L11 Periodontitis Kronis 2015

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CHRONIC PERIODONTITIS

drg. Siska

formerly known as "adult periodontitis

or "chronic adult periodontitis,


it can occur in children and
adolescents chronic periodontitis
most prevalent form of periodontitis
generally considered to be a slowly
progressing but, in the presence of
systemic/environmental factors that
may modify the host response to plaque
accumulation (e.g diabetes, smoking, or
stress) disease progression may
become more aggressive

D iabetes

rokok

stress

D ef n
i isi P eriodontitis
peradangan periodontium melibatkan

hilangnya tulang alveolar scr progresif


di sekitar gigi jika tidak diobati
menyebabkan melonggarnya jaringan
periodontium &kehilangan gigi.
Inflamasi berasal dari gingiva
(gingivitis) tidak dirawatinvasi
struktur di bawahnya poket
peradangan berlanjut merusak
tulang & jaringan penyangga gigi gigi
goyang

Etiologi& patogenesis
Bakteri
plak

gingivitis
Periodontal
inflamation

Loss of attachment
& alveolar bone

Tidak
dioba
ti

C LIN IC A L FEATU R ES
AKUMULASI PLAK SUPRA & SUB GINGIVA

TERBENTUKNYA KALKULUS

INFLAMASI GINGIVA

TERBENTUKNYA POKET
HILANGNYA PERIODONTAL ATTACHMENT &
ALVEOLAR BONE
GINGIVA BENGKAK RINGAN HINGGA MODERATE
GINGIVA BERUBAH WARNA MERAH HINGGA UNGU

STIPPLING HILANG

PROBING GINGIVA BERDARAH

EKSUDAT DARI CAIRAN GINGIVA

SUPURATIF DARI POKET

POLA RESORBSI TULANG HORISONTAL &


VERTIKAL

G am baran Radiografi
Normal
Lamina dura

abnormal

kontinyu

diskontinyu
Periodontal space normal

melebar

Alveolar crest

posisi normal menurun

Tulang alveolar

radiopak

kabur

D isease D istribution
1. Localized periodontitis:
. Periodontitis is considered localized
. when <30% of the sites assessed in the mouth

demonstrate attachment loss and bone loss.


2. Generalized periodontitis:
. Periodontitis is considered generalized
. when >30% of the sites assessed in the
mouth demonstrate attachment loss and bone
loss.

D isease Severity
1. Slight (mild) periodontitis:
. Periodontal destruction is generally
. considered slight when no more than 1 to 2 mm of

clinical attachment loss has occurred.


2. Moderate periodontitis:
. Periodontal destruction is generally
. considered moderate when 3 to 4 mm of clinical
. attachment loss has occurred.
3. Severe periodontitis:
. Periodontal destruction is considered
. severe when 5 mm or more of clinical attachment
loss has occurred.

Disease
Severity
clinical attachment
loss
Slight (mild)
periodontitis

no more than 1-2mm

Moderate
periodontiti
s:
3 -4 mm

Severe
periodontiti
s
5 mm or more

Terima

kasih

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