plendys blok 14 tutorial 4,,,,.pptx

8/14/2019 plendys blok 14 tutorial 4,,,,.pptx

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Plennary

Discussion

BY TUTORIAL 4


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Doa Belajar


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Tutorial 4

Ayu Nur AIni

Adik Anis S.

Ike Yuni Iriyanti

Ayu Nurdiandari

Puspitasari

Lionida Agustiani

Kiki Pramana Aditya Yuliasanti

Fischera Diaz

Larastika A.

Ditya Anggraini

Puji lestari

Zaitun Alfa K.

Armantika


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Scenario

A 65 years old man complained about his upper fulldenture which had been replaced 3 months ago. Itcould be detached easily while he was eating. He alsocomplained about his burning tongue and bad breath.He said that he used listerine gargle twice a day and

cleaned his teeth at dentist routinely every year. Hismedical history showed that he has been consumsingmetformin and eclid for 6 years, and also ACE inhibitorand Calcium Chanel Blocker since 2 years ago. He hasbeen using amitriptyline for this last 6 month. Intra oralexamination showed poor oral hygiene, gingivitismarginalis and viscous sticky saliva. There was whiteplaque on his tongue which could be rub easly and lefta reddish area. There were red atrophic mucosal andcervical caries on his remaining teeth.


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Patient 65 yearsold man

Subjective

Objective


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Examination Subjective Upper full denture detached easily while he was

eating

Burning tongue and bad breath He used listerine gargle twice a day

Cleaned his teeth at dentist routinely every year

He has been consumsing Metformin , Eclid , ACE

inhibitor , Calcium Chanel Blocker , and Amitriptyline.


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Examination Objective

Poor oral hygiene

Gingivitis marginalis

Viscous sticky saliva

White plaque on his tongue which could be rubeasly and left a reddish area

Red atrophic mucosal

Cervical caries


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Main Topic

Xerostomia


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Xerostomia is the subjective complaint oforal dryness, and is medically classified as asymptom.

Hyposalivationis the objective reduction insalivary secretion, as the consequence ofreduced salivary gland function.


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Causes

Drugs and medications

Infection

Certain diseases

Some cancer treatments

Other causes


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Impact of xerostomia on

the oral cavity

Xerostomia Acut PseudomembranousCandidiasis

Cervical Caries

Gingivitis Marginalis Red Atropic mucosal


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Management

CIE (Communication, Information and Education)

a. Stop using alcohol mouthwash

b. Stimulation the saliva by chewing sugar free bubblegum

c. Refer to the internist to change the medicines

d. Education to maintain oral health


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References

http://www.dentalcare.com/en-US/dental-education/patient-education/xerostomia-english.aspx

http://www.simplestepsdental.com/SS/ihtSS/r.==/st.32219/t.25069/pr.3.html

http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Dry_mouth_syndrome


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Thanks For Your

Attention

Documents

plendys blok 14 tutorial 4,,,,.pptx