presentasi kasus ilmu penyakit gigi dan mulut

7/21/2019 Presentasi Kasus Ilmu Penyakit Gigi Dan Mulut

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PRESENTASI KASUS ILMU PENYAKITGIGI DAN MULUT

Disusun oleh : YUDHISTIRA PERMANA

(G99141149)

Pembimbing:Dr.Risya Cilmiaty, drg., M.Si,

SpKG

KEPANITERAAN K INIK I M! GIGI DAN M! !T"AK! TAS KED#KTERAN !NS $ RS!D DR.

M#E%ARDIS!RAKARTA

PERI#DE &' (! I)*+ (! I * &-



K MPETENSI 1

1!

AN D NTIA



DE"INISI#e$u%&'&n 'el&in&n &n se*&$& u#u#

+i &#,&$'&n +en &n 'e&+&&n -i+&'-u#,uhn & se#u& i i



ETI L GI

• Ke & &l&n

%$oli.e$&sisel ,&s&li i '&$en&

in.e'si/-$&u#&/

o,&-/'e#o-e$&%i/$&+io-e$&%i

• Mu-&si enMs0 1 &-&uP&09

PAT GENESIS

• H&l&n &n

%&+& %$oses%e#,en-u'&n ,enih i i+&$i e%i-el#ulu- %&+&

-&h&%inisi&si

KLASI"IKASI

• Ano+on-i&:

-o-&l +&n%&$si&l• li o+on-i&• Hi%o+on-i&



• Ron- en #enil&i &+&-i+&'n & ,enih

i i

DIAGN S

IS

•

%e#&s&n &ni i %$os-e-i' TERAPI



!IMPA2TED

TEETH



Gi i &n -i+&' +&%&- e$u%siselu$uh3se,& i&n '&$en& -e$-u-u% -ul&n /

&$in &n lun&'/ &-&u 'e+u&n &!

DE"INISI

K&us& l /al Posisi &,no$#&l/ -e'&n&n i i-e-&n &/ %ene,&l&n -ul&n #en elilin i i i/'e'u$&n &n -e#%&-/ %e$sis-ensi i i +esi+ui/%en*&,u-&n %$e#&-u$/ in5&#&si '$oni' (%ene,&l&n#u'os&)

K&us& 0m0r P$en&-&l: 'e-u$un&n/ Pos-n&-&l/Pe$-u#,uh&n

ETI L GI



Kl&si6'&si Menu$u- Pell +&n G$e o$



Kl&si6'&si 7 Geo$ e 8in-e$

Posisi M -e$h&+&% M



• Diagn sisPe#e$i's&&n:

- E's-$& o$&l: ,en '&'/ %e#,es&$&n KG /%&$es-esi!

- In-$& o$&l: i i e$u%si/ '&$ies/ %e$i'on+$i-is/%&$es-esi/ ;&$n& #u'os&/ l&,i&l/ in i<&l/&,ses/ %osisi +&n hu,un &n +en &n i i-e-&n &/ $u&n &n-&$& i i +&n $&#us!

Pe#e$i's&&n $&+io $&6' %&no$&#i'• Terapi

+on-e'-o#i



!MAL 22LUSI

N



DE"INISI• en-u' o'lusi &n #en i#%&n +&$i ,en-u'

s-&n+&$ &n +i-e$i#& se,& &i ,en-u' no$#&l!

2$oss,i-e <e$,i-e

2$o;+e+ S%&*in P$os-usi



Eti l gi

"&'-o$ l0ar he$e+i-e$/ 'el&in&n 'on eni-&l/#&lnu-$isi/ -$&u#&/ 'e,i&s&&n ele'/ si'&% -u,uh"&'-o$ dalam &no#&li u#l&h i i se%e$-i i i,e$le,ih&n (+ens su%e$nu#e$&lis)/&-&u -i+&'&+&n & i i (&no+on-is)/ &no#&li u'u$&n i i

Diagn sis T&n+&: 'elen 'un &n i i &,no$#&l/ -&#%il&n

;& &h &n il/ suli-3-i+&' n &#&n s&&- #en un &h/suli- ,e$,i*&$&!

Pe#e$i's&&n: $&+io $&6' i i/ 'e%&l&/ ;& &h!Terapi : &l&- *e'&- i i ('&;&- i i)



4! DE RIS



De,$is

In+e0:Kriteria• =/=>=/? @ &i'• =/ >1/B @

Se+&n• 1/9> /= @u$u'

TerapiMen & & 'e,e$sih&n i i



C! 2AL2ULUS



TerapiS*&lin : hil&n '&n %l& ue/ *&l*ulus/ no+&

Roo- %l&nin : hil&n '&n *&l*ulus/#i'$oo$ &nis#e/ $&*un



?! PLA UE



DE"INISIL&%is&n lun&' &-&u 'e$&s &n-e$+i$i +&$i 'u#%ul&n#i'$oo$ &nis#e/ #&-$i'sin-e$selule$ ('o#%onen o$ &ni'+&n &no$ &ni')/ +&n %$o-ein#ele'&- e$&- %&+& %e$#u'&&n

i i T&h&% %e#,en-u'&n %l& ue:

1)Pe#,en-u'&n %&$-i'el +en-&l)Kolonis&si &;&l %&+&

%e$#u'&&n i i)Kolonis&si se'un+e$ +&n

%e#&-&n &n %l& ue



2&$& %en hi-un &n s'o$: Un-u' s&-u i i @ u#l&h selu$uh s'o$ +&$i e#%&-

%e$#u'&&n 4 Un-u' 'eselu$uh&n i i @ u#l&h s'o$ in+e's plaque u#l&h i i &n &+&

Kriteria• &i' @ =>1/=

• Se+&n @ 1/1>/=

• u$u' @

/1> /=!

Diagn sis :Pe;&$n&&n %&+& i i

+is*losin & en-(io+ine)

Terapi :Si'&- i i-e$&-u$

In+e's Pl& ue



! DENTALDE2AY



DE"INISIP$oses +e#ine$&lis&si &$in &n 'e$&s i i(en&#el/ +en-in +&n se#en-u#) hin &+es-$u'si su,s-&nsi o$ &ni' i i oleh &s&#

&n +i%$o+u'si +&$i %en*e$n&&n ,&'-e$i-e$h&+&% sis& #&'&n&n &n -e$-in &l +i

i i



Pat genesis :Su,s-$&- ( ul&) Pl&' (,&'-e$i) Gi i (e#&il3+en-in)

+i#e-&,olis#e oleh ,&'-e$iK&$ies (+e#ine$&lis&si)

Eti l gi / 'o#%onen:1)Gi i +&n s&li<&

)Mi*$oo$ &nis#e

)M&'&n&n4)8&'-u



Klasi1/asi1)Lo'&si %e$#u'&&n 'un &h: o'lus&l/ l&,i&l/ ,u'&l/

%&l&-&l3lin u&l/ &%$o'si#&l/ 'o#,in&si)Lo'&si %e$#u'&&n h&lus: %$o'si#&l/ &'&$/

*el&h36ssu$&)Ke+&l&#&nn &: su%e$6si&l/ #e+i&/ %$o.un+&



Di& nosis

Karies emailtanpa

2a3itas

Karies emaildengan2a3itas

Karies dentinterb0/a$

4ipersensiti5 in-i' %u-ih

%&+& i iA'u- :Gi i-e$&s& n iluK$onis: (>)n ilu

A'u- :Gi i-e$&s& n iluK$onis: (>)n ilu

E/stra ral Ti+&' &+&'el&in&n

Ti+&' &+&'el&in&n

Ti+&' &+&'el&in&n

Intra ral K&<i-&s (>)/ lesi

%u-ih ( )

K&<i-&s ( )

,&$u 'en&e#&il

K&<i-&s

#en en&ie#&ilTerapi Pe#,e$sih&n

i i/ +iul&s+en &n 5uo$/e+u'&si

Tu#%&-&n I! Ul&s + n5uo$

II! Re*oun-ou$in

III! Tu#%&-&n



Terapi :Pen&#,&l&n i$i-&si &-&u hi%e$e#i %ul%&

Pe$&;&-&n S&lu$&n A'&$ '&$ies #en*&%&i%ul%&E's-$&'si i i

Pen2ega4an /aries gigi:Men & & 'e,e$sih&n #ulu- ( oral hygiene )

+en &n ,&i' +en &n #en oso' i i +en &n,en&$ +&n -e$&-u$/ fossing / o,&- 'u#u$(mouthwash )/ #e#e$i's&'&n i i '&lise-&hun!

Die- $en+&h '&$,ohi+$&-Fluoride #el&lui %&s-& i i/ mouthwash /

su%le#en/ &i$ #inu#/ el fuoride !Pen un&&n pit and ssure sealant ( dental

sealant )!



B! PULPITIS



Di& nosis



P0lpitisRe3ersible

P0lpitis Irre3ersibel Ne/r sisP0lpaA'u- K$onis

Anamnesis

>N e$i

N e$i ,il&#inu# %&n&s/+in in/ &s&#

T& &# sin '&-/(>) s%on-&n/ (>)-e$us #ene$us

Ti+&' ,is&#enun u''&n

&n s&'i- T& &# s%on-&n/-e$us #ene$us

is&#enun u''&n

&n s&'i-

Hil&n -i#,uls%on-&n/ -& &##en en &-

&u #ulu-/ i i,e$u,&h ;&$n&

S%on-&n &-&u-i+&' n e$i -&%i%e$n&hs%on-&n

E/stra ral (>) ,en '&' no$#&l (>) ,en '&'Intra ral>Ke+&l&#&n

>Son+&si>2hlo$ e-il>P&l%&si>Pe$'usi

K&$ies+en-in3%$o.un+&

( )( )

(>)

P$o.un+&/-e$-u-u% sis&#&'&n&n( )( )( )(>)

K&$ies%$o.un+&

( )( )(>)(>)

D&l&#

(>)

(>)(>)

Terapi -u#%&-&n -e-&%!il& *&<i-&sn &

+&l&# ,e$iel& is 2& H

PSA PSA/ -u#%&-&n-e-&%

PSA +&n$es-o$&si

Di& nosis



9!PERI D NTITIS



DE"INISI



ETI L GIPAT GENESIS



Diagn sisGusi ,e$+&$&h s&&- #en oso' i i/

Gusi ,e$;&$n& #e$&h/ ,en '&' +&n lun&'/'en &l Te$lih&- &+&n & ,& i&n usi &n -u$un +&n #en &uhi i i Te$+&%&- n&n&h +i&n-&$& i i +&n usi/Gi i o &n !

Terapi"&se I: inisi&l"&se : 'o$e'-i. "&se : %e#elih&$&&n



1=! GINGI ITIS



DE"INISI ETI L GI



Diagn sis Gusi -&#%&' #e$&h/

#e#,en '&''onsis-ensi 'en &llun&' +&n #u+&h

,e$+&$&h/ h&li-osis

TerapiMen & & 'e,e$sih&n i i +&n#ulu-

Si'&- i i"lossinS*&lin *&l*ulusAn-i,io-i' in+i'&si



1 ! NON CANCEROUSGRO !"



DE"INISI



14! ORA# S$UA%OUSCE## CARC&NO%A



DE"INISI

ETI L GI



1C! JER ST MIA



K MPETENSI

1! MI2R GNANTIA MA2R GNANTIA



Mi2r gnatia :R&h&n

&n le,ih'e*il +&$iu'u$&n

no$#&lMa2r gnatia :R&h&n

&n le,ih,es&$ +&$iu'u$&nno$#&l

Eti l giKon eni-&l Mi: Kel&in&n'$o#oso#/ ,&--e$&-o eni'/Gene-i*s n+$o#e M&:-$iso#i 1 /-$iso#i 1B!

A* ui$e+ Mi:-$&u#&/ in.e'siM&: %en &'i-ho$#on&l!



Diagn sis :i&s&n & #en &l&#i #&s&l&h es-e-i'&/ o'lusi/

%e$n&%&s&n/ +&n %e#,e$i&n #&'&n %&+& ,& i

Terapi:%e$&si o$-ho n&-hi* un-u' #e#%e$lu&s &-&u

#en e*il'&n #&'sil& +&n #&n+i,ul&



! LA IAL PALATE 2LE"T



abial2le5t:2el&h %&+&,i,i$ &-&s!Palate2le5t:2el&h %&+&l&n i->l&n i-$on &#ulu-!

Eti l i



Eti l giHe$e+i-e$ #u-&si en/ 'el&in&n '$o#oso#"&'-o$ lin 'un &n usi& i,u le,ih +&$i = -&hun/

& en -e$&-o eni'/ nu-$isi/ in.e'si <i$us/ $&+i&si/ s-$ese#osion&l/ +& & %e#,en-u'&n e#,$io #enu$un/ +&n-$&u#& sel&#& -$i#es-e$ %e$-&#& 'eh&#il&n

Diagn sis Te$+&%&- *el&h %&+& ,i,i$ &-&s3l&n i->l&n i- $on &

#ulu-Ge &l&: suli- #en his&% ASI/ 'esuli-&n ,e$,i*&$&/

&n u&n %en+en &$&n/ &n u&n -u#,uh 'e#,&n

Terapie+&h %l&s-i' usi& ,ul&n Me#ulih'&n s-$u'-u$

&n&-o#i/ Men o$e'si *&*&-/ Meno$#&l'&n .un si

#enel&n/ n&%&s/ ,i*&$&!



! LEUK PLAKIA



KLASI"IKASI TERAPI



K MPETENSI

1!GL SSITIS



K MPETENSI

*. ANGINA

!D%IG



An in& Lu+;i

• su&-u %en &'i-'e &;&-+&$u$&-&n/ &i-u-e$ &+in & %en e,&$&n in.e'si

se*&$& +i.us %$o $esi./-i#,uln & in.e'si +&n-u#%u'&n n&n&h %&+& +&e$&h(su,#&n+i,ul&) +&n(su,#en-&l) se$-& (su,lin u&l)

• An in& Lu+;i ,e$&;&l +&$i



K MPETENSI 4

1! 2ANDIDIASIS



D E " I N I S I

• i n . e ' s i % & + & $ o n ) ) & # u l u - ( & n ) + i s e , & , ' & n o l e h % e $ - u # , u h & n , e $ l e , i h & n + & $ i 4 & # u $ 2 & n + i + & - e $ u - & # & C a n d i d a a l ' i ( a n s

E T L G I •

S - & - u s i # u n % & s i e n

• L i n ) ' u n ) & n # u ' o s & o $ & l • S - $ & i n ( a n d i d a a l ' i ( a n s



KLASI"IKASI



• Pe#e$i's&&n#i'$os'o%is

• io%si

PENEGAK AN

DIAGN SIS

• Men & & 'e,e$sih&n $on &#ulu-

• Me+i'&si +en &n o,&- &n-i.un &l 3 o,&- sis-e#i'

• Men&n ul&n i .&'-o$%$e+is%osisi

TERAPI



! %OU!"

U#CER



TERAPI : TERGANTUNG PENYE A NYA



! )ARO!&!&S

P titi



• Pen &'i- on+on &n (%&$o-i-is &-&u #u#%s)

&+&l&h %en &'i- #enul&$ &n +ise,&,'&noleh in.e'si <i$us (P&$&# 0o<i$us) +&n#en e$&n &$in &n 'elen &$ +&n s&$&.

• i$us +&%&- #en e,&$ #el&lui 'on-&'

l&n sun +en &n %e$*i'&n lu+&h/ ,&h&n#un-&h +&n u$ine! i$us #&su' 'e +&l&#-u,uh #el&lui hi+un &-&u #ulu-! i$us#e#%e$,&n &' +i$i +i s&lu$&n n&%&s &-&s+&n #en e,&$ 'e 'elen &$ e-&h ,eninlo'&l!

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