kelainan gingiva dan kelenjar saluran ludah

7/21/2019 kelainan gingiva dan kelenjar saluran ludah

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KELAINAN GINGGIVA& KELENJAR LUDAH

Monica Sari Gunawan

Yulia Evita Sari S

Aryaza Nuzuliana

Ku!u"anin#ru"

In$ra Ku!u"a

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KELAINAN GINGIVA GINGIVI%IS

GINGIVI%IS KRNIS

GINGIVI%IS MDI'IKASI SIS%EMIK

A(U%E NE(R%I)ING UL(ERA%IVE GING*S%* A(U%E +RIMARY HER+E%I( GING*S%*

GINGIVAL ENLARGEMEN%

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Gin#iviti!

D,-ni!i. in/a"a!i 0a$a #in#iva 1223

Etiolo#i. inva!i "ic*r#* & +ro$uc 0$ 0la*

Karat,ri!ti.

4* +ri",r . 5anya in/a"a!i y# t,r6a$i

Mi!al . Gin#iviti! roni!*

7* S,un$,r . in/a"a!i "r0 8t !,un$,r $ari

0,ny* Si!t,"i y# !$5 a$a*

Mi!al . +a$a 0!n $ia9,t,!*

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#in#iviti!4


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G,6ala lini!.4* %i0, r: in/*

A* Aut . c,0at* ;,rat

;* Kroni! . tt0< la"9at< 22*

7* +,rlua!an r: in/*

A* Loal . 4="ulti0l,* ;* G,n,ral . ",ny,luru5*

>* Di!tri9u!i r: in/*

A* +a0illary

;* Mar#inal

(* Di8u!, . ? attac5,$*

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Gingivitis Kronis

D,-ni!i. +,ny* +$ #in#iva r 0ro!,! in/* Kr*

G6l lin*.

@arna . ,",ra5an< "r5 9iru= "r5 tua*

(ontur . it$* +a0il?"#* U$,"*

%,:tur, . !ti00lin# 9,ruran#*

(on!i!t,n!i . 5alu!


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Etiolo#i . au"ula!i $an "atura!i 9act,rial0laBu, 0a$a #i#i 18t* Initiatin#*3'tr 0r,$i!0o!i!i.

alulu!* %a"9* v,r5an#*

'oo$ i"0acti,*

Eru0!i #i#i*

%,ra0i. ,li"ina!i 8ator loal*

1Scalin#< root 0lanin#< #rin$in#3*

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'ator 0r,$i!0o!i!i

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GINGIVI%IS MDI'IKASI SIS%EMIK

D,-ni!i . o"9ina!i 8tr irita!i loal $an !i!t,"i*

(onto5.

Gin#iviti! 0a$a $,8* Vit* (*Gin#iviti! 0a$a L,u,"i*

Gin#iviti! 0a$a "a!a 0u9,rta!*

Gin#iviti! 0a$a "a!a ,5a"ilan

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GINGIVI%IS +ADA MASA KEHAMILAN

D,-ni!i. In/* +a$a #in#iva !,la"a ,5a"ilan1+r,#nancy #in#iviti!3*

G,6ala Klini!.

@arna . ",ra5 t,ran#=,9iruan*

Kontur . it$ 00l* U$,"< "# . ","9ulat*Kon!i!t,n!i . ,$,"atu! = 5alu!*

%,n$,n!i 0,r$r5 . 2 0$ in!tr*

+r,#n* tu"or . it$ 00l* U$," 122 loal3< 9uan

tu"or< ",ra5 tua< 5alu!< ",n#ilat* Etiolo#i. ;act,rial 0laBu,< ",nin#atnya 5or"on 0ro#,!t,ron*

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%,ra0i .

Eli"ina!i !,"ua 8ator irita!i loal $an 0,ny,9a9nya*

Scalin# $an cur,tta#,*

E:ci!i 0r,#nancy tu"or*

+laBu, control .

%,ni ",nyiat #i#i*

'lo!!in#*

Int,r$,ntal !ti"ulation*

'r,Bu,nt r,call vi!it!*

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'LSSING&;RUSHING 14


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AKUT NECROTIZING ULCERATIVE

GINGIVOSTOMATITIS/ ANUG

D,-ni!i. in8* Aut 0a$a #in#iva 1it$ 00l* C 6ar #in#i* lain

!,cara c0t*3

Etiolo#i .

;orr,lia vinc,ntii*

'u!i8or" 9accilu!*

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Gejala Klinis.

Intra oral .

(rat,r ulc,ration= int,r$,ntal crat,r* +,r$ara5an ,cil !0ontan*

N,cro!, 6arin#an #u!i*

;au "ulut*

@arna #u!i ,",ra5an< u$,"* Sait !u!a5 "aan

Gi#i a#a #oyan#*

Hi0,r!aliva!i*

Li$a5 ,ca0 ",tali*

E!tra oral = u . D,"a"< "alai!,< 0u!in#< anor,:ia< li"8a$,niti!*

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Fator !re"is!osisi.

4* Loal.

H 9uru*

Kalulu!*

I"0act,$ 8oo$*

+,rio$ontal 0oc,t*

%a"9alan ov,r5an#*

7* Si!t,"i.

Malnutri!i*

K,lainan= 0,ny* Dara5*

Str,!!*

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#i


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#iagnosa $

+,rtu"9u5an c,0at*

Sait*

Ul!,ra!i 0$ "# & it$ 00l*

K,ca0 ",tali*

#i%%& #iagnosa.

Sto"atiti! 5,r0,!*

Erit,"a "ulti8or"i!*

Di8t,ri*

DM t$ t,rontrol*

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Tera!i.

4* Kontrol 9at,ri 1 0ain8ul3*

+,"9,rian Anti9ioti< Anal#,ti< Vita"in 1;( ? (3

7* Eli"ina!i 8t* +r,$i!0o!in# loal & !i!t,"i*

Scalin# !tl #6l aut 5ilan#*

>* +ati,nt ,$ucation .

(ara 0,",li5araan H*

+,rio$ic r,call*

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ACUTE 'RIMAR( )ER'ETIC

GINGIVOSTOMATITIS

D,-ni!i. Suatu in8* Viru! y# t,r6a$i 0$ ","9ran "uo!a "ulut*

Etiolo#i. Viru! H,r0,! Si"0l,*

;ia!a ",ny,ran# 9ayi $an ana =$,wa!a

S,rin# ,liru $,n#an Anu#*

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G 6 l Kli i


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G,6ala Klini!.

Su$$,n on!,t 1 !,la"a C 4F 5ari 3*

Sait 1t$0 v,!i,l $l" ron##a "ulut< 0,ca5 t6$ul!,ra!i*

D0t ",n#,nai #u!i*

M,lua! , !,luru5 ron##a "ulut*

Hi0,r!aliva!i*Li"8a$,niti!*

Malai!, *

D,"a"*

%,ra0i.

Su00orti8 19,$ r,!t< $i,t luna3*

Si"to"ati!*

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GINGIVAL ENLARGEMENT

#e%inisi. !uatu ,a$aan 9,rta"9a5 9,!arnya #u!i* 4* Hi0,rtro- 1In/a"atory3

Uuran !,l 22

7* Hi0,r,0la!i 1-9rotic3

Ju"la5 !,l 22

Etiologi 4* 'ator loal

H< au"ula!i alulu!

Mal0o!i!i #i#i*(ara !iat #i#i y# !ala5*

Gan##uan olu!i*

Irita!i 0rot,!a< 0,!awat orto*

Na8a! l,wat "ulut*

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7 'ator Si!t,"i


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7* 'ator Si!t,"i

En$orinNutri!i

K,lainan $ara5*9ato9atan*I$io0ati*

Kla!i-a!i Gin#ival ,nlar#,",nt*

4* In/a"atory ,nlar#,",nt

Kroni!

Aut

7* Non in/a"atory 5i0,r0la!tic ,nlar#,",nt

o9ato9atan 'a"ilial*

>* Ko"9ina!i

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* +,"9,!aran #in#iva $# on$i!i t,rt,ntu*

* N,o0la!tic ,nlar#,",nt** +,r,"9an#an= $,v,lo0",nt ,nlar#,",nt*

)I'ERTROFI/INFLAMATOR( GINGIVA

D,-ni!i

;,rta"9a5nya uuran !,l #in#* Kar,na 0ro!,! 0,ra$an#an=in/a"a!i1#in#iviti!3*

'ator 0,nun6an#

a* Loal . H 9uru


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G,6ala Klini!

Gu!i ",ra5 t,ran#& "u$a5 9,r$ara5*

+,r"* Halu!=,$,"atou!*

+al0a!i luna*

Int,r$,ntal 0a0il tu"0ul*

%$0 0oc,t= !au #u!i*

+it on 0r,!!ur,*

;au "ulut*Dia#no!i!

E$,"atou! #in#iva

@arna ",ra5 t,ran#*

%,n$,n!i 0,r$ara5an*

%,ra0iLoal*

Si!t,"i*

*

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)I'ER'LASI/FI*ROTIC GINGIVA


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)I'ER'LASI/FI*ROTIC GINGIVA

D,-ni!i

+,"9,!aran #in#iva ar,na 9,rta"9a5nya !,l$an 6ar* Iat 0$ #in#iva*

Etiolo#i

a* Si!t,"i . ",ru0aan 8ator uta"a*+,"9,rian o9at

+,ny* Si!t,"i*

I$io0ati*

9* Loal .

H 9uru


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G,6ala Klini!

@arna nor"al= 0ucat*

+al0a!i ,ra!=ti$a !ait*Jaran#*;ata! t,#a!*;ila t,r6a$i 0a$a "ar#in #in#iva< $i!,9a9an rDilantin*

Jia ",ny,luru5 Di8u!, -9ro"ato!a*1%,r6a$i 0,ru9 0ro-l= 9t "ua< #an#* ;icara="aan*

%,ra0i+,n#o9atan 0,n* Si!t,"i*Kontrol= !to0 o9at*Gin#iv,cto"y*

Hilan#an 8t irita!i loal*

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KELAINAN KELENJARLUDAH

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Acute suppurative

Sialedenitis aut $an ny,ri $i8u! 1awal 0,nyait3< ,l,n6ar ","9,!ar< t,ra!a

!ait< ,!u$at 1?3 0urul,n t,rli5at $i ori-c, 9ual $utu! St,n!,n*

+r,$i!0o!i!i . on$i!i ,!,5atan l,"a5< $,5i$ra!i< $,n#an oral

5y#i,n, yan# 9uru*

Etiolo#i . Staphylococcus aureus< Streptococcusviridans< S*pneumoniae< Haemophilus infuenzae< Streptococcus

pyogenes< an$ Escherichia coli*

%,ra0i . anti9ioti

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Suppurative parotitis

+r,$i!0o!i!i . 9ayi yan# 9aru la5ir< 9ayi yan#la5ir 0r,"atur $,n#an $,5i$ra!i

n!,t . 4 5ari< t,r$a0at ,rit,"a 0a$a ulit $i

!,itar ,l,n6ar 0aroti!

Etiolo#i . Staphylococcus< Pseudomonas,Streptococcus< Pneumococcus< Escherichia*

%,ra0i . 5i$ra!i $an anti9ioti

Sala5 $ia#no!i! atau ti$a t,ro9ati !,"0urna a9!,! intra#lan$ular*

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Sialodochitis

In/a"a!i yan# t,r6a$i 9ai 0a$a $utu!@art5on "au0un St,n!,n*

;ia!anya t,r6a$i $ilata!i 0a$a o9!tru!i $i!tal*

+,"9,!aran $utu! $a0at 9,r9,ntu 8u!i8or"atau 9,rantai ",n#5a!ilan ar,a $uctal!t,no!i!

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In8,!i Viru!

Viral 0arotiti! 1"u"0!3 ol,5 RNA viru! $ari,lo"0o 0ara"y:oviru!*

Dia#no!i! . 0,nyait ,0i$,"i< u6i tit,r anti9o$i*

Inu9a!i . 7> "in##u< $,n#an ,t,rli9atan,l,n6ar 0aroti! !,cara unilat,ral

Etiolo#i lain . co:!aci, viru!,!< 0arain/u,nzaviru!,! 1ty0,! I an$ III3< in/u,nza viru! ty0, A

kelainan gingiva dan kelenjar saluran ludah

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