case science session periodontal

7/27/2019 Case Science Session periodontal

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CASE SCIENCE SESSION

(CSS)

MODUL PERIODONTAL

Preceptor : drg. Ika Andriani, Sp. Perio

Presented by : Dwi Windu K A


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Gingival Curettage studycomparing a laser treatment to

hand instrument Author :

Jiang lin, liangjia Bi, Li Wang, Yuqi Song,Wei Ma

Instansi :Department of Stomatology, the FourthCollege,Harbin Medical University

Received: 19 January 2009 Accepted: 25 Agustust 2009


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Problem The purpose of this clinical

study was to examine

nonsurgical treatment ofperiodontal disease comparing adiode laser to subgingivalcurettage with conventionalhand instrument.


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Intervensi Sample terdiri dari group denganjumlah sample 18 pasien (10 men 8

women) with a mean age of 40.33years (range 25-65 years) with mildto moderate chronic periodontitis


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Criteria for inclusion:

1. Medical history revealinggood general health2. Excluding third molars, each subject had to have at

least 20 natural teeth present in the mouth.

3. An average plaque level of > 1 accordingto the quigley

and Hein plaque scoring method as modified

4. Evidence of bleeding and gingivitis


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Criteria for exclusion:

1. The present of sistemic disease whichcould influence the outcome of the

therapy.

2. Current pregnancy or any physical

condition that would limit

instrumentmanipulation3. Present medications that would be

likely to affect gingival health


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Comparison

The study comprised 18 patients with moderate

periodontal degradation who were treated

without local anesthesia. Each quadrant wasrandomly allocated in a split mouth design

either to treatment with a 810-nm diode laser

using an energy of 2 W(test group) or togingival curettage using hand

instrument(control group)


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outcome The score for the degree of treatment

discomfort was significantly lower and theaverage time was significantly les in thetest group than in the control group.|diode laser subgingval curattage resultedin statistically significantly improvement inPD, SBI, GI, and CAL with less discomfort

and treatment time comfored totreatment with the ahnd instrument.


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Critical Appraisal Apakah hasil penelitian ini valid?

Apakah terdapat kelompok pembandingyang serupa dalam hal aspek-aspekpenting yang berhubungan dengankeluaran selain kelompok yang diteliti?Ada, yaitu membandingkan antaradiode laser treatment dengan manualhand instrument curettage(poin 2)


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Apakah keluaran dan aspek-aspek yangbisa menjadi faktor resiko diukur dengancara yang sama pada kelompok-kelompok

yang dibandingkan?Ya, alat ukur yang digunakan adalahsama(poin 2)

Apakah pengamatan yang dilakukancukup lama?

Ya, selama 1 minggu dan 4 minngu

(poin 2)


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Bagaimana hasil penelitian ini? Seberapa kuat hubungan antara faktor resiko

dan keluaran?Cukup kuat

(poin 1)

Seberapa tepat perkiraan tentang resikotersebut?

cukup tepat,

(poin 2)


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Bagaimana penerapan hasil penelitian inipada pasien kita?

- Apakah hasil penelitian ini dapatditerapkan pada pasien kita?

dapat, karena telah di uji coba kan pdmanusia

(Poin 2)- Seberapa besar resiko tersebut?

tidak ada faktor resiko, karena tidakterdapat komplikasi dr infeksi

(poin 2)


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Kesimpulan

Skore : Jumlah X 100%2 X Pertanyaan

:13 X 100%

2 X 7

: 6.9 %

case science session periodontal

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