BAB IV

DIAGNOSIS DAN RENCANA PERAWATAN GIGI

Tabel. Rekapitulasi Data Diagnosis dan Rencana Perawatan Gigi Murid Kelas I SD Corona
Umur Rencana
No Nama Murid Elemen Diagnosis
Tahun Bulan Perawatan

1 Bernadela Early 7 2 54 Karies email Opdent

Sekar Wibawa
52 Karies dentin Opdent
51 Karies dentin Opdent
61 Karies dentin Opdent
62 Karies dentin Opdent
36 Karies email Opdent
74 Karies dentin Opdent
81 Karies dentin Opdent
84 Karies email Opdent
85 Karies email Opdent
46 Karies email Opdent
2 Elizabeth Ken 6 5 16 Karies email Opdent
Naya Priyanto
55 Karies email Opdent
52 Karies email Opdent
51 Karies email Opdent
61 Karies email Opdent
62 Karies email Opdent
74 Karies email Opdent
3 Felisitas Citra 6 5 65 Karies email Opdent
Felcia
74 Karies email Opdent
83 Karies email Opdent
84 Karies email Opdent
4 Kaeyla Mutiara 7 5 36 Karies email Opdent
Cinta
55 Karies dentin Opdent
54 Karies dentin Endodonsi
disertai
nekrosis pulpa
53 Karies dentin Opdent
64 Karies email Opdent
74 Karies dentin Opdent
84 Karies dentin Opdent
85 Karies dentin Opdent
5 Oryza Nivara Y 6 4 61 Karies dentin Opdent
83 Karies dentin Opdent
6. Rafaela Ayodya 6 9 75 Karies email Opdent
M

7. Yohanes Hassel 6 1 55 Karies dentin Opdent

Maleakhi

8. Ainun Mahya 7 0 55 Karies email Opdent

Putri
54 Radiks Observasi pro
eksodonsi
52 Karies dentin Opdent
62 Karies dentin Opdent
63 Karies email Opdent
64 Karies dentin Opdent
65 Karies dentin Opdent
26 Karies email Opdent
75 Karies dentin Opdent
84 Karies dentin Opdent
85 Karies dentin Opdent
9. Anwar Ibnu 7 2 55 Karies email Opdent
Mutik
54 Karies dentin Opdent
 52 Nekrosis Endodonsi
51 Nekrosis Observasi pro
eksodonsi
61 Karies dentin Opdent
62 Karies dentin Opdent
64 Karies dentin Opdent
65 Karies dentin Opdent
36 Karies email Opdent
75 Nekrosis Endodonsi
74 Karies dentin Opdent
42 Belum erupsi Observasi
84 Karies dentin Opdent
85 Karies dentin Opdent
46 Karies email Opdent
10. David Allen 7 9 54 Karies dentin Eksodonsi
Anugerah disertai
persistensi
61 Karies dentin Eksodonsi
disertai
persistensi
62 Karies dentin Eksodonsi
disertai luksasi
derajat 2
64 Radiks Eksodonsi
65 Nekrosis Endodonsi
36 Karies email Opdent
75 Nekrosis Observasi pro
eksodonsi
74 Karies dentin Opdent
83 Karies dentin Opdent
84 Radiks Eksodonsi
85 Karies dentin Opdent
 46 Nekrosis Endodonsi
11 Elvina Rhahsya 7 8 54 Karies dentin Endodonsi
Lia disertai
nekrosis pulpa
51 Radices Eksodonsi
dengan
persistensi
61 Radices Eksodonsi
disertai
persitensi
64 Karies dentin Endodonsi
disertai
nekrosis pulpa
82 Persistensi Eksodonsi
disertai luksasi
derajat 2
12 Felicia Juanita 7 4 - Gigi Bebas Topikal
Suhendar karies Aplikasi Fluor

13 Muhammad 8 1 55 Karies email Opdent

Ilham Lutfi
54 Karies dentin Opdent

53 Karies dentin Opdent

52 Karies dentin Opdent

61 Radices Eksodonsi
disertai luksasi
derajat 3

62 Karies email Opdent

63 Karies email Opdent

64 Karies dentin Opdent

 65 Karies email Opdent

75 Karies email Opdent

74 Karies dentin Opdent

72 Karies dentin Opdent

disertai luksasi
derajat 1

82 Karies dentin Opdent

83 Karies dentin Opdent

85 Karies email Opdent

14 M Zaki Permana 7 5 55 Karies email Opdent

54 Radices Observasi pro
eksodonsi
52 Luksasi derajat Eksodonsi
2
64 Karies dentin Opdent
75 Karies email Opdent
74 Karies email Opdent
84 Karies email Opdent
85 Karies email Opdent
15 Queenza Adhisty 7 10 54 Karies dentin Opdent
Pratama 65 Karies dentin Opdent
74 Karies dentin Opdent
85 Karies dentin Opdent
16 Rio Bagus 8 0 74 Karies dentin Opdent
Saputra
17 Abdilla Faiz 7 10 52 Karies dentin Opdent
Anugrah Al-
63 Karies email Opdent
Faridzi
18 Agiska Arya 8 1 53 Karies dentin Opdent
Dhiva
51 Karies dentin Eksodonsia
disertai luksasi
 derajat III
61 Karies dentin Opdent
62 Karies dentin Opdent
63 Karies dentin Opdent
64 Karies dentin Opdent
74 Karies dentin Opdent
81 Karies email Eksodonsia
disertai luksasi
derajat III
19 Alika Avrilla 8 0 65 Karies dentin Opdent
Sari
84 Karies dentin Observasi pro
disertai eksodonsia
nekrosis pulpa
dan pulpa polip
20 Kayla Fatima 8 3 52 Luksasi derajat Eksodonsia
Faliha I
64 Karies email Opdent
72 Persistensi Eksodonsia
disertai luksasi
derajat II
74 Karies dentin Observasi pro
disertai eksodonsia
nekrosis pulpa
dan pulpa polip
Tabel. Rekapitulasi Data Diagnosis dan Rencana Perawatan Gigi Murid Kelas IV SD Corona
No Nama Murid Umur Elemen Diagnosis Rencana
Perawatan
Tahun Bulan
1 Aleysius 10 1 55 Radix disertai Eksodonsi
Christian Putra luksasi derajat 2
S.
64 Radix disertai Eksodonsi
luksasi derajat 1
36 Karies email Opdent
75 Karies email Opdent
74 Karies email Opdent
85 Karies email Opdent
2 Brigita Bunga 9 8 16 Karies email Opdent
Mayvalina N.
53 Radix disertai Eksodonsi
luksasi derajat 3
36 Karies email Opdent
46 Karies dentin Endodonsi
disertai nekrosis
pulpa
3 Derino Hugo 9 8 55 Karies dentin Opdent
Gedoan
54 Karies dentin Opdent
53 Karies dentin Opdent
63 Karies email Opdent
64 Karies email Opdent
74 Karies dentin Opdent
84 Karies dentin Observasi,
disertai nekrosis pro eksodonsi
pulpa
85 Karies dentin Opdent
4 Galenio Riski 9 9 46 Karies email Opdent
Pintarianto
75 Karies dentin Opdent
74 Luksasi derajat Eksodonsi
3 disertai
 persistensi
85 Karies dentin Opdent
5 Jihansen 10 7 55 Karies dentin Opdent
Hasudungan
75 Karies email Opdent
Hutapea
73 Karies email Observasi,
disertai luksasi pro eksodonsi
derajat 2
85 radix Observasi,
pro eksodonsi
6. Michael Devano 10 11 16 Karies email Opdent
C.P
15 Karies dentin Opdent
55 Persistensi Eksodonsi
14 Karies email Opdent
63 Karies dentin Opdent
65 Karies dentin Observasi pro
disertai nekrosis eksodonsi
pulpa
26 Karies email Opdent
36 Karies dentin Opdent
46 Karies email Opdent
85 Karies dentin Observasi pro
disertai nekrosis eksodonsi
pulpa
7. Ni Komang Ayu 9 9 55 Karies email Opdent
Putri Della
65 Karies email Opdent
36 Karies email Opdent
83 Luksasi derajat Eksodonsi
2
46 Karies email Opdent
8. Novita Dwi Nur 10 5 75 Radices dengan Eksodonsi
Aini luksasi derajat 3
disertai
 persistensi
85 Radices disertai Eksodonsi
persistensi
9. Zara Leviana 10 10 16 Karies dentin Opdent
Garinta
26 Karies email Opdent
46 Karies dentin Opdent
10. Nadya Marella 10 3 55 Karies dentin Endodonsia
disertai nekrosis
pulpa
53 Premature loss Observasi pro
SM
63 Karies dentin Opdent
65 Karies dentin Endodonsia
disertai nekrosis
pulpa
84 Radices dengan Eksodonsia
persistensi
85 Karies dentin Endodonsia
disertai nekrosis
pulpa
11 Marcellinus 10 8 63 Luksasi derajat Observasi pro
Janenino 2 eksodonsia
83 Luksasi derajat Observasi pro
3 eksodonsia
12 Yuliana 10 9 54 Karies dentin Eksodonsia
Kusminarti disertai nekrosis
pulpa dan
persistensi 14
62 Karies dentin Eksodonsia
disertai nekrosis
pulpa dan
persistensi 22
63 Karies dentin Observasi pro
disertai nekrosis eksodonsia
pulpa
 64 Radices disertai Eksodonsia
persistensi 24
65 Karies dentin Observasi pro
disertai nekrosis eksodonsia
pulpa
36 Karies email Opdent
75 Karies dentin Observasi pro
disertai nekrosis eksodonsia
pulpa
74 Karies dentin Observasi pro
disertai nekrosis eksodonsia
pulpa
84 Karies dentin Observasi pro
disertai nekrosis eksodonsia
pulpa
85 Karies email Opdent

13 Martua Dome 10 3 36 Karies dentin Opdent

Ichi Habeahan
46 Karies dentin Opdent

14 Ardina Mesya 10 6 53 Karies dentin Opdent

Hastani

63 Karies dentin Opdent

85 Persistensi Eksodonsia
46 Karies email Opdent
15 Benyamin Al 10 11 - Gigi bebas Topikal
Habibi karies Aplikasi
Fluor
16 Anugerah 10 11 53 Luksasi derajat Observasi pro
Fauzan Alfaridzi II eksodonsia
75 Karies email Opdent
17 Fajar Dwi 10 9 36 Karies dentin Opdent
Saputra
46 Karies email Opdent
18 Chesya Nada 10 0 52 persistensi Eksodonsia
 Berliana 62 persistensi Eksodonsia
83 persistensi Eksodonsia
19 Imannuelo 10 2 85 Karies email Opdent
Yunaz Efraim
20 Ahmad Arkan 10 4 15 Karies dentin Opdent
Nandana Naban
37 Karies email Opdent
36 Karies email Opdent
75 Karies dentin Eksodonsia
disertai nekrosis
pulpa
84 Karie dentin Eksodonsia
disertai nekrosis
pulpa
85 Radices disertai Eksodonsia
persistensi
 Tabel. Rekapitulasi Hasil Pemeriksaan UKGS Murid Kelas I SD Corona

Status Karies Status Karies Frekuensi

Jenis
OHI-S Kesehatan Gusi Menyikat Rujukan
Nama Kel. Gigi Sulung Gigi Tetap Gigi
No Nama Pemeri
ksa Status OHIS

DMF
dmf
L P Skor ∑ d m f ∑ D M F Sehat 1-3 4-6 1x 2x 3x + -
B C K T

1 Bernadela Adhara ✓ 1,00 ✓ 19 9 0 0 9 4 2 0 0 2 ✓ ✓ ✓

Early Harvita
Sekar P.
Wibawa
2 Elizabeth Adhara ✓ 0,50 ✓ 20 6 0 0 6 4 1 0 0 1 ✓ ✓ ✓
Ken Naya Harvita
Priyanto P.
3 Felisitas Adhara ✓ - ✓ 12 4 0 0 4 10 0 0 0 0 ✓ ✓ ✓
Citra Harvita
Felcia P.
4 Kaeyla Adhara ✓ 0,50 ✓ 12 7 0 0 7 9 1 0 0 1 ✓ ✓ ✓
Mutiara Harvita
Cinta P.
5 Oryza Adhara ✓ - ✓ 20 2 0 0 2 2 0 0 0 0 ✓ ✓ ✓
Nivara Y. Harvita
P.
6 Atha ✓ - ✓ 12 1 0 0 1 8 0 0 0 0 ✓ ✓ ✓
Rafaela Yuska
Ayodya M Irfani
7 Atha ✓ 0,50 ✓ 16 1 0 0 1 8 0 0 0 0 ✓ ✓ ✓
Yohanes Yuska
Hassel Irfani
Maleakhi

8 Ainun Atha ✓ - ✓ 14 1 0 0 10 10 1 0 0 1 ✓ ✓ ✓
Mahya Yuska 0
Putri Irfani

9 Anwar Atha ✓ 1,60 ✓ 17 1 0 0 12 6 2 0 0 2 ✓ ✓ ✓

Ibnu Yuska 2
Mutik Irfani

10 David Atha ✓ 1,67 ✓ 15 1 0 0 10 12 2 0 0 2 ✓ ✓ ✓

Allen Yuska 0
Anugerah Irfani

11 Elvina Elma ✓ 1,40 ✓ 15 4 0 0 4 12 0 0 0 0 ✓ ✓ ✓

Rhahsya Noor
Lia PD
12 Felicia Elma ✓ 1,30 ✓ 12 0 0 0 0 12 0 0 0 0 ✓ ✓ ✓
Juanita Noor
Suhendar PD

13 Muhamm Elma ✓ 2,67 ✓ 17 1 0 0 15 8 0 0 0 0 ✓ ✓ ✓

ad Ilham Noor 5
Lutfi PD

14 M Zaki Elma ✓ 0,50 ✓ 14 7 0 0 7 10 0 0 0 0 ✓ ✓ ✓

Permana Noor
PD
15 Queenza Elma ✓ 0,66 ✓ 11 4 0 0 4 13 0 0 0 0 ✓ ✓ ✓
 Adhisty Noor
Pratama PD

16 Rio Bagus Laksmi ✓ 0,4 ✓ 18 1 0 0 1 6 0 0 0 0 ✓ ✓ ✓

Saputra Wikan
D.
17 Abdilla Laksmi ✓ - ✓ 18 2 0 0 2 2 0 0 0 0 ✓ ✓ ✓
Faiz Wikan
Anugrah D.
Al-Faridzi
18 Agiska Laksmi ✓ 1,6 ✓ 19 8 0 0 8 5 0 0 0 0 ✓ ✓ ✓
Arya Wikan
Dhiva D.
19 Alika Laksmi ✓ 1,0 ✓ 12 2 0 0 2 12 0 0 0 0 ✓ ✓ ✓
Avrillya Wikan
Sari D.
20 Kayla Laksmi ✓ 1,5 ✓ 14 2 0 0 2 9 0 0 0 0 ✓ ✓ ✓
Fatima Wikan
Faliha D.
 Tabel. Rekapitulasi Hasil Pemeriksaan UKGS Murid Kelas IV SD Corona

Status Karies Status Karies Frekuensi

Jenis
OHI-S Kesehatan Gusi Menyikat Rujukan
Kel. Gigi Sulung Gigi Tetap
Nama Gigi
No Nama
Pemeriksa
Status OHIS

DMF
dmf
L P Skor ∑ d m f ∑ D M F Sehat 1-3 4-6 1 2 3 + -
B C T
K
1 Aleysius Adhara ✓ 1,00 ✓ 11 5 0 0 5 13 1 0 0 1 ✓ ✓ ✓
Christian Harvita P.
Putra S.
2 Brigita Adhara ✓ 0,83 ✓ 6 1 0 0 1 22 3 0 0 3 ✓ ✓ ✓
Bunga Harvita P.
Mayvalin
a N.
3 Derino Adhara ✓ 1,16 ✓ 9 8 0 0 8 15 0 0 0 0 ✓ ✓ ✓
Hugo Harvita P.
Gedoan
4 Galenio Adhara ✓ 1,16 ✓ 8 2 0 0 2 16 1 0 0 1 ✓ ✓ ✓
Riski Harvita P.
Pintariant
o
5 Jihansen Adhara ✓ 1,75 ✓ 11 4 0 0 4 12 0 0 0 0 ✓ ✓ ✓
H. Harvita P.
Hutapea
6 Michael Atha ✓ 1,66 ✓ 5 3 0 0 3 18 6 0 0 6 ✓ ✓ ✓
Devano Yuska
C. P. Irfani

7 Ni Atha ✓ 0,83 ✓ 12 2 0 0 2 12 2 0 0 2 ✓ ✓ ✓
 Komang Yuska
Ayu Irfani
Putri
Della
8 Novita Atha ✓ 1,16 ✓ 2 2 0 0 2 26 0 0 0 0 ✓ ✓ ✓
Dwi Nur Yuska
Aini Irfani

9 Zara Atha ✓ 1,66 ✓ 0 - - - - 26 3 0 0 3 ✓ ✓ ✓

Leviana Yuska
Garinta Irfani

10 Nadya Atha ✓ 1,33 ✓ 5 5 1 0 6 19 0 0 0 0 ✓ ✓ ✓

Marella Yuska
Irfani

11 Marcelli Elma Noor ✓ 1,33 ✓ 6 0 0 0 0 17 0 0 0 0 ✓ ✓ ✓

nus PD
Janenino

12 Yuliana Elma Noor ✓ 1,67 ✓ 11 9 0 0 9 16 1 0 0 1 ✓ ✓ ✓

Kusmina PD
rti

13 Martua Elma Noor ✓ 1,00 ✓ 0 0 0 0 0 26 2 0 0 2 ✓ ✓ ✓

Dome PD
Ichi
Habeaha
n
14 Ardina Elma Noor ✓ 2,20 ✓ 4 2 0 0 2 22 1 0 0 1 ✓ ✓ ✓
Mesya PD
Hastani

15 Benyami Elma Noor ✓ 4,30 ✓ 0 0 0 0 0 24 0 0 0 0 ✓ ✓ ✓

n Al PD
Habibi

16 Anugerah Laksmi ✓ 1,50 ✓ 7 1 0 0 1 14 0 0 0 0 ✓ ✓ ✓

Fauzan Wikan D.
Alfaridzi
17 Fajar Dwi Laksmi ✓ 1,67 ✓ 0 - - - - 27 2 0 0 2 ✓ ✓ ✓
Saputra Wikan D.
18 Chesya Laksmi ✓ 1,00 ✓ 13 0 0 0 0 12 0 0 0 0 ✓ ✓ ✓
Nada Wikan D.
Berliana
19 Imannuel Laksmi ✓ 3,30 ✓ 4 1 0 0 1 10 0 0 0 0 ✓ ✓ ✓
o Yunaz Wikan D.
Efraim
20 Ahmad Laksmi ✓ 1,00 ✓ 3 3 0 0 3 23 3 0 0 3 ✓ ✓ ✓
Arkan Wikan D.
Nandana
Naban