Académique Documents
Professionnel Documents
Culture Documents
2
Definition :
Injury which is limited to the teeth and supporting
structures of the alveolus, intra and extra of oral and
maxillofacial region.
Causes :
1- Traffic Accident.
2- Falls.
3- During Epileptic seizures.
4- Sport injuries.
Patterns and Risk Factors
The most common injury site is the maxillary (upper) central incisors,
which account for more than 50% of all dental injuries.
Oral injuries typically result from falls (most common), bike and car
accidents, sports-related injuries, and violence.
4 www.aap.org/oralhealth/pact
Patterns and Risk Factors
5 www.aap.org/oralhealth/pact
6
7
8
9 http://www.aap.org/oralhealth/pact
OPG
10
Diagnosis
Clinical
History Radiographic
examination Vitality test
Examination
History
1. Personal history
2. Medical history
3. Previous dental history
4. History of trauma (when ,how ,where )
History of Trauma
Extraoral Examination
Laceration ; Abrasions ; Contusions on the head and
neck can be noted visually
Any asymmetries including deviation in mouth
opening.
Intraoral Examination
Soft tissue ( tongue ; gingiva .. )
Teeth ( displacement ; mobility ; tooth fracture ;
colour change )
15
Classification of tooth fracture
Ellis classification:
Class I:
crack or fracture of E only
Class II:
fracture of E , D with out pulp exposure
Class III:
fracture of E , D with pulp exposure
Class IV:
Fracture line passes beneath the gingival margin
Class V:
Root fracture
a) vertical b) horizontal
(apical , middle , cervical)
Class I :
treatment of V R F :
1)extraction of the tooth
2)using co2 laser and ND:YAG laser beam
Types of Tooth Injury
1. Concussion
2. Subluxation
3. Lateral Luxation
4. Intrusion
5. Extrusion
6. Avulsion
7. Fracture Used with permission from Martha Ann Keels, DDS, PhD; Division Head of Duke Pediatric Dentistry,
Duke Children's Hospital
26
Concussion
Recommended Treatment:
Stick to a soft diet for 2 weeks.
27 www.aap.org/oralhealth/pact
Subluxation
Recommended Treatment:
Stick to a soft diet for 2 weeks. Used with permission from Rebecca Slayton, DDS PhD
28 www.aap.org/oralhealth/pact
Lateral Luxation
Recommended Treatment:
Do not attempt to remove intruded tooth. Instead, focus on pain
control and consider antibiotic prophylaxis.
For a primary tooth, seek dental evaluation within 1 week (or
earlier, for significant symptoms).
For a permanent tooth, refer to a dentist immediately for
repositioning and splinting.
31 www.aap.org/oralhealth/pact
Extrusion
fracture).
32 www.aap.org/oralhealth/pact
Avulsion
33 www.aap.org/oralhealth/pact
Avulsion of a Primary Tooth
34 www.aap.org/oralhealth/pact
Avulsion of a Permanent Tooth
36 www.aap.org/oralhealth/pact
Fracture
37 www.aap.org/oralhealth/pact
Uncomplicated Crown Fracture
Recommended Treatment:
Inspect injured lips, tongue, and gingiva to
rule out presence of tooth fragments.
Provide a soft diet, avoiding temperature
extremes.
If a permanent tooth is injured, refer to a
dentist for evaluation ASAP (within 12 to 24
hours).
Recommend long-term follow-up to evaluate Used with permission from:
40 www.aap.org/oralhealth/pact
Root Fracture
Vitality test just following traumatic injury often given false negative response
heat test
intrution Avultion
UE UE
V IV III II I I II III IV V
V IV III II I I II III IV V
UE UE
Occlusion (+)
Laboratory findings :
Hematology
- PT : 10.1 (10,4-14,4) second
- INR : 0.94 (0,83-1,16) second
- APTT : 22,9 (20-40) second
Hb : 12,9 (11.5-13.5) g/dL
Ht : 38 (34- 40) %
WBC : 14.400 (6000-17.000)/mm3
RBC : 4,83 (3,96-5.32) million/uL
Platelets : 439.000 (150.000-450.000)/mm3
A:
Dentoalveolar fracture of teeth 51-62 with
intrusion of tooth 51 and avultion of teeth 61,62 +
lacerated wound at gingival of teeth 51 -62
P : Oral surgery treatment
CBC, PT-APTT
R/ Amoxycillin syr 125 mg 1 cth PO
Paracetamol syr 120 mg 1 cth PO
Diazepam supp 5 mg Supp.
Extraction of tooth 51
Alveolectomy
Debridement
Suturing at Intra oral
Suggestions :
Soft diet
Plan for panoramic x-ray
Oral hygiene instruction
R/ Amoxycillin syr 125 mg 3 x 1 cth PO
Paracetamol syr 120 mg 3 x 1 cth PO
Aplication of hyaluronic acid gel at post suturing intra oral
Control at Oral Maxillofacial Surgery Clinic on Thursday, Jan 5th 2015
Discharged
Secondary Survey
Oedem and hematom at left frontal and parietal
General Status
Skin : Turgor (+)
Head : Asymmetrical face, Oedem and hematom at
left frontal and parietal
Eye : Non anemic conjungtiva, non icteric sclera
Neck : JVP did not increase,
Chest : Symmetrical shape and movement
Pulmo : VBS right=left, Rh-/-, Wh -/-
Cor : Pure regular heart sound
Abdomen : Flat and soft, bowel sound (+) N
Extremity : Warm, CRT <2
Local Status
Extra Oral :
Asymmetrical head
Oedem and hematom at left frontal 2x2cm in size
Oedem and hematom at left parietal 2x2 cm in size
Intra Oral :
Tongue : Lacerated wound at dorsal tongue 1,5x0.5x0.5
cm in size, irregular edge, muscle based
Palate : Within normal limit
Vestibulae : Within normal limit
Lips : Within normal limit
Gingiva : Within normal limit
Buccal mucous : Within normal limit
Floor of mouth : Within normal limit
Tonsil : T1-T2
Odontogram
V IV III II I I II III IV V
V IV III II I I II III IV V
Occlusion (+)
Schedel AP-Lateral
Discharged
Secondary Survey
Within normal limit
General Status
Skin : Turgor (+)
Head : Symmetrical face
Non anemic conjungtiva, non icteric sclera
Neck : JVP did not increase,
Chest : Symmetrical shape and movement
Pulmo : VBS right=left, Rh-/-, Wh -/-
Cor : Pure regular heart sound
Abdomen : Flat and soft, bowel sound (+) N
Extremity : Warm, CRT <2
Local Status
V IV III II I I II III IV V
V IV III II I I II III IV V
Laboratory Results:
- BT : 100 1-3
menit
- CT : 430 3-5
menit
- Hb : 11.9 L(11.5-13.5) g/dL
- Ht : 36 L(34 - 40)
%
- RBC : 4.90 L (4.11- 5.95) juta/uL
- WBC : 11.600 (5000-14500) /mm3
- Platelet count : 434.000 (150.000-450.000) /mm3
A:
Lacerated wound at regio mentale
Treatment :
Discharged
Secondary Survey
Within normal limit
General Status
Skin : Turgor (+)
Head : Symmetrical face
Non anemic conjungtiva, non icteric sclera
Neck : JVP did not increase,
Chest : Symmetrical shape and movement
Pulmo : VBS right=left, Rh-/-, Wh -/-
Cor : Pure regular heart sound
Abdomen : Flat and soft, bowel sound (+) N
Extremity : Warm, CRT <2
Local Status
CM CM
V IV III II I I II III IV V
V IV III II I I II III IV V
CM CP
Laboratory Results:
Discharged
Mobility grade II
V IV III II I I II III IV V
V IV III II I I II III IV V
Occlusion (+)
Laboratory findings :
Hematology
- PT : 10.7 (8,9-12,9) second
- INR : 0.99 (0,83-1,16) second
- APTT : 26,1 (15,4-35,4) second
Hb : 11.4 (11.5-13.5) g/dL
Ht : 33 (34- 40) %
WBC : 22.600 (5500-15.500)/mm3
RBC : 4.52 (3,95-5.26) million/uL
Platelets : 381.000 (150.000-450.000)/mm3
A:
Dentoalveolar fracture of teeth 51-61 with mobility
grade II + lacerated wound at gingiva of teeth 51 -
61 + lacerated wound at vestibulae of tooth 61
P : Oral surgery treatment
RBC, PT-APTT
R/ Amoxycillin syr 125 mg 1 cth PO
Paracetamol syr 120 mg 1 cth PO
Diazepam supp 2,5 mg Supp.
Debridement
Suturing at Intra oral
Suggestions :
Soft diet
Oral hygiene instruction
R/ Amoxycillin syr 125 mg 3 x 1 cth PO
Paracetamol syr 120 mg 3 x 1 cth PO
Aplication of hyaluronic acid gel at post suturing intra oral
Control at Oral Maxillofacial Surgery Clinic on Thursday, Jan 29th 2015
Discharged
Secondary survey:
Abrasivum wound at left knee and ankle region
General status :
6 5 IV III 2 1 V56
1 2 III IV
6 5 IV III 2 1 1 2 III IV 5 6
Mob gr.2
Occlusion (+)
Skull X-Ray AP Lateral
Impression :
Dentoalveolar fracture of teeth 12-22
Laboratory findings :
Hematology
- PT : 10,4 (9,3-13,3) second
- INR : 0,97 (0,84-1,15) second
- APTT : 26,1 (16-36) second
Hb : 14,6 (11.5-15.5) g/dL
Ht : 42 (35- 45) %
WBC : 11.100 (4500-13.500)/mm3
RBC : 5,52 (4,43-6,02) million/uL
Platelets : 284.000 (150.000-450.000)/mm3
A:
Dentoalveolar fracture of teeth 12-22 with mobility
grade II of teeth 12-22 + crown fracture of tooth
21 + 1/3 incisal fracture of tooth 11
Lacerated wound at vestibule and gingiva of teeth
11-21 + Lacerated wound at lower lip
P : Oral surgery treatment
S:
A 3 y.o male patient came with wound on the tongue. 2
hours prior to admission, when the patient was jumping
around on the bed at his home in Cisarua area, suddenly the
patient felt from the bed with mechanism his chin hit the
edge of the table first. History of unconsciousness (-),
nausea and vomiting (-). Bleeding from mouth (+), bleeding
from ear and nose (-). Then the patient was brought to
Cibabat Hospital but no treatment was performed there.
Then, his parents brought him to Hasan Sadikin ER
department
O:
Primary Survey
A: Clear
B: symmetrical shape and movement,
VBS R=L, RR= 24x/m
C: HR= 90 x/minutes
D: GCS15 (E4M6V5)
Pupil :Round equal RL 3/3 mm, RC +/+
Motoric: No parese
CS CS
V IV III II I I II III IV V
V IV III II I I II III IV V
Occlusion (+)
Laboratory findings :
Hematology
- PT : 10.6 (10.3-14.3) second
- INR : 0.99 (0,83-1,17) second
- APTT : 23.4 (15-35) second
Hb : 12.4 (11.5-15.5) g/dL
Ht : 36 (35- 45) %
WBC : 13.100 (4500-13.500)/mm3
RBC : 4.96 (4.19-5.96) million/uL
Platelets : 495.000 (150.000-450.000)/mm3
A:
Lacerated wound at dorsal of the tongue
P : Oral surgery treatment
Sysmex, PT-APTT
R/ Amoxycillin syr 125 mg 1 cth PO
Paracetamol syr 120 mg 1 cth PO
Diazepam supp 50mg 1 tube Supp.
Necrotomy debridemen
Suturing laceration wound at dorsal of the tongue
Suggestions :
Regular diet
R/ Amoxycillin syr 125 mg 3 x 1 cth PO
Paracetamol syr 120 mg 3 x 1 cth PO
Aplication of hyaluronic acid gel at post suturing intra oral
Plan to perform dental filling of teeth 51 61 at dental clinic, pedodontic
department on office hour
Control at Oral Maxillofacial Surgery Clinic on Monday, Dec 29th 2014
Discharged
Anamnesa :
2 jam SMRS, saat pasien sedang bermain-main
dengan temannya di luar rumah, tiba-tiba pasien
terjatuh dengan mulut membentur batu. Pingsan (-),
Mual-Muntah (-), PTH (-), PM(-). Pasien langsung
di bawa ke RSHS (Riwayat imunisasi tidak
lengkap).
Primary Survey
A : Clear
B : VBS ka=ki, B/G Simetris, R: 23 x/menit
C : N= 75 x/menit
D : GCS=15, pupil bulat isokor 3mm, RC +/+,
parese -/-
Secondary Survey : tak
Status lokalis
EO :
- Wajah simetris
- Konjungtiva tidak anemis
IO :
V IV III II I I II III IV V
V IV III II I I II III IV V
Hasil Laboratorium:
HB : 11, 9 (11,5 13,5) g/dL
HT : 36 (34 40)%
Leukosit : 6700( 5000 14500) /mm3
Trombosit : 265000 (150000 450000) / mm3
BT :3 (1-3) menit
APTT : 10 (5-11) menit
DK/VL a/r Labii Superior
Tindakan BM :
-Sysmex, BT-CT
-TT-ATS
- R/ Amoxicillin Syr. 3 x 1
Ibufropen Syr 2 x 1
Kenalog Orobase
-Debridement
- Hecting a/r Labii Superior
- Aplikasi kenalog a/r post hecting
-
Saran :
Pro Foto Panoramik
Diet lunak
Aplikasi kenalog orobase a/r post hecting IO
Kontrol Poli BM 10-10-2010
ACC BLPL
Afif/Vera/Siti
FOTO POST TREATMENT
LAPORAN EMERGENSI
Nama : Bintang
JK : Laki-laki
Umur : 3 tahun
Alamat : Jl. Ciawi Tali
Citeureup, Cimahi
Agama : Islam
Status : Tidak Kawin
No. Medrek : 1000035207
Waktu masuk : 19.30 WIB
KU : Luka di gusi rahang atas
Anamnesa :
1 jam SMRS, saat pasien sedang naik tangga
keramik di dalam rumahnya, tiba-tiba pasien
terpeleset sehingga terjatuh dengan mulut mengenai
tepi tangga. Pingsan (-), Mual-Muntah (-), PTH (-),
PM(+). Pasien kemudian di bawa ke RSU Dustira,
tidak dilakukan tindakan apa-apa, kemudian pasien
di rujuk ke RSHS (Riwayat imunisasi lengkap).
Primary Survey
A : Clear
B : VBS ka=ki, B/G Simetris, R: 30 x/menit
C : N= 110 x/menit
D : GCS=15, pupil bulat isokor 3mm, RC +/+,
parese -/-
Secondary Survey : tak
Status lokalis
EO :
- Wajah asimetris, odem a/r labii superior
- Konjungtiva tidak anemis
IO :
V IV III II I I II III IV V
V IV III II I I II III IV V
Hasil Laboratorium:
HB : 12,2 (11,5 13,5) g/dL
HT : 36 (34 40)%
Leukosit : 16000 ( 5000 14500) /mm3
Trombosit : 450000 (150000 450000) / mm3
Tindakan BM :
-Sysmex, BT-CT
- R/ Amoxicillin Syr. 3 x 1
Ibufropen Syr 2 x 1
Kenalog Orobase
-Debridement
- Hecting a/r IO
- Aplikasi kenalog a/r post hecting
Saran :
Pro Foto Panoramik
Diet lunak
Aplikasi kenalog orobase a/r post hecting IO
Kontrol Poli BM 10-10-2010
ACC BLPL
Afif/Vera/Siti
FOTO POST TREATMENT
Nama : Itazza Abdul Mughni
J. Kelamin : Laki-laki
Umur : 4 tahun
Alamat : Margahurip, Kab. Bandung
No telp : 081313422288
Agama : Islam
Status : Tidak kawin
No. Medrek : 35433
Waktu masuk : 17:55 WIB
KU : Perdarahan pada mulut
Anamnesa :
1,5 jam SMRS saat pasien sedang belajar naik
sepeda di daerah Margahurip, tiba-tiba pasien
terjatuh dengan mulut membentur aspal terlebih
dahulu. Helm (-), pingsan (-), mual-muntah (-),
PTH (-), PM (+). Kemudian pasien dibawa ke RS
Al Islam, tidak dilakukan apa-apa dan langsung
dirujuk ke RSHS.
Primary Survey
A : Clear.
B : VBS ki = ka, B/G Simetris, R: 24 x/menit
C : N= 97 x/menit
D : GCS=15, pupil bulat isokor 3 mm,
RC +/+, Parese -/-
Status Lokalis
EO : - Wajah simetris
- Konjungtiva non anemis
IO :
- Vestibulum :VL a/r 52-62, ukuran
2x0,5x0,5cm, tepi tidak rata, dasar
tulang
- Bibir : tak
- Gusi : tak
- Palatum : Tak
- Lidah : Tak
- Dasar Mulut : Tak
- Mukosa Bukal : Tak
- Tonsil : T1-T1
Status Gigi geligi
CS
Mobility grade 3
V IV III II I I CM
II III IV V
X V IV III II I I II IIIIV V X
X
G X
CS P
Hasil Lab :
DARAH RUTIN
BT : 130 1-3 menit
CT : 430 3-5 menit
Hb : 12,9 g/dL 11,5-13,5 g/dL
Ht : 39 % 34-40%
Leukosit : 17.400 /mm3 5.000-14.500/mm3
Eritrosit : 4.90 jt/uL 3.95-5.26jt/uL
Wassalam
K : CM
N : 102 x/mnt
R : 24 x/mnt
S : 35,6 C
Status Lokalis
Ekstra Oral :
Wajah simetris,
Konjungtiva non anemis,
Sklera non ikterik
KGB submandibula ki = ka tidak teraba, tidak sakit
Intra Oral :
Gingiva : Perdarahan post ekstraksi a/r gigi 55
Bibir : Tak
Vestibulum : Tak
Lidah : Tak
Palatum : Tak
Mukosa bukal : Tak
Dasar mulut : Tak
Tonsil : T1 T1
Status gigi geligi
CM
GP
M GR
6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
GP CS
Hasil Laboratorium :
- Hb : 22 (11,5-16,5)g/dl
- Ht : 69 (34 - 40) %
- Lekosit : 13.300 (5000-14.500)mm3
- Eritrosit : 4,00 (3,95 5,26) juta /uL
- Trombosit : 353.000 (150000-450000)mm3
- PT : 12,7 detik ( 9 13)
- APTT : 32,3 detik ( 16,1 36,1)
Diagnosa kerja :
Bleeding post ekstraksi gigi 55
Tindakan BM:
Sysmex , PT, APTT
Debridement
Dep KassaTampon
Aplikasi spongostan
Observasi perdarahan 30 menit
R/ - Asam traneksamat caps 250 mg No III
Saran BM :
Diet lunak di daerah yang tidak dicabut gigi
Instruksi post ekstraksi
Kontrol ke poli BM (Rabu, 23/6/2010)
ACC BLPL
Anamnesa :
1,5 jam SMRS, saat pasien sedang bermain-main
sepeda, tiba-tiba pasien terjatuh dengan mulut
membentur stang terlebih dahulu. Pingsan (-), mual
muntah (-), PTH (-), PM (+). Kemudian pasien langsung
dibawa ke RSHS. Riwayat imunisasi lengkap. Riwayat
perdarahan lama (-)
Primary survey :
A = Clear
B = VBS Ka=Ki, B/G Simetris, R= 28x/menit
C = N = 120 x/mnt
D = GCS = 15, pupil bulat isokor 3 mm
RC +/+, parese -/-
St. Lokalis:
EO : wajah simetris, konjunctiva non anemis
VA a/r philtrum dex uk. 2x2 cm
IO :
- Gingiva : VL a/r 52, 61 uk. 0,5x0,2x0,3 cm, tepi tdk
rata, dasar tulang
- Dasar mulut : Tak
- Bibir : Tak
- Vestibulum : Tak
- Palatum : Tak
- Lidah : Tak
- Mukosa Bukal : Tak
- Tonsil : T1-T1
Status Gigi geligi
ekstruksi avulsi o3
V IV III II 1 I II III IV V
V IV III II I I II III IV V 6
Hasil Laboratorium
- BT : 3 (1-3) menit
- CT : 7 (3-5) menit
- Hb : 12,0 (11,5-13,5)g/dl
- Ht : 36 (34 - 40) %
- Leukosit : 14.400 (5.000 14.500)/mm3
- Eritrosit : 4,56 (4,11 5,95) juta /uL
- Trombosit : 224.000 (150.000 450.000)/mm3
DK/ :
Acc BLPL
Conny/Heri/Ahyar
Post Treatment
LAPORAN EMERGENSI
Status Lokalis
Ekstra Oral :
Wajah asimetris, oedem a.r fasial sin
VL a/r mentale Uk. 4x1x2 cm , tepi tidak rata, dasar tulang
VP a/r labiomentalis Uk. 2x 0,5x2 cm tepi tidak rata
Konjungtiva tidak anemis
Foto EO
Intra Oral :
Bibir : VP a/r labii inferior uk. 1,5x 0,5x1,5 cm tepi
tidak rata
Palatum : Tak
Vestibulum : Tak
Bibir : Tak
Lidah : Tak
Mukosa bukal: Tak
Dasar mulut : Tak
Tonsil : Tdn
Status gigi geligi
Persistensi # mahkota
UE UE
8 7 6 5 V 4 3 2 1 1 2 3 4 5 6 7 8
8 7 6 5 V 4 3 2 1 1 2 3 4 5 6 7 8
UE UE
Persistensi
Hasil Laboratorium :
Samuel/Farul/Jerry/Andi
Tindakan NC
DK/ : Mild HI
IVFD NaCl 0,9 % 20 gtt/mnt
O2 Nasal canul 4 ltr/mnt
Observasi GCS
Head up 30o
R/ Ceftriaxone inj 500 mg
Ranitidine inj ampul
Ketorolac inj ampul
Dito/Zainal/Selvi/Bradi
Tindakan BM :
Sysmex , PT- APTT
Debridement
Hecting a/r VL dan VP
Aplikasi kenalog orabase a/r hecting IO
Aplikasi ikamicetine in a/r post hecting EO
Verban tekan a/r post hecting EO
R/ Cefadroxil syr forte
Paracetamol syr
Kenalog in orabase
Ikemicetin
Saran:
- Panoramik foto
- Aplikasi kenalog post hecting IO
- Aplikasi ikemicetin post hecting EO
- Diet lunak
- Perawatan endodontik gigi 21 di poli Gigi Mulut bagian
konservasi gigi pada jam kerja
Findo/Conny/Irfan
Post Treatment
LAPORAN EMERGENSI
UE UE
8 7 6 5 4 3 2 1 1 2 III 4 5 V 6 7 8
8 7 6 5 4 3 2 1 1 2 3 4 5 V 6 7 8
UE UE
Persistensi
Hasil Laboratorium :
- PT : 11,9 (10 14) detik
- INR : 0,96 (0,82 1,18)
- APTT : 26,3 (15,7 - 35,7) detik
- Hb : 11,9 (11,5-15,5) g/dL
- Ht : 36 (35 - 45) %
- Lekosit : 17.100 (4.500-13.500)/mm3
- Trombosit : 346.000 (150.000-450.000)/mm3
Schedel AP lateral
Foto Cervical Lat & Thoraks
Diagnosa kerja :
Mild HI + VL a/r vestibulum 75-43
Tindakan BU
IVFD RL 20 gtt/mnt
Sysmex
O2 canul 3L/menit
Collar neck
Schedel AP-Lat, Cervical, Thorax
Samuel/Farul/Jerry/Andi
Tindakan NC
Head up 30o
Observasi GCS TNSR
R/ Ceftriaxone inj 500 mg
Ranitidine inj ampul
Ketorolac inj ampul
Hecting VL a/r frontal sin
Dito/Zainal/Selvi/Bradi
Tindakan BM :
PT- APTT
Debridement
Hecting VL a/r vestibulum 75-43
Aplikasi kenalog orabase a/r post hecting IO
Perban tekan a/r mental
R/ Cefadroxil syr forte cth II
Paracetamol syr cth II
Kenalog orabase
Ikemicetin
Post Treatment
LAPORAN EMERGENSI
Selasa, 27 Juli 2010
Konsul dari IKA
Dessy
KU : Perdarahan dari mulut
Anamnesa :
3 hari SMRS pasien mengeluh gusinya berdarah,
perdarahan terjadi sejak pasien mengorek-ngorek gusinya
sehabis makan daging. Oleh orang tua pasien, pasien
disarankan untuk kumur-kumur air es dan betadine
kumur, namun perdarahan tidak berhenti. Kemudian
pasien berobat ke RS Sumedang dan pasien dirujuk ke
RSHS. Pasien mempunyai riwayat memiliki kelainan
hemofili A ( didiagnosis 2007) dan riwayat imunisasi
lengkap.
Pemeriksaan fisik :
K = CM
T = 100/60 mmHg
N = 94 x/mnt
S = 36,5 C
R= 24 x/mnt
EO :
- Wajah simetris
- Konjungtiva tidak anemis
- KGB submandibula kiri = kanan : tidak teraba, sakit
- Sklera tidak ikterik
IO :
- Bibir : tak
- Gingiva : Perdarahan a/r 12-53
- Vestibulum : tak
- Lidah : tak
- Mukosa Bukal : tak
- Palatum : tak
- Dasar Mulut : tak
- Tonsil : T1-T1`
Status Gigi geligi
6 V IV III 2 1 1 2 III IV V 6
6 V IV III 2 1 1 2 III IV V 6
HASIL LABORATORIUM:
PT : 13.3 (10.2-14.2) detik
INR : 1.07 ( 0.84-1.15)
APTT : 59.9 (16.2-36.2) detik
Hb : 11.1 (11.5-15.5) g/dL
Ht : 32 (35 - 45) %
Eritrosit : 4.01 (4.43-6.02) juta/L
Leukosit : 11400 (4500 -13500) /mm3
Trombosit : 378000 (150.000-440.00)/mm3
DK/:
Hemofilia A + gingival bleeding ec trauma
Tindakan IKA:
Istirahat
IVFD NaCl 0,9% untuk jalur tranfusi
Cryopresipitat 20 unit/Kg BB ~ 420 unit
Tindakan BM:
Pembersihan regio perdarahan
Dep tampon + pehacaine
Observasi perdarahan
Saran:
- Daerah perdarahan tidak boleh dihisap-hisap
- Daerah perdarahan tidak boleh dimainkan dengan
lidah
- Jangan kumur-kumur untuk sementara waktu
- Th/ lain sesuai TS IKA
Wassalam
Deni/Diki/Vera/Ocky/ahmad/Siti
Foto Post Treatment
Saran:
- Diet lunak
- Aplikasi kenalog a/r post hecting IO
- Aplikasi ikemicetin a/r VA a/r zygoma sin
- Panoramik foto
- Kontrol poli BM hr. Senin, 18/10/2010
Acc BLPL
Conny/Findo/Irfan
Surat Pernyataan
Bandung, 18-10-2010
ttd
Asep Olay
Lacerated wound at palatinal soft tissue
24
0
Question #1
24
1 www.aap.org/oralhealth/pact
Answer
24
2 www.aap.org/oralhealth/pact
Question #2
A. Malocclusion
B. Child abuse or neglect
C. Early childhood caries
D. Hyperactivity
E. Substance abuse within the family
24
3 www.aap.org/oralhealth/pact
Answer
A. Malocclusion
B. Child abuse or neglect
C. Early childhood caries
D. Hyperactivity
E. Substance abuse within the family
24
4 www.aap.org/oralhealth/pact
Question #3
A. Root resorption
B. Re-eruption of the primary tooth
C. Pulpal necrosis with possible root infection
D. Fracture of the underlying permanent tooth
E. Damage to the underlying tooth and failure of permanent tooth to
erupt
24
5 www.aap.org/oralhealth/pact
Answer
A. Root resorption
B. Re-eruption of the primary tooth
C. Pulpal necrosis with possible root infection
D. Fracture of the underlying permanent tooth
E. Damage to the underlying tooth and failure of permanent tooth to
erupt
24
6 www.aap.org/oralhealth/pact
Question #4
24
8 www.aap.org/oralhealth/pact
Question #5
A. High cost
B. Impaired oral or phonetic function
C. Pain
D. Infection, including abscess
E. All of the above
24
9 www.aap.org/oralhealth/pact
Answer
A. High cost
B. Impaired oral or phonetic function
C. Pain
D. Infection, including abscess
E. All of the above
25
0 www.aap.org/oralhealth/pact