seminar wajib
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KOMPLIKASI
POST ODONTEKTOMI
Kelompok 2
Jumat, 13 Maret 2015
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Pe!em"u#a Luka Po$t O%otektom& M&''u pertama
o Se'era $etela# '&'& keluar %ar& $oket, %ara# aka me'&$&%ara# aka me'&$& %aera# ter$e"ut (akt&)a$& *a+tor&tr&$&k%a ek$tr&$&k
o A!ama -"r& aka mea'kap $el %ara# mera# %akemu%&a aka meutup pem"ulu# %ara# !a' ru$ak
o
Pem"etuka e%ala %ara# %&mula& 2/ $ampa& / am%e'a $um"ata %a %&lata$& pem"ulu# %ara# pa%a ar&'a l&'amet per&o%otal !a' ter$&$a, %&&kut& %e'am&'ra$& leuko$&t %a pem"etuka lap&$a -"r&
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M&''u pertama $etela# pe+a"uta e%ala %ara#
mem"etuk kera'ka $eaktu m&'ra$& $el$el &ama$&
Ep&tel pa%a p&''&ra luka tum"u# atau "erprol&*era$& keata$ permukaa luka
Akumula$& o$teokla$ $epaa' pu+ak tula' al)eolar akamere$op$& tula'
Kemu%&a tera%& a'&o'ee$&$ pa%a $&$a ar&'a
per&o%otal
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M&''u ke%ua
M&''u ke%ua pe!em"u#a luka tera%& *a$e -"ropla$&a,pem"etuka pem"ulu# %ara# "aru ma$uk ke %alam e%ala %ara#, $erta pe'&$&a $oket ole# ar&'a'raula$&
O$teo&% meuu ke %aera# luka, o$teokla$ mere$op$& tula'kort&kal pa%a $oket '&'&
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4. Kompl&ka$& Po$t O%otektom&
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1 Pe%ara#a
a$e 6a$kuler a$e Platelet a$e Koa'ula$&
Ter%&r& %ar& 3*a$e
6a$oko$tr&k$& arter& %a
)ea
7etr&k$&arter&
tera%&!akekakua platelet
%a pem"ulu#%ara#
Pem"ulu#
%ara#ter$um"at
mem"ata$&
%aera# !a'tera%&
per%ara#a%e'a a%a!a"atua *aktorek$tr&$&k %a
&tr&$&k
a$e lauta
a$e-"r&ol&t&k
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Pe!e"a" Per%ara#a
Meka&$ 4&ok&m&a&
4lot 8lot t&%ak %apatter"etuk9pe+a#
a"ormal&ta$ eleme %ara#atau $&$tem )a$kular !a'
me'#am"atpem"etuka e%ela
%ara#
Pa%a pe%er&ta:Kela&a %ara#, 'a''ua
#epar %ll
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2 Pem"e'kaka
Ko'e$t&O"$truk$&L&m*at&k
Permea"&l&ta$Kap&ler
"ertam"a#
pe&'kata tekaa
#&%ro$tat&k &tra)a$kular
+a&ra tu"u# !a'"era$al %ar& pla$ma
%ara# %a #a$&lmeta"ol&$me !a'ma$uk ke %alam
$alura l&m*e aka
tert&m"u
E%ema
perem"e$a +a&rapla$ma ke %alam rua'
&ter$t&t&um
8a&ra pla$ma &&aka me'&$& pa%a$ela$ela ar&'a&kat lo''ar %aro''a "a%a
prote& pla$makeluar kap&ler
tekaa o$mot&k kolo&%%ara# meuru %a$e"al&k!a tekaa
o$mot&+ +a&ra&ter$t&t&um "ertam"a#.
mak& "a!ak +a&ra
!a' me&''alkakap&ler
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3 ;raula$& 4erle"&#a
4&la luka +ukup lua$ ,%alam, %a %&"&arka ter"uka pe!em"u#a aka "er'atu' pa%a kemampua tep&luka $al&' kotrak$& %a m&'ra$& ep&tel ke ara# te'a#luka pro$e$ -"ropla$&a "erala teru$ ar&'a'raula$& "erle"&#a mak& meumpuk
Pro$e$ kotrak$& tep& luka aka "erala teru$, %ameep&t ar&'a 'raula$& $e#&''a tera%& 'rauloma.Pe!em"u#a $emak& ter'a''u karea ep&tel t&%ak%apat m&'ra$& a&k meutup 'raula$& !a' "erle"&#
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/ Dry socket
Nama La&:
• Al)eolar o$te&t&$
• Localized alveolitis
• Alveolitis sicca dolorosa• Localized osteitis
• Postoperative osteitis
• Localized acute osteomyelitis
• Fibrinolytic alveolitis
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<< Ter"uka!a %&%&' $oket%&$e"a"ka a%a!a gangguanpembentukan bekuan darah
ormal !a' tera%& pa%a ta#approl&*era$& %ar& ar&'a 'raula$&%a pem"etuka ar&'a
o$teo&% $e#&''a me!e"a"katera%&!a &*ek$&.
<< Et&olo'& : pe&'kata akt&)&ta$
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Pe&'kata -"r&ol&$&$ "&$akarea :
1. Aa$te$& %e'a )a$oko$tr&ktor"erle"&#a
2. O"ato"ata $&$tem&k
3. 4akter& !a' me'#a$&lka ra$a!er&, "au mulut, %a ra$a t&%akeak
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&"r&ol&$&$ ter"a'& 2 :
1. Fibrinolisis tanpa keterlibatan bakteri
Keru$aka "ekua %ara# ole# me%&ator !a'keluar $elama &ama$&
2. Fibrinolisis dengan keterlibatan bakteri
Treponema denticola Actinomyces viscosus
Streptococcus mutans
4e"erapa "akter& !a' me$ekre$& p&ro'e
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;am"ara kl&&$ %r!$o+ketmu+ul pa%a hari ke 3-4 $etela#
%&lakuka pe+a"uta '&'&
$oket '&'& terl&#at kosong %e'a
hilangnya blood clot $e"a'&a atau$eluru#!a, %&peu#& debris
permukaan tulang soket terpaparRasa nyeri !a' %&ra$aka umum!a
pa%a t&'kat $e%a'para#, "er%e!ut,%a $er&' me!e"ar $ampa& ke tel&'a
Mulut mem&l&k& bau yang tidak enak
(halitosis) %a pa$&e $er&'me'elu#ka adanya gangguanpengecapan
demam ringan %a infamasi margingingia %& $ek&tar $oket "eka$pe+a"uta
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aktor 7e$&ko
Trauma pa%a $aat pe+a"uta=$&a
Je&$ Kelam&
Pe''uaa kotra$ep$&
Ke"&a$aa merokok
;&'& !a' %&+a"ut
Pe''uaa ae$te$& lokal
Oral >!'&ee !a' "uruk
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Pe+e'a#a
Pe+a"uta '&'& pa%a aktu !a'tepat
Tek&k pe+a"uta !a' tepat
Ster&l&$a$& alat !a' "a&kAe$te$& !a' +ukup pa%a pa$&e
Pe''uaa at&"&ot&k
Pe''uaa klor#ek$&%&
Pe''uaa $al&e &$oto&k
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Tatalak$aa
&"r&ol&$&$ keterl&"ata "akter& :1. Me'&r&'a$& $oket %e'a laruta $al&e utuk
mem"er$&#ka $&$a ar&'a ekrot&k pa%a $oket "eka$pe+a"uta.
2. Meletakka al)o'!l pa%a $oket "eka$ pe+a"uta '&'&.
3. Ka$a %&'at& $et&ap #ar& utuk 3? #ar& ke %epa.Pe''at&a ka$a $e"a&k!a %&&r&'a$& terle"&# %a#ulu%e'a laruta $al&e
/. 4&la ra$a $ak&t pa$&e tela# "erkura', ka$a %apat%&lepa$.
5. Setela# ka$a %&lepa$, pa$&e %&&$truk$&ka mea'ake"er$&#a ro''a mulut %a pem"er&a o"at NSAIDaal'e$&k, "&la pa$&e t&%ak kotra&%&ka$& %alamr&a!at me%&$.
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&"r&ol&$&$ tapa keterl&"ata"akter&:
De'a mere$epka mult&)&tam& !a'
%apat me&'katka &mu&ta$ %a %a!ata#a tu"u# pa$&e $epert& )&tam& +.6&tam& + %apat mea'a %a me&'katka$&$tem &mu tu"u#, )&tam& + u'a $uatu
"ete' perta#aa tu"u# !a' mem&l&k&tu'a$ me'#ala'& $erta memu$a#ka)&ru$ %a "akter& !a' mem"a#a!akatu"u#
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5 Pare$te$&
<< $e$a$& a"ormal ra$a tertu$uk maupuke$emuta !a' merupaka $ala# $atu ma&*e$ta$&kl&&$ ak&"at a%a!a peru"a#a $e$a$& pa%a$&$tem $ara* per&*er.
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;eala Kl&&$
• @p&$ a% ee%le$, l&m"$ *all&'a$leep atau ke$emuta
• !er& (%&$e$te$&a &ka pare$te$&
&te$• Mat& ra$a $e$a$& %ar& ra$a
ke"a$, "erat, atau %&'& pa%a
"a'&a !a' terkea
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Kla$&-ka$& (Se%%o, 1B/3
1. Neuroprak$&a
2. Ak$ootme$&$
3. Neurotme$&$
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Tatalak$aa
Apa"&la $etela# 1 ta#u t&%ak #&la' makakela&a $e$a$& ter$e"ut kemu'k&ameetap. 4e"erapa t&%aka %apat%&lakuka utuk memper+epat pro$e$
pe!em"u#a +e%era $ara* a%ala#
1. Pem&ata
2. Terap& paa$
3. Elektroterap&
/. Pe''uaa o"ato"ata eurotrop&k
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? Tr&$mu$
<< 'a''ua mem"uka mulutole# karea $pa$me ototototma$t&kator&
Et&olo'&
Trauma, pa%a otot %a atau TMJ
Pro$e$ kera%a'a %a &*ek$& >ematoma %a -"ro$&$
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Tatalak$aa
Ter'atu' pe!e"a" J&ka a%a &*ek$& pem"er&a at&"&ot&k broad-spectrum
%&"er&ka.
Terap& tam"a#a la& !a' %apat %&"er&ka mel&put&:
◦ Terap& paa$. 8oto#!a: kompre$ paa$ %&letakka pa%aek$traoral utuk k&rak&ra 20 me&t $et&ap am $ampa& 'ealamere%a.
◦ P&ata lem"ut pa%a area temporomandibular joint .
◦ Pem"er&a o"at aal'e$&k, at&&ama$&, %a relak$a otot(muscle relaxant
◦ &$&oterap& $elama 35 me&t $et&ap 3/ am lat&#a "ukatutup mulut
◦ Pem"er&a $e%at&* ("romaCepam: 1,53 m', %ua kal& $e#ar&,utuk me'atur $tre$ !a' memperpara# per$&$te$& tr&$mu$!a' me!e"a"ka pe&'kata $pa$me pa%a %aera# ter$e"ut.
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I*ek$&
Pe!e"a":Pe''uaa &$trume %a mater&al %&$po$a"le
!a' ter&*ek$& $elama pro$e%ur "e%a#.
Su"$trat $ept&k %& maa pro$e%ur "e%a# %&lakuka.
Keru$aka $u"$trat tula' !a' %&$e"a"ka ole#pe!ak&t pa%a $&$tem $keletal (+oto#:o$teoporo$&$, %a ra%&oterap& pa%a %aera# ra#a'%a *a$&al.
Pe!ak&tpe!ak&t $&$tem&k !a' me!e"a"ka
pe&'kata keretaa terkea &*ek$& (+oto#:leukem&a, a'raulo$&to$&$, %em&k&a pulape!ak&tpe!ak&t !a' terap&!a me!"a"ka&muo$upre$&.
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Tatalak$aa
=&)er$al Pre+aut&oAt&"&ot&k pro-lak$&$
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>ematoma
Per%ara#a kap&ler !a'"erkepaa'a. Ma$aper%ara#a terakumula$& %&
%alam ar&'a.
Dapat tera%& pa%a1. Su"muko$al
2. Su"per&o$teal3. Itramu$kular/. a$&al
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Tatalak$aa
kompre$ %&'& pa%a %aera#ek$traoral $elama 2/ ampertama
terap& paa$ utuk mem"uat%aera# ter$e"ut mere%a %e'ale"&# +epat.
at&"&ot&k
me+e'a# $upura$&%ar& #ematoma
aal'e$&k pain-relief .
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8. I$truk$& Po$t Opera$&
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1. Me''&'&t ka$a $ter&l $elama 1 am $etela# opera$&
<< ter"etuk u$ta"le +lot
<< +lot terlepa$ pe!em"u#a le"&#lama
<< +lot terlepa$ pe!em"u#a le"&# lama
2. T&%ak kumurkumur $elama
kura' le"&# 2/ am $etela# opera$&
3. T&%ak me'#&$ap#&$ap %aera#luka
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5. T&%ak Merokok
<< 6a$o%&lata$& per%ara#a $emak& lama
/. T&%ak maka %a m&um #a'at$elama kura' le"&# 2/ am $etela#
opera$&
!ikotin
%&ameter pem"ulu# %ara#me'e+&l ok$&'e ke %aera# luka"arbon monoksida "erkompet&$&%e'a ok$&'e , $e#&''a ar&'a lukakekura'a ok$&'e.Ok$&'e %&"utu#ka utuk pem"etukakola'e, kap&lerkap&ler "aru, %aper"a&ka ep&tel
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?. Mea'a O>
<< me+e'a# &*ek$& po$t opera$&
. Kompre$ %&'& pa%a aa#
Kompre$ 30 me&t e$ "atu %alamkatu' pla$t&k me'ata$&pem"e'kaka>ar& "er&kut!a kompre$ a&r #a'at memperla+ar al&ra %ara#memper+epat pro$e$ pe!em"u#a
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. Mem&um o"at $e$ua&re$ep<< me+e'a# re$&$te$& "akter&
ter#a%ap at&"&ot&k, me'ata$&kompl&ka$& po$t opera$&
<< >ar& pertama %e"r&%emet
luka<< >ar& ketuu# a'kat a#&ta
B. Kotrol
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LAPO7AN KAS=S
Pa$&e lak&lak& u$&a 2 ta#u%ata' &'& me+a"ut '&'&"elaka' "aa# kaa karea
me''a''u $aat maka. ;&'&"elaka' "aa# kaa $er&'ter$el&p makaa. Saat && pa$&e
mera$aka $ak&t, pera# m&umo",at pe'#&la' ra$a $ak&t.
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Kotrol I (#ar& ke1
S : %apat "uka mulut, p&p& tera$a $e%&k&t '&lu $aat %&ra"a,luka %&$u%ut mulut kaa, t&%ak "e'kak
O : E.O t&%ak a%a pem"e'kaka, luka %&$u%ut mulut kaa I.O kemera#a $ek&tar luka, luka "elum meutup, a#&ta ma$&# a%a
A : A'ular +#e&l&t&$
P : $pool&' "eta%&e
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Kotrol II (#ar& ke?
S : %apat "uka mulut, $e%&k&t !er&
O : E.O t&%ak a%a kela&a
I.O kemera#a $ek&tar luka, luka "elum meutup, a#&ta $u%a# lepa$
A :
P : &$truk$& !a&tu me!&kat '&'& $epert& "&a$a, tetapme''uaka o"at kumur
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Kotrol III (#ar& ke
S : $u%a# mera$a !ama $aat %&paka&"&+ara,maka %a m&um O : E.O t&%ak a%a kela&a I.O t&%ak a%a kemera#a, tr&$mu$ t&%aka%a, a#&ta $u%a# lepa$ A : P : $pool&' "eta%&e %a O>I