8/18/2019 Trauma From Occlusion (Patogenesis&Kerusakan Tulang)

1/6

 Trauma from

OcclusionSharon Nathania Tirtadinata

8/18/2019 Trauma From Occlusion (Patogenesis&Kerusakan Tulang)

2/6

Patogenesis

INJURY

REPAIR

REMODE!

8/18/2019 Trauma From Occlusion (Patogenesis&Kerusakan Tulang)

3/6

INJURY

• "ening#atan dalam area resor"si dan"enurunan "em$entu##an tulang

REPAIR

•

"enurunan resor"si dan "ening#atan"em$entu##an tulang

REMODEIN!

• resor"si dan "em$entu##an tulang #em$anormal

8/18/2019 Trauma From Occlusion (Patogenesis&Kerusakan Tulang)

4/6

Me#anisme #erusa#an tulang

A#si langsungdari "rodu# "la#terhada" sel%sel

"rogenitortulang

mengindu#sidiferensiasi sel%

sel "rogenitorterse$utmen&adi

osteo#las'

Produ# "la#$a#teri $era#si

secaralangsung

terhada" tulangdan

merusa#n(a

melaluime#anismenonseluler'

Produ# "la#menstimulasi sel%

sel gingi)asehingga sel%selgingi)a terse$ut

mele"as mediator(ang "adaa#hirn(a

mengiindu#si sel%

sel "rogenitortulang$erdiferensiasi

men&adiosteo#las'

Produ# "la#men(e$a$#ansel%sel gingi)amele"as#an

su$stansi (angda"at $ertinda#

se$agai #o%fa#tor "adaresor"si tulang'

8/18/2019 Trauma From Occlusion (Patogenesis&Kerusakan Tulang)

5/6

+erusa#antulanga#i$at T,O

• Pening#atan te#anan "ada l"eriodontal dan "ening#atan"ada tulang al)eolar hinggane#rosis "ada ligament "eritulang- serta res"orsi tulangstru#tur gigi'

• Da"at di"ulih#an a"a$ila gaterse$ut dihilang#an

 Tida# ada

"eradangan

• +erusa#an tulang (ang ter&atida# $iasa .$i/arre $one "a

Ada"eradang

an

8/18/2019 Trauma From Occlusion (Patogenesis&Kerusakan Tulang)

6/6

RE,RENSI Ne*man- 1arran/a' 1arran/a2s 1linical

Periodontolog(' 33th Edition'