bleaching (vital & non vital) (4)
Post on 07-Jul-2018
227 Views
Preview:
TRANSCRIPT
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
1/28
Raditya Nugroho, drg., Sp.KG
1
BLEACHING (VITAL & NN VITAL!
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
2/28
"a#tor$%a#tor yag dapat 'y)a)#a
pru)aha *ara gigi
+
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
3/28
CNSERVATIVE TREATENTS
"R -ISCLRE- TEETH
r'oa/ o% 0ur%a 0tai0,)/ahig,
'iroa)ra0io or 'aroa)ra0io,
rig,
ad p/a't o% por/ai ro*0
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
4/28
BLEACHING
Non-vital Bleaching
2"Walking" Bleach Technique2Thermocatalytic Bleaching
Technique
VitalBleaching
2In-Office Vital Bleaching Technique2Dentist Prescrie!-ome #$$lie!
Technique %Nightguar! Vital Bleaching&
3
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
5/28
atria/ B/ahig
Baya# )aha )/ahig yag tr0dia 0aat ii, yag pa/ig u'u' digua#a ada/ah
hidrog pro#0ida, 0odiu' pr)orat, da #ar)a'id pro#0ida. Hidrog pro#0ida
da #ar)a'id pro#0ida diidi#a0i#a utu# p'utiha 4traoroa/, 0dag#a
pr)orat atriu' digua#a utu# p'utiha itraoroa/.
2 Hidrog 5ro#0ida. Tr0dia da/a' )r)agai #o0tra0i, #o0tra0i 678 0a'pai
698 (0upro4o/, prhidro/! ada/ah yag pa/ig u'u' digua#a. G/ 0i/i#o dio#0ida
yag 'gadug hidrog pro#0ida 698 :uga tr0dia, ))rapa diataraya
dia#ti%#a o/h ahaya.
2 Sodiu' pr)orat. rupa#a ;at pgo#0ida0i tr0dia da/a' )tu# )u)u#.
gadug pr)orat 0#itar
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
6/28
=
2 Proses Terjadinya Pemutihan Gigi
2 Ra#0i H++ dga 'o/#u/ 'o/#u/ apatit>
2 H++ H+ ?
2 Ca17(53!=(H!+ ? 17 Ca ? 6 5+9 ? H+
2
2 5gdapa Ca 'i')u/#a *ara putih pada gigi
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
7/28
B/ahig
@
2 Si%at H++ >2 Kau0ti# dapat '')a#ar :ariga )i/a )r0tuha2 /pa0#a radi#a/ ))a0 yg.)r0i%at to#0i#2 H++ dg.#o0tra0i tiggi )r0i%at tr'odia'i#
yg.td#.0ra)i/ > dapat '/da#2 -i0i'pa d/'.#'a0a g/ap
2 5r/u di/a#u#a i0o/a0i darah #r:a
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
8/28
Non-vital Bleaching
2 Indikasi
2 -i0o/oratio0 o% pu/p ha')r
2 -ti di0o/oratio0
2 -i0o/oratio0 ot a'a)/ %or'atio
2 to 4traoroa/ )/ahig
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
9/28
Non-vital Bleaching
<
2 Kontraindikasi
2 Supr%iia/ a'/ di0o/oratio0
2 -%ti a'/
2 5r0 o% ari0
2 Sr dti /o00
2 -i0o/ord o'po0it0
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
10/28
5ENCEGAHAN -ISKLRASI GIGI (TAN5A
5L5A!
17
2 5rpara0i :a/a 'a0u# (aity tra! yg. tpattruta'a pada tadu# pu/pa
2 S'ua )#a0 darah diiriga0i NaC/ yg. r'at2 S'ua :ariga pu/pa yg. dpt. 'y)a)#a
prdaraha hr0. di#/uar#a2 Stiap r0tora0i yg.ru0a# 0)ai#ya digati2 Haru0 digua#a o)at o)at 'di#a'
yg.td#.'y)a)#a pru)aha *ara
2 Baha pgi0i da 0a/r SA hr0.di#/uar#a dr.SA1$6 '' di )a*ah RI"ICED
2 Ruag pu/pa 0)ai#ya dii0i 0' g/a00 ioo'rda #aita0 :a/a 'a0u# dg.r0i #o'po0it
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
11/28
"Walking" Bleach Technique
11
2 Bleaching Mechanism2 Isolasi gigi2 Lindungi mukosa mulut2 Oturasi endodontik yang adekuat2 Gunakan !rotectie arriers#2 $indari etsa asam2 $idrogen !eroksida %& sam!ai %'(
2 $indari oksidasi yang erleihan2 $indari !anas2 Kontrol erkala
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
12/28
"Walking" Bleach Technique
1+
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
13/28
"Walking" Bleach Technique
16
Gutta point
Semen GlassIonomer
Bahan bleaching
Tumpat sementara
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
14/28
Thermocatalytic Bleaching Technique
13
2 698 hydrog pro4ida2 5gguaa i0tru't paa02 E%# 0a'pig >2 RESR5SI EKSTERNAL SERVIKAL AKAR
o.#.irita0i pd.0'tu' da /iga'priodo0iu' dr.)aha o#0idatoryg.di#o')ia0i#a dg.paa0
Tr)u#ti tida# %#ti%tida# '')ri#a ha0i/ yg
/)h )ai# drpd 'toda /ai F tida#dir#o'daa0i#a utu# )/ahigitra#oroa/
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
15/28
19
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
16/28
In)O**ice +ital Bleaching Technique
1=
2 Indikasi
2 Light a'/ di0o/oratio0
2 i/d ttray/i di0o/oratio0
2 Ed'i %/uoro0i0 di0o/oratio0
2 Ag$r/atd di0o/oratio0
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
17/28
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
18/28
In)O**ice +ital Bleaching Technique
1
2 -iago0a2 I%or' Co0t
2 5')r0iha pr'u#aa gigi dga pumiceda )ru0h
2 5tua *ara a*a/ gigi atrior
2 Ap/i#a0i protti /ip )a/'
2 Gigi yag a#a di)/ahig di#rig#a
2 Ap/i#a0i soft dam(5/idug gigia!2 Ap/i#a0i )aha )/ahig (hidrog pro#0ida
68!
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
19/28
In)O**ice +ital Bleaching Technique
1<
2 5')r0iha )aha )/ahig2 5/pa0a soft dam
2 5y0uaia *ara gigi 0t/ah di)/ahig
2 5')ria 5')ria pota00iu' itrat %/uorid 68
2 I0tru#0i po0t )/ahig >2 $ Tida# ro#o#
2 $ ggua#a pa0ta gigi yag 'gadug*hitig
2 $ Tida# 'g#o0u'0i 'a#aa da 'iu'ayg )r*ara
2 $ Bi/a tra0a /iu diu/a0i d00iti;ig agt
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
20/28
+7
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
21/28
,entist Prescried)$ome -!!lied Technique
./ightguard +ital Bleaching0
+1
2 Indikasi
2 Supr%iia/ a'/ di0o/oratio0
2 i/d y//o* di0o/oratio0
2 Bro* %/uoro0i0 di0o/oratio0
2 Ag$r/atd di0o/oratio0
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
22/28
,entist Prescried)$ome -!!lied Technique
./ightguard +ital Bleaching0
++
2 Kontraindikasi
2 Sr a'/ /o00
2 Hypr00iti tth2 5r0 o% ari0
2 -%ti oroa/ r0toratio0
2 A//rgy to )/ahig g/0
2 Bru4i0'
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
23/28
+6
2 -ENTIST 5RESCRIBE-NIGHTGAR- VITAL HE
BLEACHING SSTES Cara ii 0#arag )aya# dipa#ai
ggua#a )aha p'utih dg.#o0tra0i riga (Kar)a'idpro#0ida 178 higga 198 !
-igua#a 0diri o/h pa0i 0tiap 'a/a' (=$ :a'! atau 00uai
a:ura drg, ''a#ai u0to' tray pr0oraga (p/a0ti# a#u'
ightguard!
F (di)uat o/h drg! Ea/ua0i #'a:ua%# 0a'pig 0tiap 1 'iggu o/h drg
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
24/28
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
25/28
2 Th adatag0 o% th i$o%%i ita/ )/ahig thiu ar that (a/though it u00ry au0ti h'ia/0! it i0 tota//y udr th dti0t0 otro/, th 0o%t ti00u i0gra//y prottd %ro' th pro00, ad it ha0 th pottia/ %or )/ahig tth'or rapid/y.
2 -i0adatag0 pri'ari/y r/at to th o0t, th uprdita)/ outo', ad thu#o* duratio o% th trat't. Th %atur0 that *arrat or ad autioi/ud th pottia/ %or 0o%t$ti00u da'ag to patit ad proidr, th di0o'%orto% a ru))r da', ad th pottia/ %or po0ttrat't 00itiity.
2 Th adatag0 o% th dti0t pr0ri)d$ho' app/id thiu (i.., ightguard
ita/ )/ahig! ar th u0 o% a /o*r otratio o% pro4id (gra//y 178 to198 ar)a'id pro4id!, th a0 o% app/iatio, 'ii'a/ 0id %%t0, ad /o*ro0t )au0 o% th rdud hair ti' ruird %or trat't.
2 Th di0adatag0 ar th r/ia o patit o'p/ia, th /ogr trat'tti', ad th (u#o*! pottia/ %or 0o%t$ti00u hag0 *ith 400i/y4tdd u0.
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
26/28
5ERTIBANGAN EILIH VITAL HE
BLEACHING ATA IN$""ICERA5I- BLEACHING
+=
2 Gigi yag 00iti% 2 Jaga 'ggua#a 5ER BLEACH2 5'utiha 0/uruh /g#ug gigi2 54 dg.0yu' /)ar ( tr/ihat! 0)ai#ya pa#ai
HE BLEACHING2 Satu gigi *ara g/ap (ita/!2 -i/a#u#a 5ERIN$""ICE BLEACHING F
d/a:ut#a HE BLEACHING2 K)ia0aa BRIS#/aia TJ
2 Tida# 'ug#i pa#ai CST TRA, 0)ai#ya'ggua#a IN$""ICE BLECHING
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
27/28
+@
5ERTIBANGAN LAIN
Kr:a0a'a pa0i-rg.haru0 'gtahui )aha B/ahig yg.0udah 'dapat0rti%i#a0i 0tadard itra0ioa/ 0pt.AERICAN -ENTAL ASSCIATIN (A-A!
Cotoh >
5ALESCENCE HITENING GEL
(LTRA-ENT 5R-CT,INC!
CLGATE 5LATIN 5R"ESSINAL HITENINGSSTE
(CLGATE RAL 5HARACETICALS
NITE HITE CLASSIC
(-EN AT!
-
8/18/2019 Bleaching (Vital & Non Vital) (4)
28/28
Tri'a #a0ih...............
+
top related