PRESENTASI KASUS ILMU PENYAKIT GIGI DAN MULUT Disusun oleh : YUDHISTIRA YUDHISTIR A PERMANA (G99141149) Pembimbing: Dr.Risya Cilmiaty, drg., M.Si, SpKG
KEPANITERAAN KINIK IM! GIGI DAN M!!T KEPANITERAAN "AK! AK!T TAS KED#KTER K ED#KTERAN AN !NS $ RS!D R S!D DR. D R. M#E%ARDI S!RAKARTA PERI#DE &' (!I)*+ (!I *&-
KMPETENSI MPETENSI 1 1! ANDNTIA
KMPETENSI MPETENSI 1 1! ANDNTIA
DE"INISI
#e$u%&'&n 'el&in&n &n se*&$& u#u# +i,&$'&n +en&n 'e&+&&n -i+&' -u#,uhn& se#u& ii
ETILGI •
•
Ke&&l&n %$oli.e$&si sel ,&s&l ii '&$en& in.e'si/ -$&u#&/ o,&-/ 'e#o-e$&%i/ $&+io-e$&%i Mu-&si en Ms0 1 &-&u P&09
PATGENESIS •
H&l&n&n %&+& %$oses %e#,en-u'& n ,enih ii +&$i e%i-el #ulu- %&+& -&h&% inisi&si
KLASI"IKASI •
• •
Ano+on-i&: -o-&l +&n %&$si&l lio+on-i& Hi%o+on-i&
DIAGNS IS
TERAPI
•
Ron-en #enil&i &+& -i+&'n& ,enih ii
•
%e#&s&n&n ii %$os-e-i'
!IMPA2TED TEETH
DE"INISI Gii &n -i+&' +&%&- e$u%si selu$uh3se,&i&n '&$en& -e$-u-u% -ul&n/ &$in&n lun&'/ &-&u 'e+u&n&!
K&us&
ETILGI
l/al Posisi &,no$#&l/ -e'&n&n ii -e-&n&/ %ene,&l&n -ul&n #enelilini ii/ 'e'u$&n&n -e#%&-/ %e$sis-ensi ii +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
Kl&si6'&si Menu$u- Pell +&n G$eo$
Kl&si6'&si 7 Geo$e 8in-e$
Posisi M -e$h&+&% M
Diagnsis Pe#e$i's&&n: E's-$& o$&l: ,en'&'/ %e#,es&$&n KG/ %&$es-esi! In-$& o$&l: ii e$u%si/ '&$ies/ %e$i'on+$i-is/ %&$es-esi/ ;&$n& #u'os&/ l&,i&l/ ini<&l/ &,ses/ %osisi +&n hu,un&n +en&n ii -e-&n&/ $u&n &n-&$& ii +&n $us! Pe#e$i's&&n $&+io$&6' %&no$i' Terapi +on-e'-o#i •
-
-
•
!MAL22LUSI N
DE"INISI •
en-u' o'lusi &n #eni#%&n +&$i ,en-u' s-&n+&$ &n +i-e$i#& se,&&i ,en-u' no$#&l!
2$oss,i-e
2$o;+e+
S%&*in
P$os-usi
Etilgi "&'-o$ l0ar he$e+i-e$/ 'el&in&n 'oneni-&l/ #&lnu-$isi/ -$&u#&/ 'e,i&s&&n ele'/ si'&% -u,uh "&'-o$ dalam &no#&li u#l&h ii se%e$-i ii ,e$le,ih&n (+ens su%e$nu#e$&lis)/&-&u -i+&' &+&n& ii (&no+on-is)/ &no#&li u'u$&n ii
Diagnsis T&n+&: 'elen'un&n ii &,no$#&l/ -%il&n ;&&h &nil/ suli-3-i+&' n&n s&&- #enun&h/ suli- ,e$,i*&$&! Pe#e$i's&&n: $&+io$&6' ii/ 'e%&l&/ ;&&h! Terapi: &l&- *e'&- ii ('&;&- ii)
4! DERIS
De,$is In+e0: Kriteria •=/=>=/? @ &i' •=/>1/B @ Se+&n •1/9>/= @ u$u' Terapi Men&& 'e,e$sih&n ii
C! 2AL2ULUS
Terapi S*&lin: hil&n'&n %l&ue/ *&l*ulus/ no+& Roo- %l&nin : hil&n'&n *&l*ulus/
?! PLAUE
DE"INISI L&%is&n lun&' &-&u 'e$&s &n -e$+i$i +&$i 'u#%ul&n #i'$oo$&nis#e/ #&-$i's in-e$selule$ ('o#%onen o$&ni' +&n &no$&ni')/ +&n %$o-ein #ele'&- e$&- %&+& %e$#u'&&n ii %e#,en-u'&n %l&ue: T&h&% 1) Pe#,en-u'&n %&$-i'el +en-&l )Kolonis&si &;&l %&+& %e$#u'&&n ii ) Kolonis&si se'un+e$ +&n %e#&-&n&n %l&ue
In+e's Pl&ue
Kriteria •&i' @ =>1/= •Se+&n
@ 1/1>
/= •u$u' /1>/=!
@
2&$& %enhi-un&n s'o$: Un-u' s&-u ii @ u#l&h selu$uh s'o$ +&$i e#%&%e$#u'&&n 4 Un-u' 'eselu$uh&n ii @ u#l&h s'o$ in+e's plaque u#l&h ii &n &+&
Diagnsis : Pe;&$n&&n %&+& ii +is*losin &en(io+ine)
Terapi: Si'&- ii -e$&-u$
! DENTAL DE2AY
DE"INISI P$oses +e#ine$&lis&si &$in&n 'e$&s ii (enel/ +en-in +&n se#en-u#) hin& +es-$u'si su,s-&nsi o$&ni' o$&ni' ii oleh &s &n +i%$o+u'si +&$i %en*e$n&&n ,&'-e$i -e$h&+&% sis& #&'&n&n &n -e$-in&l +i ii
Patgenesis : Su,s-$&- (ul&) Pl&' (,&'-e$i) Gii (e#&il3+en-in) +i#e-&,olis#e oleh ,&'-e$i K&$ies (+e#ine$& ( +e#ine$&lis&si) lis&si)
Etilgi / 'o#%onen: 1)Gii 1) Gii +&n s&li<& s&li<& )Mi*$oo$&nis#e )M&'&n&n 4)8&'-u
Klasi1/asi 1) Lo'&si %e$#u'&&n 'un&h: o'lus&l/ l&,i&l/ ,u'&l/ %&l&-&l3linu&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 email Karies email tanpa dengan 2a3itas 2a3itas in-i' %u-ih A'u- :Gii %&+& ii -e$&s& nilu K$onis: (>) nilu E/stra ral Intra ral
Terapi
Ti+&' &+& Ti+&' &+& 'el&in&n 'el&in&n K&)/ lesi K&
Tu#%&-&n
Karies dentin terb0/a$ 4ipersensiti5 A'u- :Gii -e$&s& nilu K$onis: (>) nilu Ti+&' &+& 'el&in&n K&
Ul&s +n 5uo$ Re*oun-ou$i n
Terapi: Pen,&l&n i$i-&si &-&u hi%e$e#i %ul%& Pe$&;&-&n S&lu$&n A'&$ '&$ies #en*&%&i %ul%& E's-$&'si ii Pen2ega4an /aries gigi: Men&& 'e,e$sih&n #ulu- (oral hygiene) +en&n ,&i' +en&n #enoso' ii +en&n ,en&$ +&n -e$&-u$/ fossing/ o,&- 'u#u$ (mouthwash)/ #e#e$i's&'&n ii '&li se-&hun! Die- $en+&h '&$,ohi+$&Fluoride #el&lui %&s-& ii/ mouthwash/ su%le#en/ &i$ #inu#/ el fuoride! Penun&&n pit and ssure sealant (dental sealant )!
B! PULPITIS
Di&nosis P0lpitis Re3ersible Anamnesis
>Ne$i
E/stra ral Intra ral >Ke+&l&n
>Son+&si >2hlo$ e-il >P&l%&si >Pe$'usi
P0lpitis Irre3ersibel A'uK$onis
Ne$i ,il& Ti+&' ,is& #inu# %&n&s/ #enunu''&n +inin/ &s &n s&'i T& sin'&-/ T& s%on-&n/ (>) s%on-&n/ (>) -e$us #ene$us -e$us #ene$us
&u #ulu-/ ii ,e$u,&h ;&$n&
S%on-&n &-&u Hil&n -i#,ul -i+&' ne$i -&%i s%on-&n/ -& %e$n&h #enen&s%on-&n (>) ,en'&'
(>) ,en'&'
no$#&l
K&$ies +en-in3%$o.un+ &
P$o.un+&/ -e$-u-u% sis& #&'&n&n () () () (>)
K&$ies %$o.un+&
() () (>) (>)
(>) (>)
PSA
PSA/ -u#%&-&n -e-&%
PSA +&n $es-o$&si
() () (>)
Terapi
is& #enunu''&n &n s&'i-
Ne/rsis P0lpa
-u#%&-&n -e-&%! il& *&
D&l
(>)
9! PERIDNTITIS
DE"INISI
ETILGI
PATGENE SIS
Diagnsis Gusi ,e$+&$&h s&&- #enoso' ii/ Gusi ,e$;&$n& #e$&h/ ,en'&' +&n lun&'/'en&l Te$lih&- &+&n& ,&i&n usi &n -u$un +&n #en&uhi ii Te$+&%&- n&n&h +i&n-&$& ii +&n usi/ Gii o&n!
Terapi "&se
I: inisi&l "&se : 'o$e'-i. "&se : %e#elih&$&&n
1=! GINGIITIS
DE"INISI
ETILGI
Diagnsis Gusi -%&' #e$&h/ #e#,en'&' 'onsis-ensi 'en&l lun&' +&n #u+&h ,e$+&$&h/ h&li-osis
Terapi Men&& 'e,e$sih&n ii +&n #uluSi'&- ii "lossin S*&lin *&l*ulus An-i,io-i' in+i'&si
1! NON CANCEROUS GRO!"
DE"INISI
14! ORA# S$UA%OUS CE## CARC&NO%A
DE"INISI
ETILGI
1C! JERSTMIA
KMPETENSI
1! MI2RGNANTIA MA2RGNANTIA
Mi2rgnati a: R&h&n &n le,ih 'e*il +&$i u'u$&n no$#&l Ma2rgnati a: R&h&n &n le,ih ,es&$ +&$i u'u$&n no$#&l
Etilgi Koneni-&l Mi: Kel&in&n '$o#oso#/ ,&-e$&-oeni'/ Gene-i* sn+$o#e M&: -$iso#i 1/ -$iso#i 1B! A*ui$e+ Mi: -$&u#&/ in.e'si M&: %en&'iho$#on&l!
Diagnsis: i&s&n& #en&li #&s&l&h es-e-i'&/ o'lusi/ %e$n&%&s&n/ +&n %e#,e$i&n #&'&n %&+& ,&i
Terapi: %e$&si o$-hon&-hi* un-u' #e#%e$lu&s &-&u #ene*il'&n #&'sil& +&n #&n+i,ul&
! LAIAL PALATE 2LE"T
abial 2le5t: 2el&h %&+& ,i,i$ &-&s! Palate 2le5t: 2el&h %&+& l&ni->l&ni$on& #ulu-!
Etilgi He$e+i-e$ #u-&si en/ 'el&in&n '$o#oso# "&'-o$ lin'un&n usi& i,u le,ih +&$i = -&hun/ &en -e$&-oeni'/ nu-$isi/ in.e'si
Diagnsis Te$+&%&- *el&h %&+& ,i,i$ &-&s3l&ni->l&ni- $on& #uluGe&l&: suli- #enhis&% ASI/ 'esuli-&n ,e$,i*&$&/ &nu&n %en+en&$&n/ &nu&n -u#,uh 'e#,&n Terapi e+&h %l&s-i' usi& ,ul&n Me#ulih'&n s-$u'-u$ &n&-o#i/ Meno$e'si *&*&-/ Meno$#&l'&n .unsi #enel&n/ n&%&s/ ,i*&$&!
! LEUKPLAKIA
KLASI"IKASI
TERAPI
KMPETENSI
1! GLSSITIS
KMPETENSI
*. ANGINA !D%IG
Anin& Lu+;i •
su&-u %en&'i'e&;&-+&$u$&-&n/ &i-u -e$&+in& %ene,&$&n in.e'si se*&$& +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,linu&l)
•
Anin& Lu+;i ,e$&;&l +&$i
KMPETENSI 4
1! 2ANDIDIASIS
s n a ( i ' l a a d d i n a C & # & - u $ e -
I S I N I " E D
& + i + n & 2 $ u # & 4 i $ & + n & h i , e l $ e , n & h u , # u $ e % h e l o n & ' , & , e s i + ) n & ( - u l u # & ) ) n o $ & + & % i s ' e . n i • s n a ( i ' l a a d d i n a ( n i & $ - S •
I G L T E
l & $ o & s o ' u # n & ) n u ' ) n i L • n e i s & % n u # i s u - & - S •
KLASI"IKASI
PENEGAK AN DIAGNSI S
•
Pe#e$i's&&n #i'$os'o%is
•
io%si
•
TERAPI
• •
Men&& 'e,e$sih&n $on& #uluMe+i'&si +en&n o,&- &n-i .un&l 3 o,&- sis-e#i' Men&nul&ni .&'-o$ %$e+is%osisi
! %OU!" U#CER
TERAPI : TERGANTUNG PENYEANYA
! )ARO!&!&S
Partitis •
•
Pen&'i- on+on&n (%&$o-i-is &-&u #u#%s) &+&l&h %en&'i- #enul&$ &n +ise,&,'&n oleh in.e'si