PENGERTIAN OKLUSI, MALOKLUSI, DAN KARAKTERISTIK YANG PRIMARY DENTITIO DENTITION N ) DIJUMPAI PADA PADA MASA GIGI SULUNG SU LUNG ( PRIMARY
Disusun Oleh: TUTORIAL 4 DEVI SAPUTRI (1513101010061) (1513101010061) ZELCA SAVIRA ARIDI (1613101010044) S!ARI"A S!A"IRA (16131010100##) $UA$$AD A%US RIZ&I (1613101010040) (1613101010040) "I&RI ROZA' (161310101004#) (161310101004#) %EURI'A "ITRI'A'DA (1613101010035) "ATI' RIZ&A (1613101010015) (1613 101010015) RATI "A$I (16131010100#3) S!I"A $AULI'A (161310101000)
'*+*su,-e+: drg. Suzanna Sungkar, Sp. KGA
"*.ul/*s &e./e+*n %i2i Unie+si/*s Si*h &u*l*
#01 PEMA!ASAN A. P"ng"r#$an Ok%u&$
O.lusi ** .*,us ise-u/.*n *+/in* **l*h /in*.*n enu/u*n */*u i/u/u Se*n2.*n *l*, .e./e+*n 2i2i7 .lusi 8*uh ,el*,*ui e9inisi see+h*n* ini7 .lusi /e+,*su. s/*/is7 hu-un2*n .n/*. ,+9l2i 2i2i O.lusi 8u2* **/ ie9inisi.*n se-*2*i hu-un2*n .n/*. 2i2i *l*, 9un2sin* *n *+*9un2si '*,un7 is/il*h ini /i*. h*n* ,en2*u ** .n/*. ** in/e+9*e .lus*l7 /e/*i 8u2* ** se,u* 9*./+ *n2 /e+.*i/ en2*n e+.e,-*n2*n *n s/*-ili/*s sis/e, en2un*h*n *n en2*n en22un**n 2i2i *l*, ,/+i. lis*n1 O.lusi 2i2i -e+*+/i hu-un2*n *n/*+ e+,u.**n .lusi 2i2i;2i2i i +*h*n2 */*s *n -*<*h sel*,* e+2e+*..*n ,*ni-ul* /e+h** ,*.sil*7 s*,*i /e+**inn* .n/*. enuh *n/*+* e+,u.**n .lus*l 2i2i;2i2i /e+se-u/ O.lusi 2i2i s*n2*/ -e+*+i*si *n -e+-e*;-e* ** /i* iniiu /e+2*n/un2 ** 8*+in2*n se.i/*+ 2i2i;2i2i /e+se-u/7u,u+7 u.u+*n7 *n -en/u. 2i2i7 sisi 2i2i *n l*in;l*in =i.* susun*n 2i2i i ,*.sil* *n ,*ni-ul* h*+,nis ise-u/ neu/+.lusi7 *i/u -il* hu-un2*n 2i2i e+,*nen/ i +*h*n2 */*s *n +*h*n2 -*<*h *l*, .e***n .n/*. enuh se-*2*i -e+i.u/ : '. /n8l ,esi-u.*l $1 */*s /e+le/*. i le.u.*n -u.*l $1 -*<*h . /n8l is/-u.*l $1 */*s /e+le/*. i le.u.*n (e,-+*su+e) *n/*+* $1 *n $# -*<*h . Tn8l ,esilin2u*l $1 */*s /e+le/*. i 9s* sen/+*l $1 -*<*h *. %i2i */*s /e+le/*. i *n/*+* *n ,enu/ui C *n P1 -*<*h
D*l*, -u.un*7 Sin2h (#00) ,eni,ul.*n .lusi **l*h .n/*. *n/*+ 2i2i7 se*+* /e.nis **l*h hu-un2*n *n/*+* 2i2i;2i2i +*h*n2 */*s *n +*h*n2 -*<*h .e/i.* -e+/e,u s*/u s*,* l*in7 -*i. .e/i.* ,en2un*h */*u .e/i.* is/i+*h*/# * O.lusi S/*/i. O.lusi s/*/i. **l*h .n/*. *n/*+* .eu* 2i2i (hu-un2*n */*s -*<*h) .e/i.* +*h*n2 ,en2*/u7 se*n2.*n
- O.lusi Din*,i. O.lusi Din*,i. **l*h .n/*. .lus*l *n2 /e+8*i .e/i.* +*h*n2 -e+2e+*. O.lusi in*,i. 8u2* ise-u/ *+/i.ul*si O.lusi sen/+i. O.lusi sen/+i. **l*h .lusi *+i 2i2i *n/*2nis .e/i.* ,*ni-ul* se*n2 *l*, +el*si sen/+i. O.lusi sen/+i. **l*h .n/*. 2i2i e+/*,* *n -is* */*u /i*. -is* /e+8*i -e+s*,**n en2*n in/e+us*si ,*.si,u, e+-e* en2*n .lusi sen/+i.7 +el*si sen/+i. **l*h hu-un2*n *n/*+* ,*.sil* *n ,*ni-ul* #
&nse O.lusi P** ,*s* l*lu7 2*2*s*n /en/*n2 .lusi -i*s*n* i.*i/.*n en2*n 2i2i /i+u*n enuh &nse ,en2en*i .esei,-*n2*n .lusi -e+.e,-*n27 un/u. ,e,e+/i,-*n2.*n .n/*. -il*/e+*l ** selu+uh 2i2i un/u. ,ene2*h /i **
-*sis
2i2i
/i+u*n
>*l*uun
-e-e+**
./e+
2i2i
su*h
,en2*.*si ,en2en*i .nse /e+se-u/ -e+.en**n en2*n 2i2i 2eli2i *sli7 n*,un sei.i/ *n2 ,ene+i,*n*7 *n /i*. iu.un2 en2*n -u./i eneli/i*n >*l*uun e,i.i*n7 -e-e+** .nsen* -e+.*i/*n en2*n nl*+ 2ui*ne7 /in22i us7 insis*l 2ui*ne7 *n -i*n2 .lusi *n2 sei,-*n2 en2*n 9un2si en/in2n* 1
Penin8*u*n O.lusi %i2i Sulun2 u-un2*n *n/*+* ,*.sil* *n ,*ni-ul* 2i2i sulun2 .e/i.* .lusi se/i* 2i2i .eu*li 2i2i insisius sen/+*l ,*ni-ul*+ *n 2i2i ,l*+ u* ,*.sil*7 ,enu/u # 2i2i ** +*h*n2 -*<*h 2i2i sulun2 h*+us -e+** ** 2*+is *n2 n+,*l *n .lusi *lin2 l*,-*/ ** u,u+ # /*hun7 en2*n *.*+ *n2 su*h /e+-en/u. en2*n se,u+n*** u,u+ 3 /*hun T*hun;/*hun -e+i.u/n* 2i2i su*h
e+usi en2*n len2.*7 *n
i*su,si.*n sisi ,*sin2;,*sin2 ** len2.un2 +*h*n27 e+.e,-*n2*n *n2 e*/ *+i +*h*n2 u.u un/u. ,e,-en/u. +u*n2 in/e+en/*l */*u i*s/e,*7 i*n/*+* ,*sin2;,*sin2 2i2i 1 . P"ng"r#$an Ma%+k%u&$
$*l.lusi **l*h ,en*.u hu-un2*n i,ensi *n2 *-n+,*l *n/*+ * /ul*n2 +*h*n2 *n 2i2i *n2 i.*nun2n* $*l.lusi **/ ,e,en2*+uhi
2i2i 2eli2i +i,e+ */*u e+,*nen De/e.si *n e*lu*si *<*l en/in2 il*.u.*n In/e+ensi *<*l -i*s*n* **/ ,ene2*h e+lun* en*n2*n*n *n2 lu*s n*n/in* 3 D*+i li/e+*/u+ l*in7 ,*l.lusi ,e,ili.i ,*.n* +el*si *n/*+* 2i2i +*h*n2 */*s *n -*<*h *n2 /i*. sesu*i */*u s*l*h .e/i.* 2i2i *+i .eu* +*h*n2 -e+/e,u s**/ +*h*n2 ,en2*/u */*u .lusi7 see+/i *n2 ise-u/ E<*+ An2le7 -**. +/hn/i. ,e+n Is/il*h ,*l.lusi -e+*s*l *+i u* .*/*7 *i/u ,*l */*u s*l*h *n .lusi # . Karak#"r$&#$k Pada Ma&a G$g$ Su%ung
* T*h* Pe+.e,-*n2*n O.lusi P** $*s* %i2i Sulun2 1 Intra-arch
Alignment
(Crowding/Spacing/Inclination
*+i
Insisius) Pe+.e,-*n2*n 2i2i esiui seenuhn* /e+8*i ** usi* #75 /*hun Ie*ln* +*h*n2 ,e,ili.i +u*n2 ( space) en2*n se-u/*n ? primate space@
*/*u
?anthropoid
space@
*n2
i2un*.*n
un/u.
,enes.+isi.*n +u*n2 *n2 /e+l.*lis*si i ,esi*l 2i2i .*ninus esiui +*h*n2 */*s *n is/*l 2i2i .*ninus esiui +*h*n2 -*<*h Ru*n2 ** 2i2i esiui s*n2*/ ie+lu.*n7 en2*n .ele-ih*n +u*n2 6 ,,
i se/i* +*h*n2 ,en8*i ini.*si *n2 -*i. -*2i
e+.e,-*n2*n 2i2i e+,*nen &e/i***n *+i +u*n2 ini ** 2i2i esiui -e+hu-un2*n en2*n 0B crowding .e/i.* ,unul 2i2i e+,*nen4
%*,-*+ 1 &l*si9i.*si u-un2*n Insisius 4
%*,-*+ # &l*si9i.*si u-un2*n $l*+ 4 # Inter-arch Relationship (overjet/ overbite/ molar relationship) u-un2*n 2i2i insisius ** 2i2i esiui **/ ,enun8u..*n .e,un2.in*n susun*n .e/i.* 2i2i e+,*nen -e+.e,-*n2 8i.* e+8e/ */*u +ee+se e+8e/ /i*. si2ni9i.*n Se-*li.n*7 *+i*si ,ini,*l *l*, en2u.u+*n e+8e/ ,e,ili.i sei.i/ nil*i +ei./i97 en2*n .is*+*n n+,*l e+8e/ *n/*+* 0 *n 4 ,, 4
Oe+-i/e se*+* .eselu+uh*n ,enin2.*/ s**/ 2i2i sulun2 e+usi D*n -i*s*n* ini /e+8*i se*+* -e+/*h* -e+.u+*n2 se-elu, /*n22*l 2i2i insisi7 se-*2*i h*sil */+isi *n -e-e+** e+.e,-*n2*n ,*ni-ul*+
&e-i*s**n
** ,ulu/
see+/i
,en2his*
8*+i
,e+u*.*n h*l *n2 -i*s* /e+8*i ** .el,. usi* ini *n 8i.* h*l ini -e+/*h*n l*,* ,*.* /e+8*i *n/e+i+ en -i/e 4 O.lusi -u.*l ** 2i2i esiui se+in2 i/*n*i en2*n us ,esi-u*l ,# */*s -e+.lusi ** 2+e -u.*l ,# -*<*h7 en2*n e+,u.**n is/*l *+i ,# */*s *n -*<*h s*,* ** -i*n2 e+/i*l Susun*n ini /e+8*i *.i-*/ ,# esiui +*h*n2 -*<*h se*+* si2ni9i.*n le-ih -es*+ *+i** ,# esiui +*h*n2 */*s4 3 O.lusi "un2sin*l O.lusi 9un2sin*l suli/ un/u. inil*i ** /*h* 2i2i esiui *.i-*/ e+u-*h*n *n2 /e+8*i ** ,+9l2i 2i2i se-*2*i h*sil *+i */+isi *n e+.e,-*n2*n +sesus *lel*+7 ,*.sil* *n ,*i-ul* Se*n2.*n en -i/e *n2 -e+.e,-*n2 se-*2*i h*sil *+i .e-i*s**n +*l *n2 /e+us ,ene+us *.*n se,-uh 8i.* .e-i*s*n i/u ihil*n2.*n se-elu, e+usi
2i2i insisi e+,*nen7 l*/e+*l
+ss-i/e *n2 **/ -e+.e,-*n2 se-*2*i *,*. *+i su*/u .e-i*s**n
le-ih
,ene/*
*n
**/
-e+hu-un2*n
en2*n
e+in*h*n 9un2sin*l *+i ,*ni-ul*4 - &+nl2i E+usi *+i %i2i Desiui >*./u e+usi *+i 2i2i .e-*n*.*n ise-*-.*n leh 9*./+ he+ei/e+ *n h*n* se-*2i*n leh 9*./+ lin2.un2*n $enu+u/ "*l.ne+ e+.e,-*n2*n
*n
e+usi
*+i
2i2i
e+/u,-uh*n *n e+.e,-*n2*n si *n*.
esiui
-e+2*n/un2
*+i
"*./+ lin2.un2*n l.*l
/e+h** e+.e,-*n2*n .lusi ,*sih -elu, i.e/*hui A.*n /e/*i e,-el*8*+*n
,*s/i.*si
s*n2*/l*h
-e+2*n/un2
/e+h**
/*h*
e+.e,-*n2*n *+i .lusi (Tie *n 8u,l*h 2i2i *n2 **)7 ,*/u+*si *+i sis/e, neu+,usul*+7 *n 9*./+ ie/5 Usi* R*/*;+*/* E+usi >*./u e+usi *+i 2i2i .e-*n*.*n ise-*-.*n leh 9*./+ he+ei/e+ *n h*n* se-*2i*n leh 9*./+ lin2.un2*n $enu+u/ "*l.ne+7 e+.e,-*n2*n
*n
e+usi
*+i
2i2i
esiui
-e+2*n/un2
*+i
e+/u,-uh*n *n e+.e,-*n2*n si *n*.
"*./+ lin2.un2*n l.*l
/e+h** e+.e,-*n2*n .lusi ,*sih -elu, i.e/*hui A.*n /e/*i e,-el*8*+*n
,*s/i.*si
s*n2*/l*h
-e+2*n/un2
/e+h**
/*h*
e+.e,-*n2*n *+i .lusi (/ie *n 8u,l*h 2i2i *n2 **)7 ,*/u+*si *+i sis/e, neu+,usul*+7 *n 9*./+ ie/5 $*.sil*
$*ni-ul*
%i2i
>*./u E+usi (*l*, -ul*n) I1 10 (;1#) I# 11 (;13) C 1 (16;##) $1 16 (13;1) ** L. (14; 1) ** P+ $# # (#5;33) T*-el 1 >*./u E+usi %i2i Sulun2 $*.sil* 5 T/h
>*./u E+usi (*l*, -ul*n) I1 (6;10) I# 13 (10;16) C #0 (1;#3) $1 16 (14;1) $# # (#3;31) ** L& (#4; 30) ** PR T*-el # >*./u E+usi %i2i Sulun2 $*ni-ul* 5 Rel*si &n/*. Rel*si .n/*. ** 2i2i /e+2*n/un2 en2*n -e+** e+*8*/ .e*+*h*n -+uis, ** si *n*. *n*. 9*./+ *n2 8u2* -e+en2*+uh /e+h** e+.e,-*n2*n e+usi ** 2i2i7 /e+,*su. sisi -enih 2i2i7 .e-e+***n 2i2i e+,*nen7 e+.e,-*n2*n *+i .nilus 7 Cus*l inline7 *n en2*+uh neu+,usul*+ U,u,n*7 h*n* sei.i/ e+h*/i*n ** hu-un2*n Cus;9ss* *n Te,+,*ni-ul*+ 8in/ (T$=) *n -i*s*n* h*n* i -se+*si hu-un2*n *n/*+* 2i2i .e 2i2i7 *i/u7 us ,esilin2u*l *+i ,l*+ ,*.sil* -e+.lusi en2*n 9ss* en/+*l *+i 2i2i ,l*+ esiui ,*ni-ul* Rel*si +*h*n2 .e +*h*n2 -e+.*i/*n en2*n sisi .nilus 8u2* /i*. /e+l*lu ie+h*/i.*n $un2.in e+-e**n *n/*+* sisi .nilus7 *n sisi 2i2i /i*. un* *+/i /e+h** e+/u,-uh*n *n e+u-*h*n sis/e,7 /e+,*su. sis/e, s*+*95
e-e+** li/e+*/u+ l*in 8u2* ,ene-u/.*n se*+* sin2.*/ -e+-*2*i i+i; i+i */*u .*+*./e+is/i. ** *n*.;*n*. *n2 ,e,ili.i primary dentition 6 $enu+u/ R* (#014)
a. Inisiasi gigi sulung dimulai pada minggu ke-6 intrauterin. b. Gigi sulung pertama yng erupsi terjadi pada usia 6 bulan setelah kelahiran. c. Dibutuhkan sekitar 2,5-3,5 tahun untuk semua gigi sulung menbentuk oklusi. d. edua lengkung gigi !maksila dan mandibula" berbentuk half round atau o#oid. e. Interdigitasi
cusp
dangkal
!shallow
cuspal
interdigitation". $. %edikit o#erjet. g. Deep bite !gigi depan mandibula tertutup oleh gigi depan maksila jarak tutup incisal insisi#us maksila-mandibula dalam arah #ertikal 2-3 mm". h. Inklinasi #ertikal gigi insisi#us !&'("
i Gigi berjarak !spaced dentition". $enu+u/ h** *n Sh*2*li (#01#) *l*, s/uin* * "lush Te+,in*l Pl*ne - C*nine +el*/inshi .el*s I Pe+.e,-*n2*n ,*.sil* (i/*n*i en2*n **n* space i ,*.sil*) C+<in2 ** ,*ni-ul* (476B) e Oe+-i/e 0;# ,, 9 Oe+8e/ 0;# ,, D*+i h*sil eneli/i*n /e+se-u/7 i**/ **n* i+i hu-un2*n 9lush
/e+,in*l ,l*+ *n2 ii.u/i leh ,esi*l s/e ** 36B .*sus *n is/*l s/e ** 74B .*sus Su+e li/e+*/u+ ,en2un2.*.*n -*h<*
h*sil *+i hu-un2*n 2i2i ,l*+ eiui /i*. /e+8*i se*+* se+en/*. Rel*si .*ninus .el*s I 8u2* s*n2*/ -*n*. /e+8*i ** .*sus7 h*l ini 8u2* i-en*+.*n *l*, -e-e+** li/e+*/u+ *n2 -e+*+/i h*l ini **l*h n+,*l
DA-TAR ISI
1 Ash7 'elsn #010 Wheeler’s Dental Anatomy !hysicology and "ccl#sion E $s-: Elseie+ P #5;# # Sin2h7 %u+.ee+*/ #00 $e%tboo& o' "rthodontics 'e< Delhi P 163 3 Rulh7 A-+*h*, P7 ..7 Alih *h*s*: S*,i. >*h*- *n Su2i*+/ (#&# Ajar !ediatri R#dolph E #07 Vl # E%C 4 >ile7 l*.
India lse#ier. /+33 h**7 Dee*. P7 Sh*2*li7 T*+ul*/h* R St#dy o' "ccl#sal Characteristic o' primary dentition and the prevalence o' malocl#sion in ) to * years old children in India #01# Den/ Res = (5): 61;6#3 Re9e+ensi : /u,-uh .e,-*n2 en/9*si*l ,*nusi* E # .ese,*h*+8*: 101;111
