Periodontal

Disease
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klasifikasi penyakit pulpa

01 02 03 04
Plak/sisa makanan pH saliva Hidrasi saliiva Viksositas saliva

05 06
Faktor lingkungan sekitar Trauma/benturan
 Etiologi penyakit pulpa
 Fisik
Trauma ,cedera traumatis biasa disertai
atau tidak disertai faktur mahkota atau
akar
A. Mekanis

B. Termal
 Kimiawi
 Bakterial

 Etiologi Pulpitis
- Pulpitis Infeksiosa
- Pulpitis Traumatis
- Pulpitis Latrogenik
Jenis jenis penyakit pulpa
Tdk menunjukkan gejala spontan. Gejala yg dihasilkan
Pulpa normal dari tes pulpa ringan tidak menyebabkan penderitaan kpd
pasien

1. Reversible pulpitis = kondisi gigi yg msih vital,

Ketika dilakukannya tes vitalitas responnya cepat dan
pulpitis langsung hilang
2. Irreversible = kondisi pulpa yang mengalami rasa
sakit yg berlangsung lama ketika dilakukannya tes
vitalitas

1. Sistomaik = pulpa vital meradang, tidak mampu

Irreversible sembuh
2. Asimtomatik = tidak ada gejala meskipun kariesnya
pulpitis menembus pulpa
Tanda dan gejala pulpitis reversible

Ditandai dengan rasa sakit Terutama yang dipicu karena

tajam yg berlangsung sesaat makanan/minuman

Dapat mereda ketika stimulant Perbedaan klinis reversible dan

di hilangkan irreversible lebih sakit,
berlangsung lebih lama
Tanda dan gejala pulpitis irreversible

Rasa sakit dirasakan

Pasien mendeskripsikan
apabila terjadi Rasa sakitnya berlanjut
rasa sakitnya
perubahan suhu, udara
tajam/menusuk
dingin, makanan manis
atau asam.

Pasien Ketika Pasien biasanya Di tahap selanjutnya,

berbaring/membungkuk, merasakan rasa sakit pasien dapat merasakan
dapat merasakan pada gigi tetangganya seperti sangat sakit dan
perubahan rasa sakit atau Ketika gigi tidak terdapat apical
pada tekanan interpulpa posterior atas atau periodontitis
bawah terlibat
 Diagnosa
Pulpitis irreversible ditandai dengan
hipersensitifitas terhadap stimulus termal
termasuk panas atau dingin yg
menyebabkan rasa sakit yg bertahan
lama.
Memiliki gejala nyeri yg parah dan
spontan
Pulpitis irreversible
 Gejala khas rasa sakit yang hanya ada pada waktu singkat (beberapa
hari atau kurang)
 Kondisi periapikal, jaringan periapikal normal secara klinis, (jika tidak
ada ada nyeri tekan pada perkusi
 Nyeri spontan, (terbangun dimalam hari)
 Mikroorganisme trdpt pd email
01 dan dentin karies
Penetrasi mikroorganisme pd
02 lapisan dentin karies yg dlm
Pulpa terkontaminasi sblm infeksi
Table of 03 sebenarnya dari bakteri melatus
toksik mikroorganisme
contents 04
Mikroorganisme menyebabkan
infiltrasi sel kronis lokal

05 Disease prevention and control

06 Conclusion
01
The disease and
its symptoms
● Perawatan saluran akar adalah mencegah perluasan penyakit dari pulpa ke jaringan
periapical dari mengambalikan gigi yang sakit agar dapat diterima secara biologis oleh
jaringan sekitarnya.

● Triad Endodontik meliputi

Who is at risk?
Genetic factors
When a genetic factor puts a person at risk
of developing an illness, it means that there
is a hereditary component to that illness.
This can be due to specific genetic mutations
or variations that increase a person's
susceptibility
Environmental factors
When an environmental factor puts a person
at risk of developing an illness, it means that
exposure to certain substances, conditions or
situations in the environment can increase
the likelihood of developing that illness
10,000
Patients treated

80%
Success rate

1,000
Suffered secondary effects
Disease prevalence
0-5% of the population in
these regions are affected by
the disease

6-14% of the population in

these regions are affected by
the disease

15-30% of the population in

these regions are affected by
the disease

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Symptoms and diagnosis

Most common
symptoms
Use this slide to display the most
common symptoms of the disease
being discussed. Include a graph
with a clear title and labels for each
axis. You can also explain how the
disease is diagnosed, including the
types of tests or procedures used, to
help your audience understand how
it is identified and treated

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Risk factors and complications
Contributing
Risk factors Description Prevalence Complications Severity
factors

Being over the age of Age-related decline in Heart attack, stroke,

Age over 50 80% of cases High
50 immune function kidney damage, blindness

Lung cancer, chronic

Using tobacco Nicotine addiction,
Smoking 30% of cases obstructive pulmonary Moderate
products exposure to carcinogens
disease (COPD)

Blood pressure Heart disease, stroke,

High blood pressure consistently above 40% of cases Obesity, stress, genetics kidney damage, vision High
140/90 mm Hg loss

Family history of Genetic predisposition Heart disease, stroke,

10% of cases Family history Moderate
disease to the disease kidney damage, blindness
Diagnosis and treatment flowchart
Patient symptoms
List the symptoms that the
patient is experiencing:
A. Write the symptoms of the
patient
B. Write the symptoms of the
patient
C. Write the symptoms of the
patient
Start
Diagnostic test Diagnosis confirmed Prescribe treatment
List the diagnostic tests that This step represents the List the recommended
were performed: confirmation or ruling out of a treatment options
A. Write the diagnostic test specific disease diagnosis based A. Write the
performed on the results of the treatment options
B. Write the diagnostic test diagnostic tests B. Write the
performed treatment options
C. Write the diagnostic test C. Write the
performed treatment options
 Tanda dan gejala klinis
Pedoman Terapi Pulpa dari American Academy of Pediatric
Dentistry (AAPD; AAPD Referrence Manual, 2013-14) menyatakan
bahwa jenis perawatan pulpa bergantung pada apakah pulpa tersebut
vital atau nonvital.

Penilaian vitalitas pulpa didasarkan pada pencapaian salah satu dari

empat penilaian diagnostik klinis:
• Pulpa normal (yaitu, gigi dengan karies dangkal tetapi bebas gejala
dan akan merespons tes pulpa secara normal);
• Pulpitis reversibel (gigi dengan pulpa meradang yang dapat
disembuhkan);
• Pulpitis ireversibel yang bergejala atau tanpa gejala (pulpa yang
meradang tidak dapat disembuhkan);
• Pulpa nekrotik. (kematian jaringan pulpa)
 Tanda dan gejala klinis
Diagnosis klinis pulpitis ireversibel dan/atau nekrosis adalah
gigi sulung yang memiliki salah satu atau lebih gejala
berikut:
1. pembengkakan saluran sinus atau gingiva yang tidak
berhubungan dengan penyakit periodontal
2. riwayat sakit gigi spontan tanpa sebab
3. mobilitas gigi berlebihan yang tidak berhubungan dengan
eksfoliation
4. furkasi/apical
5. resorpsi akar internal/eksternal
Disease management
Number of cases of the disease over time Region Number of cases Percentage of cases

● Describe the trend of the disease cases North 1,000 20%

over time
● Provide key insights or observations South 2,500 50%
about the graph
● Explain any significant changes or East 1,200 24%
patterns in the graph

● List the regions or areas that are relevant for

the disease
● Enter the number of cases for each region,
area or country
● Describe any notable variations or trends
among the regions
● Provide additional details or observations
about the table
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Disease overview and conclusions
Information Key findings
Genetic, environmental and lifestyle ● Summarize the most important or relevant aspects of
Causes
factors the disease
● Use bullet points to present the key findings in a clear
Fatigue, weight loss, joint pain, fever and organized manner
Symptoms
and rash

Diagnosis Blood tests, imaging tests and biopsy Conclusions

Medications, surgery and lifestyle In this section, summarize the key findings from
Treatment
changes 01 the disease study

Vaccination, hygiene and avoiding Provide an overview of the implications for the
Prevention
high-risk behaviors 02 current diagnosis and treatment plan
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