Learning Issue Lbm 1

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  ivanaisnafentyfadina 31101500513 LEARNING ISSUE LBM 1 BLOK 16 PEDIATRIC DENTISTRY 2. Apa saja tingkatan risiko karies? 2 5. Apa saja indikasi dan kontraindikasi dari penggunaan fissure sealant? Tujuan fissure sealant adalah untuk menutup area pit dan fissure yang dalam pada permukaan email gigi. Dengan demikian, area tersebut tertutup dari aktivitas bakteri. Indikasi pit dan fissure sealant mnurut ADA Council on Scientific Affairs adalah 1.   Pasien dengan risiko kaies tingkat sedang atau tinggi 2.   Karies baru di dalam area pit dan fissure gigi 3.   Anatomi pit dan fissure gigi yang mudah rusak Indikasi lain : 1.   Area yang dipilih, fossa gigi nya telah erupsi seluruhnya. 2.   Ada kontak permukaan oklusal yang utuh  ivanaisnafentyfadina 31101500513 (Karena apabila pada permukaan gigi antagonisnya terdapat karies, maka pada gigi lawannya cenderung mudah terkena karies.) 3.   Material sealant dapat mengalir memenuhi kavitas untuk komposit atau amalgam kelas 1 (Untuk meningkatkan integritas marginal serta masuk ke dalam pit dan fissure gigi sebagai pencegahan terjadinya karies.) 4.   Fossa yang akan dilakukan restorasi sealant adalah fossa yang ter-isolasi dengan baik dari fossa lainnya dengan suatu restorasi. Kontraindikasi : 1.   Pada permukaan gigi yang sudah karies atau pada permukaan yang memiliki pit dan fissure yang bersatu dengan baik. 2.   Terdapat karies pada permukaan lain dalam satu gigi yang bila di restorasi akan mengganggu kebutuhan sealant. 3.   Terdapat restorasi oklusal yang besar. 11. Apa saja tindakan Caries Risk Assesment? Pit and fissure sealants are materials that are applied to the pits and fissure surfaces of teeth to create a thin barrier which protects the sealed surface from decay. Fissure sealant materials fall into two broad categories: resin-based sealants and glass ionomer sealants. Resin-based sealants are based on acrylic (methacrylate), may or may not contain filler particles or fluoride, and the setting reaction can be automatic (auto-polymerised) or light activated (light-polymerised). Low-viscosity resin-based restorative  materials (flowable composites) have also been used as fissure sealants.10-14 Glass ionomer sealants have evolved from glass ionomer cements, which can adhere directly to tooth substance.15 Glass ionomer materials release fluoride over time and have the advantage of being less sensitive to moisture contamination than resin-based materials, making them a potential alternative to resin-based sealants when moisture control is an issue.16 Hybrid materials which incorporate features of both resin and glass ionomer, e.g. polyacid-modified resins (compomers) and resin-modified glass ionomers, have also been developed and used as pit and fissure sealants. 1  12. Apa saja analisis untuk caries risk assessment? Caries risk assessment (CRA) is a critical component of dental caries management and should be considered a standard of care and included as part of the dental examination. It is essential in decision making to guide the clinician in the diagnosis, prognosis and treatment recommendations for the patient. Using a risk assessment provides for better cost-effectiveness and greater success in treatment compared with the more traditional approach of applying identical treatments to all patients, independent of their risk.13 There are a variety of caries risk assessment forms available from professional associations and industry publications to assist  ivanaisnafentyfadina 31101500513 clinicians in determining a patient’s risk. The American Dental Association developed two forms that determine low, moderate or high risk: one for patients 0-6 years old, and one for patients older than six years. These can be downloaded for free from the ADA website. 1 13. Apa saja tindakan pada carries risk assessment dan apa perbedaannya dengan tindakan preventif? Tindakan pencegahan (preventif) yang dilakukan harus melihat indikator mana sebagai penyebab utama. Bila kontrol plak yang tidak baik sebagai penyebab utama, dokter gigi harus lebih menekankan pada modifikasi anak mengenai kebersihan mulut (menyikat gigi dua kali sehari dengan menggunakan pasta gigi mengandung fluor sedikitnya 1000 ppm), bila karena kebiasaan diet yang salah, maka pengaturan diet lebih ditekankan (pembatasan konsumsi makanan dan minuman yang mengandung gula, menggunakan bahan pengganti gula seperti xylitol atau sorbitol). Bila morfologi gigi lebih rentan terhadap karies, seperti pit dan fissure yang dalam, enamel hipoplasia maka perlindungan terhadap gigi seperti penggunaan silen, fluor dan flossing klorheksidin lebih ditekankan. Sumber : 1.   JOURNAL OF CALIFORNIA DENTAL ASSOCIATION. October 2007. Caries Management by Risk Assessment DOUGLAS A. YOUNG, DDS, MS, MBA; JOHN D.B. FEATHERSTONE, MSC, PHD; AND JON R. ROTH, MS, CAE. 2.   American Academy of Pediatric Dentistry. Policy on use of a caries-risk assessment tool (CAT) for infants, children, and adolescent. Oral Health Dental Policies 2002; 18  – 20.
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