DENTAL CARIES

DENTAL CARIES
(KARIES GIGI
(KARIES GIGI
)
)
Drg. Amilia Jeni Susanto, Sp. Ort.
Drg. Amilia Jeni Susanto, Sp. Ort.
tanggal upload : 27 April 2009
DENTAL CARIES
DENTAL CARIES
(KARIES GIGI)
(KARIES GIGI)
DEINISI:
DEINISI:
! adala" p#n$a%it &aringan gigi $ang '#ngala'i
! adala" p#n$a%it &aringan gigi $ang '#ngala'i
%al(i)i%a(i $ang ditandai ol#" d#'in#rali(a(i dari
%al(i)i%a(i $ang ditandai ol#" d#'in#rali(a(i dari
*agian inorgani% dan d#(tru%(i dari (u*(tan(i
*agian inorgani% dan d#(tru%(i dari (u*(tan(i
organi% dari gigi+
organi% dari gigi+
! adala" p#n$a%it &aringan gigi $ang ditandai
! adala" p#n$a%it &aringan gigi $ang ditandai
d#ngan %#ru(a%an &aringan, di'ulai dari
d#ngan %#ru(a%an &aringan, di'ulai dari
p#r'u%aan gigi ( pit, )i((ur#, da#ra"
p#r'u%aan gigi ( pit, )i((ur#, da#ra"
int#rpro%(i'al ) '#lua( %#ara" pulpa+
int#rpro%(i'al ) '#lua( %#ara" pulpa+
Etiologi:
Etiologi:
Ada - )a%tor p#nting $ang dapat
Ada - )a%tor p#nting $ang dapat
'#ni'*ul%an %ari#(, $aitu:
'#ni'*ul%an %ari#(, $aitu:

.la% gigi
.la% gigi

Kar*o"idrat
Kar*o"idrat

.#r'u%aan gigi $ang r#ntan

.#r'u%aan gigi $ang r#ntan

/a%tu
/a%tu
4 lingkaran yg menggambarkan saling keterkaitan faktor-faktor oetilogi karies.
Mikroorganisme
Pejamu
dan Gigi
Substrat
Waktu
Karies
Tdk Karies
Tdk Karies Tdk Karies
Tdk Karies
.#n#ga%an Diagno(i( %ari#(:
.#n#ga%an Diagno(i( %ari#(:
.#n#ga%an diagno(i( %ari#( (0r dini (gt ptg,
.#n#ga%an diagno(i( %ari#( (0r dini (gt ptg,
%rn %ari#( *%n "an$a (uatu pro(#(
%rn %ari#( *%n "an$a (uatu pro(#(
d#'in#rali(a(i (&, tp pro(#( d#(tur%(i 1
d#'in#rali(a(i (&, tp pro(#( d#(tur%(i 1
r#para(i $g (ili" *#rganti+
r#para(i $g (ili" *#rganti+
2%n a/al %ari#( dpt didiagno(i(, '%n *ai%
2%n a/al %ari#( dpt didiagno(i(, '%n *ai%
"(ln$a %rn l#(i $g '(" %0l a%an 'gl'i
"(ln$a %rn l#(i $g '(" %0l a%an 'gl'i
r#'in#rali(a(i dgn l*" 'uda" di*and dgn l#(i l*"
r#'in#rali(a(i dgn l*" 'uda" di*and dgn l#(i l*"
*(r
*(r
.#n#ga%an Diagno(i( %ari#(
.#n#ga%an Diagno(i( %ari#(
(Lan&utan):
(Lan&utan):

.#rlu p#n0a"a$aan $g *ai% 1 gigi "r( %#ring 1

.#rlu p#n0a"a$aan $g *ai% 1 gigi "r( %#ring 1
*#r(i"
*#r(i"

Guna%an %#ta&a'an 'ata ut% '#n0ari tanda

Guna%an %#ta&a'an 'ata ut% '#n0ari tanda
a/al %ari#(, *ila p#rlu di*antu dgn alat
a/al %ari#(, *ila p#rlu di*antu dgn alat
p#'*#(ar, 'i(: lup
p#'*#(ar, 'i(: lup

Sond# ta&a', ut% '#nd#t#%(i %ari#( di #'ail,ut%

Sond# ta&a', ut% '#nd#t#%(i %ari#( di #'ail,ut%
'#ra(a%an %#%a(aran %rn adan$a %a3ita( dini pd
'#ra(a%an %#%a(aran %rn adan$a %a3ita( dini pd
p#r'u%+ "alu( at dgn adan$a (ang%utan u&g
p#r'u%+ "alu( at dgn adan$a (ang%utan u&g
(ond# pd )i(ur $g '#luna%+
(ond# pd )i(ur $g '#luna%+

.d **rp lo%a(i, p#rlu d#ntal 4!ra$+

.d **rp lo%a(i, p#rlu d#ntal 4!ra$+
G#&ala %ari#(:
G#&ala %ari#(:

Tanda!tanda %ari#( $g dpt did#t#%(i para %lini(i tl"

Tanda!tanda %ari#( $g dpt did#t#%(i para %lini(i tl"
di%#ta"ui+
di%#ta"ui+

G#&ala!g#&ala $g dira(a%an pa(i#n:

G#&ala!g#&ala $g dira(a%an pa(i#n:


T#rl"t di(%olora(i 0o%lat atau "ita', t#rdptn$a %a3ita(,
T#rl"t di(%olora(i 0o%lat atau "ita', t#rdptn$a %a3ita(,
t#ra(a adan$a lu*ang dl' gigi dgn (#ntu"an lida"n$a,
t#ra(a adan$a lu*ang dl' gigi dgn (#ntu"an lida"n$a,
atau (d" t#ra(a n$#ri+
atau (d" t#ra(a n$#ri+

Kari#( (#%alipun (d" (p d#ntin, %dg2 td% '#ni'*ul%an

Kari#( (#%alipun (d" (p d#ntin, %dg2 td% '#ni'*ul%an
ra(a n$#ri, tp '#ni'*ul%an ra(a n$#ri $g lu'a$an
ra(a n$#ri, tp '#ni'*ul%an ra(a n$#ri $g lu'a$an
d#ra&atn$a &i%a %#'a(u%%an 'a%anan $g 'ani( atau
d#ra&atn$a &i%a %#'a(u%%an 'a%anan $g 'ani( atau
t#rang(ang ol#" pana( atau dingin
t#rang(ang ol#" pana( atau dingin

G#&ala Kari#(:
G#&ala Kari#(:
(Lan&utan)
(Lan&utan)

5l %ari#( (d" (gt d%t dgn pulpa atau (d"

5l %ari#( (d" (gt d%t dgn pulpa atau (d"
'#n#'*u(n$a, ti'*ul ra(a n$#ri $g (gt para"
'#n#'*u(n$a, ti'*ul ra(a n$#ri $g (gt para"


!!!
!!!
6 pulpiti( ((a%it gigi $g plg (#ring)+
6 pulpiti( ((a%it gigi $g plg (#ring)+

.ulpa $g t#rin)la'a(i (0r %roni% *( td%

.ulpa $g t#rin)la'a(i (0r %roni% *( td%
'#ni'*ul%an g#&ala atau g#&ala "an$a rgn (a&a+
'#ni'*ul%an g#&ala atau g#&ala "an$a rgn (a&a+
.d pulpiti( a%ut t#ra(a (gt n$#ri, (rg dipi0u ol#"
.d pulpiti( a%ut t#ra(a (gt n$#ri, (rg dipi0u ol#"
(ti'ulu( pana( at dingin 1 n$#ri td% dpt
(ti'ulu( pana( at dingin 1 n$#ri td% dpt
dira(a%an dgn t#pat pd gigi $g 'ana+
dira(a%an dgn t#pat pd gigi $g 'ana+
Kla(i)i%a(i D#ntal Kari#(:
Kla(i)i%a(i D#ntal Kari#(:
D#ntal %ari#( di%la(i)i%a(i%an dl' **rp 0ara:
D#ntal %ari#( di%la(i)i%a(i%an dl' **rp 0ara:
7+ 2#nurut lo%a(i %ari#( pd gigi:
7+ 2#nurut lo%a(i %ari#( pd gigi:


! Kari#( pit and )i((ur#
! Kari#( pit and )i((ur#




! Kari#( pd p#r'u%aan $g "alu(
! Kari#( pd p#r'u%aan $g "alu(
Kla(i)i%a(i D#ntal Kari#(:
Kla(i)i%a(i D#ntal Kari#(:
(lan&utan)
(lan&utan)
2+ 5#rda(ar%an dala'n$a at (tru%tur &aringan $g t#r%#na: 2+ 5#rda(ar%an dala'n$a at (tru%tur &aringan $g t#r%#na:
! Kari#( (up#r)i(iali( atau #'ail: ! Kari#( (up#r)i(iali( atau #'ail:
.d ta"ap ini, %ari#( 'gni lap+ #'ail, .d ta"ap ini, %ari#( 'gni lap+ #'ail,
'#n$#*a*+ irita(i pulpa+ 5ia(an$a pa(i#n '#n$#*a*+ irita(i pulpa+ 5ia(an$a pa(i#n
*l' '#ng#lu" ra(a (%t+ *l' '#ng#lu" ra(a (%t+
! Kari#( 2#dia atau d#ntin: ! Kari#( 2#dia atau d#ntin:
Kari#( (d" 'gni lap+ d#ntin, '#n$#*a*+ r#a%(i Kari#( (d" 'gni lap+ d#ntin, '#n$#*a*+ r#a%(i
"ip#r#'i pd pulpa+ N$#ri *l t#r%#na rang(angan pana( "ip#r#'i pd pulpa+ N$#ri *l t#r%#na rang(angan pana(
at dingin, 'a%anan pana( at dingin, 1 a%an *#r%urang at dingin, 'a%anan pana( at dingin, 1 a%an *#r%urang
*l rang(angan di"ilang%an+ *l rang(angan di"ilang%an+
! Kari#( pro)unda atau pulpa: ! Kari#( pro)unda atau pulpa:
Ra(a (a%it (pontan+ Ra(a (a%it (pontan+

Kla(i)i%a(i D#ntal Kari#(:
Kla(i)i%a(i D#ntal Kari#(:
(lan&utan)
(lan&utan)
8+ 5#rda(ar%an /a%tu t#r&adin$a:
8+ 5#rda(ar%an /a%tu t#r&adin$a:
! Kari#( pri'#r !!!
! Kari#( pri'#r !!!
6 %ari#( $g t#r&d+ pd
6 %ari#( $g t#r&d+ pd


lo%a(i $g *l' p#rna" '#'ili%i ri/a$at
lo%a(i $g *l' p#rna" '#'ili%i ri/a$at


%ari#( (*l'n$a
%ari#( (*l'n$a
! Kari#( (#%und#r !!!6 %ari#( $g r#%ur#n,
! Kari#( (#%und#r !!!6 %ari#( $g r#%ur#n,


%ari#( ti'*ul pd lo%a(i $g tl" '#'ili%i
%ari#( ti'*ul pd lo%a(i $g tl" '#'ili%i


ri/a$at %ari#( (#*l'n$a+ Kari#( dit#'u%an pd
ri/a$at %ari#( (#*l'n$a+ Kari#( dit#'u%an pd


t#pi ta'*alan+
t#pi ta'*alan+
Kla(i)i%a(i D#ntal Kari#(:
Kla(i)i%a(i D#ntal Kari#(:
(lan&utan)
(lan&utan)
-+ 5#rda(ar%an ting%at progr#(i)ita(:
-+ 5#rda(ar%an ting%at progr#(i)ita(:
! Kari#( a%ut !!!
! Kari#( a%ut !!!
6 *#r%#'*ang dan
6 *#r%#'*ang dan


'#'*uru% dgn 0#pat+ 'i(: Ra'pant
'#'*uru% dgn 0#pat+ 'i(: Ra'pant


%ari#(, pa(i#n 9#ro(to'ia
%ari#(, pa(i#n 9#ro(to'ia
! Kari#( %roni( !!!6 pro(#( %ari#( *#r&alan
! Kari#( %roni( !!!6 pro(#( %ari#( *#r&alan


la'*at dgn p#na'pa%an /arna
la'*at dgn p#na'pa%an /arna


%#0o%latan (a'pai "ita'
%#0o%latan (a'pai "ita'
! Kari#( t#r"#nti (Arr#(t#d Cari#() !!!6 l#(i
! Kari#( t#r"#nti (Arr#(t#d Cari#() !!!6 l#(i


%ari#( td% *#r%#'*ang, *( di(#*a*%an ol#"
%ari#( td% *#r%#'*ang, *( di(#*a*%an ol#"
p#ru*a"an
p#ru*a"an


dr ling%ungan+
dr ling%ungan+

.#n#ga%an Diagno(i( Sa%it Gigi:
.#n#ga%an Diagno(i( Sa%it Gigi:
Sa%it gigi $g di%#lu"%an pa(i#n (#*gn *(r
Sa%it gigi $g di%#lu"%an pa(i#n (#*gn *(r
diti'*ul%an ol#" %#adaan (#p#rti *#ri%ut ini:
diti'*ul%an ol#" %#adaan (#p#rti *#ri%ut ini:
7+ .ulpiti( A%ut
7+ .ulpiti( A%ut
2+ .#riodotiti( Api%ali( A%uta
2+ .#riodotiti( Api%ali( A%uta
8+ A*(#( Api%ali( A%ut
8+ A*(#( Api%ali( A%ut
-+ A*(#( .#riodontiu' A%ut
-+ A*(#( .#riodontiu' A%ut
:+ D#ntin T#r*u%a $g S#n(iti)
:+ D#ntin T#r*u%a $g S#n(iti)
;+ T#r(#lipn$a 2a%anan
;+ T#r(#lipn$a 2a%anan
7+ 2a"%ota R#ta%
7+ 2a"%ota R#ta%
<+ .ulpiti( Kroni(
<+ .ulpiti( Kroni(
9+ .#rodontiti( Api%ali( Kroni( (Granulo'a Api%ali()
9+ .#rodontiti( Api%ali( Kroni( (Granulo'a Api%ali()
.ulpiti( A%ut:
.ulpiti( A%ut:
! T#rdapat n$#ri $g para" 1 (u%ar dit#ntu%an l#ta% ! T#rdapat n$#ri $g para" 1 (u%ar dit#ntu%an l#ta%
gigin$a, pa(i#n td% ta"u (u'*#r (a%it di gigin$a, pa(i#n td% ta"u (u'*#r (a%it di
ata(=*a/a"+ ata(=*a/a"+
! .ulpiti( di*#da%an '#n&adi 2, $i pulpiti( ! .ulpiti( di*#da%an '#n&adi 2, $i pulpiti(
r#3#r(i*#l (%#3italan pulpa (l' p#ra/atan r#3#r(i*#l (%#3italan pulpa (l' p#ra/atan
dpt dip#rta"an%an) dan pulpiti( ir#3#r(i*#l dpt dip#rta"an%an) dan pulpiti( ir#3#r(i*#l
(%#ru(a%an pulpa td% 'g%n di(#'*u"%an (%#ru(a%an pulpa td% 'g%n di(#'*u"%an
lg)!!! lg)!!!6p#ra/atan *( .SA atau p#n0a*utan 6p#ra/atan *( .SA atau p#n0a*utan
! .ulpiti( R#3#r(i*#l!!! ! .ulpiti( R#3#r(i*#l!!!6n$#ri ti'*ul %rn (ti'ulu( pana( 6n$#ri ti'*ul %rn (ti'ulu( pana(
atau dingin, *#rlang(ung (l' **rp dt% 1 '#ng"lg *l (ti'ulu( l#n$ap+ atau dingin, *#rlang(ung (l' **rp dt% 1 '#ng"lg *l (ti'ulu( l#n$ap+
.ulpiti( ir#3#r(i*#l!!! .ulpiti( ir#3#r(i*#l!!!6n$#ri (l' **rp 'nt (a'pai **rp &a' 1 n$#ri 6n$#ri (l' **rp 'nt (a'pai **rp &a' 1 n$#ri
ti'*ul &g ol#" (ti'ulu( pana( 1 dingin, tp n$#ri t#tap *#rta"an la'a ti'*ul &g ol#" (ti'ulu( pana( 1 dingin, tp n$#ri t#tap *#rta"an la'a
/alaupun (ti'ulu( "ilang+ /alaupun (ti'ulu( "ilang+
.ulpiti( A%ut:
.ulpiti( A%ut:
(lan&utan)
(lan&utan)


.ulpiti( ir#3#r(i*#l *( &g ti'*ul ti*a!ti*a
.ulpiti( ir#3#r(i*#l *( &g ti'*ul ti*a!ti*a


tanpa ada (ti'ulu( 1 %#%#rapan (#rta
tanpa ada (ti'ulu( 1 %#%#rapan (#rta


%#para"an n$#rin$a *( '#ning%at na'un
%#para"an n$#rin$a *( '#ning%at na'un


(u%ar (#%ali di%#ta"ui l#ta%n$a+
(u%ar (#%ali di%#ta"ui l#ta%n$a+
! .d pulpiti(, t#( 3italita(n$a '#nun&u%%an r#(pon
! .d pulpiti(, t#( 3italita(n$a '#nun&u%%an r#(pon


$g l#*i" p#%a, td% p#%a t"d p#r%u(i+
$g l#*i" p#%a, td% p#%a t"d p#r%u(i+
! Ada **rp p#n$#*a* pulpiti( 'i(: %ari#( atau
! Ada **rp p#n$#*a* pulpiti( 'i(: %ari#( atau


tu'patan $g lua(+
tu'patan $g lua(+
.#riodontiti( Api%ali( A%ut:
.#riodontiti( Api%ali( A%ut:
! Gigi (gt p#%a t"d (#ntu"an, apalagi t"d
! Gigi (gt p#%a t"d (#ntu"an, apalagi t"d


p#r%u(i+
p#r%u(i+
! .ulpan$a *( (& '(" 3ital %rn in)la'a(i pd
! .ulpan$a *( (& '(" 3ital %rn in)la'a(i pd


&ar p#riapi%al t#r&adi (*l' pulpa '#n&d
&ar p#riapi%al t#r&adi (*l' pulpa '#n&d


n#%ro(i(+
n#%ro(i(+
! .a(i#n dpt dgn t#pat '#n#ntu%an t#'pat
! .a(i#n dpt dgn t#pat '#n#ntu%an t#'pat
$g n$#ri+
$g n$#ri+
A*(#( Api%ali( A%ut:
A*(#( Api%ali( A%ut:
! .a(i#n dtg dgn p#'*#ng%a%an *(r $g p#%a, *ai% I+>
! .a(i#n dtg dgn p#'*#ng%a%an *(r $g p#%a, *ai% I+>


'aupun pd /a&a", /lpun pa(i#n %dg2 dtg (*l'
'aupun pd /a&a", /lpun pa(i#n %dg2 dtg (*l'


p#'*#ng%a%an ta'pa% atau tl" p0" atau '#r#da"+
p#'*#ng%a%an ta'pa% atau tl" p0" atau '#r#da"+
! .#n$#*aran in)#%(i dari ap#%( '#ngi%uti pola $g *#r*ata(
! .#n$#*aran in)#%(i dari ap#%( '#ngi%uti pola $g *#r*ata(


t#ga(, 'i(: A*(#( api%ali( a%ut pd I
t#ga(, 'i(: A*(#( api%ali( a%ut pd I2 2
ata( *ia(an$a
ata( *ia(an$a


'#ngara" %# palatu' (#'#ntara pd %aninu( ata(
'#ngara" %# palatu' (#'#ntara pd %aninu( ata(


'#ngara" %# /a&a" 1 '#n$#*a*%an p#'*#ng%a%an di
'#ngara" %# /a&a" 1 '#n$#*a*%an p#'*#ng%a%an di


pipi 1 %dg2 (p '#nutupi 'ata+
pipi 1 %dg2 (p '#nutupi 'ata+
! Gigi (gt p#%a t"d (#ntu"an ("g pa(i#n (rg%ali ragu2 ut%
! Gigi (gt p#%a t"d (#ntu"an ("g pa(i#n (rg%ali ragu2 ut%


'#ngatup%an gigin$a+
'#ngatup%an gigin$a+
! 5dn t#ra(a td% #na% 1 di(#rtai d#'a'
! 5dn t#ra(a td% #na% 1 di(#rtai d#'a'
! .ulpa '#'*#ri%an r#npon( non3ital 1 pd p#ngt#(an
! .ulpa '#'*#ri%an r#npon( non3ital 1 pd p#ngt#(an


pulpa a%an dira(a%an td% #na% ol#" pa(i#n+
pulpa a%an dira(a%an td% #na% ol#" pa(i#n+
A*(#( .#riodontiu' A%ut:
A*(#( .#riodontiu' A%ut:
A*(#( p#riodontiu' (lat#ral) t#r*#ntu%
A*(#( p#riodontiu' (lat#ral) t#r*#ntu%
dida(ar po%#t p#riodontiu' $g dala'+
dida(ar po%#t p#riodontiu' $g dala'+
.a(i#n dtg dgn tanda 1 g#&ala $g (a'a dgn
.a(i#n dtg dgn tanda 1 g#&ala $g (a'a dgn
p#riodontiti( api%ali( a%ut atau a*(#(
p#riodontiti( api%ali( a%ut atau a*(#(
api%ali( a%ut+ Tp gigin$a '(" 'g%n 3ital+
api%ali( a%ut+ Tp gigin$a '(" 'g%n 3ital+
?al ini di(#*a*%an %rn in)#%(i *%n
?al ini di(#*a*%an %rn in)#%(i *%n
*#r(u'*#r dr pulpa $g n#%roti%+
*#r(u'*#r dr pulpa $g n#%roti%+
D#ntin t#r*u%a $g (#n(iti):
D#ntin t#r*u%a $g (#n(iti):
! K#adaan ini ti'*ul %rn r#(#(i gingi3a atau
! K#adaan ini ti'*ul %rn r#(#(i gingi3a atau


%rn (uatu tinda%an ("g p#r'u%aan a%ar
%rn (uatu tinda%an ("g p#r'u%aan a%ar


'#n&adi t#r*u%a+ 5( &g %rn r#(tora(i $g td% *ai% lg
'#n&adi t#r*u%a+ 5( &g %rn r#(tora(i $g td% *ai% lg


atau d#ntin $g t#r*u%a %rn %ari#( 1 t#rpa&an air
atau d#ntin $g t#r*u%a %rn %ari#( 1 t#rpa&an air


'ulut+
'ulut+
! S#n(iti) t"d pana(, dingin dan 'a%anan 1 'inu'an
! S#n(iti) t"d pana(, dingin dan 'a%anan 1 'inu'an


'ani(
'ani(
! T#( pulpa pd p#r'u%aan #'ail, '#ng"a(il%an r#(pon(
! T#( pulpa pd p#r'u%aan #'ail, '#ng"a(il%an r#(pon(


nor'al, dira*a dgn (ond# r#(pon(n$a 'g%n l*" p#%a
nor'al, dira*a dgn (ond# r#(pon(n$a 'g%n l*" p#%a
! .d p#r%u(i td% '#'*#ri%an r#a%(i
! .d p#r%u(i td% '#'*#ri%an r#a%(i
2a"%ota R#ta%:
2a"%ota R#ta%:
! K#r#ta%an *( (up#r)i(ial 'aupun (p %#dl' gigi,
! K#r#ta%an *( (up#r)i(ial 'aupun (p %#dl' gigi,


*ai% pd gigi $g dir#(tora(i=td%+
*ai% pd gigi $g dir#(tora(i=td%+
! R#ta% *( 'gni pulpa atau "n$ 'gni #'ail 1
! R#ta% *( 'gni pulpa atau "n$ 'gni #'ail 1


d#ntin (a&a
d#ntin (a&a
! g#&ala (rg (u%ar dit#ntu%an lt%n$a 1 *( ti'*ul (0r
! g#&ala (rg (u%ar dit#ntu%an lt%n$a 1 *( ti'*ul (0r


p#riodi%+ Kdg2 t#rdpt n$#ri t&' pd /%t '#nggigit
p#riodi%+ Kdg2 t#rdpt n$#ri t&' pd /%t '#nggigit


'%nan $g %#ra(=liat (#rta t"d (ti'ulu( t#r'al+
'%nan $g %#ra(=liat (#rta t"d (ti'ulu( t#r'al+
! Gigi *( td% p#%a t"d p#r%u(i /lpun t#%anan %# ara"
! Gigi *( td% p#%a t"d p#r%u(i /lpun t#%anan %# ara"


lat#ral &g *( '#ni'*ul%an r( n$#ri+
lat#ral &g *( '#ni'*ul%an r( n$#ri+
! @g dpt '#'*antu '#n#'u%an r#ta%an adl" dgn t#(t
! @g dpt '#'*antu '#n#'u%an r#ta%an adl" dgn t#(t


tran(lu'ina(i, dgn '#ngguna%an di(0lo(ing (olution
tran(lu'ina(i, dgn '#ngguna%an di(0lo(ing (olution


(p#/arna lainn$a)+
(p#/arna lainn$a)+
.ulpiti( Kroni(:
.ulpiti( Kroni(:
! N$#ri ringan, aga% (u%ar dit#ntu%an
! N$#ri ringan, aga% (u%ar dit#ntu%an
l#ta%n$a $g %dg2 "lg!ti'*ul (l' **rp 'g=
l#ta%n$a $g %dg2 "lg!ti'*ul (l' **rp 'g=
*ln+ 5l td% dio*ati, *ia(an$a pulpa 'ati 1
*ln+ 5l td% dio*ati, *ia(an$a pulpa 'ati 1
g&l pulpiti( %roni( "ilang+
g&l pulpiti( %roni( "ilang+
.#natala%(anaan (p#ra/atan)
.#natala%(anaan (p#ra/atan)
Kari#( Gigi:
Kari#( Gigi:
.#ra/atan %ari#( gigi dit#ntu%an ol#" .#ra/atan %ari#( gigi dit#ntu%an ol#"
(tadiu' (aat %ari#( t#rd#t#%(i: (tadiu' (aat %ari#( t#rd#t#%(i:
7+ .#na'*alan ()illing) !!! 7+ .#na'*alan ()illing) !!!6 dila%u%an ut% '#n0#ga" progr#(i %ari#( 6 dila%u%an ut% '#n0#ga" progr#(i %ari#(
l*" lan&ut+ Ini '#rup+ p#na'*alan *ia(a $g dila%u%an pd %ari#( $g l*" lan&ut+ Ini '#rup+ p#na'*alan *ia(a $g dila%u%an pd %ari#( $g
dit#'u%an (aat irita(i atau "ip#r#'ia pulpa+ 5a"an $g diguna%an $i, dit#'u%an (aat irita(i atau "ip#r#'ia pulpa+ 5a"an $g diguna%an $i,
a'alga', Co'po(it# r#(in 1 gla(( iono'#r+ .#na'*alan dgn inla$ a'alga', Co'po(it# r#(in 1 gla(( iono'#r+ .#na'*alan dgn inla$
&g *( dila%u%an+ &g *( dila%u%an+
2+ .#ra/atan Saluran A%ar (.SA)= Root Canal Tr#at'#nt: 2+ .#ra/atan Saluran A%ar (.SA)= Root Canal Tr#at'#nt:
Dila%u%an *ila (d" t#r&d pulpiti( at %ari#( (d" '#n0apai pulpa+ Dila%u%an *ila (d" t#r&d pulpiti( at %ari#( (d" '#n0apai pulpa+
S#t#la" dila%u%an .SA, di*uat r#(tora(i $g dina'a%an >nla$+ S#t#la" dila%u%an .SA, di*uat r#(tora(i $g dina'a%an >nla$+
8+ E%(tra%(i gigi: 8+ E%(tra%(i gigi:
2#rup+ pili"an t#ra%"ir dl' p#natala%(anaan %ari#( gigi+ Dila%u%an 2#rup+ pili"an t#ra%"ir dl' p#natala%(anaan %ari#( gigi+ Dila%u%an
*l &ar+ gigi (d" (gt r(% ("g td% dpt dir#(tora(i+ Gigi $g tl" di#%(tra%(i *l &ar+ gigi (d" (gt r(% ("g td% dpt dir#(tora(i+ Gigi $g tl" di#%(tra%(i
p#rlu diganti dgn p#'a(angan gigi pal(u (d#ntur#), i'plant atau p#rlu diganti dgn p#'a(angan gigi pal(u (d#ntur#), i'plant atau
&#'*atan (*ridg#)+ &#'*atan (*ridg#)+
.#n0#ga"an Kari#( Gigi:
.#n0#ga"an Kari#( Gigi:
7 7
+ 2#n&aga %#*#r(i"an 'ulut (oral "$gi#n#) dgn *ai%:
+ 2#n&aga %#*#r(i"an 'ulut (oral "$gi#n#) dgn *ai%:


! Si%at gigi $g *#nar 1 t#ratur
! Si%at gigi $g *#nar 1 t#ratur


! lo((ing
! lo((ing


! 2out"/a("
! 2out"/a("


! D#ntal 0"#0%#d up (#ta"un 2 4
! D#ntal 0"#0%#d up (#ta"un 2 4
2+ Di#t r#nda" %ar*o"idrat+
2+ Di#t r#nda" %ar*o"idrat+
8+ luorid#
8+ luorid#


2#ll+ pa(ta gigi, 'out"/a(", (uppl#'#nt, air
2#ll+ pa(ta gigi, 'out"/a(", (uppl#'#nt, air


'inu', )luorid# g#l+
'inu', )luorid# g#l+
-+ .#nggunaan pit and )i((ur# (#alant (d#ntal (#alant)
-+ .#nggunaan pit and )i((ur# (#alant (d#ntal (#alant)