7/25/2019 Infeksi Odontogenik (Hm)
1/50
INFEKSI ODONTOGENIK
HENRI MUDJONO
PPDGS BM 2013
7/25/2019 Infeksi Odontogenik (Hm)
2/50
TERMINOLOGI
Oedem (transudat extravasa! In"trat (e#sudat seuar d$ %ar$n&an!
'sesEm)*emP+e&m,neEr*s$)e-$stuaU#us
7/25/2019 Infeksi Odontogenik (Hm)
3/50
PENYEBAB
./ $ne#s$ ,d,nt,&en$# meru)a#anam)uran $ne#s$ aer, anaer,4
-ase a5a $ne#s$ terutama a#ter$aer, (Stre)t,#,#us!
Pada ase an%utan $ne#s$6d$d,m$nas$ ,e+ a#ter$ anaer,(Pe)t,stre)t,#,#us6 -us,a#ter$a6Bater$,des!
7/25/2019 Infeksi Odontogenik (Hm)
4/50
PENYEBAB
7anda #$n$s $ne#s$ anaer,8 9,#a$sas$ )ada daera+ *an& daam
se)ert$ a)e#s &$&$6 s$nus6 ,r,)+ar*nx6 d Bau usu# atau )utr$d )ada ases
'dan*a )enum)u#an &as )ada %ar$n&an()ada em)*sema!
:e&a&aan tera)$ ant$$,t$#a untu#a#ter$ aer,
7/25/2019 Infeksi Odontogenik (Hm)
5/50
PENYEBAB
ODONTOGENIK (93%)
Per$,d,nt$t$s a)$#a$s Per$,d,nt$t$s
mar&$na$s Per$,r,n$t$s :$sta Gan&ren rad$x P,st e#stra#s$ &$&$
NON ODONTOGENIK(7%)
'ses #arenasunt$#an %arum
9u#a ,)eras$
:ars$n,ma Benda as$n& Her)es
7/25/2019 Infeksi Odontogenik (Hm)
6/50
GEJALA KLINIS
7anda #ard$na radan&R$5a*at sa#$t &$&$
Demam7r$smus ($ne#s$ dar$ &$&$ m,ar!Su$t meneanHamatan %aan naas
7/25/2019 Infeksi Odontogenik (Hm)
7/50
PENYEBARAN INFEKSI
Pada )er$a)$#a$t$s ()er$,d,nt$t$sa)$#a$s! )en*earan a5a )ada8
Su)er$,st$um Sumu#,sa
7/25/2019 Infeksi Odontogenik (Hm)
8/50
7/25/2019 Infeksi Odontogenik (Hm)
9/50
PERIMANDIBULAR
;0 dar$ m,ar a5a+Peruasan #e
Sumand$uar su$n&ua
Para)+ar*n&ea
7/25/2019 Infeksi Odontogenik (Hm)
10/50
SUBMANDIBULAR
Me$)ut$ sea&a$an esar &4sumand$uar$s dann4sumand$uar$s
Batas ventra8 mand$ua6 $nsers$, m4 d$&astr$us venteranter$,r4
Batas d,rsa8 m4st*,+*,$d6 m4d$&astr$us venter ),ster$,rBatas atera8 mand$uaBatas med$a8 m4d$&astr$us venter anter$,rPen*earan #e8 S)at$um )ara)+ar*n&ea
S)at$um su$n&ua S)at$um sumenta
Daera+ )$)$
7r$&,num ar,t$s se)an%an& v4a$a$s
7/25/2019 Infeksi Odontogenik (Hm)
11/50
7/25/2019 Infeksi Odontogenik (Hm)
12/50
BUCCAL SPACE
Me$)ut$ ,r)us ad$),sum uaeMen&e$$n&$ m4u$nat,r dar$
#auda6 atera dan #ran$a4Da)at men*ear #e )ermu#aan
sea&a$ ases su#utan
7/25/2019 Infeksi Odontogenik (Hm)
13/50
RETROMANDIBULAR(PAROTIS)
B$asan*a )en*earan #e s)at$umretr,mand$uar meru)a#an #ean%utandar$ s)at$um )ter*&,mand$uar ataumasseter$,
7/25/2019 Infeksi Odontogenik (Hm)
14/50
7/25/2019 Infeksi Odontogenik (Hm)
15/50
MASSETERICOMANDIBULAR B$asa ter%ad$ dar$ M3 ()er$#,r,n$t$s! Batas med$a8 ramus mand$ua Batas #ran$a8 re&$, tem),ra Batas d,rsa8 s)at$um retr,mand$uar Batas atera dan #auda8 m4masseter Pen*earan #e -,ssa retr,mand$uar ()ar,t$s!
Re&$, tem),ra$s S)at$um retr,max$ar$s
7/25/2019 Infeksi Odontogenik (Hm)
16/50
PTERYGOMANDIBULAR
Batas med$a8 m4)ter*&,$deus med$a$sBatas #ran$a8 re&$, tem),raBatas d,rsa8 &4)ar,t$sBatas atera8 ramus mand$uaBatas #auda8 m4)ter*&,$deus med$a$s6
$&4st*,mand$uar$sBatas ventra8 m4u$nat,r6 ra)+e )ter*&,mand$uar$s re&$, )ter*&,mand$uar d$au$ arter$6vena6 dan n4
've,ar$s $ner$,r dan $n&ua$sPen*earan ases #e8 'ra+ d,rsa8 )ar,t$s
'ra+ med$a8 s)at$um )ara)+ar*n&ea
'ra+ #ran$a8 re&$, $nratem),ra
7/25/2019 Infeksi Odontogenik (Hm)
17/50
7/25/2019 Infeksi Odontogenik (Hm)
18/50
SUBLINGUAL
Batas ventra8 mand$uaBatas d,rsa8 a&$an atas &4sumand$uaBatas atera8 mand$ua
Batas med$a8 m4&en$,&,ssus dan &en$,+*,$dBatas #ran$a8 dasar muutPen*earan ases #e8 Ruan& su$n&ua s$s$ *& erseea+an
Ot,t $da+ S)at$um sumand$uar
:e d,rsa #e ara+ s)at$um )ara)+ar*n&ea
S)at$um sumenta
7/25/2019 Infeksi Odontogenik (Hm)
19/50
SUBMENTAL
Batas ventra8 d,rsa mand$uaBatas d,rsa8 ,s +*,$d
Batas atera8 m4d$&astr$us venteranter$,rBatas #auda8 as$a erv$a$s
su)er"$a$sBatas #ran$a8 m4m*,+*,$d:emun$nan )en*earan S)at$um sumand$uar$s
7/25/2019 Infeksi Odontogenik (Hm)
20/50
7/25/2019 Infeksi Odontogenik (Hm)
21/50
7/25/2019 Infeksi Odontogenik (Hm)
22/50
RETROMAXILLARY
Batas ventra8 )ermu#aan d,rsa max$aBatas d,rsa8 m4)ter*&,$deus atera$s dan
med$a$s
Batas atera8 m4tem),ra$s )ars #audaBatas #auda8 tuer max$ar$sBatas med$a8 ,ssa )ter*&,)aat$naBatas #ran$a8 ,ssa $nratem),ra$s6 "ssura
,r$ta$s $ner$,rPen*earan #e8 -,ssa $nratem),ra$s dan re&$, tem),ra
,r$ta
Para)+ar*n&ea dan )ter*&,mand$uar
7/25/2019 Infeksi Odontogenik (Hm)
23/50
7/25/2019 Infeksi Odontogenik (Hm)
24/50
RANGKUMAN
RAHANG ATAS RAHANG BAWAH
7/25/2019 Infeksi Odontogenik (Hm)
25/50
7/25/2019 Infeksi Odontogenik (Hm)
26/50
SPACES
N,tes ,n $net$,n s)read8 Man* , t+ese s)aes run ea+ ,t+er6 a,5$n&
$net$,n t, s)read r,m ,ne s)ae t, an,t+er
In r,m 5$sd,m t,,t+ an s)read t,
)ter*&,mand$uar s)ae and trave t, atera)+ar*n&ea s)ae t+en t, retr,)+ar*n&ea s)ae andt, med$ast$num
Max$ar* teet+ s$nus max$ar*6 )aata s)ae6ua s)ae6 $nratem),ra s)ae6 vest$uar s)ae6
an$ne ,ssa4 -r,m $nratem),ra s)ae ,r an$ne,ssa an s)read t, s$nus avern,us and auseavern,us s$nus t+r,m,s$s
Mand$uar teet+ )ter*&,mand$uar s)ae6su$n&ua6 sumand$uar6 sumenta4 3sumand$uar s)aes ud5$& an&$na
7/25/2019 Infeksi Odontogenik (Hm)
27/50
DIAGNOSTIK
:$n$s8 Pemena#an6 mera+6 =u#tuas$6 &$&$
#ar$es6 s$sa a#ar6 &$n&$v$t$s4 'namnesa *an& deta$ dan te)at
Rad$,,&$s8 OPG6 )er$a)$#a
USG6 >7
7/25/2019 Infeksi Odontogenik (Hm)
28/50
>,nt,+ #asus *an& memeru#an >7san8
Ge%aa8 tr$smus tan)a )emena#an DD8 ases retr,max$ar6
)ter*&,mand$uar6 masseter$,e"x$m (),4 2 x 200 m& atau 1 x 00 m&!
DAFTAR ANTIBIOTIKA YANG
7/25/2019 Infeksi Odontogenik (Hm)
47/50
>e)+a,s),r$n &en4 3a8 >e,tax$m ( $v4 2 x 1etr$ax,n ( $v4 1 x 1$ndam*$n (),4 2
7/25/2019 Infeksi Odontogenik (Hm)
48/50
-u,r,+$n,,ne8 >$)r,=,xa$n (),4 2 x 2/0
7/25/2019 Infeksi Odontogenik (Hm)
49/50
ABSES ODONTOGENIK DGNPENYULIT DIABETES MELLITUS
Ha2 *an& )eru d$)er+at$#an )ada)as$en )ender$ta DM d&n ases
,d,nt,&en$#8 as#uar$sas$ )er$er enderun& e$+uru# ()er$)+era an&$,)at+*!
Rena $nsu$en*
He)at$ $nsu$en*
Pr,ne t, $net$,n
7/25/2019 Infeksi Odontogenik (Hm)
50/50
TERIMA KASIH ATASPERHATIANNYA