Dental Caries

Seto Adiantoro drg. SpBM

Dr. Md. Nurul Islam

Introduction
Dental caries or tooth decay is one of the most
common of all disorders, second only to common
cold.

Dental caries has afflicted more humans longer

than any other disease. It was first appeared about
14000 years ago..
The word caries is derived from the Latin word
rot.
Dr. Md. Nurul Islam

Affects both sexes and all races, all

socio-economic strata and people of all
ages,

Starts soon after teeth erupt into the

oral cavity

It is a paradox that teeth are the

hardest tissue in the body but can be
easily destroyed relatively rapidly in vivo.

Dr. Md. Nurul Islam

What is Dental Caries?

It is a microbial disease of the calcified tissues of the teeth,
characterized by demineralization of the inorganic portion
and destruction of the organic substance of the tooth.

Dr. Md. Nurul Islam

A CAVITY occurs if the

Demineralization "wins" over the

Remineralization over time

Dr. Md. Nurul Islam

The first indication of

tooth decay are white
spots on the enamel caused
by the loss of calcium.

If the demineralization
process outruns the natural
remineralisation process, the
lesion grows and a cavity is
formed.

Dr. Md. Nurul Islam

The bacteria may

invade the pulp of
the tooth,

causing a consistent
tooth pain,
especially during
the night.
Dr. Md. Nurul Islam

The bacteria may also

produce an abscess,

and
eventually the
tooth may be
extracted by
the dentist.
Dr. Md. Nurul Islam

1.
2.
3.
4.
5.
6.

A tooth surface without caries.

The first signs of caries
The enamel surface has broken down.
A filling has been made but the demineralization has not been stopped.
The demineralization proceeds and undermines the tooth.
The tooth has fractured.
Dr. Md. Nurul Islam

Terminology

Caries superfisial: superfisial enamel

Caries media: email and dentin
Caries profunda: email, Dentin and cavum
pulpa

Dr. Md. Nurul Islam

Dental Caries

Caries superfisial

Smooth surface caries

Caries media

Caries profunda

Pit and fissure caries

Dr. Md. Nurul Islam

Dr. Md. Nurul Islam

Dr. Md. Nurul Islam

Karies superfisialis: hipersensitif

Karies media: hiperemi pulpa / pulpitis
reversible
Karies profunda: Pulpitis irreversibel/
necrotik pulpa/ gangren pulpa

Dr. Md. Nurul Islam

Penambalan/ filling
Perawatan saluran akar
Bedah konservasi
pencabutan

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Kelainan periodontal
Dr. Md. Nurul Islam

PERIODONTAL

Merupakan jaringan
pendukung gigi
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Jaringan gusi
Cementum
Membran periodontal
Tulang alveolar

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Gingival margin
Attached gingiva

Dr. Md. Nurul Islam

Adalah jaringan ikat yang

terkalsifikasi, meliputi dentin.

Dr. Md. Nurul Islam

Adalah membran yang menghubungkan akar

gigi ke tulang alveolar
Terdiri dari serat oblique di 1/3 coronal, apical
di dental enamel junction serta apical di apek
gigi.

Dr. Md. Nurul Islam

Merupakan bagian dari tulang rahang yang

mendukung gigi.

Dr. Md. Nurul Islam

Berkembang dari karies

Berkembang dari margin gusi

Dr. Md. Nurul Islam

Dr. Md. Nurul Islam

Dr. Md. Nurul Islam

Ringan
Sedang

Berat
Dr. Md. Nurul Islam

Lesi pulpa / Pulpitis NekroseLesi PeriapikalJ

Periodontal ( periodontitis/Periodontal diseases)
Periodontitis/Periodontal diseasekanal asesori /
foramen periapikal lesi Pulpa

Dr. Md. Nurul Islam

Bersumber dari lesi periapikal

retrograde Periodontitis
Bersumber dari margin gingiva
Marginal Periodontitis
Kombinasi

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Plak

Lesi marginal

Marginal Periodontitis

T/ Perawatan Perio

Problem endo-perio

Caries

Lesi pulpa

RetrogadePeriodontitis

T/ Perawatan Endo

Marginal periodontitis
Dr. Md. Nurul Islam

Gingivitis marginalis
Periodontitis
Periodontal abses
Gingival abses

Dr. Md. Nurul Islam

Lesi Periapikal ( Granuloma / cyste periapikal,

gigi nekrose)
Kegagalan Perawatan endo
Fraktur instrument
Perforasi saat pelebaran SA
Pengisian berlebihan pada perawatan SA
Over instrumentation
Fraktur apeks
Perawatan ortodonti
Dr. Md. Nurul Islam

Scaling
Rootplanning
Bedah periodontal
Pencabutan

Dr. Md. Nurul Islam

Dr. Md. Nurul Islam