LOGBOOK PELAYANAN KESEHATAN GIGI DAN MULUT

DI PRAKTEK MANDIRI DOKTER GIGI

“DEFRIADI DWI PUTRA”
TAHUN 2016

NO NAMA PASIEN UMUR DIAGNOSA TERAPI KET

KONSUL, RO PANO, PSA>2

1 PUTRI AYU SEPTIANI 9 75 P. IRREV SAL ASISTEN

2 ATIKAH ZASKIA 32 36 NP PSA > 2 SAL, TS ASISTEN

3 LILIS SUNDARI 11 45 ABSES OBTUR >2 SAL, GIC, TS ASISTEN

4 RAHMAT SETIADI 41 22 NP EXO ASISTEN

36 P.
22
5 ZAHRA AULIA HIPERPLASTIK KONSUL, RO DENTAL ASISTEN
RO DENTAL, RUJUK DRG.
42
6 NUR ROHMAN SUSP ABSES ANTON ASISTEN
EDENTULOUS 7
3
7 ANASTIAR GIGI TRY IN RA RB ASISTEN

8 SARASMITHA AYU 59 18 IMPAKSI ODONTEKTOMI, MEDIKASI ASISTEN

EDENTULOUS 8
17
9 SYAMSIAR GIGI TRY IN ASISTEN

10 MEIDIANA SUCI 59 26 NP EXO KOMPLI ASISTEN

11 SULAPA SARI 57 15 NP PSA 2 SAL, TS ASISTEN

12 M. SYUEB 15 37 P. IRREV RK >2 BID NANO ASISTEN

13 MURYATI 47 46 NP KONSUL, RO DENTAL ASISTEN

33
14 DIVA NAUFAL 21 SUPERNUMERARY KONSUL, EXO KOMPLI ASISTEN
11 ABSES
59
15 M. BUDI PERIAPIKAL OBTUR 1 SAL, GIC, TS ASISTEN
KONSUL, RK> 2 BID NANO
17
16 ISNAWATI 22, 23 P. REV (22 GIGI) ASISTEN

17 RAHMADYA SHAFIRA 59 11 NP KONSUL, RO DENTAL, TS ASISTEN

18 ATIKAH ZASKIA 57 36 NEKROSE RK > 2 BID NANO ASISTEN

KONSUL, RO DENTAL, RK>2

19 SRI SARYATI 15 11 P. REV BID NANO ASISTEN

20 AMRI KURNIAWAN 47 46 P. IRREV PSA >2 SAL, TS ASISTEN

21 CHAIRUNNISA 21 18 P. IRREV KONSUL ASISTEN

ROOT CANAL TREATMENT D

RAFAEL MARC VITO 11 36 NP
PER VISIT, TEMPORARY
22 FILLING ASISTEN

LIGHT CURING FILLING

SUGIATI BINTI MADWIARJO 41 35 NP + ABSES
23 SANDWICH ASISTEN

24 SISILIA FRISKA ONORA 22 38 IMPAKSI KONSUL ASISTEN

 ROOT CANAL TREATMENT A
MARTINI BINTI DUNGCIK 42 34 P. IRREV
PER VISIT, TEMPORARY
25 FILLING ASISTEN

ROOT CANAL TREATMENT B

SHAKILA AZZAHRA 3 84 NP
PER VISIT, TEMPORARY
26 FILLING ASISTEN
FULL EDENTULOUS
NURHIDAYAH 59 KONTROL PASCA GTP
27 RA ASISTEN

28 SATRIA ARDIANYAH 7 74 NP + ABSES KONSUL ASISTEN

29 AMINTA 59 21 ABSES EXTRACTION B ASISTEN

EDENTOLOUS
30 FATIMAH BINTI ALAM RATU 57 44,45,46,36,37 CETAK RA RB ASISTEN

ROOT CANAL TREATMENT A

PER VISIT, TEMPORARY
31 AURA SAFIRA 5 75 NP FILLING ASISTEN

ROOT CANAL TREATMENT B

PER VISIT, TEMPORARY
32 UJANG S BIN ASHAL 47 34 NP+ABCES FILLING ASISTEN

33 KEVIN SAPUTRA 21 GINGIVITIS SCALING C, PROPHYLAXIS ASISTEN

21 PULPITIS LIGHT CURING FILLING

34 MAYA SUSANTI 29 REVERSIBLE SANDWICH ASISTEN

ROOT CANAL TREATMENT B

PER VISIT, TEMPORARY
35 AZIZAH WARDAH 18 46 NP FILLING ASISTEN

17 NP DENGAN
EXTRACTION B
36 SRI ANGGARINI DEWI 28 ABSES ASISTEN

ROOT CANAL TREATMENT A

37 PULPITIS PER VISIT, TEMPORARY
37 FITRIA SABITA 16 IRREVERSIBLE FILLING ASISTEN

38 ADE DWIYANTI 18 11 P IRREV LIGHT CURING C ASISTEN

39 NAZILLA BIHAQIS 11 MUCOCELE KONSUL ASISTEN

46 NP DISERTAI
40 ADE RATNA 24 ABSES TREPANASI ASISTEN

GINGIVITIS, 16 P. SCALING C, PROPHYLAXIS,

41 WIN HONAINI 50 REV LCFS ASISTEN

42 ASMUNI SAIM 32 28 IMPAKSI KONSUL ASISTEN

43 ERNA BINTI HUSIN 45 36 ABSES TREPANASI, MEDIKASI ASISTEN

44 JONNY WIJAYA 29 38 NEKROSE EXTRACTION B ASISTEN

45 EMILDA SINAR FATIHA 37 38 IMPAKSI KONSUL ASISTEN

46 AALMA DESNIRAH 42 48 IMPAKSI KONSUL ASISTEN

47 KUDUS BIN ALIAS 51 26 ABSES TREPANASI ASISTEN

MUHAMMAD FARID AL-

48 RASYID 20 38 IMPAKSI KONSUL ASISTEN
49 NAOMI CITRA 7 55 ABSES TREPANASI ASISTEN

50 ERWINA 64 38 IMPAKSI KONSUL ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
51 MARTINI BINTI DUNGCIK 42 34 PI FILLING ASISTEN

52 MUHAMMAD RIO SAMUDRA 17 36 NP ABSES INCISI ABSES ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
53 SHAKILA AZZAHRA 3 84 NP FILLING ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
54 TARISNA AYA 34 18 IMPAKSI FILLING ASISTEN

LIGHT CURING FILLING

55 JULAIKAH MAHRUF 53 21 P. IRREV SANDWICH ASISTEN

56 KMS. DUDE AL-ASKARI 7 71 PERSISTENSI EXTRAKSI INJECTION B ASISTEN

57 SUCIYATI 58 26 ABSES KONSUL ASISTEN

NEXT TREATMENT B,
58 AZAH WARDAH 18 46 NEKROSE ABSES TEMPORARY FILLING ASISTEN
NEXT TREATMENT B,
59 UJANG 47 34 NEKROS ABSES TEMPORARY FILLING ASISTEN

ROOT CANAL TREATMENT B

26 NEKROSE PER VISIT, TEMPORARY
60 NATASYAH 10 PULPA FILLING ASISTEN

ROOT CANAL TREATMENT C

47 PULPITIS PER VISIT, TEMPORARY
61 NAJWA GHIBTIAH 14 IRREVERSIBLE FILLING ASISTEN
EDENTULOUS FULL
62 FEI BUSTOMI 66 RA KONSUL ASISTEN

ROOT CANAL TREATMENT B

PER VISIT, TEMPORARY
63 RIZKY LESTARI 16 46 PI FILLING ASISTEN

64 NAWAL RIEFSA 14 GINGIVITIS SCALING C, PROPHYLAXIS ASISTEN

65 MELLY 49 28 IMPAKSI ODONTECTOMY A ASISTEN

ROOT CANAL TREATMENT B

PER VISIT, TEMPORARY
66 MARTINI 43 34 PI FILLING ASISTEN

67 LAYLA YATI 44 16 NP ABSES TREPANASI ASISTEN

68 HJ HASMA RASYID 71 48 IMPAKSI DEBRIDEMENT ASISTEN

ROOT CANAL TREATMENT B

13 PULPITIS PER VISIT, TEMPORARY
69 RIA YULIANTI 31 IRREVERSIBLE FILLING ASISTEN

70 MUH.HASAN 50 EDENTELOUS RA TRY IN BITE RIM ASISTEN

 ROOT CANAL TREATMENT B
21 PULPITIS PER VISIT, TEMPORARY
71 ADE DWI YANTI 18 IRREVERSIBLE FILLING ASISTEN
EDENTULOUS 4
72 FATIMAH BINTI ALAM RATU 57 GIGI RB INSERSI GTSL ASISTEN
36 NP DISERTAI
EXTRACTION B
73 DEBY SOFI KONALDO 31 ABSES ASISTEN
ROOT CANAL TREATMENT B
PER VISIT, TEMPORARY
74 AURA SAFIRA 5 75 NP FILLING ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
75 NATASYAH FATHULLAH 10 26 NP FILLING ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
76 JIHAN GHALSANI 10 16 NP ABSES FILLING ASISTEN

ROOT CANAL TREATMENT B

PER VISIT, TEMPORARY
77 NUR RAHMATUN 32 11 NP ABSES FILLING ASISTEN

78 EKA FEBRIYANTI B 47 NP ABSES TREPANASI ASISTEN

79 YUSRITA BINTI SYAMSUDIN 50 27 PERIODONTITIS KONSULTASI ASISTEN

LIGHT CURING FILLING

80 AZZAH WARDAH 18 46 NP ABSES SANDWICH ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
81 RIZKI LESTARI PERMATA 17 46 PI FILLING ASISTEN
LIGHT CURING FILLING
82 UJANG S 47 34 NP ABSES SANDWICH ASISTEN

83 M. RIO SAMUDRA 17 36 NP + ABSES EXTRACTION B ASISTEN

84 VEDIANI GUNAWAN 36 14 ABSES EXTRACTION B ASISTEN

65 PULPITIS
85 DOMINICA AGUSTIN 7 IRREVERSIBLE KONSUL ASISTEN

ROOT CANAL TREATMENT B

26 NEKROSE PER VISIT, TEMPORARY
86 NATASYAH FATHULAH 10 PULPA FILLING ASISTEN

87 HARDI HAJAR 61 EDENTULOUS RA TRY IN ASISTEN

NEXT TREATMENT B,
88 AURA SAFIRA 5 75 NP TEMPORARY FILLING ASISTEN

89 ADELIA NINGSIH 18 27 PI KONSUL ASISTEN

SCALLING B, PROPHYLAXIS,
GINGIVITIS; 38 NP LIGHT CURING FILLING
90 NOVITA FAUZIAH 37 ABSES SANDWICH ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
91 RIZKI LESTARI PERMATA 16 46 PI FILLING ASISTEN
 ROOT CANAL TREATMENT C
PER VISIT, TEMPORARY
92 DOMINIC WAHIDIN 7 65 PI FILLING ASISTEN

93 EKA FEBRIYANTI 40 47 NP + ABSES TREPANASI ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
94 REVINA RACHELYA 16 22 NP FILLING ASISTEN

95 ELVINA INDAH CAHYANI 18 17 NP EXTRACTION B ASISTEN

PULP CAPPING (2X), LIGHT
96 MUHAMMAD AMRI 38 34 PI CURING C (2X) ASISTEN

97 DANISHA PUTRI ALITA 6 TH 54 ABSES TREPANASI ASISTEN

SALAFY TRISTAN JAVAS 64, 74 HIPEREMI

98 SANCOYO 4 TH PULPA LIGHT CURING B (2X) ASISTEN

GINGIVITIS
MARGINALIS
99 HATOYAH SARINA 17 TH KRONIS SCALLING C, ROPHYLAXIS ASISTEN

54 NEKROSE ROOT CANAL TREATMENT A,

100 ABDURRAHMAN AR RAYYAN 6 TH PULPA TEMPTORARY FILLING ASISTEN

26 GANGREN
101 AL-AMIN MULYA 58 TH RADIX EXTRACTION A ASISTEN

27 GANGREN
102 HENDRA GUSTIAWAN 48 TH RADIX EXTRACTION A ASISTEN

61 GANGREN
103 AMIRA NADHIFA 7 TH RADIX EXTRAKSI INJEKSI A ASISTEN

27 PULPITIS
REVERSIBLE, PULP CAPPING, LIGHT
104 HESTI RACHMA PUTRI 27 TH SECUNDER CARIES CURING C ASISTEN
14, 37 CARIES
MEDIA, DEPOSITE LIGHT CURING FILLING
105 DESTY ANDRIANI 24 TH OF TEETH SANDWICH (2X), SCALLING A ASISTEN

SCALLING A, CONTROL
106 LUQMAN MAULANA 15 TH RETROGNATI ORTHO FIXED C ASISTEN

SCALLING A, CONTROL
107 KINANTI ADARA NATASHA 23 TH RETROGNATI ORTHO FIXED C ASISTEN

25 ABRASI
108 DINA KURNIA PUTRI 29 TH SERVIKAL LIGHT CURING B ASISTEN

37 PULPITIS
IRREVERSIBLE
109 IRMA WITA 43 TH KRONIS TREPANASI ASISTEN
75 CARIES MEDIA,
74 CARIES LIGHT CURING C, RCT 2
110 M. TARRAN FARRA SUWAID 5 TH PROFUNDA ROOT PER VISIT ASISTEN

17 PULPITIS LIGHT CURING FILLING

111 HENGKI 38 TH REVERSIBLE SANDWICH ASISTEN

14, 15 HIPEREMI
PULPA, CALCULUS LIGHT CURING C (2X),
112 BENNY 30 TH RA&RB SCALLING C ASISTEN
113 TRI MEILANTI ANGGRAINI 21 TH 46, 47 P. LIGHT CURING B (2X) ASISTEN
 REVERSIBLE

114 MUHAMMAD ARPAN 65 37 NP RK >2 BID ASISTEN

115 JULAIKAH 47 27 PI PSA 1 SAL ASISTEN

116 M FAJAR 68 21 NP EXO KOMPLIKASI ASISTEN

117 SALMINAH 56 GINGIVITIS KONSUL, SCALING BERAT ASISTEN

118 FATIMAHTUL ZAHRA 31 25 NP, 48 IMPAKSI KONSUL, RO PANORAMIK ASISTEN

119 SUHARTO 65 28 IMPAKSI OD KELAS 1 ASISTEN

KONSUL, RO PANO, INCISI

120 IIM SARI 39 37 NP ABSES ABSES, MEDIKASI ASISTEN

Dokter Gigi Penanggung jawab

drg. Defriadi Dwi Putra