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Kes
pain
swelling
Filling
prothesa
DOKTER GIGI DIHARAPKAN MAMPU :
Mendiagnosa dengan tepat
melaksanakan perawatan darurat yang
efektif dan dengan cepat
Presenting Structure Condition Causes
complaint involved
Pain Tooth (pulp) Sensitivity Caries
Pulpitis Crack or fracture
Wear (abrasion,
attrition, erosion and
abfraction)
Failing restoration
Gingival recession
iatrogenic, e.g.
scaling,whitening,
over-preparation,
overload, galvanic
pain,
composite shrinkage
Periodontium Acute gingivitis and Infection (periodontal
periodontitis or pulpal)
Abscesses Trauma, e.g.
ANUG occlusion,
impacted food and
foreign bodies
Iatrogenic, e.g.
over-instrumentation
of root canals or root
surface, overhangs,
impinging denture
clasp
Infection-related
Prosthesis-related,
e.g.
ill-fitting denture
Stomatitis
Mucosa
Bone For example,
inflammatory bony
Conditions
Periapical or
periodontal
abscess
Marginal leakage
Caries
Fillings Loosening, Construction errors
Prosthesis debonding,
decementation Trauma (impact or
Fracture occlusal)
Periodontal
disease
Periodontal Dislocation and
avulsion Trauma
Loss of Pathology, e.g.
Attachment cysts,
neoplasms
Bone Fracture
Bone loss
A. PAIN MANAGEMENT
1. Dentin Hypersensitivity
- nyeri pendek, tajam
- Karena rangsangan dingin, panas, osmotic,
dll
- Dapat terjadi di permukaan gigi, cervical
- Terapi dengan
- desensitising agents such as fluoride as
sodium or stannous fluoride
- Potassium nitrate can be applied
- topically as a gel or aqueous solution.
- Sealants in the form of adhesive resins
applied to the areas of sensitive dentine to
occlude open tubules may be used
- In home: non-abrasive dentifrices,
desensitising toothpastes, fluoride
mouthwashes
2. Reversible Pulpitis
- Sakit bila terkena dingin, panas, dan manis
caries No caries
No pocket pocket
Complications of gingivitis
Gejala awal : gusi berdarah, halitosis,
spontaneus bleeding + loss of bone
period attch loss teeth loss. Juga dpt
beresiko terjadi infeksi dp membran period
periodontal abses
Bisa jadi serius ok barrier function jaringan
gingiva berkurang toxin dan bakteri
pembuluh darah mll ggv
Dampak serius :
- Bakteri dental plak pembuluh darah
atheromatous plaques dlm arteri acute
myocardial infection juga stroke
- Px bermasalah dg paru-paru meningkatkan
infeksi
- Ibu hamil BBLR ok. Plak cervic/uterus
inflamasi
Gingival problems and dental implants
Thermal burn
C. CRACK, FRACTURE AND MOBILITY OF TEETH
AND DENTAL RESTORATIONS
c. Occlusal forces
Fractured and loose permanent crowns and
bridges
Most likely reasons for loose permanent
crowns and bridges
(1) Crown decementation, which in turn could be due to:
a. non-retentive preparation;
b. secondary caries;
c. weak (or dissolved) cement (or loosening of the crown
retention screw on an implant);
d. excessive occlusal forces.
(2) Crown fracture
This can be seen with porcelain but not metal crowns. It could be due
to:
a. insufficient porcelain thickness as a result of tooth underpreparation;
b. excessive occlusal forces.
(
(3) Abutment fracture, because of:
a. secondary caries;
b. excessive occlusal forces.
(4) Fracture/decementation of a post or
loosening of the abutment screw on an
implant as a result of:
a. dissolved cement/secondary caries;
b. use of weak post;
c. excessive occlusal forces.
Single Crown ;
- Bersihkan semen
- Crown di bersihkan
- Cek tekanan
- Desain