Rumah Sakit Gigi dan Mulut Universitas Muhammadiyah Yogyakarta

PERIODONTAL DISEASES

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  • PERIODONTAL DISEASES

Periodontal disease is a disease that affects the supporting tissues of the tooth, the gingiva / gum and the periodontal tissue, the tissue that connects the tooth and the bone supporting the teeth of the alveolar bone. Periodontal disease is one of the most pervasive diseases in human life, so most societies accept this condition as inevitable. However, etiology studies, prevention and treatment of periodontal disease suggest that the disease is preventable. The most common diseases of periodontal tissue are gingivitis and periodontitis.

Gingivitis is an inflammation of bacterial-induced gums with clinical signs of change in color redder than normal, swollen gums and bleeding at mild pressure. Patients usually do not feel pain in the gums. Gingivitis is reversible gum tissue can return to normal if done cleaning the plaque with a toothbrush regularly.

Periodontitis shows inflammation that already concerns the deeper tooth support tissues. This disease is progressive, usually found between the ages of 30-40 years and irreversible / can not return to normal as before, ie if not treated can cause tooth loss and when the tooth is lost / dated means failure in maintaining the presence of teeth in the cavity mouth for life.

Porphyromonas Gingivalis is an obligate anaerobic gram negative coccobacillus bacteria in the oral cavity associated with periodontal tissue damage in humans. Porphyromonas Gingivalis is almost always found in the subgigible and persistent regions of the reservoir on the mucosal surfaces such as the tongue and tonsils, but Porphyromonas Gingivalis is rarely found in healthy human plaque.

As mentioned above, direct tissue damage can be caused by bacterial infection of P.gingivalis through bacterial products or indirectly.

Maintaining oral hygiene is the most effective preventative remedy through cleansing and elimination of local factors such as plaque by brushing teeth and by scaling to remove calculus / tartar. Calculus is a hard deposit derived from calcified plaque usually present in the cervix / neck of the tooth and can be a chronic irritant to the gums resulting in inflammation. Besides that the prevention of periodontal disease can be done by eliminating bad habits such as bruxism / kerot, breathing through the mouth and correcting the condition of teeth with occlusal trauma due to malposition, that is the wrong position of the teeth and the hidden teeth.

Proper and correct brushing is necessary because the wrong toothbrush with a horizontal direction will cause abrasion / tooth eroded or gingival recession / sagging gums so that periondontal diseases will be easier to occur. Use a soft bristle brush so as not to injure the gums. Should brush the tooth replaced at least once every three months, thus the bristle brush is still effective in cleaning the teeth. Using dental floss or dental floss to clean between teeth with proper and proper technique needs to be taken care not to injure the gums and make inflammation.

Control to the dentist regularly is important to know changes in teeth and gums. If periodontal abnormalities have occurred, then therapy and care are required. Using an antiseptic mouthwash containing 0.20% chlorhexidine for at least 1 minute as much as 10 cc proved effective in relieving inflammatory processes in the periodontal tissues.

Periodontal disease therapy involves scaling the release of the calculus from its attachment to the tooth. This action is necessary because calculus is an inherent, hard and not lost calcified deposit with a toothbrush. In addition it needs to be done curettage is a periodontal pocket cleaning action that contains many food debrismaupun germs to prevent further inflammation.

If there is evidence of both clinical and microbiological germ involvement, your dentist will provide antibiotics appropriate to the cause of the periodontal disease. Periodontal disease is a disorder that begins with dental plaque so the key to success in prevention efforts is to do dick plaque and it would be better if the scalling to the dentist at least 6 months.

Author:

drg. Sartika Puspita

UMY Lecturer

Dentist specialist RSGM UMY child

Jl. HOS Cokroaminoto No.17 Yogyakarta

drg. Alfini Octavia, Sp.KGA

Dokter gigi anak yang akrab dipanggil drg Fifin atau drg. Alfini ini lahir di Jakarta pada tahun 1974. Dokter gigi yang juga merupakan dosen KG UMY ini merupakan alumni dari pendidikan dokter gigi pada FKG UNPAD dan Program Studi Pendidikan Dokter Gigi Spesialis (PPDGS) FKG UGM. Saat ini, drg. Alfini sedang menempuh pendidikan doktor Thamassat University, Thailand, dengan mengambil topik penelitian mengenai penanganan dental pada pasien anak autisme.

Dokter gigi yang hobbi travelling ini memiliki banyak pengalaman dalam menangani berbagai kasus dental (gigi) pada anak khususnya penanganan gigi pada anak berkebutuhan khusus, penanganan pada gigi berlubang/karies, dan penangan pencegahan maloklusi/gigi berjejal .

Anggota dari International Association for Disability of Oral Health (IADH) ini terkenal sabar dan telaten dalam merawat dan memeriksa pasien anak. Dengan pengalaman beliau sebagai pembicara pada berbagai seminar baik nasional maupun internasional, ketrampilan komunikasi drg. Alfini juga sangat baik dalam memberikan penjelasan mengenai penyakit pasien. Berkonsultasi dan memeriksakan anak anda ke drg. Alfini Octavia., Sp. KGA di RSGM UMY bisa menjadi solusi yang baik untuk masalah kesehatan gigi dan mulut anak anda.

drg. Edwyn Saleh, Sp.BMM, MARS

Dokter gigi yang akrab dipanggil drg Edwyn ini lahir di Sragen pada tahun 1973. Setelah menamatkan studi pendidikan dokter gigi di FKG UGM pada tahun 1995, beliau melanjutkan studi pada Program Studi Pendidikan Dokter Gigi Spesialis (PPDGS) Bedah Mulut FKG UGM dan lulus pada tahun 2018 dan resmi menjadi seorang Dokter Gigi Spesialis Bedah Mulut dan Maksilofasial.
Dokter gigi yang hobi bersepeda ini mumpuni dalam penanganan berbagai kasus bedah mulut dan maksilofasial, antara lain kegawatdaruratan dental (gigi), pencabutan gigi bungsu (odontektomi), bedah praprostetik, dental implant, operasi bibir sumbing, patah tulang rahang, keganasan (tumor) rahang, special care in dentistry (pengelolaan medically compromised patient), kelainan sendi rahang (temporomandibular disorder) dan berbagai kasus bedah mulut lain, baik yang membutuhkan pembiusan lokal, maupun total.
Dokter gigi yang juga merupakan pengurus wilayah PDGI DIY ini juga memiliki berbagai pengalaman menjadi pemateri pada seminar nasional maupun internasional. Drg. Edwyn juga dikenal sangat detail dalam memberikan penjelasan terkait kondisi pasien, sehingga pasien mendapatkan jawaban memuaskan dan mengurangi kecemasan sebelum pencabutan gigi. Jadi tidak salah bila membutuhkan penanganan terkait bedah mulut, memilih untuk diperiksakan ke drg. Edwyn Saleh., Sp.BMM. Mars.

drg.Trianita Lydianna, M.DSc, Sp.KGA​

Dokter yang akrab dipanggil drg. Lydia ini merupakan kelahiran Palembang, pada tahun 1988. Alumni program combined degree dari PPDGS (Program Studi Pendidikan Dokter Gigi Spesialis) Kedokteran Gigi Anak FKG UGM ini memiliki berbagai pengalaman menangani kasus dental (gigi) pada anak, yaitu penambalan gigi berlubang, pencabutan, kawat gigi pada anak, dan jenis perawatan gigi anak yang lain..
Dokter gigi yang juga merupakan pengurus dari Persatuan Dokter Gigi Indonesia (PDGI) cabang kotamadya Yogyakarta ini terkenal ramah dan telaten dalam merawat gigi anak. Drg. Lydia siap merawat kesehatan gigi anak anda di RSGM UMY.