BLOK HARD BLOK HARD TISSUE SURGERY SURGERY SELF LEARNING REPORT JIGSAW CASE STUDY 3 KOMPLIKASI EKSTRAKSI
DOSEN PEMBIMBING/ TUTOR:
DISUSUN OLEH: CITRA VEONY FINASTIKA NIM. G1G012034
KEMENTERIAN RISET, TEKNOLOGI, TEKNOLOGI, DAN PENDIDIKAN TINGGI UNIVERSITAS ENDERAL SOEDIRMAN FAKULTAS KEDOKTERAN URUSAN KEDOKTERAN GIGI PUR!OKERTO 201" A. SKE SKENARIO ARIO S#$%&'( )&*+#' &-+&-+ #%*+& 2 &' &&'( -#5&+ -# -+'+- A'& #'(&' -#&' '6#%+ 6&'( &% +&*& #& )&& (+(+ 47 6&'( #& &'& 8&
& &%+ 6&'( &. P#'8&&' (+(+ 47 +&--&' #'(&' )%$*#% #-*%&-*+ *##%&'&. T+&- +#5-&' -#&+'&' *+*#5+- )&& )&*+#'. Vital sign &&5 &&* '$%5&. H&*+ )#5#%+-*&&' +'%& $%& #%+& *$-# (+(+ #%+& -$*$'( &')& &&'6& 9#'&&' &%& 6&'( 5#')+. T#%+& #%+* + *#-+&% *$-# (+(+. B. ANALISIS KASUS SKENARIO 1. I#'+&* P&*+#': &. #'+* K#&5+' : L&-+&-+ . U*+& : 2 &' 2. P#5#%+-*&&' S6#-+ &. K#&' U&5& ;CC<: '6#%+ 6&'( &% +&*& #& )&& (+(+ 47 6&'( #& &'& 8& & &%+ 6&'( &. . R+=&6& P#'6&-+ S&& +'+ ;PI<: '6#%+ 6&'( &% +&*& #& )&& (+(+ 47. 8. R+=&6& S+*#5+- ;PMH<: )&*+#' +&- ++'+-&*+-&' 5#5++-+ %+=&6& )#'6&-+ *+*#5+-. . R+=&6& D#'& ;PDH<: #& 5#&--&' )#'8&&' (+(+ 47 & &%+ 6&'( & #'(&' )%$*#% #-*%&-*+ *##%&'&. #. R+=&6& K#&%(& ;FH<: +&- && -##%&'(&'. . R+=&6& S$*+& ;SH<: +&- && -##%&'(&'.
3. P#5#%+-*&&' O6#-+ &. P#5#%+-*&&' Vital Sign: &&5 &&* '$%5&. . P#5#%+-*&&' I'%& O%&: #%+& *$-# (+(+ 47 -$*$'( &')& &&'6& 9#'&&' &%& 6&'( 5#')+ &' #%+* + *#-+&% *$-# (+(+.
4. D+&('$*+* D+&('$*+* )&*+#' +'+ &&& -$5)+-&*+ #-*%&-*+ #%)& dr s!"#$t . C. RENCANA PERA!ATAN ;PENATALAKSANAAN< &. P#5&'&' . A)&+& )&*+#' +&- &)& 5#'&&' %&*& *&-+, 5&-& &)& +&--&' &'#*#*+ $)+-& && $-&. &. I%+(&*+ )&& &(+&' 6&'( 5#'(&&5+ &>#$++* #'(&' &%&' *&+' 6&'( &'(& &' -%#&*# *#5& #-&' &%& #(#'#%&*+, -#5+&' +)#%+-*&. S$-# 6&'( ++%+(&*+ #'(&' &%&' *&+' *#&+-'6& +*#$ #'(&' &+&+ &(&% &(+&' 6&'( &)& +)#%&&'-&'. . P#'(&*&' &'( 6&'( &9&5 #'(&' %!n$ &il$.
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8. P&)&*+ #'(&' &+&+ 5#'(('&-&' &)+-&$% -&)&* '5#5&' 5#'#'-&' *#'*++>+&*. . M#5& )#'&%&&' )&& *$-# '- 5#%&'(*&'( #%9&+'6& #-&' &%&. #. P#')&' #'(&' )#5& ;dr$ssing < $&$&&' 6&'( +5&*--&' -# &&5 &>#$*. . M#'((&'+ )#5& *#+&) 244? 9&5, *##5'6& ++%+(&*+ #%#+ & #'(&' &%&' *&+' &' +)#%+-*& &(+, #%(&''( -#)&%&&' %&*& *&-+ )&*+#'. (. M##)&* -&*& &)& '- 5#5)#%8#)& )#'6#5&' -&, 9+-& %&*& *&-+ )&*+#' *& #%-%&'(. . P#%#*#)&' $& &'++$+- &' &'&(#*+-. R' A(!)i"illin (g *++ "a,l- N!- .V S- 3-d-d- "a,l- I ,-" R' Asa( /$&$na(at (g *++ "a,l- N!- .III S- ,-r-n 01-d-d2 ta%- I- aggr$d- d!l- ,-" +. E-&*+ )#5#+&%&&' !ral gi$n$-
D. PEMBAHASAN KASUS 1. D#+'+*+ Dr S!"#$t Dr s!"#$t && &>#$++* 5#%)&-&' -$5)+-&*+ )&*8& )#'8&&' #%)& -#&' %&*& *&-+ 6&'( *&'(& #&. B+&*&'6& -#&' +'+ +5&+ )&& &%+ -# 3" *##& $)#%&*+. P&& )#5#%+-*&&' #%+& &>#$* 6&'( #%-&, #%*#+5+ -$$%&', &' +-#++'(+ #%&(&+ +'(-&&' +'&5&*+ (+'(+>&. F%#-#'*+ #%9&+'6& dr s!"#$t *#-+&% "30@ &%+ -&** +5)&-*+ (+(+ 5$&% -#+(& &=&. D&#%& 6&'( )&+'( *#%+'( #%*#%&'( 6&+ %#(+$ 5$&% &=& ;P##%*#', 2013<. Dr s!"#$t #%9&+ -&%#'& &&'6& (&'((&' )#5#'-&' #-&' &%& '$%5& )&& &&) )%$+#%&*+ *#+'((& 5#'6#&-&' #%9&+'6& +'#-*+. Dr s!"#$t +-#'& 9(& #'(&' al4$!lar !st$itis5 al4$!litis5 l!"ali6$d al4$!litis5 al4$!litis si""a d!l!r!sa5 l!"ali6$d al4$!lar !st$itis5 l!"ali6$d !st$itis5 ,!st!,$rati4$ !st$itis5 l!"ali6$d a"7t$ !st$!($litis, s$,ti" s!"#$t5 &i%rin!lti" al4$!litis5 n$"r!ti" s!"#$t5 al4$!lagia ;C&$*$, --., 2010<. 2. E+$$(+ Dr s!"#$t +*#&-&' $# 5+&-$%+& &' #5 +-#&+ *#8&%& 9#&*. P#'6#& 6&'( #& +-#&+ 6&+ +&'('6& #-&' &%&
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&-+& )#'+'(-&&' &-+>+&* +%+'$+*+*. F+%+'$+*+* 5#%)&-&' )%$*#* +*+$$(+* '$%5& '- 5#'(%&'(+ #)$*+ +%+' $# #'+5 )#'8#%'&&' 5#'9&+ %&(5#' 5& &% 6&'( #+ -#8+. F&-$% )#'6#& )#'+'(-&&' &-+>+&* +%+'$+*+* &'&%& &+' )#'(('&&' >&*$-$'*%+-$% 6&'( #%#+&', $&$&&' *+*#5+-, &-+>&$% 8&+%&' , &-+>&$% 9&%+'(&' &' &-#%+. P#'(('&&' >&*$-$'*%+-$% 6&'( #%#+&' 5#'6#&-&' *)&+ &%& -# &'( &' &#%& )#'8&&' #%&5&, *#+'((& #-&' &%& *+ #%#'- ;B$=#, --., 2011<. F+%+'$+*+* &)& +*#&-&' &')& &-#%+ &' #'(&' -##%+&&' &-#%+ ;P##%*#', 2013<. &. F+%+'$+*+* &')& &-#%+ K#%*&-&' #-&' &%& +*#&-&' $# 5#+&$% 6&'( +#)&*-&' *#&5& +'&5&*+ $# *# &'( &>#$&% 6&'( *#8&%& &'(*'( 5&)' +&- &'(*'( 5#'(&-+-&' )&*5+'$(#' -# &&5 &%&. P&*5+'$(#' #%& 5#'9&+ )&*5+' &' 5#5+*&-&' #'&'( #'&'( +%+' 6&'( 5#'6#&-&' -#%*&-&' #-&' &%& ;B$=#, --., 2011<. . F+%+'$+*+* #'(&' -##%+&&' &-#%+ B&-#%+ 6&'( &)& 5#'6#&-&' )#'+'(-&&' &-+>+&* +%+'$+*+* &'&%& &+' Tr$,!n$(a d$nti"!la5 A"tin!("$s 4is"!s7s &' Str$,t!"!""7s (7tans. Tr$,!n$(a d$nti"!la 5#%)&-&' &-#%+ &'&#%$ )#'6#& )#%+$$'++*. A"tin!("$s 4is"!s7s &' Str$,t!"!""7s (7tans +-#&+ &)& 5#'(&5& )#'6#5&' -& )&*8& )#'8&&' (+(+ ;L&%*#', 12<. F&-$%&-$% 6&'( &)& 5#'+'(-&-&' +'*+#'*+ dr s!"#$t , &'&%& &+': 8. T%&5& )&& *&& )#'8&&' T%&5& #& 6&'( 8-) #*&% 5#'6#&-&' &'( &>#$&% 5##)&*-&' &-+>&$%&-+>&$% 9&%+'(&' &' 5#'(& )&*5+'$(#' 5#'9&+ )&*5+' 6&'( 5#'(&'8%-&' #-&' +%+', *#+'((& *$-# -#%+'( &' #%&*& *&'(& '6#%+ ;B+%', 13<. . U*+& S#&(+&' #*&% -&** dr s!"#$t #%9&+ )&& *+& 3140 &' #'(&' )#%*#'&*# *#&'6&- 37,7@. B&'6&-'6& -&** 6&'( #%9&+ )&& -#$5)$- *+& +'+ +*#&-&' $# )#5#'-&' &'( &>#$&% #&
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*#5)%'& &' &'6&- #%9&+ )#'6&-+ )#%+$'&, *#+'((& &&'6& %&5& )#'8&&' -#5'(-+'&' &)& 5#'+5-&' dr s!"#$t ;B$=#, --., 2011<. #. #'+* -#&5+' &' )#'(('&&' -$'%&*#)*+ Dr s!"#$t #%9&+ #+ &'6&- )&& =&'+& +&'+'(-&' )%+&, #'(&' )#%*#'&*# *##*&% 4,1@. B&'6&-'6& -&** )&& =&'+& +*#&-&' $# &-$% $%5$'& ;S=## &' B#%, 1?<. S#&+' +, )#'(('&&' &# -$'%&*#)*+ 9(& 5#''9--&' )#'+'(-&&' #%&&) #%9&+'6& dr s!"#$t . H& +'+ +-&%#'&-&' &# -$'%&*#)*+ 5#'(&''( #*%$(#' 6&'( 5#5++-+ )#%&' #%&&) #%9&+'6& dr s!"#$t , *#+'((& 5#'(&-+&-&' #># )&*5+'$(#' 5#'+'(-& &' 5#'*+5&*+ &-+>+&* +%+'$+*+*. A-+>+&* +%+'$+*+* 5#'+'(-& )&& )#%#'(&&' *+-* &# -$'%&*#)*+ &' 5#'%' 5#'#-&+ '$%5& )&& 5&*& +&- &-+. P#'(('&&' &# -$'%&*#)*+ +9&=&-&' *#&5& 21 &%+ #'(&' ++-+ 5&*& &-+ *#&5& &%+, &%+ -# 23 *##& )#'(('&&' &# -$'%&*#)*+ +#'+-&' #%9&+ )#'%'&' *+-*, *#+'((& %+*+-$ dr s!"#$t &)& +)#%-#8+ #'(&' 5#&-*&'&-&' )#'8&&' (+(+ )&& 5+'(( #%&-+% &%+ *+-* 6&+ &%+ 222? ;C&#&'+, --., 1?0<. . K#+&*&&' 5#%$-$- T#5&-& 6&'( +('&-&' *#&(&+ &&' &*&% %$-$- 5#'(&''( &%, '+-$+', -&%$' 5$'$-*+& ;CO< &' +%$(#' *+&'+&. N+-$+', CO &' +%$(#' *+&'+& +-#&+ &)& 5#'((&'(( *)&+ $-*+(#' 6&'( 5#'6#&-&' #%-%&'('6& &+%&' &%& )&& 9&%+'(&', *#+'((& %+*+-$ dr s!"#$t *#5&-+' #*&% ;M#8&', --., 1??<. (. G+(+ 6&'( +8& P#'8&&' 5$&% 5&'+& %#&+ #+ +'((+ %+*+-$ #%9&+'6& dr s!"#$t , -&%#'& 5&'+& 5#5++-+ &'( 6&'( )&& &' >&*-&%+*&*+ 6&'( #+ *#+-+ +&'+'(-&' 5&-*+& ;B$=#, --., 2011<. . P#'(('&&' &'#*#*+ $-& P#'(('&&' &'#*#*+ $-& #+ +'((+ %+*+-$ #%9&+'6& dr s!"#$t +&'+'(-&' &'#*#*+ 55. .l!"ain$ #'(&' >&*$-$'*%+-$% ;$,in$,rin$< 5#'+'(-&-&' %+*+-$ dr s!"#$t +&'+'(-&' #'(&' +.
"itan$st ;B$=#, --., 2011<. Oral gi$n$ 6&'( %-
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M+-%$$%(&'+*5# )&& )&*+#' #'(&' !ral gi$n$ 6&'( %- &)& #%)#%&' 5#'6#&-&' +'#-*+ )&& -& )#'8&&' (+(+. H& +'+ &)& 5#'6#&-&' +'&5&*+ &' 5#'+'(-&-&' %+*+-$ #%9&+'6& dr s!"#$t ;L&%*#', 12<. 3. T&'& &' (#9&& T&'& &' (#9&& 6&'( &)& +5 &%+ dr s!"#$t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F&*# +'+ #%&'(*'( &%+ &-+% &*# +'&5&*+ +'((& &-+% 5+'(( -#+(& 6&'( +&'&+ #'(&' )#'+'(-&&' )%$+#%&*+ +%$&*, *#+'((& +*# 9(& #'(&' &*# +%$)&*+&. F+%$&* 5#5)%$-*+ 5&%+-* #-*%&*##%, -$&(#' )%+5#% &' +%$'#-+' '- 5+(%&*+ &' )%$+#%&*+ *#. P%$*#* &'(+$(#'#*+* #%9&+ +&'&+ #'(&' #%#'-'6& )#5 &%& &% &' )#%5&' *&%& )&& 9'( -&. K#%&+'$*+ #%)%$+#%&*+ &' #%5+(%&*+ &%+ #)+ -& '5#&--&' #)+#+&*&*+ 5#') )#%5-&&' -& &' 5#5#' &%+#% &&5+ #%&&) -$'&5+'&' *#%& +'#-*+ &%+ &%. S# &*& &%+ #)+# -&, #%#)&* &' #%5+(%&*+ 5#'(+*+ )#%5-&&' -&. T#5)& *##5'6& &-&' ++*+ $# *# &% 6&'( #%#'- &%+ )%$*#* 5+$*+*. F&*# +'+ &-&' #%#'+ *&& *# #)+# *&+'( 5#'6#' &' 5#') *#% )#%5-&&' -&. S#&'9'6&, #%9&+ &*# r$(!d$lling ;L&=%#'8#, 2002 &&5 S%6&+, 2013<. 8. F&*# r$(!d$lling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5#&* &%+ &>#$&% -# #-&' &%&, *#%& %#*$%*+ 5&%(+' -$%+-& *$-# &>#$&% #%+& 9#&*. . M+'(( -#+(& *##& )#'8&&', *$-# #& #%+*+ 9&%+'(&' (%&'&*+, #)+# )#%5-&&' #& #%#'- *#5)%'&, &' r$(!d$lling &'( #%* #%&'9 *&5)&+ ##%&)& 5+'(( #%+-'6& +'((& 47 &'. Dr s!"#$t #%9&+ &)&+& )&& )%$*#* )#'6#5&' #%*#, +&- #%#'- #-&' &%& &' -$'+*+ +'+ &)& 5#5)#%&5& )#'6#5&' -&. B#-&' &%& 6&'( +&- #%#'- +*#&-&' $# )#'+'(-&&' &-+>+&* +%+'$+*+* &%+ )##)&*&' 5#+&$% *#&5& +'&5&*+ $# &-+>+&* )&*5+'$(#' -# &&5 &%& 6&'( &-&' #%& 5#'9&+ +%+' &' 5#'6#&-&' +*+'#(%&*+ +%+' ;B$=#, --., 2011<. R&*& *&-+ 6&'( +5 )&& dr s!"#$t #%-&+&' #'(&' )#5#'-&' *#'6&=& -+'+' &&5 &>#$*. K+'+' 5#'(&-+-&' #%5+'& '#%>* )%+5#% &#%#' 6&'( )#-& #%&&) 5#+&$% +'&5&*+ &' **&'*+ &$(#'+- &+''6& 6&'( )&& -$'*#'%&*+ 15(/5 &)& 5#'6#&-&' %&*& *&-+ 6&'( #&. P&*5+'$(#' 5#'6#&-&' )#%&&' -&+-%#+' 5#'9&+ -+'+' &&5 *5*5 &'( &>#$&%, *#+'((& &&'6& )&*5+' 5#5'(-+'-&' #%9&+'6& dr s!"#$t &&5 #%&(&+ &*)#- ;'#%&(+& &' +*+'#(%&*+ #-&' &%&< ;B+%', 13<. Tr$,!n$(a d$nti"!la 5#%)&-&' &-#%+ &'&#%$ 6&'( +-#&+ #%-#5&'( +&- &' 5#'(&'8%-&' #-&' &%& &')& 5#'(&*+-&' (#9&& -+'+* 6&'( -&* )&& +'#-*+, *#)#%+ -#5#%&&', #'(-&- && #%#'-'6& )*. Tr$,!n$(a d$nti"!la 5#'(&*+-&' & *- 6&'( -&* &' &-+>+&* +%+'$+*+* *#)#%+ )&*5+' )&& dr s!"#$t ;N+&', 1?3<.
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T+'&-&' )#'8#(&&' 6&'( &)& +&--&' '- 5#'8#(& #%9&+'6& dr s!"#$t , &'&%& &+': &. P#'8&&' (+(+ )&& =&- 6&'( #)& P#'8&&' (+(+ +&--&' )&& *&& -$'+*+ &#%& *#-+&% )#'8&&' +&- #%9&+ +'&5&*+. P#'8&&' *&& #%9&+ +'&5&*+ 5#'6#&-&' *)&+ &%& -# &'( &' &#%& )#'8&&' #%&5&, -&%#'& +'+'( &>#$* #%&)& 9&%+'(&' 6&'( 5#%&&'(. P#'8&&' (+(+ &)& +'& +'((& +'&5&*+ *#5 #'(&' 5#5#%+-&' $& $&&'. . T#-'+- )#'8&&' 6&'( #)& T%&5& 6&'( #*&% #%&&) &'( &)& 5#'6#&-&' )#'%'&' %#*+*#'*+ +'#-*+ &' #'+5 &-#%+ 5#'(&'8%-&' #-&' &%&. P#'8&&' (+(+ 6&'( *+ +&'9%-&' 5#'(('&-&' #-'+ )#5#&&' #'(&' &) '- 5#5+'+5&-&' %&5& &' 5#5)#%8#)& )#'6#5&' )%+5#% ;P##%*#', 2013<. 8. S#%++*&*+ 6&'( &+- S#%++*&*+ &&&& 6&'( +('&-&' )&& )#'8&&' (+(+ &)& 5#'(&5& )#%5&' 5+-%$$%(&'+*5# *#+'((& 5#5)#%-#8+ %+*+-$ dr s!"#$t ;P##%*#', 2013<. . A'#*#*+ 6&'( 8-) A'#*#*+ #'(&' >&*$-$'*%+-$% &%* +#%+-&' #'(&' $*+* 6&'( 8-) '- 5#'8#(& &>#$* -#%+'( &' %&*& *&-+ *##& )#'8&&' ;B$=#, --., 2011<. #. P#'(('&&' &'++$+- A'++$+- *#)#%+ ,$ni"illin5 "linda("in5 $rtr!("in &' ($tr!nida6!l$ &)& 5#'8#(& +'#-*+ )&& -& )#'8&&' (+(+, &-
*#+'((& ##-+ '- 5#'8#(& dr s!"#$t ;T$%%#*, --., 200"<. P#'(('&&' "l!r$)idin P#'(('&&' "l!r$)idin digl7"!nat$ '- $& -5% 5&)' +%+(&*+ ##-+ 5#'(%&'(+ *$-# 6&'( -#%+'(. Cl!r$)idin digl7"!nat$ 0,2@ &)& 5#'((&'(( &-+>+&* &-#%+ *#%& ##-+ 5#&=&' &-#%+ (%&5 '#(&+ ;< 5&)' )$*++ ;< 6&'( &)& 5#'(&-+&-&' dr
s!"#$t ;B$=#, --., 2011 <. g- P#'(('&&' *&+' +*$$'+- ;N&C 0,@< S&+'# +*$$'+- ;N&C 0,@< +('&-&' *#&(&+ &'+*#)+- '5#5#&*-&' %$'((& 5 *#8&%& 5#'6#% &%+ &-#%+ )#'6#&
8
dr s!"#$t , +&- 5#'(&5& )#'6#5&' &' +&- 5#'+5-&' &#%(+ )&& *$-# )#'8&&' ;P##%*#', 2013<. 7. P#'&&&-*&'&&' S6&%& )#%&=&&' )&& )&*+#' dr s!"#$t 6&+ +'&-&' #'&'(, &*, &' &+&+. P#%&=&&' 6&'( &)& +&--&' )&& -&** dr s!"#$t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dr$ssing < $&$&&' 6&'( +5&*--&' -# &&5 &>#$*. P#5& $&$&&' 6&'( &)& +('&-&' &)& ++& )&& &# + &=& +'+:
Salep benzocaine B#'$8&+'# 7@ M+'6&- 8#'(-# 7@ H6. =$$ & 2"@ P#%$&5 73@
Salep acrithesin E(#'$ "@ C%$$&'$ ?@ B#'$8&+'# 4@ A&)$% ?3@
Pasta BIPP B#'$8&+'# 1@ B+*5 *'+%&#
20@ I$$$%5 40@ P#%%$&5 3@
P%#)&%& -$5#%*+&: &. P&*& S7ltan8s Dr S!"#$t : (&+&8$, &*&5 P#%, #(#'$, &' 8$%$&'$. . P#5& Dr S!"#$t : -&*& %&+$)&- +9#'-&' #'(&'
9
#(#'$ &&5 )#%$&5 )+. 8. Al4!gl : +$$$%5 &)& 5#5#%+-&' ##- &'+5+-%$&, #(#'$ && #'$-&+' &)& 5#5#%+-&' ##- &'&(#*+- &' &5#' &)& 5#5#%+-&' &'&*#*+ 5$#%&# 6&'( ##-+. C&&&': -&*& +&*& #%-%&' && +'8+ +('&-&' &' +&'9%-&' '- )#5& $&$&&'. I$$$%5 +&- +&'((&) *#&(&+ &&' &-#%+*+& 6&'( ##-+ &' 5#5)'6&+ %&*& 6&'( *&'(& +&- #'&-. (. M#'((&'+ )#5& *#+&) 244? 9&5, #'(&' *##5'6& ++%+(&*+ #%#+ & #'(&' &%&' *&+' &' +)#%+-*& &(+, #%(&''( -#)&%&&' %&*& *&-+ )&*+#'. . +-& %&*& *&-+ )&*+#' *& #%-%&'(, -&*& &)& +#)&* '+.
5#5)#%8#)& )#'6#5&' -&. S##& -&*& +#)&*, +'*%-*+-&' )&*+#' '- 5#'9&(& -##%*+&' %$'((& 5 &' )#5#%+&' $& '$' *#%$+ &'+ +'&5&*+ ;NSAID< &'&(#*+-, 9+-& )&*+#' +&- 5#5++-+ -$'%&+'+-&*+ #%&&) $& NSAID. T+'&- &'9 )#%&=&&' 6&'( &)& +&--&', 6&+ &)&+& +&-
5#5&+- &&5 " &%+, +&--&' r!ntg$n -&%#'& +)#%-+%&-&' #%9&+ $*#$5+#++*. P%$*#* )#'6#5&' +'+&+ *#8&%& $6#-+ &' *6#-+. P#'+&+&' $6#-+ +)#%$# &%+ (%&'&*+ #'(&' #)+#+&*&*+ &'( 6&'( )#%&&', *#&'(-&' )#'+&+&' *6#-+ +)#%$# &%+ #%-%&'('6& %&*& *&-+ )&*+#'. A)&+& #%+& 5#'(#&%-&' '&'&, 5&-& +)#%-&' #%&)+ &'++$+- &' -% &-#%+. A)&+& #%9&+ )#%*+*#'*+ 6&'( #%-#)&'9&'(&' 6&+ *&5)&+ #+ &%+ 10 &%+ )#% 5#'&)& )#%&+&' -**, *&& *&'6& #'(&' 5#&--&' %&+$$(+ )#%+&)+-& '5#5&*+-&' &&'6& $*#$5+#++*. G&5&%&' %&+$$(+ $*#$5+#++* 6&+ 5#5)#%+&-&' &&'6& (&5&%&' -&% )&& &&* &5+'& %& ;P##%*#', 2013<.
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DAFTAR PUSTAKA
B+%', H., 13, E+$$(6 &' )&$(#'#*+* $ +%+'$6+8 &>#$++* ;%6 *$8-#<, Int J Oral S7rg5 2: 21"273. B$=#, D. C., R$(#%*, S., S&**#' L. F. A., 2011, T# M&'&(#5#' $ D%6 S$8-#/ A>#$&% O*#++*, J!7rnal !& t$ Iris D$ntal Ass!"iati!n5 " ;7<: 30" 310. C&$*$, C. L., R$%+(#*, M. T., F#%%#+%&, . O., G&%#, G. P., # C&%>&$, P. S., 2010, C+'+8& C$'8#)* $ D%6 *$8-#. J Oral /a)ill!&a" S7rg , 7?:122132. C&#&'+, . E., H&%>#6, S., E%+8-*$', H., C#%-+', D., 1?0, E#8 $ O%& C$'%&8#)+># C68# $' D%6 S$8-# ;L$8&+*# A>#$&% O*#++*<. J!7rnal !& t$ A($ri"an D$ntal Ass!"iati!n, 101 ;"<: ?0. L&%*#', P. E., 12, A>#$&% O*#++* A#% S%(+8& R#5$>& $ I5)&8# M&'+&% T+% M$&%*. I#'++8&+$' $ T# P&+#' & R+*-. Oral S7rg Oral /$d Oral Pat!l , 3 ;4<: 333.
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M##8&', . G., M&8(%#($%, I. D. M., R$(#%*, S. N., H$*$', R. S., B&#, . P. C., D#''+*$', M., 1??, T# E#8 $ S5$-+'( $' I55#+&# P$* E%&8+$' S$8-# F++'( =+ B$$ &' $' T# I'8+#'8# $ P&+' S$8-#. 9ritis J!7rnal !& Oral and /a)ill!&a"ial S7rg$r, 27 ;"<: 40240. N+&', D. !., 1?3, O' T# G#'#*+* $ D%6 S$8-#. J Oral /a)ill!&a" S7rg5 41: 0710. P##%*#', G. D., 2013, 97#7 A:ar 9$da /7l7t 0Oral S7rg$r2, EGC, &-&%&. S%6&+, I. A., A*5&%&9&6&, A. A. G. N., M&+&=&', S., 2013, Pr!s$s P$n$(%7an L7#a, F&-&* K#$-#%&' U'+>#%*+&* U&6&'&, D#')&*&%. S=##, D. B., B#%, D. P., 1?, P%#+*)$*+'( &' O)#%&+># F&8$%*: E#8 $' T# I'8+#'8# $ L$8&+# O*#++* +' M&'+&% T+% M$&% S%(#%6. Oral S7rg Oral /$d Pat!l , 47;2<:207213. T$%%#*L&(&%#* D., S#%#%&F+(&$ M. A., R$5#%$R+ M. M., I'&'#C$**+$ P., G&%8+& M., G+#%#P#%# . L., 200", U)&# $' D%6 S$8-#: & R#>+#= $ T# L+#%&%#, /$d Oral Pat!l Oral Cir 97"al , 10:?1?".
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