PP Orto Rita

21
Rencana Perawatan Modul 6 Oleh : Rita Anggraini NPM: 1010070110031 Pembimbing: Drg. Edrizal., Sp.Ort Rmah Sa!it "igi dan Mlt #ni$er%ita% &aitrrahma h Padang '01(

Transcript of PP Orto Rita

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Rencana PerawatanModul 6

Oleh :

Rita Anggraini

NPM: 1010070110031

Pembimbing:

Drg. Edrizal., Sp.Ort

Rmah Sa!it "igi dan Mlt

#ni$er%ita% &aitrrahmah

Padang

'01(

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Data Pa%ienNama : )izi Sati$a

 *anggal lahir : + Maret '007

#mr : thAlamat : Sngai &ange! !el. Sngai"adang

S! : Minang!aba

 *anggal datang : 10 -ebrari '01(

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 "igi Permanen

1 17 1 1( 1+ 13 1' 11 '1 '' '3 '+ '( ' '7 '

+ +7 + +( ++ +3 +' +1 31 3' 33 3+ 3( 3 37 3

 

"igi De%idi

  (( (+ (3 (' (1 1 ' 3 + (

  ( + 3 ' 171 7' 73 7+ 7( 

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1. Ri/aat !a%%

1.1 Ri/aat ndi$id2elhan pertama penderita: b pa%ienmengelh!an gigi depan rahang ba/ahana!na tida! rapi dan ingin gigi ana!na

dirapi!anahir: N4rmal

Ana! !e: 1 dari ' ber%adara

Ntri%i: AS lamana ' tahn2eadaan #mm: &ai!

2ebia%aan 5ele!: 6

1.' Ri/aat !elarga : 6

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'. Pemeri!%aan 2lini%

'.1 E!%tra 4ral

&ent! /aah dari depan : Simetri%

&ent! /aah dari %amping: 8embng

&ibir !ran : Sedang

'.' ntra 4ral"ingi$a : N4rmal

-renlm labii : N4rmal

Palatm : *inggi

2edd!an lidah /a!t menelan: N4rmal

2edd!an lidah /a!t i%tirahat: N4rmal

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-4t4 Pr49l

Depan Samping

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.m4del

Apel gigi ! : !arie% : 6

  t : tambalan : 6

  : e!%tra!%i :  % : %pernmerar : 6

  $ : radi! : (+

  n : n4n $ital : 6

  ;: %edang erp%i : 6

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An4mali dalam 4!l%i %agital

O$eret: 11 < 1,= mm

  +1

  '1

  31 < 1,= mm

O$erbite: 11 < ', mm

  +1

'1

31 < ', mm

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-4t4 Pan4rami!

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-4t4 Se>al4metri

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Met4de D4/n%S!eletal Perempan Penderita

rerata rentang awal

prog

1. ? >a%ial +,( +6( 77 >N Mandibula prognati

'. ? !e@emb. m!a ,1 6+ 10  8 N

3. &idang A& NP 6+, 6(,3 6(,=  6 >N Maksila retrusif  

+. ? ma!%ila6

mandibla

'7,( 3 >N Prognatik  

(. ? %mb B6AC (,( +,6,1

7! >N Pola pertumb"Mandibula lebi#b$k ke %ertikal

DEN*A

1. ? &id. O!l%al 6-

=,3 1,(61,+ &! >N 'las ((

'. ? nter in%i%al 11, 1161'1 !!3 N

3. ? &id. 6 O!l%al 1+,( 63,( 6 10 6 >N (nklinasi ( bawa# kelabial

+. ? &id. 6 Mand =,= =(,'6 !) >N (nklinasi ( bawa# ke

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Met4de Steiner

S!eletal Perempan Penderita

Rerata Rentang *wal Pr4g reten%i

1. ? SNA +,3 7=6( 8

'. ? SN& 1,+ 7+6( 7+

3. ? AN& 3 06+ 6

+. ? &id. O!l%al6gari% SN 1+ 630 !+

(. ? &id. Mand. gari% SN 3' '06+0 3)

DEN*A

1. ? gari% NA ' 1(63' &

'. gari% NA mmF ,3 061+  ,

3. ? gari% N& = 1(63' 36

+. gari% N& mmF 7,= 3613  7

(. P4g gari% N& 1,1 6 -

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Met4de */eed

Pengukuran Standar Penderita

Rerata

Rentang

A/al

Pr4gre%%

Reten%i

1. -MA -ran!>4rt Mandiblar

AngleF

'( 163( 3( N

'. -MA -ran!>4rt Mandiblarn@i%i$e Angle

( 067( +0 N

3. MPA n@i%4r MandiblarPlane AngleF

=0 (6=( 10( GN

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+. Anali%a !ran me%i4di%tal gigi6gigi danleng!ng gigi permanen de%idiRa#ang *tas

Regi4 anteri4r:

1'H11H'1H'' < (, H ,= H ,( H (,3< ',( mm 6Geng!ng gigi p4%t: '3,1

Regi4 P4%teri4r: "igi permanenIpr4babilit13H1+H1( < J H J H J < '3,1 mm 6G . Rahang:

'',H1+,1H 1+,7H'3,+<7+, mm

'3H'+H'( < J H J H J < '3,1 mm

  < +,' mm

.empat $ang dibutu#kan < ante H p4%t  < ',(H +,'

  < 7+,7 mm

.otal tempat $ang tersedia < 7+, mm

Selisi#   < 0,1 mm / 0erlebi# 1

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Ra#ang 0awa#

Regi4 anteri4r:+'H+1H31H3'< (,( H (,+ H (,( H (,( < '1,= mm  

eng!ng gigi p4%t:'0,

Regi4 P4%teri4r: "igi permanenIpr4babilit

13H1+H1( < J H J H J < '0,mm.Rahang:'0,3H'3,(H'3<,

'3H'+H'( < J H J H J < '0,mm

  < +1, mm

.empat $ang dibutu#kan < ante H p4%t  < '1,= H +1,

< 3,( mm

.otal tempat $ang tersedia < ,mm

Selisi#   < 3,3mm / 0erlebi#1

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  " Diagnosa2rt#odonti 6" tiologi maloklusi

Diagn4%a :

Pa%ien perempan %ia tahn

dengan mal4!l%i !la% di%ertai@r4%%bite RA

E!trin%i! < 6

ntrin%i! < Per%i%ten%i gigi1

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=. *an Pera/atan

Ra#ang *tas6#nt! menggera!!an gigi '1 !e leng!ng rahanggigi ang n4rmal

  6 Mengembali!an !e 4!l%i n4rmal

Ra#ang 0awa#

- Mempertahan!an leng!ng rahang

6 Mengembali!an e%teti%

2klusi

6Mendapat!an 4!l%i ang n4rmal dan rela%i RAdan R& n4rmal

6Memperbai!i >ng%i pengnahan

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10 Ren@ana pera/atan

Rahang Ata%

1. empeng a!rili! plat da%arF

'. 24mp4nen a!ti>: 6 Simple %pring pada gigi '1

3. 24mp4nen retenti>: 6Adam @lap% pada gigi 1dan 3

+. 24ntr4l 1 %emingg

(. E$ala%i : diharap!an pada !4ntr4l !e 10 gigidapat ter!4re!%i

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Rahang ba/ah

1. empeng a!rili! plat da%arF

 6 in@line bite plane

'. 24mp4nen retenti>: 6 labial ar@h6 Adam @la%p pada gigi 3 dan +

+. 24ntr4l 1 %emingg

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Pera/atan Orth4d4nti S!et%a Pe%a/at

Ra#ang atas Ra#ang bawa#

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.R(M* '*S(4