Top Banner
1 = Terdapat perdarahan setelah probing 0 = Periodonsium sehat 2 = Terdapat kalkulus supra atau subgingiva atau timbunan plak di sekelilin 3 = Terdapat poket dengan kedalaman 4 atau 5 1. Kriteria Skoring CPITN :
8

LO MODUL 6-LO5

Feb 20, 2016

Download

Documents

Nada Rania

gghergergeresthrsryhrthrthbirjeg94uig093uig9ju figeujgviou giorugio rgo
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: LO MODUL 6-LO5

1 = Terdapat perdarahan setelah probing0 = Periodonsium sehat

2 = Terdapat kalkulus supra atau subgingiva atau timbunan plak di sekeliling margin gingiva, tidak terdapat poket dengan kedalaman lebihdari 3 mm (kode warna pada probe semuanya tampak)3 = Terdapat poket dengan kedalaman 4 atau 5 mm (jika probe diinsersikan pada poket, daerah warna probe tampak sebagian)

* = Terdapat keterlibatan daerah furkasi atau loss attachment dengan kedalaman poket lebih dari 7 mm4 = Terdapat poket lebih dari 6 mm (jika probe diinsersikan pada poket, daerah warna probe seluruhnya masuk ke dalam poket dan tidak tampak kode warna)

1. Kriteria Skoring CPITN :

Page 2: LO MODUL 6-LO5

LampiranMenulis Diagnosis Penyakit Periodontal

American Academy of Periodontology & CPITN Klasifikasi Kondisi dan Penyakit Periodontal

Classification of Periodontal Disease

Conditions CPITN

Periodontal Health None 0 - Periodontal Health

Gingivitis/Gingival diseases

No pockets, bleeding on probing

A. Dental plaque-induced gingival diseases

B. Non-plaque-induced gingival lesions

Sextant Scores of - 1 & 2

Bleeding on probing, and/or calculus or restoration overhang present

Chronic PeriodontitisA. Localized

B. Generalized (> 30% of sites are involved)

Example: Two sextants of CPITN of 4 could be “localized chronic periodontitis” and maybe three or more sextants would be “generalized chronic periodontitis”

Age Distinction: Was described as adult onset periodontitis, in people older that 35 years.

Severity of Disease:

Slight: 1-2 mm clinical attachment loss (CAL); (3-4mm pockets, < 30% bone loss)

Moderate: 3-4 mm CAL; (4-6mm pockets, < 50% bone loss)

Severe: >5 mm CAL: ( > 6mm pockets, > 50% bone loss)

Written Diagnosis:

Use the descriptors localized or generalized depending on the distribution of sextant scores, and

Sextant Score of – 3 to 4

CPITN- 3 = 3.5 – 5.5 mm probing depth

-4 = > 6mm probing depth

Severity of Disease:

Slight – CPITN of 3 Moderate – CPITN of 3 Severe – CPITN of 4

Page 3: LO MODUL 6-LO5

severity of disease.

Ex. Gen slight chronic perio

Gen slight, locally severe chronic perio

Aggressive PeriodontitisA. Localized

B. Generalized (> 30% of sites are involved)

Age Distinction: Usually described as early onset < 35 years of age or rapidly progressing

Severity of Disease (same as above):

Slight: 1-2 mm CAL; (3-4mm pockets, < 30% bone loss)

Moderate: 3-4 mm CAL; 4-6mm pockets, < 50% bone loss

Severe: >5 mm CAL: > 6mm pockets, > 50% bone loss

In the world of oral epidemiology, any pocket depth >6mm is considered a "deep pocket" with advanced or severe periodontal disease.

Written Diagnosis Example:

Localized Severe, Aggressive Periodontitis

Sextant Score of – 3 to 4

CPITN - 3 = 3.5 – 5.5 mm probing

-4 = > 6mm probing depth

Severity of Disease:

Slight – CPITN of 3 Moderate – CPITN of 3 Severe – CPITN of 4

Page 4: LO MODUL 6-LO5

Classification of Periodontal Disease

Conditions CPITN

Periodontitis as a Manifestation of Systemic Diseases

A. Associated with hematological disorders

(neutropenia, leukemia)

B. Associated with genetic disorders

(Down’s, histiocytosis)

C. Not otherwise specified

Necrotizing Periodontal Diseases

Necrotizing Ulcerative Gingivitis (NUG) – gingival disease...does not extend into periodontal attachment.

Necrotizing Ulcerative Periodontitis (NUP) - extending into periodontal attachment

Abscesses of the Periodontium

A. Gingival abscess

B. Periodontal abscess

c. Pericoronal abscess

Periodontitis Associated With Endodontic Lesions

Combined periodontic-endodontic lesions

Developmental or Acquired Deformities and Conditions

A. Localized tooth-related factors that modify or predispose to plaque-induced gingival diseases/periodontitis

B. Mucogingival deformities and conditions around teeth

C. Mucogingival deformities and conditions on edentulous ridges

D. Occlusal trauma

Page 5: LO MODUL 6-LO5

Community Periodontal Index of Treatment Needs (CPITN)

CPITN SCORES

CLINICAL DESCRIPTION

Treatment needs

0 Periodontal Health

Promote self-assessment skills - Oral hygiene instructions (OHI)

1 Bleeding on probing

OHI

2 Calculus or Restoration

overhang present

OHI + prophy (ultrasonic scaling/overhang removal)

3 3.5 – 5.5 mm probing depth

OHI + ultrasonic scaling

4 Pocket depths >6 mm

Evaluate Severity & Rick Factors (such as DM, Smoking, Immunocompromised, Age)

AGE DETERMINES RISK CATEGORY

14 – 35 YEARS

HIGH RISK

High Intensity OHI

Non-Surgical Pocket

Debridement

Chemotheraphy

Active Recall

36 – 59 YEARS

MODERATE RISK

OHI

Pocket Debridement

Optional Recall

>60 YEARS

LOW RISK

OHI

Pocket Debridement

Optional Recall

Antibiotik harus digunakan dalam hubungannya dengan pembersihan awal mulut

menyeluruh pada pasien risiko tinggi. Penggunaan antibiotik tanpa adanya debridemen

penuh mulut akar memiliki manfaat yang sangat sedikit.

Catatan: 90-95% dari diagnosis akan menjadi gingivitis atau periodontitis kronis.

Page 6: LO MODUL 6-LO5

Tambahkan deskripsi "lokal atau umum", serta keparahan (sedikit, sedang, atau berat). Umumnya, menggunakan age break point 30-35 tahun sebagai bantuan untuk menentukan apakah itu agresif atau periodontitis kronis. Ingat, CPITN tidak mengenali resesi dan kehilangan perlekatan klinis. Seorang pasien bisa mengalami generalisasi periodontitis parah dengan kehilangan 70% tulang dan gigi mobile, tapi 3 mm atau kurang kedalaman poket akibat resesi. Skor CPITN bisa terlihat seperti: X / 2/2 karena kedalaman probing dangkal.                                                                     2/2 / X