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Periodontitis Kronis

Periodontitis kronis adalah suatu peradangan kronik yang terjadi pada jaringan
periodontium yang disebabkan oleh penumpukan plak pada gigi yang nantinya akan
menyebabkan kerusakan jaringan periodontal dan tulang alveolar.
Periodontitis kronis ini biasanya menyerang usia 30 tahun keatas sehingga disebut
juga adult periodontitis.
Karakteristik Umum Periodontitis Kronis:
Karakteristik umum dari periodontitis kronis ini meliputi:
a.Adanya penumpukan plak didaerah supragingival dan subgingival.
b.Adanya inflamasi gingiva.
c.Terbentuknya poket periodontal.
d.Menghilangnya tulang alveolar dan adanya nanah.
Gejala Periodontitis kronik adalah:
a.Adanya perdarahan waktu menyikat gigi.
b.Halitosis.
c.Gingiva yang membengkak.
d.Adanya resesi gingiva sehingga gigi tampak panjang.
e.Poket periodontal menjadi dalam.
Faktor resiko periodontitis kronik adalah:
a.Faktor Lokal
Penumpukan plak pada gigi dan permukaan gingiva pada bagian dentogingiva
junction merupakan faktor lokal penyebab periodontitis kronik.Pada penumpukan
plak tersebut terdapat mikroba patogen dan virulen,seperti, Porphyromonas
gingivalis, Bacteroides forsythus, Treponema denticola, Prevotella intermedia,
Fusobacterium nucleatum, Eubacterium.Akan tetapi,bakteri Actinomyces
actinomycetemcomitans, Campylobacter rectus, dan Eikenella corrodens juga
menyebabkan periodontitis kronik.
b.Faktor sistemik
Perkembangan plak untuk bisa menjadi periodontitis kronis umumnya berjalan
dengan lambat.Akan tetapi,ketika periodontitis kronik terjadi pada orang yang
mengalami diabetes melitus maka akan menyebabkan kerusakan periodontal
menjadi cepat.
c.Faktor lingkungan dan kebiasaan
Merokok dapat meningkatkat seseorang terkena periodontitis kronik karena pada
seorang perokok terbentuknya plak dan calculus lebih cepat daripada orang yang
tidak merokok.

Pemeriksaan periodontitis kronis

Pemeriksaan klinis dilakukan pada jaringan gusi dan melihat apakah ada gigi-gigi
yang mengalami kegoyangan. Hubungan antara gigi-gigi rahang atas dan bawah
saat menggigit juga akan diperiksa.

Gambar Pemeriksaan kedalaman poket


Kemudian akan dilakukan pemeriksaan yang disebut periodontal
probing, yaitu teknik yang digunakan untuk mengukur kedalaman
poket

(kantong

yang

terbentuk

di

antara

gusi

dan

gigi).

Kedalaman poket ini dapat menjadi salah satu petunjuk seberapa


jauh kerusakan yang terjadi.
Sebagai tambahan, pemeriksaan radiografik (x-rays) juga perlu dilakukan untuk
melihat tingkat keparahan kerusakan tulang.
Perawatan periodontitis kronik

Pada kasus-kasus periodontitis yang belum begitu parah, biasanya perawatan yang
diberikan adalah root planing dan kuretase, yaitu pengangkatan plak dan jaringan
yang rusak dan mengalami peradangan di dalam poket dengan menggunakan kuret.
Tujuan utamanya adalah menghilangkan semua bakteri dan kotoran yang dapat
menyebabkan peradangan. Setelah tindakan ini, diharapkan gusi akan mengalami
penyembuhan dan perlekatannya dengan gigi dapat kembali dengan baik.

Pada kasus-kasus yang lebih parah, tentunya perawatan yang diberikan akan jauh
lebih kompleks. Bila dengan kuretase tidak berhasil dan kedalaman poket tidak
berkurang, maka perlu dilakukan tindakan operasi kecil yang disebut gingivectomy.
Tindakan operasi ini dapat dilakukan di bawah bius lokal.

Pada beberapa kasus tertentu yang sudah tidak bisa diatasi dengan perawatan di
atas, dapat dilakukan operasi dengan teknik flap, yaitu prosedur yang meliputi
pembukaan jaringan gusi, kemudian menghilangkan kotoran dan jaringan yang
meradang di bawahnya.

Antibiotik biasanya diberikan untuk menghentikan infeksi pada gusi dan jaringan di
bawahnya.Antibiotik yang biasanya digunakan adalah amoxicillin dan
metronidazole.
Pencegahan Periodontitis kronis

Sikat gigi dua kali sehari, pada pagi hari setelah sarapan dan malam hari
sebelum tidur.
Melakukan flossing sekali dalam sehari untuk mengangkat plak dan sisa
makanan yang tersangkut di antara celah gigi-geligi.
Memakaian obat kumur anti bakteri untuk mengurangi pertumbuhan bakteri
dalam mulut, misalnya obat kumur yang mengandung chlorhexidine.
Berhenti merokok
Melakukan kunjungan secara teratur ke dokter gigi setiap 6 bulan sekali untuk
kontrol rutin dan pembersihan calculus dan plak.

Periodontitis Agresif
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Periodontitis agresif adalah suatu penyakit periodontal yang terjadi pada
anak-anak, khususnya pada masa remaja (pubertas) yang ditandai dengan hilangnya
perlekatan dan tulang alveolar yang cepat, pada satu atau lebih gigi permanen yang
terlibat.
Patogenesis periodontitis agresif pada dasarnya sama dengan penyakit
periodontitis lainnya. Penyebabnya bersifat heterogen dan merupakan interaksi
berbagai faktor, baik bakteri, imunologis maupun genetik. Akan tetapi,
Actinobacillus actinomycetemcomitans mempunyai sifat khusus dalam meningkatan
kerusakan pada periodontitis agresif, yaitu dengan memproduksi faktor virulensi
dan memiliki kemampuan dalam merusak jaringan penghubung.
Periodontitis agresif merupakan penyakit yang sangat sulit untuk diatasi,
dikarenakan penyakit ini dapat mengakibatkan perusakan jaringan lunak dan tulang
yang dapat menyebabkan peningkatan mobiliti gigi dan kehilangan gigi.
Klasifikasi periodontitis agresif ada 2,yaitu:
1.Localized aggressive periodontitis
2.Generalized aggressive periodontitis

1.Localized aggresive periodontitis

Definisi : merupakan penyakit destruktif pada kavitas oral yang biasa terjadi
pada gigi Molar pertama dan gigi Incisivus pada anak-anak dan dewasa muda, yang
menyebabkan kerusakan tulang dalam jangka waktu yang sangat cepat dan
menyebabkan kehilangan gigi geligi.

Karakteristik klinik :
a.Penyakit dijumpai pada gigi Molar pertama dan Incisivus dengan hilangnya
perlekatan pada daerah interproksimal paling sedikit 2 gigi.
b.Berkurangnya inflamasi secara klinis disamping ditemukan poket periodontal
yang dalam.
c.Pada kebanyakan kasus jumlah plak yang mempengaruhi gigi minimal, sehingga
cenderung tidak konsisten dengan jumlah kerusakan periodontal yang ditemukan.
d.Penyakit Localized Aggresive Periodontitis berkembang dengan cepat.
e.Migrasi distolabial gigi Incisivus maksilaris.
f.Pembentukan diastem secara berkala.
g.Peningkatan mobilitas gigi Molar pertama.
h.Sensitif dari permukaan akar yang terbuka terhadap suhu dan stimulasi taktil.
i.Rasa sakit tajam dan rasa sakit yang menyebar sewaktu mastikasi.
j.Dapat terbentuk abses periodontal pada tahap ini dan terjadi pembesaran pada
kelenjar limfe.
Gambaran radiologi :
a.Kehilangan tulang alveolar disekitar Molar pertama dan Incisivus pada usia
pubertas

b.Suatu bentuk kerusakan tulang alveolar yang meluas dari permukaan distal gigi
P2 hingga permk. mesial dari gigi M2
c.Kerusakan tulang dalam arah vertikal lebih sering dijumpai pada daerah gigi
Molar sebab tulang interdental didaerah ini lebih luas dibanding didaerah Incisivus

2.Generalized Aggresive Periodontitis


Definisi : merupakan suatu penyakit yang umumnya terjadi pada orang
dewasa pada usia dibawah 30 thn / lebih. Penyakit ini ditandai dengan hilangnya
attachment interproksimal secara keseluruhan yang mempengaruhi 3 gigi permanen
lainnya selain Molar pertama dan Incivus.

Karakteristik klinik :
a.Umumnya memiliki jumlah plak bakterial yang lebih sedikit yang berhubungan
dengan gigi yang terlibat. Secara kuantitatif, jumlah plak cenderung tidak seimbang
dengan kerusakan periodontal yang terjadi secara kualitatif. A.
actinomycetemcomitans dan Bacteroides tonsythus ditemukan pada plak gigi
penderita.

b.Pada kasus Generalized Aggresive Periodontitis dijumpai 2 bentuk respon


jaringan gingival:
*.Pada jaringan inflamasi akut:
Terjadi proliferasi, ulser & berwarna merah terang
Perdarahan dapat terjadi secara spontan/melalui stimulasi ringan
*.Pada kasus lainnya :
Jaringan gingiva cenderung berwarna merah muda
Bebas inflamasi
Terkadang terjadi stipling walaupun akhirnya tdk ditemukan lagi
Poket yang dalam dapat ditemukan melalui probing

c.Beberapa pasien Generalized Aggresive Periodontitis mengalami kondisi


sistemik seperti pada kekurangan berat badan, depresi mental dan malaise

Gambaran Radiologis :
a.Terdapat bentuk kerusakan tulang yang parah dengan jumlah plak gigi yang
minimal.
b.Terlihat kehilangan tulang alveolar yang mendukung lebih dari tiga gigi kecuali
molar pertama dan incisivus.

Terapi / penanganan agresif periodontitis:

1.Instruksi oral hygiene


2.Evaluasi kontrol plak
3.Skeling supra gingival dan sub gingival kalkulus
4.Root planing
5.Kuretase
6.Bedah periodontal jika dibutuhkan dan seharusnya diberikan juga prophylactic
antibiotik selama pembedahan periodontal dan pasien dianjurkan memakai
chlorhexidine sebagai antiseptiknya.
7.pemeliharaan periodontal

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