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Penyakit Gingiva

Dr. drg. I Dewa Ayu Susilawati,


M. Kes

Klasifikasi Penyakit Gingiva


Plaque associated gingivitis- acute gingivitis & chronic
gingivitis
Acute necrotizing ulcerative gingivitis (ANUG)
Desquamative gingivitis
Gingivitis associated with systemic condition or
medication
Hormone-induced gingival inflamation
Drug influence gingivitis
Gingivitis associated with blood dyscrasias
Gingivitis associated with diffuse bacterial & viral
infection
Gingivitis due to miscellaneus cause which may
include nutritional deficiencies, iatrogenic causes,
hereditary causes, mouth breathing

Etiologi Penyakit Gingiva


1. Dental plaque
2. Endocrinal: Puberty, pregnancy, diabetes
mellitus
3. Blood dyscrasia: leukemia
4. Malnutrion: vitamin C deficiency (scurvy)
5. Medication: Dilantin, cyclosporin or procardia
6. Non-plaque induced gingivitis:
a. Bacterial origen- Niesseria gonorrhea,
Treponema pallidum, Stretococcal species
b. Viral origin- Herpes virus, recurrent oral
herpes, varicella zoster
c. Candida, histoplasmosis

Etiologi Penyakit Gingiva


7.

Genetic factor- Hereditary gingival fibromatosis

8. Systemic condition manifestation


a. Lichen planus
b. Pemphigus
c. Erytema multiforme
d. Lupus erythematosis
9. Allergy to mercury, nickle, and acrylic
10. Traumatic causes including physical, chemical,
thermal causes
11. Immunological disease & immunosuppressesive
therapy
12. Foreign body- introduction of amalgam/abrasive
during operative procedure

Plaque associated
gingivitis
(Gingivitis terkait plak)

Gingivitis adalah penyakit


inflamatori pada jaringan gingiva
Etiologi utama: DENTAL PLAQUE
Gingivitis akut:
onset tiba-tiba, durasi singkat, sakit
Gingivitis kronis:
onset lambat, durasi lama, tidak
sakit

Kharakteristik gingivitis terkait


plak

Terdapat plak pada margin gingiva


Penyakit dimulai dari gingiva marginal
Perubahan warna gingiva
Perubahan konsistensi gingiva
Pendarahan saat probing (BOP)
Perubahan tekstur permukaan gingiva
Perubahan kontur & posisi gingiva
TIDAK TERDAPAT ATTACHMENT LOSS
TIDAK ADA KERUSAKAN ALVEOLAR
Perubahan histologik lesi inflamatori
Reversibel bila plak dihilangkan

Perubahan warna

Bleeding spontan/bleeding on probing

Perubahan kontur/bentuk, ukuran,


posisi margin

Perubahan tekstur permukaan

Perubahan konsistensi

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