Lapsus drg.umi.doc

8/16/2019 Lapsus drg.umi.doc

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LAPORAN KASUSPERIODONTITIS KRONIS

Disusun Oleh :

Nama : Arra Maulana

NIRM : 2014-1 -1!2

PEMBIMBING : drg. Umi Ghoni Tjiptoningsih, Sp. Perio

"AKULTAS KEDOKTERAN #I#I

UNI$ERSITAS PRO"% DR% MOESTOPO &'ERA#AMA(

)AKARTA

201!


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PERIODONSIA

I. An mnes : Pasien *ani+a ,erusia 41 +ahun a+an. en.an /eluhan .usi e an

a+as serin. ,er arah saa+ si/a+ .i.i se/i+ar 2 +ahun +erasa n.ilu saa+ minum in.in n.iluhan a saa+ minum an lan.sun. hilan. su ah mun3ul se/i+ar 1 ! +ahun% Serin. +ersan./u+

ma/anan a a 3elah .i.i an ,iasa asien men.eluar/an ma/anan en.an +usu/ .i.i

su ah +er a i se/i+ar 1 ! +ahun% Pasien men i/a+ .i.i sehari 56 /arena merasa serin. a a

ma/anan an. +ersan./u+% Pasien ma/an men..una/an 2 sisi% Pasien +i a/ memili/i

en a/i+ sis+emi/% Pasien ernah i3a,u+ .i.i .eraham ,ela/an. /anan an /iri se/i+ar 5

,ulan an. lalu /arena .i.i .7 an. +i a/ ena/ un+u/ i.una/an ma/an% 'iasan a asien

men..una/an 7,a+ /umur un+u/ men.uran.i .e ala an. ialamin a% Pasien a+an.

alam /ea aan +i a/ sa/i+ in.in ira*a+%

II. St t!s Um!m : 'ai/ 7leh /arena +i a/ memili/i ri*a a+ en a/i+ sis+emi/

III.St t!s "o# $ :1% Pemeri#s n E.O : a% 8a ah : Sime+ris &TAK(

,% 'i,ir : K7m e+en &TAK( 3% Pi i : TAK % Lim97n7 i : Ti a/ +era,a &TAK( e% Ma+a : - Pu il 'en+u/ an u/uran n7rmal

- /7n un.+i;a 'er*arna n7rmal - S3lera n7rmal

%. Pemeri#s n I.O :

1% - Pemeri/saan E/s+ra Oral :

- *a ah : sime+ris - Lim9an7 i : +i a/ +era,a- ,i,ir : /7m e+en - Pi i : Sime+ris- ma+a : u il ,en+u/ an u/uran n7rmal

S3lera ,er*arna u+ih n7rmal K7n un.+i;a ,er*arna n7rmal & +i a/ u3a+ (

2% Pemeri/saan In+ra Oral

Nama O%S : N77r3e Turan.anT.l Lahir : 14 N7;em,er 1NIM : 2014-1 -1!2Pem,im,in. : drg. Umi ghoni tjiptoningsih, Sp. perio


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- Missin. .i.i 1 1= 5

- E/s+rusi .i.i 2

- Karies .i.i 4? an 5=

- Mal 7sisi : 14 1! Pala+7 ;ersi

4? 5? lin.u7 ;ersi

41 51 is+7 la,i7 ;ersi

- Resesi /elas 4

- #in.i;a : RA%KA% : 8arna /emerahan

K7n+ur in+er en+al a il +um ul

K7nsis+ensi luna/

Te/s+ur ermu/aan s+i lin. hilan.

'OP @

Resesi @

RA M : 8arna /emerahan


K7nsis+ensi luna/


'OP @

Resesi @

RA KR : 8arna /emerahan


K7nsis+ensi luna/


'OP @

Resesi @


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R'%KA% : 8arna /emerahan


K7nsis+ensi luna/


'OP @

Resesi -

R'% M% : 8arna /emerahan


K7nsis+ensi luna/

Te/s+ur ermu/aan s+i lin. hilan. 'OP @

Resesi -

R'%KR : 8arna /emerahan


K7nsis+ensi luna/


'OP @

Resesi @

- &e d n gigi ge$igi


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' GP(

PmPp

Pd O R M

pM T# & &r T

m med d m med d

)) @ - 2mm 2mm 2mm 2mm 2mm 2mm 2mm 2mm @ - - @ - - -

)% @ - 2mm 2mm 2mm 5mm 5mm 2mm 5mm 2mm @ - - @ - - -

)* @ - 5mm 4mm 2mm 5mm 5mm 2mm 5mm 2mm @ - - @ - - -

+* @ - 2mm 2mm 5mm 5mm 5mm 5mm 5mm 2mm @ - - @ - - -

+% @ - 1mm 1mm 1mm 2mm 2mm 2mm 2mm 2mm @ - - @ - - -

+) @ - 2mm 2mm 2mm 1mm 2mm 2mm 2mm 5mm @ - - @ - - -

I'. Di gnos : Peri7 7n+i+is /r7nis .eneralis 7leh /arena ,a/+eri la/ an /al/ulus%

- "a/+7r E+i7l7.i : 'a/+eri la/ - "a/+7r Pre is 7sisi : - Missin. .i.i 1 1= 5

- E/s+rusi .i.i 2

- /aries .i.i 4? an 5=

- Mal 7sisi : 14 1! Pala+7 ;ersi

4? 5? lin.u7 ;ersi

41 51 is+7 la,i7 ;ersi

- #7 an. 72 : .i.i 55 52 51 41 42 45

- "a/+7r A.re9a+in. : - Minum K7 i

- "a/7r M7 i9 in. : -- "a/+7r Per e+ua+in. : -

'. Prognos : Se an. /arena u/un.an +ulan. al;e7lar /uran. ,e,era a .i.i

.7 an. asien /77 era+i9 an memun./in/an ila/u/an era*a+an

+i a/ memili/i en a/i+ sis+emi/

'I. Ren n Per - t n :

*. Preliminar >emer.en3 Phase : -%. N7n-sur.i3al Phase &"ase I( :


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• K7n+r7l ie+• Re-S3alin. @ O I• R77+ Plannin. :&Re.i7 55 52 51 41 42 45(• Pr7 s lin+in. 54 55 52 51 41 42 45 44•

Tum a+an +e+a .i.i 4? an 5=

). Sur.i3al Phase &"ase II( : 9la a a .i.i 5= 4= an 4?+. Res+7ra+i;e Phase &"ase III( : r7 #TSL .i.i : 1? 1= 1 2? 5 4

. Main+enan3e Phase &"ase I$( :Peri7 i3 Re-3he3/in. &K7n+r7l la/ /al/ulus

an /ea aan .in.i;a(

I'. Ren n ter pi :

1% Preliminar Phase : -

2% N7n Sur.i3al Phase &I( :

• K7n+r7l ie+• Re-S3allin. @ O I• R77+ lannin. &Re.i7 54 55 52 51 41 42 45 44(• s lin+in.• Pera*a+an 7r+h7 7n+i• Tum a+an .i.i 4? an 5=

5% Sur.i3al Phase &II( : -

4% Res+7ra+i;e Phase &III( : Pr7 #TSL .i.i:

!% Main+enan3e Phase &I$( : K7n+r7l la/ an /al/ulus /7n+r7l /7n isi .in.i;a

Oral .iene Ins+ru3+i7n%

'. R!j!# n : - 'a.ian Ra i7l7.i

- 'a.ian Pr7s+h7 7nsia

- 'a.ian Or+h7 7nsia

- K7nser;asi

"ase 1&Ini+ial Thera (


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"ase I$&Main+an3e Thera (

"ase II "ase III

&Sur.i3al Thera ( &Res+ira+i;e Thera (

TIN/AUAN PUSTA&A

Root P$ ningPr7se ur men.hilan./an /al/ulus su,.in.i;a an ne/r7+i semen a a ermu/aan a/ar

.i.i un+u/ a a+ men.hasil/an ermu/aan a/ar .i.i an. halus /eras an ,ersih>li3in%

Ma3am-ma3am R77+ lanin.:

- R77+ lanin. a a .in.i;i+is B su ra.in.i;a- R77+ lanin. a a eri7 7n+i+is B ise/i+ar su, .in.i;a

In i/asi :

1% Ke,ersihan mulu+ ,uru/%2% #in.i;a an. men.alami hi er las+i/ 5% #in.i;a an. men.alami iri+asi an in9lamasi4% #in.i;a an. men.alami e ema!% P7/e+ an. an./al

% P7/e+ su ra,7ni

K7n+ra in i/asi:

1% )arin.an 9i,r7+i/ 2% P7/e+ an. alam

5% Ke+erli,a+an a+au en.aruh 9ur/asi


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Tu uan:1% Un+u/ memulih/an /eseha+an .in.i;a en.an men.an./a+ se3ara /7m li+ elemen

in9lamasi .in.i;a & la/ /al/ulus(2% Un+u/ men a a+/an ermu/aan a/ar an. halus ,e,as e 7si+ en.an se i/i+

semen+um%5% Un+u/ men em,uh/an r7.resi9i+as en a/i+4% Menin./a+/an /7m a,ili+as ermu/aan a/ar en.an mem,ua+ arin.an i/a+ seha+%!% Da a+ memuas/an asien +erha a er,ai/an 9un.si an. n aman an es+e+i/ an.

7 +imal ser+a men.em,ali/an ,en+u/ an 9un.si arin.an n7rmal%

Ala+ an ,ahan:

1% Ka3a mulu+2% Pinse+5% S7n e4% Kure+ .ra3e 1-4!% 2O2

% ACua es+=% 'e+a ine?% 7++7n r7ll>37++7n elle+%

Te/ni/:

- Den.an /ure+ .ra3e n7 1-4 en.an en .ras mem,en+u/ su u+ 4! an +an.an

,er+um u a a .i.i se,elahn a +e i ala+ an. +a am ile+a//an i a i/al /al/ulus%

- #era/an ila/u/an en.an en e/ an /ua+ /e arah ;er+i/al%- #era/an en.halusan en.an an an. an halus /e arah 7,liCue%- S3allin. a r7/simal ser;i/al a.ar se a ar an an. .i.i%- e/ en.an s7n e hin..a ermu/aan a/ar halus- Iri.asi 2O2 5F

Ala+ r77+ lanin. an /ure+ase:

Kure+ i,e a/an a+as ua +i e: /ure+ uni;ersal an /ure+ /husus & area-specific >Gracey curette).

Per,e aan an+ara /ure+ uni;ersal en.an /ure+ /husus>#ra3e a alah

1% Kure+ uni;ersal a a+ i.una/an a a semua aerah an sisi> ermu/aan sisi em7+7n. a a

/ure+ uni;ersal .an a% Kure+ melen./un. /e arah a+as% Permu/aan ma+a isau /ure+

uni;ersal +e.a/ lurus +erha a leher ala+%2% Kure+ .ra3e han a a a aerah an sisi +er+en+u se an./an a a /ure+ /husus +un..al% Kure+

melen./un. /earah a+as an sam in.% Ma+a isau /ure+ mem,en+u/ su u+ 0G +erha a leher ala+%

urre+ #ra3e :

1% urre+ .ra3e n7 1-2 : un+u/ .i.i an+eri7r%2% urre+ .ra3e n7 5-4 : un+u/ .i.i an+eri7r%5% urre+ .ra3e n7 !- : un+u/ .i.i an+eri7r an rem7lar%


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4% urre+ .ra3e n7 =-?


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PAS A PERA8ATAN

1% asien +i a/ ian ur/an meminum a+au ma/anan an. anas%

2% asien ian ur/an mela/u/an /umur en.an air .aram%

5% ma/an an minum ian ur/an sa+u am se+elah era*a+an%

4% a a,ila merasa/an sa/i+ asien ian ur/an meminum anal.esi/ +e+a i +i a/

i er,7leh/an meminum as irin%

!% i/a 2-5 hari masih merasa/an sa/i+ asien ian ur/an /em,ali /e 7/+er%

Documents

Lapsus drg.umi.doc