PBL 1 - GINGIVITIS GRAVIDARUM

8/19/2019 PBL 1 - GINGIVITIS GRAVIDARUM

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PBL 1


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Case

Seorang perempuan umur 28 tahun hamiltrimester ke satu, anak pertama, datang ke

RSGM dengan keluhan sering muntah

muntah , gusi bengkak , sakit dan mudahberdarah bila sedang sikat gigi. khir!akhirini terdapat karies baru. "elah dilakukan

pelatihan men#ikat gigi dan #ang

bersangkutan dikirim ke klinik periodonsiauntuk pembersihan karang gigi. Pemberian$itamin C dan terapi lainn#a tidak ban#ak

menolong


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P*)


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Li+e st#le

ral h#giene 'an be a-e'ted b# peopleli+e st#le. "here are t&o kind o+ li+est#le

1. /ealth# Li+est#le 0 al&a#s brush

their teeth , a+ter eating and be+ore go tobed. Good dietar# habit.

2. nhealth# Li+est#le 0 Rarel# brushtheir teeth and bad dietar# habit.

*n this 'ase , she has unhealth# li+est#leso she has bad oral h#giene.


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Bad ral /#giene

Bad oral h#giene is one o+ the main'ause o+ oral disease like 'aries andgingi$itis. Be'ause i+ &e ha$e bad oral

h#giene , ba'teria in our mouth &ille$ol$e and gna& our teeth also makethe gum s&ollen. ne &a# to keep our

oral h#giene health# is li+e a health#li+est#le


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Caries and Gingi$itis

2. Gingi$itis

Gingivitis 4in5ammation o+ the gumtissue6 is a non destru'ti$e periodontal

disease. Gingi$itis is re$ersible &ith goodoral h#giene. /o&e$er, in the absen'e o+treatment, or i+ not 'ontrolled, gingi$itis

'an progress to periodontitis . "he onethat o''ur onl# in pregnant &oman isgingi$itis gra$idarum .


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1st trimester pregnan'#

Pregnan'# 'auses hormonal 'hangesthat in'rease #our risk +or de$elopingoral health problems like gingi$itis

4in5ammation o+ the gums6 andperiodontitis 4 gum disease6. suall#,gum in5ammation appears bet&een

the se'ond and eighth month o+pregnan'#.


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/ormonal Change

s a result o+ $ar#ing hormone le$els, 79o+ &omen &ill de$elop gingi$itis sometimeduring their pregnan'# !! a 'ondition 'alledpregnan'# gingi$itis.

"he in'reased le$el o+ progesterone inpregnan'# ma# make it easier +or 'ertaingingi$itis!'ausing ba'teria to gro&, as &ell asmake gum tissue more sensiti$e to pla:ueand e;aggerate the bod#


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Sali$a be'ome more a'idi'

• h# 3 Be'ause pregnant &omano+ten thro& up. "hat>s make hersali$e be'ome more a'idi'. Be'ause

o+ that mouth atmosphere &illbe'ome a'idi' too. "his 'ause the old'aries be'ome &orse or appear a

ne& 'aries.


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*n'reased gingi$a $as'ularit#

• h# 3 Be'ause o+ Pyogenic granuloma 4also kno&n as a ?(rupti$e hemangioma?,?Granulation tissue!t#pe hemangioma?,?Granuloma gra$idarum@6. hat is p#ogni'granuloma 3 *s a $as'ular lesion thato''urs on both mu'osa and skin, andappears as an o$ergro&th o+ tissue due toirritation, ph#si'al trauma or hormonal+a'tors. "hen this p#ogeni' granulomao+ten 'ause gingi$itis in pregnant &oman.


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Gingi$itis S#ptomps

• S&ollen gums

• Bright red or purple gums

•

Gums that are tender or pain+ul tothe tou'h

• Bleeding gums or bleeding a+ter

brushing andAor 5ossing• Bad breath 4halitosis6


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)e& Caries and gingi$itis gra$idarum &ill'ause pain to that &omen . "hen , ho& 'an&e pre$ent pregnan'# gingi$itis 3

irst, to pre$ent pregnan'# gingi$itis it isespe'iall# important to pra'ti'e good oralh#giene habits, &hi'h in'lude brushing atleast t&i'e a da#, 5ossing on'e a da#, andusing an antimi'robial mouth rinse. *+ #ou

are due +or a pro+essional 'leaning, don


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Con'lusion

So the &omen in this 'ase , su-ergingi$itis gra$idarum and 'aries . "hatalso aggra$ated b# her li+est#le that

'ause bad oral h#giene.


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"hank#ou

PBL 1 - GINGIVITIS GRAVIDARUM

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