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Tugas Kuliah Konservasi Gigi

drg. Billy Sujatmiko, SpKG


Perjalanan Karies Gigi
Gigi sehat Proses demineralisasi white chalky spot karies karies tidak dirawat
mencapai dentin dan pulpa (karies lanjutan) inflamasi pulpa (pulpitis) nekrosis pulpa
lesi radikular, indikasi ekstraksi gigi
Staging Karies berdasar ICDAS

D1
D2
D3
D4

Dalam keadaan gigi kering, terlihat lesi putih pada permukaan gigi
Dalam keadaan gigi basah, terlihat lesi putih pada permukaan gigi
Terdapat lesi minimal pada permukaan gigi
Lesi email lebih dalam, tampak bayangan gelap dentin atau lesi telah

D5
D6

mencapai lapisan dentinoenamel junction


Lesi telah mencapai dentin
Lesi telah mencapai pulpa

Persyarafan Gigi
Diagnosis Penyakit Gigi berdasar ICD 10
Diseases of oral cavity, salivary glands and jaws (K00-K14)
K00 Disorders of tooth development and eruption
Excl.: Embedded and impacted teeth (K01.-)
K00.0 Anodontia
Hypodontia
Oligodontia
K00.1 Supernumerary teeth
Distomolar
Fourth molar
Mesiodens
Paramolar
Supplementary teeth
K00.2 Abnormalities of size and form of teeth
Concrescence
Fusion
Gemination
Dens:
evaginatus
in dente
invaginatus
Enamel pearls
Macrodontia
Microdontia
Peg-shaped [conical] teeth
Taurodontism

of teeth

Tuberculum paramolare
Excl.:
tuberculum Carabelli, which is regarded as a normal variation and should not be
coded
K00.3 Mottled teeth
Dental fluorosis
Mottling of enamel
Nonfluoride enamel opacities
Excl.:
deposits [accretions] on teeth (K03.6)
K00.4 Disturbances in tooth formation
Aplasia and hypoplasia of cementum
Dilaceration of tooth
Enamel hypoplasia (neonatal)(postnatal)(prenatal)
Regional odontodysplasia
Turner tooth
Excl.:
Hutchinson teeth and mulberry molars in congenital syphilis (A50.5)
mottled teeth (K00.3)
K00.5 Hereditary disturbances in tooth structure, not elsewhere classified
Amelogenesis
Dentinogenesis
imperfecta
Odontogenesis
Dentinal dysplasia
Shell teeth
K00.6 Disturbances in tooth eruption
Dentia praecox
Natal
tooth
Neonatal
Premature:
eruption of tooth
shedding of primary [deciduous] tooth
Retained [persistent] primary tooth
K00.7 Teething syndrome
K00.8 Other disorders of tooth development
Colour changes during tooth formation
Intrinsic staining of teeth NOS
K00.9 Disorder of tooth development, unspecified
Disorder of odontogenesis NOS
K01 Embedded and impacted teeth
Excl.:
embedded and impacted teeth with abnormal position of such teeth or adjacent teeth
(K07.3)
K01.0 Embedded teeth
An embedded tooth is a tooth that has failed to erupt without obstruction by
another tooth.

K01.1 Impacted teeth


An impacted tooth is a tooth that has failed to erupt because of obstruction by
another tooth.
K02 Dental caries
K02.0 Caries limited to enamel
White spot lesions [initial caries]
K02.1 Caries of dentine
K02.2 Caries of cementum
K02.3 Arrested dental caries
K02.4 Odontoclasia
Infantile melanodontia
Melanodontoclasia
K02.5 Caries with pulp exposure
K02.8 Other dental caries
K02.9 Dental caries, unspecified
K03 Other diseases of hard tissues of teeth
Excl.:
bruxism (F45.8)
dental caries (K02.-)
teeth-grinding NOS (F45.8)
K03.0 Excessive attrition of teeth
Wear:
o approximal
of teeth
o occlusal
K03.1 Abrasion of teeth
Abrasion:
o dentifrice
o habitual
o occupational
of teeth
o ritual
o traditional
Wedge defect NOS
K03.2 Erosion of teeth
Erosion of teeth:
NOS
due to:
o diet
o drugs and medicaments
o persistent vomiting
idiopathic
occupational
K03.3 Pathological resorption of teeth
Internal granuloma of pulp
Resorption of teeth (external)
K03.4 Hypercementosis
Cementation hyperplasia

K03.5 Ankylosis of teeth


K03.6 Deposits [accretions] on teeth
Dental calculus:
subgingival
supragingival
Deposits [accretions] on teeth:
betel
black
green
materia alba
orange
tobacco
Staining of teeth:
NOS
extrinsic NOS
K03.7 Posteruptive colour changes of dental hard tissues
Excl.:
deposits [accretions] on teeth (K03.6)
K03.8 Other specified diseases of hard tissues of teeth
Irradiated enamel
Sensitive dentine
Use additional external cause code (Chapter XX), if desired, to identify radiation,
if radiation-induced.
K03.9 Disease of hard tissues of teeth, unspecified
K04 Diseases of pulp and periapical tissues
K04.0 Pulpitis
Pulpitis:
NOS
acute
chronic (hyperplastic)(ulcerative)
irreversible
reversible
K04.1 Necrosis of pulp
Pulpal gangrene
K04.2 Pulp degeneration
Denticles
Pulpal:
calcifications
stones
K04.3 Abnormal hard tissue formation in pulp
Secondary or irregular dentine
K04.4 Acute apical periodontitis of pulpal origin
Acute apical periodontitis NOS
K04.5 Chronic apical periodontitis
Apical or periapical granuloma
Apical periodontitis NOS

K04.6 Periapical abscess with sinus


Dental
abscess with sinus
Dentoalveolar
K04.7 Periapical abscess without sinus
Dental
Dentoalveolar
abscess NOS
Periapical
K04.8 Radicular cyst
Cyst:
apical (periodontal)
periapical
residual radicular
Excl.:
lateral periodontal cyst (K09.0)
K04.9 Other and unspecified diseases of pulp and periapical tissues
K05 Gingivitis and periodontal diseases
K05.0 Acute gingivitis
Excl.:
acute necrotizing ulcerative gingivitis (A69.1)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
K05.1 Chronic gingivitis
Gingivitis (chronic):
NOS
desquamative
hyperplastic
simple marginal
ulcerative
K05.2 Acute periodontitis
Acute pericoronitis
Parodontal abscess
Periodontal abscess
Excl.:
acute apical periodontitis (K04.4)
periapical abscess (K04.7)
periapical abscess with sinus (K04.6)
K05.3 Chronic periodontitis
Chronic pericoronitis
Periodontitis:
NOS
complex
simplex
K05.4 Periodontosis
Juvenile periodontosis
K05.5 Other periodontal diseases
K05.6 Periodontal disease, unspecified
K06 Other disorders of gingiva and edentulous alveolar ridge

Excl.:
atrophy of edentulous alveolar ridge (K08.2)
gingivitis:
NOS (K05.1)
acute (K05.0)
chronic (K05.1)
K06.0 Gingival recession
Gingival recession (generalized)(localized)(postinfective)(post-operative)
K06.1 Gingival enlargement
Gingival fibromatosis
K06.2 Gingival and edentulous alveolar ridge lesions associated with trauma
Irritative hyperplasia of edentulous ridge [denture hyperplasia]
Use additional external cause code (Chapter XX), if desired, to identify cause.
K06.8 Other specified disorders of gingiva and edentulous alveolar ridge
Fibrous epulis
Flabby ridge
Giant cell epulis
Peripheral giant cell granuloma
Pyogenic granuloma of gingiva
K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified
K07 Dentofacial anomalies [including malocclusion]
Excl.:
hemifacial atrophy or hypertrophy (Q67.4)
unilateral condylar hyperplasia or hypoplasia (K10.8)
K07.0 Major anomalies of jaw size
Hyperplasia, hypoplasia:
mandibular
maxillary
Macrognathism (mandibular)(maxillary)
Micrognathism (mandibular)(maxillary)
Excl.:
acromegaly (E22.0)
Robin syndrome (Q87.0)
K07.1 Anomalies of jaw-cranial base relationship
Asymmetry of jaw
Prognathism (mandibular)(maxillary)
Retrognathism (mandibular)(maxillary)
K07.2 Anomalies of dental arch relationship
Crossbite (anterior)(posterior)
Disto-occlusion
Mesio-occlusion
Midline deviation of dental arch
Openbite (anterior)(posterior)
Overbite (excessive):
deep
horizontal

vertical
Overjet
Posterior lingual occlusion of mandibular teeth
K07.3 Anomalies of tooth position
Crowding
Diastema
Displacement
of tooth or teeth
Rotation
Spacing, abnormal
Transposition
Impacted or embedded teeth with abnormal position of such teeth or adjacent
teeth
Excl.:
embedded and impacted teeth without abnormal position (K01.-)
K07.4 Malocclusion, unspecified
K07.5 Dentofacial functional abnormalities
Abnormal jaw closure
Malocclusion due to:
abnormal swallowing
mouth breathing
tongue, lip or finger habits
Excl.:
bruxism (F45.8)
teeth-grinding NOS (F45.8)
K07.6 Temporomandibular joint disorders
Costen complex or syndrome
Derangement of temporomandibular joint
Snapping jaw
Temporomandibular joint-pain-dysfunction syndrome
Excl.:
current temporomandibular joint:
dislocation (S03.0)
strain (S03.4)
K07.8 Other dentofacial anomalies
K07.9 Dentofacial anomaly, unspecified
K08 Other disorders of teeth and supporting structures
K08.0 Exfoliation of teeth due to systemic causes
K08.1 Loss of teeth due to accident, extraction or local periodontal disease
K08.2 Atrophy of edentulous alveolar ridge
K08.3 Retained dental root
K08.8 Other specified disorders of teeth and supporting structures
Alveolar (process) cleft
Enlargement of alveolar ridge NOS
Irregular alveolar process
Toothache NOS
K08.9 Disorder of teeth and supporting structures, unspecified

K09 Cysts of oral region, not elsewhere classified


Incl.:
lesions showing histological features both of aneurysmal cyst and of another fibroosseous lesion
Excl.:
radicular cyst (K04.8)
K09.0 Developmental odontogenic cysts
Cyst:
dentigerous
eruption
follicular
gingival
lateral periodontal
primordial
K09.1 Developmental (nonodontogenic) cysts of oral region
Cyst (of):
nasolabial [nasoalveolar]
nasopalatine duct [incisive canal]
K09.2 Other cysts of jaw
Cyst of jaw:
NOS
aneurysmal
haemorrhagic
traumatic
Excl.:
latent bone cyst of jaw (K10.0)
Stafne cyst (K10.0)
K09.8 Other cysts of oral region, not elsewhere classified
Dermoid cyst
Epidermoid cyst
of mouth
Lymphoepithelial cyst
Epstein pearl
K09.9 Cyst of oral region, unspecified
K10 Other diseases of jaws
K10.0 Developmental disorders of jaws
Latent bone cyst of jaw
Stafne cyst
Torus:
mandibularis
palatinus
K10.1 Giant cell granuloma, central
Giant cell granuloma NOS
Excl.:
peripheral giant cell granuloma (K06.8)
K10.2 Inflammatory conditions of jaws
Osteitis
of
jaw
(acute)(chronic)

Osteomyelitis (neonatal)
Osteonecrosis
(drug-induced)
(radiation-induced)
(suppurative)
Osteo(radio)necrosis
Periostitis
Sequestrum of jaw bone
Use additional external cause code (Chapter XX), if desired, to identify radiation,
if radiation-induced, or to identify drug, if drug-induced.
K10.3 Alveolitis of jaws
Alveolar osteitis
Dry socket
K10.8 Other specified diseases of jaws
Cherubism
Exostosis
of jaw
Fibrous dysplasia
Unilateral condylar:
hyperplasia
hypoplasia
K10.9 Disease of jaws, unspecified
K11 Diseases of salivary glands
K11.0 Atrophy of salivary gland
K11.1 Hypertrophy of salivary gland
K11.2 Sialoadenitis
Excl.:
epidemic parotitis (B26.-)
uveoparotid fever [Heerfordt] (D86.8)
K11.3 Abscess of salivary gland
K11.4 Fistula of salivary gland
Excl.:
congenital fistula of salivary gland (Q38.4)
K11.5 Sialolithiasis
Calculus
of salivary gland or duct
Stone
K11.6 Mucocele of salivary gland
Mucous:
o extravasation cyst
of salivary gland
o retention cyst
Ranula
K11.7 Disturbances of salivary secretion
Hypoptyalism
Ptyalism
Xerostomia
Excl.:
dry mouth NOS (R68.2)
K11.8 Other diseases of salivary glands
Benign lymphoepithelial lesion of salivary gland

Mikulicz disease
Necrotizing sialometaplasia
Sialectasia
Stenosis
of salivary duct
Stricture
Excl.:
sicca syndrome [Sjgren] (M35.0)
K11.9 Disease of salivary gland, unspecified
Sialoadenopathy NOS
K12 Stomatitis and related lesions
Excl.:
cancrum oris (A69.0)
cheilitis (K13.0)
gangrenous stomatitis (A69.0)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
noma (A69.0)
K12.0 Recurrent oral aphthae
Aphthous stomatitis (major)(minor)
Bednar aphthae
Periadenitis mucosa necrotica recurrens
Recurrent aphthous ulcer
Stomatitis herpetiformis
K12.1 Other forms of stomatitis
Stomatitis:
NOS
denture
ulcerative
vesicular
K12.2 Cellulitis and abscess of mouth
Cellulitis of mouth (floor)
Submandibular abscess
Excl.:
abscess (of):
periapical (K04.6-K04.7)
periodontal (K05.2)
peritonsillar (J36)
salivary gland (K11.3)
tongue (K14.0)
K12.3 Oral mucositis (ulcerative)
Mucositis(oral) (oropharyngeal):
NOS
drug-induced
radiation induced
viral
Use additional external cause code (Chapter XX), if desired, to identify external
agent

Excl.:
mucositis (ulcerative) of gastrointestinal tract (except oral cavity and oropharynx)
(K92.8)
K13 Other diseases of lip and oral mucosa
Incl.:
epithelial disturbances of tongue
Excl.:
certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
cysts of oral region (K09.-)
diseases of tongue (K14.-)
stomatitis and related lesions (K12.-)
K13.0 Diseases of lips
Cheilitis:
NOS
angular
exfoliative
glandular
Cheilodynia
Cheilosis
Perlche NEC
Excl.:
ariboflavinosis (E53.0)
cheilitis due to radiation-related disorders (L55-L59)
perlche due to:
candidiasis (B37.8)
riboflavin deficiency (E53.0)
K13.1 Cheek and lip biting
K13.2 Leukoplakia and other disturbances of oral epithelium, including
tongue
Erythroplakia
of oral epithelium, including tongue
Leukoedema
Leukokeratosis nicotina palati
Smoker palate
Excl.:
hairy leukoplakia (K13.3)
K13.3 Hairy leukoplakia
K13.4 Granuloma and granuloma-like lesions of oral mucosa
Eosinophilic granuloma
Granuloma pyogenicum
of oral mucosa
Verrucous xanthoma
K13.5 Oral submucous fibrosis
Submucous fibrosis of tongue
K13.6 Irritative hyperplasia of oral mucosa
Excl.:
irritative hyperplasia of edentulous ridge [denture hyperplasia] (K06.2)
K13.7 Other and unspecified lesions of oral mucosa

Focal oral mucinosis


K14 Diseases of tongue
Excl.:
erythroplakia
focal epithelial hyperplasia
leukoedema
leukoplakia
hairy leukoplakia (K13.3)
macroglossia (congenital) (Q38.2)
submucous fibrosis of tongue (K13.5)
K14.0 Glossitis
Abscess
Ulceration (traumatic)
Excl.:
atrophic glossitis (K14.4)
K14.1 Geographic tongue
Benign migratory glossitis
Glossitis areata exfoliativa
K14.2 Median rhomboid glossitis
K14.3 Hypertrophy of tongue papillae
Black hairy tongue
Coated tongue
Hypertrophy of foliate papillae
Lingua villosa nigra
K14.4 Atrophy of tongue papillae
Atrophic glossitis
K14.5 Plicated tongue
Fissured
Furrowed
Scrotal
Excl.:
fissured tongue, congenital (Q38.3)
K14.6 Glossodynia
Glossopyrosis
Painful tongue
K14.8 Other diseases of tongue
Atrophy
Crenated
Enlargement
Hypertrophy
K14.9 Disease of tongue, unspecified
Glossopathy NOS

of tongue (K13.2)

of tongue

tongue

(of) tongue

Pemeriksaan Subyektif dan Obyektif

Obyektif
Tes
Kondisi

Subyekti
f

Visual

Vitalitas
Pulpa

Tes

Kelainan Kelainan
Periapik

Periodon

al

tal

Tes
Translumin
asi