Kajian Literatur
02 Gingivitis
Gingivitis terjadi karenan adanya mikroorganisme yang
melekat pada permukaan gigi dan juga melekat pada
bagian dekat sulkus atau di sulkus gingiva. Gingivitis
dapat dibedakan menjadi initial, early, estabilished stage
of disease.
03 SRP
Scalling merupakan tindakan perawatan untuk
menghilangkan plak, kalkulus, dan stain pada permukaan
mahkota dan akar gigi. Root planing merupakan suatu
tindakan untuk membersihkan dan menghaluskan
permukaan akar gigi dari jaringan nekrotik. Scalling dan
root planing tidak bisa dipisahkan.
SRP
Tindakan scalling perlu diikuti dengan root
planing dengan harapan permukaan akar
manjadi halus sehingga menghambat
akumulasi plak dan perlekatan kalkulus.
Scalling dan root planing (SRP) adalah terapi
mendasar untuk perawatan penyakit
periodontal
SRP
Patogenesis
1. Terbentuknya Plak
2. Plak yang terkalsifikasi terbantuklah kalkulus
4. Files
Scalling Ultrasonic
Subjektif Objektif
1. Chief Complain
2. Present Ilness
3. Past Dental History 1. Pemeriksaan
4. Past Medical History Ekstraoral
5. Family History 2. Pemeriksaan Intraoral
6. Social History
Intraoral
Mukosa : TAK Oklusi
Gingiva Kontak prematur : -
Bentuk : Sedikit bengkak pada bagian lingual Permukaan gigi
regio 2 dan 3 Atrisi :-
Warna : Kemerahan pada lingual gigi 25, 26, Abrasi :-
27, 35, 36, 37 dan lingual gigi 32, 31, 22, 21. Erosi :-
Konsistensi : Kenyal dan melekat erat pada Gigi geligi tidak beraturan : -
struktur di bawahnya
Pitting test : - Evaluasi oral hygiene
Stippling : (+) Nilai plak : sedang
Permukaan : bergerigi Kalkulus :Kalkulus supragingiva permukaan
Resesi : (-) lingual gigi 25, 26, 27, 35, 36, 37; permukaan oklusal
Interdental papil : runcing gigi 26 dan 27; dan bagian lingual gigi 32, 31, 22, dan
Stillman’s cleft : - 21.
MC.Call’s festoon : - GI : Peradangan ringan
Frenulum : sedang Evaluasi pra perawatan
Perkusi :- Diagnosis : Gingivitis Marginalis Kronis
Mobility :- Lokalisata
Etiologi : Dental plak dan Kalkulus
Rencana Perawatan : Scalling manual
Alat dan Bahan
ALAT BAHAN
Prosedur pekerjaan :
1. Letakkan sedikit disclosing solution (DS) di bawah lidah pasien kemudian
instruksikan pasien untuk memutarkan lidahnya keseluruh bagian gigi.
2. Instruksikan pasien untuk meludah guna membuang kelebihan DS
3. Catat ada atau tidaknya deposit pada batas dentogingival pada sisi mesial, distal,
bukal, dan lingual.
Rumus : Jumlah permukaan gigi dengan plak x 100%
Jumlah gigi yang diperiksa x 4
2. Ukur kedalaman poket dengan UNC15
3. Lakukan asepsis terlebih dahulu dengan povidon iodine pada seluruh permukaan
gigi.
4. Lakukan SRP.
5. Cek kalkulus dengan eksplorer apakah masi ada bagian yang terasa kasar atau
instruksikan pasien menyentuh bagian lingual gigi dengan lidah.
7. Jika seluruh permukaan gigi telah halus dan bersih dari kalkulus, bersihkan
permukaan gigi menggunakan brush yang diolesi pasta gigi
8. Instruksikan pasien untuk berkumur dengan air yang telah ditetesi povidon iodin.
Cont....
9. Berikan instruksi kepada pasien :
- Jangan memakan makanan yang keras, kasar dan pedas
- Jangan menyentuh daerah yang telah dirawat dengan lidah
- Jangan minum minuman yang panas
- Dianjurkan untuk minum minuman dingin
- Instrusksikan pasien untuk tidak terlalu keras saat menyikat gigi dan gunakan bulu
sikat yang halus
10. Berikan DHE kepada pasien :
- Pasien diinstruksikan untuk menyikat gigi 2× sehari pagi setelah sarapan dan
malam sebelum tidur
- Pasien diinstruksikan untuk menerapkan teknik menyikat gigi yang benar dengan
metode bas
- Pasien diinstruksikan untuk mengurangi makanan yang manis dan lengket
- Pasien diinstruksikan untuk berukumur setelah makan
- Pasien dianjurkan untuk makan buah dan sayur secara teratur
Kontrol 1 minggu dan 1 bulan
11. Kontrol 1 minggu
- Tanyakan keluhan pasien
- Cek warna, kontur, tekstur, dan konsistensi gingiva
- RKP
12. Kontrol 1 bulan
- Tanyakan keluhan pasien
- Cek warna, kontur, tekstur, dan konsistensi gingiva
- RKP
- Probbing depth
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