skills lab radiologi anatomi gigi normal
Post on 07-Jul-2018
231 Views
Preview:
TRANSCRIPT
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
1/52
EVALUASI PERUBAHAN
JARINGAN PERIODONSIUM
SECARA RADIOGRAFIS
Hanna H. Bachtiar Iskandar
RKG-FKG UI
Klarifikasi sk 2, 4 dan 5
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
2/52
Reminders ***
Prior knowledge (RDs dan RKG skenariosee!"#n$a%
Fisika Radiasi&
e'ek io!ois radiasi ionisasi&
)ro*eksi radiasi ionisasi& )era*"ran )er"ndan+"ndanan kese!a#a*an radiasi,
Radio+ana*o#i )ada eraai )ro$eksi radiora'i
Radio+ )a*o!oi di idan kedok*eran ii
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
3/52
Normal Alveolar Crest
• -,.+-,/ ## a)i0a! *o
0e#en*o+ena#e! 1"n0*ion
• Para!!e! *o !ine 1oinin *2e
CEJ o' ad1oinin *ee*2• S#oo*2
• Con*in"a*ion o' 0or*i0a!
)ar*3!a#ina d"ra& 2as *2e
sa#e 4id*2 andradio)a0i*$
• 5rae0"!a*ion 2as nor#a!
densi*$ and )a**ern
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
4/52
Prinsi) In*er)re*asi radiora'ik6
-, E7a!"asi #"*" radiora' / kri*eria #"*" $an aik
8, E7a!"asi s)esi'ik ( specific viewing):use loop
rin0i& konsis*en& DD3 radiora'is
9, E7a!"asi se0ara "#"# ( general viewing) :from a distance
8 ko#)onen& 8 as)ek& kesi#)"!an
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
5/52
M"*" 6 S"d"* 7er*ika! *idak *e)a*
sa!a2 in*er)re*asi
Specific view detil
eneral view men!eluru"
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
6/52
E7a!"asi #"*" radiora'
/ kri*eria #"*" $an aik
• O$ek *er0ak") dan *er!e*ak di *ena2
radiora'
• Kon*ras& de*i! dan ke*a1a#an 2ar"s aik • 5idak *er1adi dis*orsi 7er*ika!• 5idak *er1adi dis*orsi 2ori:on*a!
• Dis*orsi #ini#a!
radiora' da)a*diin*er)re*asi
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
7/52
Evaluasi mutu radiora! "anoramik
• Obyek tercakup tujuan pembuatan radiograf
• Kontras,detil, ketajaman•#$% s/d tepi mandibula
•Simetris, sudut mandibula kiri kanan sama jelas
•Septum nasal dan palatum durum jelas
•Gigi anterior dan posterior proporsional dan sama jelas
•Tidak ada host imae
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
8/52
o$ek HARUS
*er0ak")
dan sea!ikn$a
Kon*ras& de*i!&
ke*a1a#anHARUS aik
Dis*orsi s"d"* HARUS
di2indari
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
9/52
“Not only ori!ontally distorted
due to film placement image formation"
aux pearl
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
10/52
E7a!"asi se0ara "#"# ( general viewing)
8 ko#)onen& 8 as)ek&
kesi#)"!an
• 8 ko#)onen
ii& 1ar )erio& *! ra2an
• 8 as)ek keadaan& )er"a2an& 2""nan
• Kesi#)"!an asa! ke!ainan ; "n*"k ren0ana
)era4a*an
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
11/52
8, E7a!"asi s)esi'ik ( specific viewing)
rin0i& konsis*en& DD3 radiora'is
• rin0i 6 se*ia) aian ana*o#is ke*ia ko#)onen& er"r"*an (ii6dari #a2ko*a s3d a)ika!< 1ar )erio #"!ai
#esia! dari kres kor*ika! s3d -38 a)ika!& dis*a!& i'"rkasi < *!
ra2an k"a!i*as ; )o!a dan densi*as%
• konsis*en 6 se!a!" !ak"kan in*er)re*asi denan )o!a dan"r"*an $an sa#a & aar *idak ada in'or#asi dianos*ik $an
*er!e4a*
• Denan se#"a in'or#asi dianos*ik $an *e!a2
dik"#)"!kan& "a* DD3radiora'is denan "r"*an
)riori*as
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
12/52
s"eci!ic vie&in
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
13/52
simpulkan
DD3 Radiora'is
Dari enera! 7ie4
In'or#asi dianos*ik
dari
ke*ia *a2a)an
in*er)re*asi
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
14/52
Radiora"hic assessment o! "eriodontal
condition'alteration'disease
-, A#o"n* o' one )resen*
9, Condi*ion o' a!7eo!ar 0res*
8, In7o!7e#en* o' '"r0a*ion areas
=, >id*2 o' )eriodon*a! !ia#en*/, Lo0a! 'a0*ors
?, Cro4n *o roo* ra*io
@, Ana*o#i0 0onsidera*ions
, Pa*2o!oi0 0onsidera*ions, Marina! 0on*a0*
-., O00!"sa! !ine
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
15/52
Interpretasi radiografik jaringan periodontal
Lihat Pharoah tentang periodontal disease
Keadaan tulang yang ada kuantitas (tinggi/lebar) dan kualitas (pola/densitas)
gambaran keseluruhan
luas kerusakan (lokal/menyeluruh)
bentuk kerusakan (horizontal &/ vertikal)densitas (rarefied/condensed )
pola trabekulasi (normal/berubah)
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
16/52
Sisa *"!an $an ada ke2i!anan *"!an ren0ana )era4a*an
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
17/52
kondisi alveolar crest : bagian
penting dalam melakukan evaluasiradiografik keadaan jar. periodonsium
kres kortikal melanjut ke lamina dura
ada/tidak, kesinambungan, outline,densitas, lebar, tinggi, bentuk
kanselus
pola dan densitasnya
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
18/52
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
19/52
#ini tulan (ukal-"alatal'linual
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
20/52
Keterlibatan furkasiPerhatikan adanya
kerusakan/kehilangan tulang
daerah furkasi
periodontal/marginal, atau akibat
perluasan karies
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
21/52
Se*e!a2 kor*ika! kres& )er"a2an r"an
)eriodon*a! *er"*a#a di daera2 #arina!&
#er")akan aian )en*in da!a# e7a!"asi
)er"a2an3ke!ainan3)en$aki* )eriodon*a!
ebar !uang "eriodontal
*ea!3!ear& ke)ada*an s*r"k*"r ana*o#i
indi7id" ereda Di)er!"kan reference site
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
22/52
Yang dapat dievaluasi secara radiogras :Kalkukus, tambalan yang tidak sempurna,perawatan orto
#aktor okal
"erbandingan mahkota$akar!%&'!%#'*
sisa tulang yang adamenentukan perbandingan
mahkotaakar radiogras
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
23/52
Karang gigi#calculus
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
24/52
$am%alan mengemper#&ver"anging
Restoration
Pera4a*anor*odon*i
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
25/52
5"#)an *indi2 denan s*r"k*"r ana*o#i ra2an&
Ben*"k ana*o#i #a2ko*a dan akar $an
'unfavoura%le for t"e periodontal condition
( #a2ko*a $an se)er*i *a"n& akar $an r"n0in%
"ertimbangan %natomis
"ertimbangan patologis lain Adan$a karies $an #e!ia*kan #arina!
dan a*a" di#ensi ke*ia
("ka!3!in"a!3)a!a*a!%
Kondisi3ke!ainan sis*e#ik
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
26/52
#ertimbangan anatomis
dan patologis
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
27/52
• 5i*ik kon*ak6 ada3*idak& aik3*idak
)en$ea3'ak*or $an #e#)erera* ke!ainan
Kontak marginal
aris klusal
• ari radiograf dapat diprakirakankemungkinan +# Konfirmasi jejasnya di radiograf
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
28/52
Garis ok!"si
Kon*ak #arina!3*i*ik kon*ak
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
29/52
periodontal diseases
---Periodontal condition
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
30/52
-,Gini7a! diseases (G%
9, C2roni0 )eriodon*i*is (CP%
8, Aressi7e )eriodon*i*is (AP%
=, Periodon*i*is as a #ani'es*a*ion o' s$s*e#i0
diseases (PS%
/, Ne0ro*i:in )eriodon*a! diseases (NP%
?, Periodon*a! as0esses (PA%
@, Periodon*i*is 4i*2 endodon*i0 !esion (PEnd%
, De7e!o)ed and a0"ired (DAC%de'or#a*ions and 0ondi*ions
classifcation operiodontal diseases
Abbreviated version o the 1999
Trauma $rom Occlusion
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
31/52
!" #ingival $iseases
•. A. Dental plaque-induced gingival diseases
•. B. Non-plaque-induced gingival lesions
S"!i*32a#)ir *idak da)a* die7a!"asi dari
radiora' kon7ensiona!&
ke0"a!i denan #en"a2 kondisi sinar
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
32/52
!!" %hronic Periodontitis
• &light/mild: crest irregularity/erosion ' lost
of up to ( mm )*+ %-&.
• moderate: lost of more than ( mm )*+
%-&. up to half of the root length triangular appearance
• severe: lost of 012- more than half of the
root length ,3oating appearance
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
33/52
)" *ocali4ed0" #enerali4ed 56 789 of
sites are involved
E)#EN#I*N *F #HE +I,EA,E
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
34/52
( eneralized/localized)
%&'( cronic adultmarginal periodontitis
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
35/52
MODERA5E
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
36/52
SEVERE
i i d i i
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
37/52
Pa*ien*s 8. $ears
Eaera*ed rea0*ion *o #ini#a! )!a"e
a00"#"!a*ion
A!#os* a!! are 2ori:on*a! one !oss #a$ res"!* in
ear!$ *oo*2 !oss
Lo0a!i:ed 'or# is a!so 0a!!ed Lo0a!i:ed
J"7eni!e Periodon*i*is (LJP%
III. Aggressive PeriodontitisLo0a!i:ed or enera!i:ed
' li d ) i # i d titi
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
38/52
'ocali!ed )ggressie #eriodontitis
Seen in se0ond de0ade
Pri#ari!$ in7o!7es 'irs* #o!ars and 0en*ra!
in0isors (*ee*2 *2a* er")* 'irs*% Ra)id one !oss
Mini#a! a#o"n*s o' )!a"e
O7er *i#e& o*2er *ee*2 are in7o!7ed
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
39/52
&+ Periodontitis a Maniestationo Systemic Diseases
• ) )ssociated -it ematological disorders• . )ssociated -it genetic disorders
• Not oter-ise specified 0 malignancies
etc1
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
40/52
*eukemia
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
41/52
eukemia ; punc"ed out appearance
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
42/52
#halasemia
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
43/52
anerhans Cell Histioctosis
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
44/52
Fi(rous ds"lasia
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
45/52
EVALUASI PERUBAHANJARINGAN PERIODONSIUM
SECARA RADIOGRAFIS
Hanna H. Bachtiar Iskandar
RKG-FKG UI
Klarifkasi sk 6 dan 7
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
46/52
+" 2ecroti4ing Periodontal $iseases
• A, Ne0ro*i:in "!0era*i7e ini7i*is
• B, Ne0ro*i:in "!0era*i7e )eriodon*i*is
+& )bscesses of te #eriodontium
• A, Gini7a! as0ess
• B, Periodon*a! as0ess ride o' one
• C, Peri0orona! as0ess er")*ion3i#)a0*ion
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
47/52
Endo-/erio
• Radiora)2i0a!!$&
4idenin o' PDL
or 7aria!e si:e o'
)eria)i0a!
radio!"0en0$ #a$
e )resen*
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
48/52
E7a!"a*ion and Fo!!o4+")
o' 5rea*#en*
Re#ission o' )eriodon*a! disease 0an e
radiora)2i0a!!$ de#ons*ra*ed $ *2e
re'or#a*ion o' 2ea!*2$ ar02i*e0*"re a* *2e 0res*, Di''i0"!* in 0on7en*iona! radiora)2 #ake a
re)rod"0i!e radiora)2
Cres*a! !a#ina d"ra and s2ar) an!es
e*4een *2e 0res*a! !a#ina d"ra and *2e
!a#ina d"ra o' *2e ad1a0en* *ee*2 4i!! re'or#
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
49/52
22 3 non macroscopic caity 4
5 67 isually 8
967 conentional rad 8
up to :67 digital rad 8
$& digital subtraction radiography
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
50/52
Medicolegal
oncerns have been raised the ability to manip!late the images ora!lt p!rposes. Man!act!rers o sot"areprogrammes have installed #a!dit trails$%
"hich can trac& do"n and recover the originalimage.
• ;any insurance companies in the
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
51/52
In dealing "ith radiographicinterpretation :
'(A) )(* +,AI- D*S -)
/-'0..
)(* **S A- -) S**.
Sir William
Osler-
;emember
-
8/18/2019 SKILLS LAB RADIOLOGI ANATOMI GIGI NORMAL
52/52
Thank You foryour kind attention
Thank You for
your kind attention
top related