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OLEH

Prof.Dr.Rasinta Tarigan drg.sp KG(K)

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-Medical Faculty Opthalmologie

Internal Medicine  Dentistry

  -oral surgery

  ( sp BM)

  -Prosthodontics  (sp Prosth)

  -Operative Dentistry

  +Endodontics

  (sp !)

 

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" Operative Dentistry # $edah (surgery)

" %aries # preparations o& cavities

" 'estorations

" Disease o& dental pulp ---- endodontics

" Periapical in&lamation ---lesion" ooth discoloration-traumatics inuries

  -root canal &illing

  -tetracycline stain

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" Bleaching

" %ro*n &racture ---Operative Dentistry +Endodontics

" tructure elemen gigi,

  Email (u$st.damantina)

  Dentin (u$stE$urnae)

 

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"  .dama-/unani ,$aa

" omposisi , Mineral (anorganis) 012

Organis 32

 .ir 12

"  .norganis terdiri dari (%.'4OM56073)  8PO3 9959 2 8:a ;59 2

  8%a 1< 2 8Dan lain lain

  8%O1 1592 8%a9O=(PO3)18=ydro>yl .patit

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" i&at si&at &isi?

" e?erasan email di$anding $ahan lai:

  ?inner 609@ :e*$urn

  (607A)

" Email A7; A7@ +A;" Dentin 79 71 + 9

"  .malgam 0;

" Porcelein 369

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" Email unsur Bradytrophes sedi?itmendapat ma?anan

" Di&us ionA saliva thd email &luorapli?asi

" Peri?ymata

" !rs 'etCius

" ema? email leher gigi

" 4amella email

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" Dentin

" tru?tur hampir sama dgn tulang

"Primer dentin" e?under dentin

" ertiar dentin----pulp ?apping

  ----amputasi vital" omposisi , mineral organis air 

  77 2 6@2 672

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eori penalaran sara& pd dentin

6?onvensional5masu? ?e td terus?edentinemail

Alanut ?e predentin $ali? ?e odonto$last

1sara& langsung ?e od$

3OOD.5sara& ?e td mem$entu? 'eseptor 

9.:DE'O:5 lanut ?e dentin $ali? ?e od$

7MG:%=5 $eralan e>tratu$ular memotongdentin dan ?adang $erca$angA19 ele?tronmi?ros?op o?

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Perasan sa?it dapat teradi ?arena,

6rangsangan terhadap sara& 

A5te?anan pd serat omes---td---od$----'eseptorAsara& pd od$ dilanut?an ?e a&&eren ota?

1tim$ulnya panas pd pem$oran---penggumpalan

serat omes---te?pd td----e?anan pd sara& 3rangsang---acethycholin dilepas---P= menurun----

pergeseran ionA %aH---mene?an ara& 

9getar $orA yg diguna?an

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'asa sa?it pada pem$oran gigi

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Mengurangi sa?it pada preparasi,

6 tehni? Fisi?

A tehni? medi?amen1 ele?tro medi?amentosa

3 anaestesi lo?al

9 anastesi umum

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Fa?tor mempengaruhi ?aries

6 eturunan

Orang tua5 ?aries ana?5 ?aries

A 'as

'as tertentu5 rahang ?ecil ?aries

1 /enis elamin

aries Pr 4?

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3 Gmur 

Periode gigi $ercampur5 ?aries

9 Ma?anan

ualitas ma?anan5 =5 protein5 lema?5 vit

masa pra-erupsi

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7 Gnsur ?imia

Berillium5 &luor5 .u5 .g5 Mg dll Mengham$at ?aries

%admium 5 platina5 selenium menunang teradinya?aries

idase5

gly?ogenase5 lipase5 dll

 

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iscosity

erous sel& cleansing

Mucinous sel& cleansing JJ

Organisme dalam mulut

tapilo?o?us5 treptococus5 :eiseria5 4a?to$a?tilus5 .?tinoises5 dll

@ Pla?er$entu? dari campuran musin5 sisa sel aringan

mulut5 leu?osit5 limposit5 sisa ma?anan K $a?teri

.:O'OLI%=, gigi yang $ersih a?an sulit teradi

?aries

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eori teradi ?aries

imia $a?teriologis

6 ?hemo-parasit- Miller(6@@0)

A Proteolysis- !ottlie$ (60A6)1 Endogen proteolisis- Bodec?er (60A0)

3 Proteolysis %helations- Martin

chatC( 6093)9 !ly?ogen- Egiedi (6097)

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EnCymologis

Ele?tro &isi?5 Fisi?o?imia

Pro& essel perusa? a?tiv

  perusa? $ersi&at predisposisi

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eori Proteolisis

" Bahan Organis duluan dirusa?

spt, - cuticula dentis

  - su$stansia Interprismata

  - lamella email

ang dirusa? oleh proteolyse daristreptococcus5 dii?uti perusa?an anorganis

 .lasan, 6 streptococcus

  A P= mulut 756-

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 .spe? mor&ologi K $entu? ?aries

gigi

aries email

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aries dentin (FG''E' 60AA)

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Bentu? ?aries gigi

6 Berdasar?an meluasnya ?aries gigi

a Penetrierende aries

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$ Gnterminirende aries

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A Berdasar?an stadium ?aries

a aries super&icialis

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$ aries Media

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c aries pro&unda

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1 Berdasar?an 4o?alisasi ?aries(!B4.%)

a las I

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$ las II

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c las III

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d las I

e las

las I (IMO:)

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3 Berdasar?an $anya?nya permu?aan gigiter?ena ?aries

a impel aries$ omple?s ?aries

- e?under ?aries

- 'ampan aries

- 'esidi& aries

- ir?ular aries

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:omen?latur gigi (F)

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elainanHies ?erusa?an gigi-non

?aries

6 .trisi ?erusa?an permu?aan gigi pada ?onta?area

-pro>imal

-o?lusal $ru>ismA .$rasi si?at gigi

1 Erosi %hemis-Me?anis

3 4o?al non =ereditary (enamel =ipoplasia)

9 Enamel hipo?alsi&i?asi

7 Dentin hipoplasia

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@ Discoloration e>trinsi?

  intrinsi?

0 Mal &ormasi

6; .melogenesis Imper&ecta

66 Dentinogenesis Imper&ecta

6A rauma

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" Masu?nya $a?teriA anaero$ pus

gas gangren merem$es ?e

ape>

  parodontitis api?alis

herapi , trepanasi5irigasi sa5 'H .B 5'H antiIn&lamasi5'Hanalgeti?

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