ETIOLOGI RAMPAN KARIES PADA ANAK USIA DINI (ETIOLOGY OF RAMPANT CARIES IN EARLY CHILDHOOD)
MAKALAH ILMIAH Oleh :
SHAFIRA YUNIKE AULIYANI ISKANDAR 160600015
FAKULTAS KEDOKTERAN GIGI UNIVERSITAS UNIVERS ITAS SUMATERA UTARA UTARA 016
Etiologi rampan karies pada anak usia dini (Sh!"#$! Y%&#'e A%l#!&# I'!&*!$)
Etiologi rampan karies pada anak usia dini (Sh!"#$! Y%&#'e A%l#!&# I'!&*!$) ETIOLOGI RAMPAN KARIES PADA ANAK USIA DINI (E+#,l,-# O" R!./!&+ C!$#e I& E!$l Ch#l*h,,*) Sh!"#$! Y%&#'e A%l#!&# I'!&*!$ 160600015 M!h!#! F!'%l+! Ke*,'+e$!& G#-# Ue$#+! S%.!+e$! U+!$! 3l4 Al%.&# Al%.&# N,4 K!./% USU Me*!& 0155 E.!#l : Sh!"#$!%&#'e$,'e+.!#l4,. Abstract
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PENDAHULUAN
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PENGERTIAN
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ETIOLOGI
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ASAM
KARIES
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GAMBARAN KLINIS
G!.7!$!& 'h! *!$# $!./!& '!$#e !*!l!h +e$l#7!+&! -#-# #&##2% 7!!h !&!&- *!/!+ *!/!+ 7e$' 7e$'e. e.7! 7!&&- .e&.e&-e&! e&!## *!e$! *!e$!h h e$2 e$2#' #'!l !l ,leh ,leh '!$e '!$e&! &! #+% #+% M! M!le le$ $ .e&*e"#&## .e&*e"#&##'!& '!& 7!h! rampant rampant caries caries !*!l!h le# '!$#e !&- +#.7%l e!$! e/!+ *e+$%'+#" *!& .e&e7!$ e!$! l%! h#&--! .e&-e&!# el%$%h -#-# +e$.!%' /!*! -#-# !&- /!*! %.%.&! el!l% *#/!&*!&- #.%& +e$h!*!/ '!$#e41
Gambar 1, Rampan Karies
Gambar 2, Proses pada Rampan Karies yang terhenti
MEKANISME
Me'!&#.e +e$!*#&! '!$#e (Fe!+he$+,&e 000) *#-!.7!$ e7!-!# 7e$#'%+ : !#*,-e&#' *!$# /l!' 7!'+e$# .e."e$.e&+!# .e ."e$.e&+!# '!$7,h#*$!+ .e./$,*%'# !!. ,$-!&#' +e$.!%' l!'+#' ",$.# !e+#' *!& /$,/#,&# !!. #&# !'!& 7e$*#"% 'e *!l!. e.!#l *e&+#& *e&+#& !+!% !+!% e.e&+ e.e&+%. %. !&!&- e!$! e!$! /!$#! /!$#!ll .e&-h!& .e&-h!&%$ %$'!& '!& '$#+! '$#+!ll .#&e$!l .#&e$!l !+!% !+!% carbonated hydroxyapatite4 hydroxyapatite4 Le7#h l!&%+ .#&e$!l !#+% '!l#%. *!& /h,/!+ !'!& 7e$*#"% *!$# -#-# *!& .e&-h!#l'!& l!/#!& 7!$% /!*! #!;#! K$#+!l !&- !*! /!*! le# !!l !&- *#'e&!l e7!-!# $e.#&e$!l#!#4 Pe$.%'!!& l!/#!& .#&e!l .#&e!l !&- 7!$% #&# #&# le7# le7#h h +!h! +!h!& & +e$h +e$h!* !*!/ !/ !!. !!. 7#l! 7#l! *#7! *#7!&* &*#& #&-' -'!& !& *e&*e&-!& !& .#&e .#&e$! $!ll carbonated hydro hydroxyap xyapati atite te /!*! !'+% !!l4 P$,e *e.#&e$!l#!# *!& $e.#&e$!l#!# /!*! %.%.& %.%.&!! e$#&e$#&- +e$!* +e$!*## 7e$%l! 7e$%l!&-; &-;%l! %l!&&- e+#!/ e+#!/ h!$#4 h!$#4 H!l #&# *!/!+ *!/!+ .e&e7!7 .e&e7!7'!& '!& +e$!*#&! '!2#+! !+!% !*!&! /$,e /e$7!#'!&45
PEMBAHASAN
K!$#e .%l!# /!*! e.!#l -#-#4 P!*! +!h!/ !!l +#*!' !*! -e!l! !/!;!/!4 T!&*! /e$+!.! !&- *!/!+ *#l#h!+ !*!l!h /e$%7!h!& !$&! /!*! e.!#l 7e$%7!h !$&! 'e/%+#h;/%+#h!&4 Pe$%7!h!& #&# *#e7!7'!& '!$e&! 7e7e$!/! .#&e$!l *#*!l!. e.!#l (+e$%+!.! '!l#%. ","!+) +el!h l!$%+ ,leh !!. !&- *#h!#l'!& ,leh 7!'+e$# *!l!. /l!'4 A'!& +e+!/# +#*!' +e$!*# l%7!&- '!$e&! 7!&!' .#&e$!l +e+!/ +#&--!l4 P!*! +!h!/ #&# 'e$%!'!& *!/!+ *#he&+#'!& *!& e.!#l eh!+ 'e.7!l# ,leh .#&e$!l *# *!l!. !l#2! !l#2! *!& /l!'4 /l!'4 A-!$ A-!$ 'e!*!!& 'e!*!!& #&# *!/!+ +e$!* +e$!*# # -#-# -#-# h!$% h!$% *#!-! *#!-! +e+!/ +e+!/ 7e$#h 7e$#h eh#&--! h!&! !*! e*#'#+ e$!&-!& !!.4 A/!7#l! /e$'e.7!&-!&&! l!.7!+ .%&-'#+ .e.7%+%h'!& !'+% 7e$+!h%&; +!h%& l!.!&! eh#&--! '!$#e .e&!*# '!2#+! 7e!$4 A'!& +e+!/# /$,e !&- !.! h!&! h!&! .e.7%+ .e.7%+%h'! %h'!& & !'+% !'+% 7e7e$!/ 7e7e$!/!! 7%l!& 7%l!& !! !! '!l!% '!l!% /e$'e. /e$'e.7!&7!&-!&& !&&!! e/!+4 e/!+4 A/!7#l! '!$#e %*!h !./!# *e&+#& -#-# *!/!+ .e&!*# e&#+#" *!& #&# *#$!!'!& e7!-!# !'#+ -#-#4 Pe&*e$#+! .e&-el%h !'#+ !/!7#l! .!'!& .!&#;.!&# .#&%. /!&! !+!% *#&-#& !+!% ! +!% !/!7#l! !/ !7#l! .e&--#-#+ e%!+% !&- 'e$!4 I&# *#e7!7'!& '!$e&! /%l/!&! .e&-!l!.# #&"l!.!# !+!% +e$#&"e'# ,leh 7!'+e$#4 K!$# K!$#e e *!/!+ *!/!+ *# e-!h e-!h *e&-! *e&-!& &
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/e&--%&!!& /$,*%';/$,*%' !&- .e&-!&*%&.e&- !&*%&- '!*!$ xylitol '!*!$ xylitol !& !&- !.!& *# ',&%.# e/e$+# /!*! /e$.e& '!$e+4 6 !l!%/ !l!%/%& %& R!./!& R!./!& '!$#e '!$#e +#*!' +#*!' .e&e7!7 .e&e7!7'!& '!& 'e.!+# 'e.!+#!& !& e!$! e!$! l!&-% l!&-%&- &- &!.%& /e&!'#+ *# .%l%+ *!/!+ .e&!*# "!'+,$ $##', /e&!'#+ l!#& .#!l&! e7!-!# #&"e'# ",'!l *!$# /e&!'#+ +,&#ll#+# "!$#&-#+# ,+#+# .e*#! 7!+e$e.#! +,'e.#! 7e$!+ 7!*!& 7!*!& l!h#$ $e&*!h (@@LR) *#!7e+e .ell#+% *!& /e&!'#+ !&+%&-4 Sel!#& #+% /e&!'#+ #+e.!+#' e/e$+# HIV=AIDS %-! *!/!+ 7e$.!&#"e+!# *!l!. .%l%+4B
KESIMPULAN
D!$# /e&!7!$!& *# !+! *!/!+ *# #./%l'!& 7!h! e+#,l,-# R!./!& '!$#e !&-!+ e$#&- '#+! %./!# *# 'eh#*%/!& 'eh#*%/!& eh!$#;h!$# eh!$#;h!$# *!& .e.7e$#'!& .e.7e$#'!& e"e' .e$%-#'!& .e$%-#'!& *# 'e.%*# 'e.%*#!& !& h!$# h!$#44 R%! R%!'& '&!! -#-# -#-# *# e7! e7!7' 7'!& !& R!./!& R!./!& '!$#e '!$#e +e&+ +e&+%& %&!! !&-! !&-!++ 7e$/e&-!$%h /!*! /e&!./#l!& *!& %-! /e&!'#+ l!#&&! !&- *!/!+ +e$e$!&- #'! '#+! e&*#$# +#*!' *!/!+ .e$!!+ -#-# *!& .%l%+4 H!l #&# h!$% *#e-!h e!' *#&# *!& !'+% !&- +e/!+ %&+%' .e&e!-!h&! !*!l!h /!*! %.%$ 0;5 +!h%& '!$e&! /!*! %.%$ +e$e7%+ R!./!& '!$#e !&-!+ e$#&- +e$!*#4 Pe&e-!h!& !&- *!/!+ *# l!'%'!& !*!l!h .e&-%$!&-# ',&%.# .!'!&!& $#&-!& '!$#,-e&#' le7#h 7!&!' .e&-,&%.# 7%!h .el!'%'!& %/!! 'e7e$#h!& -#-# *!& .%l%+ !&- 7!#' *e&-!& .e&#'!+ -#-# e7el%. e7el%. +#*%$ +#*%$ *!& 7e$'%. 7e$'%.%$; %$;'%. '%.%$ %$ *e&-!& *e&-!& !#$ .#&e$! .#&e$!ll e+el! e+el!h h .e&-,& .e&-,&%. %.## .!'!&!& '!$#,-e&#'41
DAFTAR PUSTAKA
14 Fe7$#! Fe7$#!& & R!#* R!#* R N,2#!&+# N,2#!&+#'! '! D4 A&!l# A&!l## # H%7%&-! H%7%&-!& & 3e&# 3e&# *!& F$e'%e F$e'%e&# &# Me&-,& Me&-,&%. %.# # 3!!&! 3!!&!& & K!$#,K!$#,-e&# e&#' ' *e&-!& *e&-!& Ke!*#! Ke!*#!& & R!./!& R!./!& K!$#e K!$#e /!*! A&!' U#! 5;6 T!h%& T!h%& *# K,+! P!*!&-4 A&*!l! De&+ 34 01B : 1: 1;1B4 4 F$e& F$e&' 'e& e& 3 Ph!& Ph!&+%. +%.2!& 2!&#+ #+ P P#l, P#l,++ T S,&-/ S,&-/!# !#! !& & Y 2!& 2!& A.e$ A.e$,,-e& e& E4 Pe*,.! Pe*,.!& & Pe$!!+ Pe$!!+!& !& Re+,$ Re+,$!+# !+#"" A+$!%. A+$!%.!+# !+#': ': Pe&*e'!+ Pe&*e'!+!& !& Pe&!&-Pe&!&--%l! %l!&-!& &-!& K!$#e K!$#e G#-#4 Al#h Al#h @!h!!4 @!h!!4 S%$, S4 Y,-!'!$+ ,-!'!$+!: !: G!*!h M!*! Ue$#+ Ue$#+ P$e 1 : ;B;1B4 B4 L!'.#!+ L!'.#!+%+# %+# SR @%*#!$*, @%*#!$*, S@4 P$e*#' P$e*#'## K!$#e /!*! /!*! A&!' A&!' Mel!l%# Mel!l%# A&!l## A&!l## K!$#e *!& /H Pl!' I7%4 D!l!. : N!+!.#h!$! L Oe& R P$!*,/, S *'' e*4 Pe$+e.%!& Il.#!h N!#,&!l Il.% Ke*,'+e$!& G#-# A&!' 'e;VIII Me*!& 015 : 1B;14 4 H!$!h!/ H!$!h!/ AA4 AA4 Pe$!& @e$7!-!# @e$7!-!# F!'+,$ F!'+,$ R##', R##', K!$#e K!$#e Te$h!*!/ Te$h!*!/ Ke!*#!& Ke!*#!& K!$#e K!$#e /!*! A&!' U#! ;5 T!h%&4 Te#4 Te#4 3!'!$+! : Ue$#+! I&*,&e#! 00: 1 ; 14 54 L,.7 L,.7, , A M!l% M!l%% % N G%&!! G%&!!& & PN4 PN4 S+!+ S+!+% % K!$# K!$#e e A&!' A&!' U#! U#! P$!e' P$!e',l ,l!h !h Se',l!h C#+$! K!#h !&- Me&-,&%.# S%% F,$.%l!4 3 e;G4 015 : B: 1;4 64 Feh$ Feh$e& e&7! 7!h h M3 M3 e#&e$ #&e$ 34 S!%&*e$ S!%&*e$ Re2# Re2#e e ," De&+ De&+!l !l H-#e H-#e&e &e44 5+h e*4 M#,%$#: Ele2#e$ 00: B5;B604 4 C,ll#& C,ll#& 3N 3N !lh !lh TF4 TF4 A H!&*7,, H!&*7,,' ' ",$ De&+!l De&+!l H-#e&# H-#e&#+4 +4 B$* e*4 O9",$*: $#-h+ $#-h+ 1 : 165;104 4 P!$'#& P!$'#& SF N,+e ,& Pe!*#!+$ Pe!*#!+$# # De&+#+$ De&+#+$44 O9",$*: O9",$*: $#-h $#-h+ + 11 : 1;4
