ukgs irene's donut presentasi ortu.pdf
TRANSCRIPT
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¡ Pendidikan:"
§ Dokter-gigi, UI, 1995"§ Doktor Bidang Kedokteran Gigi, UI, (Sept 2006-
Juli 2008)"▪ Predikat Cum-laude "▪ IP 4,0"▪ Rekor MURI Doktor Tercepat 22 bulan 2 hari"
¡ Peneliti Senior Pusat Kajian Administrasi dan Kebijakan Kesehatan FKM Universitas Indonesia"
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Dr. drg. Irene Adyatmaka Koordinator Smiling Unit UKGS
BPK PENABUR Jakarta
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Permasalahan gigi mulut pada anak sekolah
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¡ WHO (2006) : karies masalah utama à 60-‐90 % murid sekolah.
¡ SKRT (2001) : 76,5% 12 tahun memiliki kerusakan gigi belum ditangani
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62,4% penduduk terganggu pekerjaan/sekolahnya krn sakit gigi selama rata-‐rata 3,86 hari/tahun (SKRT 2001)
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Prevalensi karies pulpa & akar gigi murid kelas 2 SD = 5,3% ; 81,3 % anak 5 tahun gigi permanen sudah berlubang (Dwiati, 2003)
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Pada 13 sekolah PENABUR di Jakarta, 55% anak kelas 1 SD berlubang; rata-‐rata 3 gigi lubang per anak (PENABUR 2007)
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Tiga dampak karies gigi terhadap Pertumbuhan dan perkembangan anak prasekolah (Mouradian, 2001; Sheiham, 2006):
• karies gigi @dak terawat menyebabkan rasa sakit sehingga mengganggu asupan makan anak yang pen@ng untuk perkembangan otak,
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2. rasa sakit menimbulkan gangguan @dur dan selanjutnya mengganggu produksi glucosteroid dan pertumbuhan anak, selanjutnya rasa sakit tersebut mengganggu konsentrasi belajar
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3. Inflamasi kronis dari karies gigi dapat menekan hemoglobin dan selanjutnya menimbulkan anemia karena produksi eritrosit dalam sumsum tulang menjadi berkurang. Anemia selanjutnya akan mengganggu performansi anak dalam belajar
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Di DKI Jakarta hasil evaluasi karies gigi pada anak balita tahun
1993 menemukan 44,4% anak mengalami susah makan karena
keluhan sakit gigi, dan hal ini berdampak 13,1% anak
mempunyai status gizi di bawah normal. (Dinkes DKI, 1993)
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Lebih dari 50 juta jam sekolah pertahun hilang sebagai akibat yang
ditimbulkan oleh sakit gigi pada anak-anak, dan akibat ini akan berdampak hingga kehidupan
dewasa nanti. (WHO, 2005)
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¡ Anak lebih percaya diri, perkembangan psikologis maksimal.
¡ Tidak terganggu tumbuh-‐kembang fisiknya, karena masukan makanan baik.
¡ Terhindar dari penyakit sistemik, sesuai hasil penelitian terkini : PJK, prematuritas, stroke, demensia dll.
¡ Peluang kerja/ karir terbuka lebar
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Mechanism of caries
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Kuman Sisa
makanan Asam
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Plaque:7,8!¡ is a biofilm !¡ contains more than 600 different
identified species of bacteria !¡ there is harmless and harmful plaque !¡ salivary pellicle allows the bacteria to
adhere to the tooth surface, which begins the formation of plaque!
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Check plaque pH
Results will be ready in 5 minutes Soak in well A containing Solution A for 1 second.
Clinical Approach
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≤ 5.5
≈ 6.0-6.5
≥ 7.0
Check plaque pH
Clinical Approach
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l PLAQUE BUILD-UP"l Bacteria + glucans"l Acid environment"
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l DEMINERALISATION"l critical ph 5.5"l presence of bacteria"l External acid source"l Internal acid source"
Effects of acid attack on enamel
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Kuman Sisa makanan Asam
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l REMINERALISATION "l increasing pH levels"
Reversing the effects of acid attack
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l REMINERALISATION !l increasing pH levels!l free Calcium and phosphate
ions present!
Reversing the effects of acid attack
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Casein PhosphoPeptides Amorphous Calcium Phosphate
Milk protein discovered by Prof Eric Reynolds at University of Melbourne
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Cara Aplikasi
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Prof Eric Reynolds
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Tooth surface
Demineralized part
Healthy part
Remineralized part
Healthy part
Remineralized part
Shirley Gutkowski
2. REMINERALISASI WHITE SPOT
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¡ “Dentist = Pain” Terutama pada pasien anak, sehingga masih ada anak yang menolak dirawat/ datang dalam keadaan yang sudah parah.
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¡ Perlu perawatan yang tidak “menyakitkan”
¡ Prosedur perawatan dilakukan dalam waktu singkat
¡ Konsentrasi anak terbatas ¡ Perlu instruksi yang sederhana ¡ Resiko karies lebih tinggi ¡ Menyukai sesuatu yang “baru”
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Gigi yang sedang tumbuh – resiko tinggi!
" Gusi sekitar gigi sakit
" Sisa makanan melekat
" Permukaan gigi yang sedang tumbuh gampang larut oleh asam
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Surface Protection
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H+ H+
H+
Surface Protection
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F F F
Surface Protection
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PO4
F
Ca
Ca
PO4
Surface Protection
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Surface Protection
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Surface Protection
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Kuman Sisa makanan Asam
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“AFTER MEAL BRUSHING” program
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Plak lebih dari 2 hari Plak baru
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Observation of plaque accumulation using Plaque Disclosing Gel
Mechanism for Plaque Disclosing Gel
Old plaque New plaque
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¡ Yang bisa dilakukan dirumah § Membantu anak Sikat gigi (kapan??) § Terapi remineralisasi (vitamin gigi) § Mengatur frekuensi makan § Memonitor risiko gigi berlubang (tehnik irene’s donut)
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¡ Surface protection gigi geraham tetap yang sedang tumbuh
¡ Pendampingan pelatihan guru dan ortu
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¡ Pendampingan Pendidikan kesehatan gigi ¡ Fasilitasi kegiatan UKGS Inovatif
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