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DENTISTRY
Dr.med.dent. YONGKI REHATTA
23 Feb. 2009
CONTACT ME :
you_kiss2002@yahoo.com
Definition can be defined as
ATRISION
ABRASION
EROSION
EROSION
ENAMEL
HYPOPLASIA
ENAMEL HYPOPLASIA
HYPOPLASIA MORPOLOGIS
HYPOPLASIA ENAMEL AND
DENTIN
HYPOPLASIA ENAMEL AND
DENTIN
HYPOCALCIFICATION
HYPOCALCIFICATION
HYPOCALCIFICATION
DISCOLORATION
DISCOLORATION
DISCOLORATION
pada GIGI SUSU
DISCOLORATION
pada GIGI SUSU
TRAUMATIC TOOTH
TRAUMATIC TOOTH
DENTINOGENESIS IMPERFECTA
DENTINOGENESIS IMPERFECTA
THE FUNCTION AND PURPOSES
OF
OP- DENT ARE :
• DIAGNOSIS
• PREVENTION
• INTERCEPTION
• PRESERVATION
• RESTORATION
THE THEORY OF CARIES
• ACIDOGENIC THEORY
• PROTEOLYSIS THEORY
• MICROBIOTIC SECRETIONS
THEORY
ACIDOGENIC
THEORY
CARBOHYDRATE
+
BACTERIAL PLAQUE
ACID PRODUCT
CAVITY = DECAY
PROTEOLYTIC THEORY
ORGANIC MATRIX
LYTIC ENZYME
INORGANIC MATERIAL WITHOUTMATRIX
TO BE WASHED AWAY
CAVITY
MICROBIOTIC SECRETION
MICROORGANISM
METABOLIC PRODUCTS
TOOTH STRUCTURE
to chelate
Ca++
ORGANIC MATRIX
DESINTEGRATED
CAVITY
FOR DECAY PROCESS
TO BE ESTABLISHED !!!!
THERE MUST BE :
• HOST (TOOTH)
• MICROORGANISM (PLAQUE)
• MEDIUM (CARBOHYDRATES IN THE DIET)
• TIME
PLAQUE
MICROORGANISM (STREP. MUTANT)
SALIVARY GLYCOPROTEIN
INORGANIC SALTS
DEXTRAN
POLYSACCHARIDE
ECTODERM
AMELOBLAST
ENAMEL
ENAMEL
1.0-3mm
• THICKNESS BE VARIED
• INORGANIC 85 %
• WATER 12 %
• PROTEIN & LIPID 3.%
ENAMEL CONSIST OF
• ENAMEL PRISMS
• ENAMEL SPINDLES
• STRIAE OF RETZIUS
• DENTINOENAMEL JUNCTION
(DEJ)
• NASMYTH MEMBRANE
ENAMEL
SUSCEPTIBILITY
SOLUBLE
ACID
ECTOMESENCHYME
ODONTOBLAST
DENTIN
NON-CARIOUS DEFECTS
• ABRASION IS ABNORMAL
TOOTH SURFACE LOSS
RESULTING FROM DIRECT
FRICTION FORCES BETWEEN THE
TEETH AND EXTERNAL OBJECTS.
ABRASION MAY OCCUR FROM:
1. IMPROPER BRUSHING
2. HABITS SUCH AS HOLDING
A PIPESTEM BY THE
TEETH.
• 3. TOBACCO CHEWING
• 4. VIGOROUS USE OF
TOOTHPICK
BETWEEN ADJACENT
EROSION (INCL. IDIOPHATIC)
• EROSION IS THE WEAR OR LOSS
OF THE TOOTH SURFACE BY
CHEMICO- MECHANICAL ACTION.
• REGURGITATION EROSION ON
LINGUAL SURFACES OF MAX.TEETH
IS RESULTING FROM
REEGURGITATION OF STOMACH
ACID
ATTRITION
• ATTRITION IS MECHANICAL WEAR OF
INCISAL OR OCCLUSAL SURFACE AS A
RESULT OF FUNCTIONAL OR
PARAFUCTIONAL MOVEMENTS OF
THE MANDIBLE (T-T-C)
NONHEREDITARY ENAMEL
HYPOPLASIA
• IS OCCURRED BY INJURY OF
AMELOBLAST DURING ENAMEL
FORMATION, RESULTING IN
DEFECTIVE ENAMEL (DIMINISHED
FORM AND OR CALCIFICATION)
• COLORS : OPAQUE WHITE OR LIGHT
BROWN.
AMELOGENESIS
IMPERFECTA
• AMELOGENESIS IMPERFECTA OF THE
ENAMEL IS DEFECTIVE EITHER IN
FORM OR CALCIFICATION DUE TO
HEREDITY.
DENTINOGENESIS IMPERFECTA
• DENTINOGENESIS IMPERFECTA IS A
HEREDITY CONDITION WHERE ONLY
THE DENTIN IS DEFECTIVE.
• ENAMEL IS NORMAL BUT WEAKLY
ATTACHED AND LOSS EARLY.
LITERATURES
• PRESERVATION AND RESTORATION
OF TOOTH STRUCTURE--GJ.MOUNT
&W.R HUME
• OPERATIVE DENTISTRY CLIFFORD
STURDEVANT
• OPERATIVE DENTISTRY H.M
PICKARD
• RESTORATIVE DENTISTRY
WALMSLEY
• OPERATINE DENTISTRY M.A.
BUKAN LAGI BAGAIMANA
DOSEN MENGAJAR DENGAN
BAIK ( TEACHER CENTER ), TRANSFER OF
KNOWLEDGE
TAPI…….
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