SOCA

(Structured Oral Case

Analysis)

Primary Hepertic Gingivostomatitis

Akmal Hafizh Johar

40621001
 Ilustrasi Kasus
Seorang anak laki-laki berusia 6 tahun dibawa oleh orang tuanya ke poliklinik spesialis
gigi anak RS Gigi Universitas Airlangga dengan keluhan sulit makan atau minum akibat
nyeri yang berhubungan dengan ulkus multipel pada rongga mulut dan bibir. Pasien
sudah tinggal di pesantren sejak 6 bulan yang lalu dan mengeluhkan stomatitis yang
sudah terjadi 4 hari yang lalu diikuti dengan demam dan malaise. Orang tua pasien juga
mengeluhkan bau mulut selama periode ini karena kebersihan mulut yang buruk.
Kelenjar limfatik submandibular membesar dan kondisi umum pasien lemah. Riwayat
keluarga biasa-biasa saja.
 Diagnosa Kasus
Primary Hepertic Gingivostomatitis
Deskripsi lesi :
● Pada pemeriksaan ekstraoral pada bibir commisure dan white roll di kanan dan pada bibir kiri dan
vermillion commissures didapatkan vesikel kecil, multiple, berdiameter sekitar 2 mm dan 5 mm,
tepi iregular dikelilingi oleh area eritematosa, dan sakit.
● Pemeriksaan intraoral menunjukkan pada lidah dan palatal didapatkan ulserasi, tepi ireguler,
dikelilingi halo eritematosa, dasar ulser berwarna putih, diameter 2 mm, dan sakit.
 Definisi
Gingivostomatitis Herpetika Primer merupakan penyakit yang disebabkan oleh Herpes
Simplex Virus (HSV) tipe I yang mengenai area orolabialis. Penularan virus paling sering
terjadi melalui kontak langsung dengan lesi atau sekret oral dari individu yang terinfeksi.
 Komponen anamnesis
● Identitas pasien
● Keluhan utama
● Riwayat penyakit sekarang
● Riwayat penyakit dahulu
● Riwayat perawatan gigi
● Riwayat penyakit keluarga
● Riwayat kebiasaan dan keadaan sosial
 Diagnosa Banding
Perbedaan

Primary Hepertic Gingivostomatitis Herpes Zooster

Etiologi : HSV 1 Etiologi : Virus Varicella
Distribusi Ulser : Bilateral Distribusi Ulser : Unilateral
Rekurensi/kambuhan : bukan rekurensi Rekurensi/kambuhan : Rekurensi
Lokasi : Rongga mulut varicella
Jaringan parut : Sembuh tanpa jaringan Lokasi : Mucocutan
parut Jaringan parut : Sembuh dengan jaringan
parut
 Persamaan PHGS dengan Herpes zooster
● Merupakan infeksi virus
● Didahului dengan gejala prodomal
● Diawali dengan vesikel
● Sama-sama ulser
● Terdapat nyeri dan tepi kemerahan
Pemeriksaan penunjang
 Etiopatogenesis
Virus HSV-1 berada di udara

Kontak langsung dengan mukosa/lesi

Masa inkubasi 3-5 hari

Terjadi gejala prodomal Terjadinya pembentukan lesi oral

yang dimana diakibatkan
yang biasanya terjadi di lidah, mukosa
dari tubuh merespon
adanya antigen pipi, palatum durum dan gingiva

 
penyebaran ke sistem Respon imun dapat membatasi
replikasi awal pada faring
retikuloendotelial yang lebih jauh replikasi dan perkembangannya di
dan usus, diikuti multipikasi
jaringan limfoid seperti tonsil, termasuk hati, limpa,sumsum luar system retikuloendotelialyang
Peyer patches dan kelenjar limfe tulang dan kelenjar limfe, virus menyebabkan terjadinya infeksi
(dalam waktu 24 jam). membatasi replikasi subklinis

 
 Fase penyembuhan luka
Terjadi Luka pada Terjadi edema
FASE HEMOSTASIS jaringan
DAN INFLAMSI Neutrofil bergerak keluar
Sel endotel mengalami kerusakan dan terjadi dari pembuluh darah
kerusakan pembuluh darah dan vaskuler berperan fagositosis

Vasokonstruksi dan proses

Pada48 jam kemudian
pembekuan darah
monosit bermigrasi kearea lesi
Terjadi fase inflamasi
Berdeferensiasi
menjadi makrofag
1-3 hari setelah
(fagositosis)
terjadi luka
Makrofag melepas grown
vasodilatasi factor PDGF dan VEGF

Terjadi pembentukan
Terjadi perubahan struktur sel endotel pada jaringan baru
kapiler menyebabkan protein plasma dan
leukosit keluar dari pembuluh darah
Limfosit T muncul pada
hari ke 7
Agregasi leukosit kedaerah luka
Sitokin IL-2 & Fibroblas
Sintesis kolagen
actifiting
Terjadi penumpukan cairan yang kaya protein
dan leukosit di daerah luka (Mardiyantoro, 2018).
Fase penyembuhan luka
FASE PROLIFERASI
Fase penyembuhan luka
FASE REMODELLING Pada fase remodeling, sel endotel, fibroblast,
21 HARI – 1 TH/ > 1 TH myofibroblast mengalami apatosis.

Meninggalkan masa : kolagen &

protein matriks lainnya

Pengendapan kolagen dalam

jaringan

Kolagen membentuk matriks

Membentuk serabut fibril

Perlahan menyebabkan
penyembuhan luka
Penatalaksanaan
 KIE
1. Komunikasi
Menjelaskan kepada pasien / wali pasien bahwa diagnosa pasien adalah gingivostomatitis hepertika primer yang didapatkan dari
gambaran klinis yaitu terdapat ulserasi (sariawan) pada bagian palatal dan lidah dengan tepi irregular dikelilingi eritematosa,
diameter 2 mm pada lateral lidah dan palatal

2. Informasi
● Menginformasikan kepada pasien bahwa penyakit ini disebabkan oleh virus HSV-1
● Menginformasikan bahwa penyakit ini dapat menular melalui kontak langsung
● Pasien tidak perlu khawatir tentang sakit yang diderita karena dapat disembuhkan asalkan pasien mengikuti anjuran dan
resep yang diberikan dokter

3. Edukasi
● Mengedukasikan kepada orang tua pasien untuk memisahkan ruangan pasien dari anggota keluarga pasien
● Mengedukasikan kepada pasien untuk menjaga kesehatan tubuhnya dengan makan makanan bergizi 4 sehat 5 sempurna
● Menjaga kebersihan diri dengan mencuci tangan dan tidak berbagi peralatan makan dengan anggota keluarga pasien
● Mengedukasi untuk control 1 minggu setelah kunjungan
 Daftar Pustaka
Marzuqi, Naila; Taqwim, Ali; Vitasari, Niken Rahma. 2019. Management of Acute Primary Gingivo-stomatitis in
Children. Indonesian Journal of Dental Medicine. Vol. 2
Kusumastuti E. 2016. Gingivostomatitis Herpetika Primary in mrs. N age 32 Years. Jurnal Wiyata. Vol. 3 (2). Page 156-
160.
Turton M. 2017. A Case Report on Symptomatic Primary Herpertic Gingivostomatitis. J Dent Health Oral Disord Ther
8(8)
Terimakasih 
 Table of Contents

01 Problem &
Solution 03 Our Process

Here you could Here you could

describe the topic of describe the topic of
the section the section

02 Market Analysis
& Target 04 Our
Consultants
Here you could Here you could
describe the topic of describe the topic of
the section the section
Our Company
Venus has a beautiful name and is the
second planet from the Sun. It’s terribly
hot—even hotter than Mercury—and its
atmosphere is extremely poisonous
 About Our Mission

Do you know what helps you make your point clear? Lists like this one:
● They’re simple
● You can organize your ideas clearly
● You’ll never forget to buy milk!
And the most important thing: the audience won’t miss the point of your
presentation
 Problem &
01 Solution
You could enter a subtitle
here if you need it
 Understanding the Problem

Jupiter
Jupiter is the biggest planet in the
Solar System

Mars
Despite being red, Mars is actually
a cold place

Saturn
Saturn is composed of hydrogen
and helium
 Executive Summary

Problem & Solution Market Research Buyer Persona Business Structure

You can insert here your You can insert here your You can insert here your You can insert here your
own text and description own text and description own text and description own text and description

Mission and Vision Strategic Goals Marketing Plan Financial Plan

You can insert here your You can insert here your You can insert here your You can insert here your
own text and description own text and description own text and description own text and description
A Picture Is Worth a Thousand Words
 Mission and Vision Statement

Mission Statement Vision Statement

●Insert here your mission ●Insert here your vision
description description
●Insert here your mission ●Insert here your vision
description description
●Insert here your mission ●Insert here your vision
description description
●Insert here your mission ●Insert here your vision
description description
●Insert here your mission ●Insert here your vision
description description
 Main Competitors
Competitor 1 Competitor 2 Competitor 3

Revenue $1,200,000 $980,000 $855,000

Profit $325,000 $272,000 $145,000

Market Share 19% 12% 7%

Employee 135 80 62

Product Quality
 Project Research

To modify this graph, click on it, follow the link, change

the data and paste the new graph here

$435,569 $321,000
Project Cost Tangible Benefits

67 Intangible Neptune is the

% Benefits farthest planet

48 Strategic Venus has a beautiful

% Alignment name
Project Cash Flow

Free Cash Flow (FCF)

Neptune is the farthest planet to
the Sun

Cumulative (FCF)
Mercury is the closest planet to
the Sun

To modify this graph, click on it,

follow the link, change the data and
paste the new graph here
 Strategic Planning Project

Week 1 Week 2 Week 3 Week 4

Step 0 Kick-Off

Step 1 Provide Business Insights

Step 2 Define Mission

Step 3 Meetings

Step 4 Create Strategy Map First Report

 Analysis
Outreach Top Rated Values
Earth
24%
16
64 %
% 20
%
39%

Jupiter Mercury
Mars Neptune to modify this graph, click on it,
follow the link, change the data and
Despite being red, Neptune is the farthest paste the new graph here
Mars is a cold place planet
 Initiative Prioritization Matrix
High Second priority Priority
You can list all your Assess the impact & effort
potential initiatives and your level associate with each
projects initiative
Impact

Ideas Not worthy

You can insert the position Mainly focus on the
each initiative on the matrix initiatives located in the top
of the matrix
Low

Low Effort High

 Your Potential Initiative

Mars Neptune Saturn

Despite being red, Mars is Neptune is the farthest planet Saturn is the ringed one. It’s a
actually a cold place from the Sun gas giant

Moon Venus Mercury

It’s an astronomical body Venus has a beautiful name, Mercury is the closest planet to
orbiting Earth but it is terribly hot the Sun
 Initiative, Impact, Effort
Initiative Name Impact Effort
Insert here the name of the first initiative

Insert here the name of the second initiative

Insert here the name of the third initiative

Insert here the name of the fourth initiative

Insert here the name of the fifth initiative

Insert here the name of the sixth initiative

 Strategic Map
Mission Insert your mission statement Vision Insert your Vision statement

You can insert your You can insert your You can insert your
Financial text here text here text here

You can insert your You can insert your You can insert your
Customer
text here text here text here

You can insert your You can insert your You can insert your
Internal Process text here text here text here

You can insert your You can insert your You can insert your
Learning & Growth text here text here text here
 Situation, Complication, Question

Situation Complication Question

Despite being red, It is the closest planet Neptune is named after

Description Mars is actually a cold to the Sun and the the Roman god of the
place smallest sea

Venus has a beautiful The Moon is an

Neptune is the farthest
Example name and is the second
planet from the Sun
astronomical body
planet orbiting Earth
 Sweet Spot

Feasibility
Neptune is blue due mainly Profitability
to the presence of gas Mercury is the closest
methane planet to the Sun and the
smallest too

Desirability
Jupiter is a gas giant and
the biggest planet in the
Solar System Sweet Spot
 Resources Distribution

70% 40% 60% 25%

Mercury Mars Venus Jupiter

Mercury is the Despite being red, Venus has a Jupiter is a gas
closest planet to Mars is a cold beautiful name, but giant and the
the Sun place it is hot biggest planet
 PESTLE Analysis
Political Technological
Mars is actually a P T Mercury is the
cold place smallest planet

Economical Legal
Saturn is the E PESTLE L Venus is the
ringed planet second planet

Environmenta
Social
Jupiter is the S E Neptune is thel
biggest one farthest planet
 SWOT
Strengths Threats
Jupiter is a gas giant and Venus has a beautiful, but
the biggest planet it is hot

S W O T

Weaknesses Opportunities
Saturn is a gas giant and Despite being red, Mars
the ringed one is a cold place
 Lean Six Sigma Tools

Monitor 6 1 Categorize
It’s a gas giant made of Mercury is the smallest
hydrogen and helium planet

Authorize 5 2 Select
Jupiter is a gas giant and Neptune is the farthest
the biggest planet planet

Assess 4 3 Implement
Venus is the second planet Despite being red, Mars is
from the Sun a cold place
 Desirability

Product Customers
It is the smallest planet Neptune is the farthest
and the closest to the planet from the Sun
Sun
Describe the
potential
demand for
your product
Competition Market Size
Despite being red, Earth is the third planet
Mars is actually a very and the only one that
cold place harbors life
Awesome
words
 Ansoff Growth
Jupiter is a gas giant and the biggest Saturn is composed mostly of
planet in the Solar System hydrogen and helium
New

Market Development Diversification Strategy

Market

Market Penetration Product Development

Current
Neptune is blue is due to the presence Mercury is the closest planet to the
of gas methane Sun and the smallest

Current New
Products
 Business Plan
What is your Vision? Who are the key players?

What is your current situation? How will you differentiate?

How will you reach your Vision? What is your economic situation?

How big is the market? What is the capital requirement?

How do you offer? What is your marketing plan?

 Reducing Costs
Saturn has several rings
It’s blue due to the
presence of methane
gas
Mercury is the smallest planet

How Can
the Venus has a beautiful name
Venus has a
Company beautiful name, but
Reduce it’s terribly hot
Despite being red, Mars is cold
Costs?
Jupiter is a gas giant
Saturn is not solid
like Earth, but is a
gas giant
It’s the star at the center
8,567,213
Big numbers catch your audience’s attention
$3,567,000 68.7%
Venus has a beautiful name Saturn has several rings

5,608 -2.45
Saturn has several rings Mars is a cold place
 Map of Your Workbook
Mercury is the closest planet to the Sun and also
the smallest one in the Solar System

Quarterly And/Or Annual Reports

Income Statement Cash Flow Balance Sheet

Scenario With Assumptions

Neptune is the farthest planet from the Sun and the
fourth-largest in the Solar System
 Map of Your Workbook
Venus has a beautiful name

Neptune Mercury Saturn

Neptune is the Mercury is the Saturn is the
farthest planet closest planet to ringed one and a
from the Sun the Sun gas giant

Despite being red, Mars is cold

 Business Roadmap

Phase 1 Phase 3

Mercury is the Despite being red, Saturn is a gas giant

Venus is the second
closest planet to the Mars is a very cold and has several
planet from the Sun
Sun place rings

Phase 2 Phase 4
 Porter’s Five Forces Model
Mars
Despite being red,
Mercury Mars is actually a cold
It is the closest planet 01 place
to the Sun and the
smallest Earth
05 02 Earth is the third planet
Jupiter and the only one that
harbors life
Jupiter is a gas giant
and the biggest planet
03 Neptune
of them all 04
Neptune is the farthest
planet from the Sun
 Products & Services
Key Customer Key Features And Unique Selling
Products
Benefits Details Proposition

Venus has a beautiful Saturn is not solid like

Neptune is the farthest
Product 1 planet from the Sun
name, but it’s terribly Earth, but is a really
hot gas giant

Neptune is blue due to Jupiter is the biggest It's also the only planet
Product 2 the presence of planet in the great known with liquid
methane gas Solar System water

Despite being red, The Moon is an

Jupiter has the shortest
Product 3 Mars is actually a cold astronomical body
day of any other planet
place orbiting Earth
 Supply Chain

Supply Chain
Strategy Supply Chain Sourcing &
Planning Procurement

Key, Steps & Activities

Mercury is the closest planet to the Sun and the smallest one
in the Solar System. The planet’s name has nothing to do
with the liquid metal
 Supply Chain

Supply Chain
Supply Chain Planning Sourcing &
Strategy Procurement

Key, Steps & Activities

Venus has a beautiful name and is the second planet from the
Sun. It’s the second-brightest natural object in the night sky
after the Moon
 Supply Chain

Sourcing &
Supply Chain Supply Chain Procurement
Strategy Planning

Key, Steps & Activities

Mercury is the closest planet to the Sun and the smallest one
in the Solar System. The planet’s name has nothing to do
with the liquid metal
 Supply Chain

Manufacturing Logistic and

Retail
Distribution

Key, Steps & Activities

Mercury is the closest planet to the Sun and the smallest one
in the Solar System. The planet’s name has nothing to do
with the liquid metal
 Supply Chain

Logistic and
Manufacturing Distribution Retail

Key, Steps & Activities

Venus has a beautiful name and is the second planet from the
Sun. It’s the second-brightest natural object in the night sky
after the Moon
 Supply Chain

Logistic and Retail

Manufacturing
Distribution

Key, Steps & Activities

Mercury is the closest planet to the Sun and the smallest one
in the Solar System. The planet’s name has nothing to do
with the liquid metal
 Impact Executive Summary
1 Team 1 Unit 1 Division Extreme

Extreme Insert your text

High

Medium

Moderate

Low

Less Impact More Impact

 Organization Chart
Name
CEO

Name Name Name

Job position Job position Job position

Name Name Name Name Name

Job position Job position Job position Job position Job position
Testimonials
“Neptune is blue due to the presence of
methane gas”

–James Jackson

“Venus has a beautiful name, but it’s

terribly hot”

–Eva Trust

“The Moon is an astronomical body

orbiting Earth”

–Donovan Smithson
“This is a quote, words full of wisdom that
someone important said and can make the reader
get inspired.”

—Someone Famous
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Frederick Perth Marie Johnson Tom Doe

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