Excisional New Attachment Procedure (ENAP) sebagai Terapi Bedah pada Pasien Periodontitis: Laporan Kasus

Abstract

Periodontitis is a chronic polymicrobial inflammatory disease of the periodontium. Clinically, it is characterized by bleeding gums, periodontal ligament destruction, and alveolar bone loss. Several risk factors also contribute to the significance of periodontal disease. Excisional New Attachment Procedure (ENAP) is one of the surgical treatments to treat attachment loss in periodontitis patients. Properly carried out periodontal treatment will eliminate gingival inflammation, eliminate gingival bleeding, and reduce periodontal pockets. This study aims to report the management of chronic periodontitis with ENAP to remove Junctional Epithelium and pockets. A 28-year-old male patient came to the UNIMUS Dental and Oral Hospital with complaints of enlarged gingiva accompanied by a lot of caries in the upper anterior region, particularly in the right lateral incisor to the left lateral incisor. History of allergies and systemic disease was denied. The initial OHI examination is 5,99 (moderate), and the O'Leary index is 44,8%. ENAP was carried out with an internal bevel incision using a #15 blade and followed by excised tissue removal. Simultaneously, caries restoration is also carried out. After two weeks of surgical treatment, healing was uneventful, with no inflammation. Plaque buildup and calculus in the oral cavity can be the main or associated cause of the patient's periodontitis. Therefore, plaque control is an important aspect of management in all patients. ENAP could act as an effective modality to treat chronic periodontitis.