Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
PENDAHULUAN
Wah ,
cabut
saja ya
Masalah
Kesehatan Gigi
Masyarakat
Masalah tenaga
kesehatan gigi yg
terbatas
Masalah teknologi
kedokteran gigi
Anton Rahardjo, 2007
Harapan
Target WHO thn 2000 separuh dari anak
usia 5-6 tahun bebas caries.
60 s/d 90% murid SD menderita karies?
Angka pencabutan menurun, ratio tambalcabut meningkat (Target nasional 1:1)
20% lansia umur 80 tahun mempunyai 20
gigi yg berfungsi baik.
Kualitas hidup tinggi shg produktifitas
meningkat.
Anton Rahardjo, 2007
Kenyataan
Angka kehilangan gigi
karena karies cendrung
meningkat
Tenaga kesehatan gigi jauh dari memadai
Pelayanan yang diberikan tidak memenuhi
kebutuhan masyarakat banyak
Pencabutan
>
Penambalan
Anton Rahardjo, 2007
PUSKESMAS
KELILING ???
Your dental health: Teeth that are around the missing tooth area will
"drift" into this empty space resulting in chewing, biting and joint
problems
Your nutritional well-being: leading to poor nutritional health
Your physical health: with jaw and joint problems and pain
Your speech: Your teeth help you speech clearly and distinctly
Your bite: by increasing the risk of fracturing a tooth/teeth due to their
misalignment
Oral hygiene: The drifting teeth become crooked and misaligned making
them more prone to decay because they are harder to keep clean
Your budget. It is more affordable to treat the tooth in need than to
replace the tooth/teeth with a bridge, implant or denture
Time. It can be more time consuming to replace a tooth/teeth than to
repair them
Once a tooth is taken out the bone becomes less dense and begins to shrink
making it harder to put in any type of a replacement.
Your appearance will also change: Shrinkage in the jaw bones will cause
your facial structure to change leading to hollow checks thus aging and
wrinkling your face
Anton Rahardjo, 2007
Changing levels of dental caries experience (DMFT) among 12year-olds in developed and developing countries
Sterilisasi Vs Obturasi
Terapi : Endodontik
Research
Research
? ? ? ? ? ? ?Research ? ? ? ? ? ? ?
Pemilihan dan
Uji drug
vehicle
delivery
Cohort
studies, etc
Cases
reported
Hipotesis
Kerangka
Konsep
Uji sensitifitas AB
thp ber-macam2
bakteri oral.
Macrogol
Clinical
study
3Mix-MP
1970
Expert
opinion
Review
article
Set 3Mix-MP
Peralatan lain
BAHAN MP
MACROGOL
SB
PROPYLENE
GLYCOL
Abstract:
This study assessed the efficacy of a triple antibiotic paste in the
disinfection of immature dog teeth with apical periodontitis. The
canals were sampled before (S1) and after (S2) irrigation with 1.25%
NaOCL and after dressing with a triple antibiotic paste (S3), consisting
of metronidazole, ciprofloxacin, and minocycline. At S1, 100% of the
samples cultured positive for bacteria with a mean CFU count of 1.7 x
108. At S2, 10% of the samples cultured bacteria-free with a mean
CFU count of 1.4 x 104. At S3, 70% of the samples cultured bacteriafree with a mean CFU count of only 26. Reductions in mean CFU
counts between S1 and S2 (p < 0.0001) as well as between S2 and S3 (p
< 0.0001) were statistically significant. These results indicate the
effectiveness of a triple antibiotic paste in the disinfection of immature
teeth with apical periodontitis.
Abstract:
This study assessed the efficacy of a triple antibiotic paste in the
disinfection of immature dog teeth with apical periodontitis. The
canals were sampled before (S1) and after (S2) irrigation with 1.25%
NaOCL and after dressing with a triple antibiotic paste (S3), consisting
of metronidazole, ciprofloxacin, and minocycline. At S1, 100% of the
samples cultured positive for bacteria with a mean CFU count of 1.7 x
108. At S2, 10% of the samples cultured bacteria-free with a mean
CFU count of 1.4 x 104. At S3, 70% of the samples cultured bacteriafree with a mean CFU count of only 26. Reductions in mean CFU
counts between S1 and S2 (p < 0.0001) as well as between S2 and S3 (p
< 0.0001) were statistically significant. These results indicate the
effectiveness of a triple antibiotic paste in the disinfection of immature
teeth with apical periodontitis.
Restorasi
z Syarat:
z Tehnik:
z MRT
Keberhasilan Pendekatan
LSTR Pada perawatan gigi
sulung
(Angraeni. R dkk. 2003)1
z 100% (Takushige.T dkk. 2004)2
z 100%
1Angraeni.
2Takushige.
Results:
Almost all cases (969, 97.8%) were successful because of
disappearance of acute or chronic clinical symptoms, such
as fistulae, abscess formation, purulent exudates, swelling
or bite pain, and partial or full recovery of radiolucent
periradicular lesions, if any at the first visit. The
successfully treated teeth did not felt pain or discomfort on
biting. Clinical success obtained regardless of root canal
filling conditions. Of 602 cases followed up more than 7
years, 595 (98.8%) were evaluated as successful. In NIET,
including cases in which previous root canal filling
material was intentionally remained, 187 cases (98.4%)
were also clinically successful.
Conclusion:
These indicate that 3Mix-MP endodontic treatment,
including NIET, results in excellent clinical outcomes.
Anton Rahardjo, 2006
Results:
Caries prevalence in Shibuchar was 51% and 26% for 5-13 year olds
in the primary and permanent dentitions, and 66% and 19% for the 67 year olds in Alfonso, respectively. DMF and dmf were 0.55 and 1.96
in Shibuchar and 0.41 and 3.85 in Alfonso. In Shibuchar, of the 26 first
molars and 5 primary molars, 19 resin-inlay cases were successful, 12
GI filling were lost 3 months after the treatment, but there was no
reported discomfort or pain before and after the loss. Of 9 first molars
and 6 primary molars in Alfonso, all the 10 CR cases were successful,
while GIs were lost in 3 cases.
z Conclusion:
These results indicate that the one-time LSTR 3Mix-MP NIET may be
useful in dentistry in under-resourced settings.
Tissue Repair
Tissue Repair
GIC
3Mix-MP
Kelainan
periapical
Perbaikan jaringan periapikal dan
jaringan sekitarnya setelah 18 bulan
3 bulan
8 bulan
16 bulan
Terbentuk
dentinal bridge
LAPORAN
KASUS
Kasus pulpa
nekrosis dg
Fistula
Kondensasi
amalgam dengan
matrik metal.
Pro: pembersihan
sisa2 amalgam,
Ro. Foto.
Kemudian
janjikan untuk
poles 24 jam
berikutnya.
Anton Rahardjo, 2006
3Mix-MP
Tumpatan
dengan Fuji
IXCapsul-fast
Kasus pulpa
nekrosis dg
Fistula
Anton
Anton Rahardjo,
Rahardjo, 2006
2006
Kegagalan;
z 3Mix
Anton
Anton Rahardjo,
Rahardjo, 2006
2006
Operational Research
*Dikti (FKGUI) dan JSPS** (Niigata University)
Penutup
LSTR dapat dipakai sebagai perawatan gg vital
dg pulpa terinfeksi atau gigi nonvital yang
dapat memenuhi keinginan sesuai dg keadaan
secara umum pelayanan kesehatan gigi di
Indonesia (Fasilitas terbatas).
Keuntungan, non toxic/ non carcinogenic,
preserve the natural teeth, tissue repair,
terjangkau, mudah dan patient friendly (1
visit). Walaupun demikian perlu diperhatikan
keterbatasan perawatan ini terutama dalam
restorasi yg dipilih dan seleksi kasus.
Catatan ..
z
No more..
http://groups.yahoo.com/group/LSTRIndonesia/
Terima
Kasih
Silahkan bergabung untuk berdiskusi di:
http://groups.yahoo.com/group/LSTRIndonesia/