PRAKTIKUM INDEKS PERIODONTAL

NAMA :.........................................................
NIM :.........................................................

A. OHI-S (ORAL HYGIENE INDEX-SIMPLIFIED)
CI-S 16 11 26


46 31 36

DI-S 16 11 26


46 31 36
OHI-S= CI-S+DI-S

B. PERIODONTAL INDEX
Elemen 18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
Skor
Skor
Elemen 48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38

SKOR PI :


C. CPITN
Elemen 18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
Skor
Skor
Elemen 48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
Macam Perawatan :
Skor : 0 =
1 =
2 =
3 =
4 =
*=

D. GINGIVAL INDEX DAN PLAQUE INDEX
1. GI 16 11 24


44 41 36

SKOR GI=
2. PLAQUE INDEX
16 11 24


44 41 36

SKOR PLAQUE INDEX =
E. CSI (CALCULUS STAIN INDEX)

Elemen 18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
Skor
Skor
Elemen 48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38

SKOR CSI=