrophy may start during the first decade of life, then performed, followed by RC surgery on 31-41 using a CTG
slowly progressive over the years. The disease stabilization with EC. Eighteen months postoperatively, 100% RC, >5mm
may achieve during adulthood at 20 years of life. of apical KTW, and deeper vestibule were achieved. Despite
Although multiple cases discovered worldwide, none have the encouraging outcomes, the presence of EC may lead
encountered the cure of this disease. Regular monitoring to gingival colour discrepancy between the treated site and
and symptomatic non-invasive therapy may be provided the adjacent tissue, indicating superior aesthetic outcome
until the disease progression ceases at certain age. During with the CAF and CTG procedure. Conclusion: CTG with
this point, reconstructive surgery may be recommended to EC can be an alternative to the CAF with CTG procedure,
correct the asymmetrical of the face. Case Report: This particularly in severe gingival recession cases with minimal
paper reporting a case of 10-years old Malay boy who KTW, shallow vestibules, and in non-aesthetic regions.
encountered in the department with hypopigmentation Keywords: Connective tissue graft, epithelial collar, Gingival
and hemimandibular atrophy on left side of the face. recession, orthodontic
The characteristics match the classical features of Parry-
Romberg Syndrome, with history of trauma during early P020
childhood. Conclusion: Although PRS is commonly
presented during childhood, the progression of this The Unpredictable Nature of Localised Gingival
disease typically distressing and challenging to suppress Overgrowths: A Case Series of Two Contrasting Clinical
until stabilization age achieve. Presentations
Nik Alyana Syakirin Binti Nik Amri , E. Z. A. Engku Ahmad Muzhaffar ,
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Keywords: Hemifacial atrophy, hypopigmentation, parry- I. Nurul Zatil Amali , O. Nuzul Izwan , A. Rasidah , K. Dewi Mayang Sari ,
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romberg syndrome A. J. Ajura , S. Hans Prakash 3
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80 Malaysian Dental Journal ¦ Volume 47 ¦ Issue 2 ¦ July-December 2024
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