SGD 6 LBM 6 BLOK 9 STEP 1 1.Swelling : inflammation,the characteristic is the calour is red or pink 2.

trivial ; unecessery fall,simple fall STEP 2 : what is problem ??? the topic is -trismus ; not can open and close mouth Ankylosis ; because we can see symptom inflammation lateral and cannt open close mouth and trauma.ankylosis can cause of trismus. what is different of ankilosis dan trismus ? what is definition of ankylosis ? 3.what is etiology Of ankylosis ? 2.what is diagnose of disease of ankylosis? 3.what is the sign and symptom of ankylosis? 4.what is classification of ankylosis ? 5.what is clinical examination of ankylosis ? 6.how is the therapy of ankylosis ? What is pathogenesis of ankylosis ? -

1. 2. 3. 4. 5. 6. 7. 8. 9.

STEP 4 1. what is different of ankilosis dan trismus ? ANKYLOSIS Cause disease is joint and permanent and the TRISMUS cause disease is muscle and not permanent. what is definition of ankylosis ? ankylosis is stiffy of joint cause of process pathology of disease. Immobility is fixiation junction cause of the pathology is intracapsular dan ektracapsular. 3.what is etiology Of ankylosis ? - Trauma : is the most cause of ankylosis like age is patients,location fracture, - inflammation in joint and the history surgery of joint.,Duration of immobilition. - Steel disease,arthiritis choronic juvenile or arthritis rheumatoid, - Hiperplasi from proc.coronoideus. : the big proc.coronoideus .infection around temporalis muscle. - Orthonagtik surgery is surgery is can help disease of joint. what is diagnose of skenario? Ankylosis because in scenario is trauma in chin then not help course of time. what is the sign and symptom of ankylosis? -immobility joint

2.

3.

4. 5.

-little fungtion -immobility of open mouth -asimetri of face(only one side,unilateral) -Diffult respiration and masticatory procces -inhibition of growth face Less development of mandibular bird face -the pronounsation is not clear 6. what is classification of ankylosis ? ankylosis have two part are : -ankylosisi pure or intracapsular - ankylosis ektracapsular The opioin of sawhney : there are four type : 1.tipe I ; formanation is bone is minimal and relative 2.tipe 2 : formation of bone especially in perifer of joint surface 3. tipe 3 : formanition of bone between mandibular with os temporale. 4.tpe 4 : the joint change with mass of bone. Clasifition ankylosis is topazian are Type 1 ; adhesion of fibrous around joint Type 2 :development of bone condyle and fos.gleinodalis Type 3 : fusion neck of condyles from fossa all complete. Classification pathotolgy ankylosis ; - Musclural fibrosis - Muscular trismus - Myositis osificant ; formanition hematom and ossification pronesis after injury. - Tetanus : acute infection cause of clastridium tetani lock jaw. what is clinical examination of ankylosis 1.oclussion 2.opening between insisal 3.other movement 4.radiografi can using -orthopantomograf to see ankylosis unilateral or not. - photo of TMJ trancranial : compare position proc.condylaris bilateral in condition open and close mouth.

7.

8.

how is the therapy of ankylosis ? 1.gap artroplasty 2.condylecktomi ; neck of condyle cut and into casa 3.osteoartrotomi Injection adrenalin in muscle for happened blooding

both of them condylectimi and osteoartrotomi 9. What is pathogenesis of ankylosis ? LI

STEP 4; CONCEPT MAPPING PASIEN

IMMOBILITY OPEN MOUTH

EXAMINATION

DIAGNOSA

THERAPY