PP Orto Rita
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Transcript of PP Orto Rita
7/24/2019 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$er%ita% &aitrrahmah
Padang
'01(
7/24/2019 PP Orto Rita
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Data Pa%ienNama : )izi Sati$a
*anggal lahir : + Maret '007
#mr : thAlamat : Sngai &ange! !el. Sngai"adang
S! : Minang!aba
*anggal datang : 10 -ebrari '01(
7/24/2019 PP Orto Rita
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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(
7/24/2019 PP Orto Rita
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1. Ri/aat !a%%
1.1 Ri/aat ndi$id2elhan pertama penderita: b pa%ienmengelh!an gigi depan rahang ba/ahana!na tida! rapi dan ingin gigi ana!na
dirapi!anahir: N4rmal
Ana! !e: 1 dari ' ber%adara
Ntri%i: AS lamana ' tahn2eadaan #mm: &ai!
2ebia%aan 5ele!: 6
1.' Ri/aat !elarga : 6
7/24/2019 PP Orto Rita
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'. Pemeri!%aan 2lini%
'.1 E!%tra 4ral
&ent! /aah dari depan : Simetri%
&ent! /aah dari %amping: 8embng
&ibir !ran : Sedang
'.' ntra 4ral"ingi$a : N4rmal
-renlm labii : N4rmal
Palatm : *inggi
2edd!an lidah /a!t menelan: N4rmal
2edd!an lidah /a!t i%tirahat: N4rmal
7/24/2019 PP Orto Rita
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-4t4 Pr49l
Depan Samping
7/24/2019 PP Orto Rita
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.m4del
Apel gigi ! : !arie% : 6
t : tambalan : 6
: e!%tra!%i : % : %pernmerar : 6
$ : radi! : (+
n : n4n $ital : 6
;: %edang erp%i : 6
7/24/2019 PP Orto Rita
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An4mali dalam 4!l%i %agital
O$eret: 11 < 1,= mm
+1
'1
31 < 1,= mm
O$erbite: 11 < ', mm
+1
'1
31 < ', mm
7/24/2019 PP Orto Rita
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-4t4 Pan4rami!
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-4t4 Se>al4metri
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Met4de D4/n%S!eletal Perempan Penderita
rerata rentang awal
prog
1. ? >a%ial +,( +6( 77 >N Mandibula prognati
'. ? !e@emb. m!a ,1 6+ 10 8 N
3. &idang A& NP 6+, 6(,3 6(,= 6 >N Maksila retrusif
+. ? ma!%ila6
mandibla
'7,( 3 >N Prognatik
(. ? %mb B6AC (,( +,6,1
7! >N Pola pertumb"Mandibula lebi#b$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