klasifikasi penyakit periodontium

8/17/2019 KLASIFIKASI PENYAKIT PERIODONTIUM

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LASSIFI ATION OFLASSIFI ATION OF

PERIODONTAL

ERIODONTAL

DISEASESISEASES


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AAP (American Academy of Periodontology)AAP (American Academy of Periodontology)

International for Classification of PeriodontalInternational for Classification of Periodontal

Workshop Disease 1999 :Workshop Disease 1999 :--------------------------------------------------------------------------------------------------------------------------

A Classification of Periodontal Disease :A Classification of Periodontal Disease :

1 !ingi"al Diseases1 !ingi"al Diseases##- Pla$%e-ind%ced gingi"al diseases- Pla$%e-ind%ced gingi"al diseases

- &on-pla$%e-ind%ced gingi"al lesions- &on-pla$%e-ind%ced gingi"al lesions

' Chronic Periodontitis' Chronic Periodontitis####

- ocalied- ocalied

- !eneralied- !eneralied


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3. Aggressive Periodontitis3. Aggressive Periodontitis

- Localized- Localized

- Generalized- Generalized

4. Periodontitis as manifes. of systemic4. Periodontitis as manifes. of systemic

diseasesdiseases

5. Necrotizing Periodontal Diseases5. Necrotizing Periodontal Diseases - Necrotizing ulcerative gingivitis (NG!- Necrotizing ulcerative gingivitis (NG! - Necrotizing ulcerative Periodontitis (NP!- Necrotizing ulcerative Periodontitis (NP!

". A#scesses of t$e %eriodontium". A#scesses of t$e %eriodontium - Gingival A#scess- Gingival A#scess - Periodontal a#sces- Periodontal a#sces

- Pericoronal a#scess- Pericoronal a#scess


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&. Periodontitis assoc. 'it$ ndodontic Lesions&. Periodontitis assoc. 'it$ ndodontic Lesions

- ndodontic-%eriodontal lesion- ndodontic-%eriodontal lesion

- Periodontal-endodontic lesion- Periodontal-endodontic lesion

- )om#ined lesion- )om#ined lesion

*. Develo%mental or Ac+uired Deformities and*. Develo%mental or Ac+uired Deformities and

)onditions)onditions- Localized toot$-related factors t$at %redis%ose to %la+ue-- Localized toot$-related factors t$at %redis%ose to %la+ue-

induced gingival or %eriodontitisinduced gingival or %eriodontitis

- ,ucogingival deformities and conditions around teet$- ,ucogingival deformities and conditions around teet$- ,ucogingival deformities and conditions on edentulous- ,ucogingival deformities and conditions on edentulous

ridgeridge

- cclusal trauma- cclusal trauma


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Penya/it yg t0d $anya %d ggv tan%a ada /e$ilanganPenya/it yg t0d $anya %d ggv tan%a ada /e$ilangan

%erle/atan%erle/atan *r*r t0d %d ggv dgn /e$ilangan %erle/atant0d %d ggv dgn /e$ilangan %erle/atan

yg sta#il dan td/ #er/em#ang.yg sta#il dan td/ #er/em#ang.

Dpt diklasifikasikan men%r%t :D

pt diklasifikasikan men%r%t :

1 %as daerah :1 %as daerah :

- Localized (1 32 terli#at!- Localized (1 32 terli#at!

- Generalized ( 32 terli#at!- Generalized ( 32 terli#at!

' +eparahan CA (' +eparahan CA (clinical attac$ment loss!clinical attac$ment loss!

- 6lig$t- 6lig$t 7 8 or 9 mm )AL7 8 or 9 mm )AL

- ,oderate 7 3 or 4 mm )AL- ,oderate 7 3 or 4 mm )AL

- 6evere- 6evere 5 mm )AL5 mm )AL


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, !ingi"al Diseases, !in

gi"al Diseases

Dental Pla$%e-Ind%ced !ingi"al DiseasesDental Pla

$%e-Ind%ced !ingi"al Diseases

:. Gingivitis associated 'it$ dental %la+ue only:. Gingivitis associated 'it$ dental %la+ue only A. ;it$out local contri#uting factor A. ;it$out local contri#uting factor


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>>>>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>>>>>>>


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&on-Pla$%e-Ind%ced !ingi"al esions&on-Pla$%e-Ind%ced !ingi"al esions

:. Gingival diseases of s%esific #acterial origin:. Gingival diseases of s%esific #acterial origin

A. Neisseria gonorr$oe A. Neisseria gonorr$oe


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:::. Gingival diseases of fungal origin:::. Gingival diseases of fungal origin

A. )andida-s%ecies infections A. )andida-s%ecies infections

- Generalized- Generalized - gingival candidosis- gingival candidosis


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=. Gingival manifestations of systemic conditions=. Gingival manifestations of systemic conditions

A. ,ucocutaneous lesions A. ,ucocutaneous lesions

8. Lic$en %lanus8. Lic$en %lanus

9. Pem%$igoid9. Pem%$igoid

3. Pem%$igus vulgaris3. Pem%$igus vulgaris

4. eryt$ema multiforme4. eryt$ema multiforme

5. Lu%us eryt$ematosus5. Lu%us eryt$ematosus

". Drug induced". Drug induced

&. t$er&. t$er


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9. eactions attri#uta#le to9. eactions attri#uta#le to

a. ?oot$%aste or dentrificesa. ?oot$%aste or dentrifices

#. ,out$rinses or mout$'as$es#. ,out$rinses or mout$'as$es c. )$e'ing gum additivec. )$e'ing gum additive

d. ood and additived. ood and additive

3. t$er3. t$er

=:. ?raumatic lesions=:. ?raumatic lesions (actitiousC iatrogenicC or accidental!(actitiousC iatrogenicC or accidental! A. )$emical in0ury A. )$emical in0ury


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C Periodontitis :C Periodontitis :

- /eradangan 0ar. %endu/ung gigi- /eradangan 0ar. %endu/ung gigi

- #a/teri %eriodonto%atogen- #a/teri %eriodonto%atogen - /erusa/an %eriod. ligamen E tlg alveolar - /erusa/an %eriod. ligamen E tlg alveolar

- ter#entu/ %o/etC resesi ggv atau /eduanya- ter#entu/ %o/etC resesi ggv atau /eduanya

- /e$ilangan %erle/atan /linis- /e$ilangan %erle/atan /linis

+lasifikasi Periodontitis:+lasifikasi Periodontitis:

8. )$ronic Periodontitis8. )$ronic Periodontitis

9. Aggressive Periodontitis9. Aggressive Periodontitis

3. Periodontitis as a ,anifestation of 6ystemic3. Periodontitis as a ,anifestation of 6ystemicDiseasesDiseases

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>


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1 Chronic Periodontitis1 Chronic Periodontitis

- umum %d usia de'asa 35 t$ (ana/-ana/ #s t0d!- umum %d usia de'asa 35 t$ (ana/-ana/ #s t0d!

- #anya/nya /erusa/an- #anya/nya /erusa/an fa/tor lo/alfa/tor lo/al - mi/ro#ial- mi/ro#ial varia#levaria#le

- Fal/ulus su#gingival- Fal/ulus su#gingival sering ditemu/ansering ditemu/an

- %er/em#angan %enya/it- %er/em#angan %enya/it

slo' moderatslo' moderat /emung/inan #isa ce%at/emung/inan #isa ce%at

- %redis%osisi- %redis%osisi - %. sistemi/ (D,C @:=!C- %. sistemi/ (D,C @:=!C

- fa/tor lo/alfa/tor lo/al

- fa/tor ling/ungan (mero/o/C stres!- fa/tor ling/ungan (mero/o/C stres!


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' Aggressi"e Periodontitis' Aggressi"e Periodontitis

- 82 32 t$- 82 32 t$

- /linis se$at- /linis se$at tH ada a/umulasi yg #esar tH ada a/umulasi yg #esar

dr %la/ E /al/ulusdr %la/ E /al/ulus

- /erusa/an tulang E- /erusa/an tulang E loss attachmentloss attachment ce%at ce%at

- Iml de%osit mi/ro#ial- Iml de%osit mi/ro#ial J /e%ara$anJ /e%ara$an

- Geneti/- Geneti/ familial history familial history

- Actinobacillus actinomycetemcomitans- Actinobacillus actinomycetemcomitans


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a. Localized Aggressive Periodontitis a. Localized Aggressive Periodontitis

- usia muda (%u#ertal!- usia muda (%u#ertal!

- molar %ertama or insisive dgn- molar %ertama or insisive dgn proksimal proksimal

loss attachment loss attachment sedi/itnya 9 gigi %ermanen (,8!sedi/itnya 9 gigi %ermanen (,8!

- res%on anti#odi serum- res%on anti#odi serum /uat/uat

#. Generalized Aggressive Periodontitis #. Generalized Aggressive Periodontitis

- 1 32 t$ (atau le#i$ !- 1 32 t$ (atau le#i$ !

- sedi/itnya %d 3 gigi %ermanen lain selain- sedi/itnya %d 3 gigi %ermanen lain selain dr molar %ertama dan insisivedr molar %ertama dan insisive

- res%on anti#odi serum- res%on anti#odi serum lema$lema$

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