Professional Documents
Culture Documents
PENYAKIT PERIODONTAL
DENTAL EPIDEMIOLOGI :
Adalah studi tentang distribusi & dinamika
penyakit gigi pada populasi dalam masyarakat
Dental epidemiologi dipengaruhi oleh
Usia
Ras/ kelompok
pekerjaan
kerentanan
- kelamin
- tempat tinggal
- karakter sosial
- pemaparan thd agent spesifik
Tujuan :
> Meningkatkan pengertian ttg proses penyakit
untuk mencegah dan mengontrol penyakit
period.
> unt mengembangkan cara pengontrolan &
perkembangan penyakit
INDEKS EPIDEMIOLOGI
Penilaian unt mengkwantisasikan kondisi klinik pada
skala ukuran shg memudahkan dlm membandingkan
antara populasi yg diperiksa dg kriteria & metode yg
sama.
Kriteria Indeks:
mudah digunakan
dpt digunakan pada populasi dlm waktu singkat
dpt menetapkan kondisi klinik seobyek mungkin
dpt digunakan unt menilai keadaan klinik unt satu atau
lebih pemeriksa
mudah dianalisa secara statistik
berhub erat secara numerik thd tingkatan keadaan
klinik dr penyakit yg spesifik
Inflammation
Points
Appearance
normal
no bleeding
none
no bleeding
mild
redness, hypertrophy,
edema and glazing
bleeding on
probing/pressure
moderate
marked redness,
hypertrophy, edema,
ulceration
spontaneous
bleeding
severe
4 SKORING UNIT
(4 PERMUKAAN)
Prosedur
berkumur dg disclosing sol. dilihat apakah ada pewarnaan atau
tidak pada permuk. Gigi
skor (+) ada pewarnaan ada plak
skor (-) tdk ada pewarnaan bebas plak
dibuat dlm kuadran dr aspek facial & oral (sama dg papilla bleeding
index) yg dicatat pd chart.
PBI
Score
individual score =
= AVERAGE (scores for all of the teeth in the mouth)
population score =
= AVERAGE(individual scores in population
examined)
Interpretation:
minimum score: 0
maximum score: 8
The higher the score, the more marked the
periodontal disease.
(1) 17, 16, 15, 14; (2) 13, 12, 11, 21,
22, 23; (3) 24, 25, 26, 27
FDI notation mandible: (4) 47, 46, 45, 44; (5) 43, 42, 41,
31, 32, 33; (6) 34, 35, 36, 37
third molars are not used unless they function in place of
the second molars
(2) use of index teeth: 5 teeth on the maxilla and 5 teeth on
the mandible
FDI notation maxilla: (1) 17, 16; (2) 11; (3) 26, 27
FDI notation mandible: (4) 47, 46; (5) 31; (6) 36, 37
Dental evaluation
(1)A special probe is used to to evaluate the depth of
the dental sulcus.
(2) The teeth are examined for supragingival or
subgingival calculus.
(3) Any bleeding after gentle probing is noted.
Evaluation
The worst finding in each sextant is coded according to
the
table below..
The maximum code for the entire mouth is used for the
treatment recommendation.
Finding
CODE
supragingival or subgingival
calculus
Treatment recommendation
maximum score 0: no need for additional treatment
maximum score 1: need to improve personal oral
hygiene
maximum score 2: need for professional cleaning of
teeth, plus improvement in personal oral hygiene
maximum score 3: need for professional cleaning of
teeth, plus improvement in personal oral hygiene
maximum score 4: need for more complex treatment
to
remove infected tissue
Evaluating teeth
Only fully erupted (occlusal and incisal surface has
reached the occlusal plane) permanent teeth are scored.
Third molars and incompletely erupted teeth are not
scored because of the wide variations in heights of clinical
crowns.
The buccal and lingual debris scores are both taken on
the tooth in a segment having the greatest surface area
covered by debris.
The buccal and lingual calculus scores are both taken on
the tooth in a segment having the greatest surface area
covered by supragingival and subgingival calculus.
Points
Grading Debris
no debris or stain present
debris index =
= (SUM(points along buccal surface for all segments present) +
SUM(points along lingual surface of all segments present)) / (number of
segments present)
Grading Calculus
Points
no calculus present
calculus index =
= (SUM(points along buccal surface for all segments present) +
SUM(points along lingual surface of all segments present)) / (number
of segments present)
oral hygiene index =
= (debris index) + (calculus index)
Finding
Score
Parameter
gingival score
bone score
negative
no bone loss
minimum score: 0
maximum score: 8
The higher the score, the more serious the
periodontal disease.
Each surface is examined grossly for color and swelling, then a probe is
gently placed in the sulcus to see if bleeding occurs.
Sulcus Probing
Points
Appearance
healthy
no bleeding
bleeding on probing
bleeding on probing
bleeding on probing
obvious swelling
bleeding on probing
bleeding on probing
Interpretation
The total number of surfaces showing each of the scores (0 to 5) is used
to evaluate the distribution of changes associated with gingivitis.
minimum sum of all SBI scores: 0
maximum sum of all SBI scores: 320
Score
0
individual score =
= RATA2 (scores for all of the teeth in the mouth)
population score =
= RATA2 (individual scores in population examined)
Interpretation:
minimum score: 0
maximum score: 8
The higher the score, the more marked the periodontal disease