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Operative Dentistry

This document provides an overview of operative dentistry. It defines operative dentistry as the diagnosis, prevention, and treatment of dental defects. It lists common dental defects such as dental decay, erosion, attrition, and discoloration. It describes different types of dental caries and discusses theories of caries formation. It also discusses non-carious defects including abrasion, erosion, enamel hypoplasia, and dentinogenesis imperfecta. Finally, it lists some literature references on topics in operative dentistry.

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647 views51 pages

Operative Dentistry

This document provides an overview of operative dentistry. It defines operative dentistry as the diagnosis, prevention, and treatment of dental defects. It lists common dental defects such as dental decay, erosion, attrition, and discoloration. It describes different types of dental caries and discusses theories of caries formation. It also discusses non-carious defects including abrasion, erosion, enamel hypoplasia, and dentinogenesis imperfecta. Finally, it lists some literature references on topics in operative dentistry.

Uploaded by

qra_beliebers
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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OPERATIVE

DENTISTRY
Dr.med.dent. YONGKI REHATTA
23 Feb. 2009
CONTACT ME :
you_kiss2002@yahoo.com
Definition can be defined as

the diagnosis,prevention and

treatment of defect of natural


teeth.
THESE DEFECTS ARE :
 INDICATION !!!!!
• Dental decay Hypoplasia
• Erosion Hypocalcificati
• Abrasion on
• Attrition Discoloration
Traumatic
tooth.
CERVICAL CARIES
CERVICAL CARIES
RAMPANT CARIES
RAMPANT CARIES
ATRISION

ATRISION
ABRASION
EROSION
EROSION
ENAMEL
HYPOPLASIA
ENAMEL HYPOPLASIA
HYPOPLASIA MORPOLOGIS
HYPOPLASIA ENAMEL AND
DENTIN
HYPOPLASIA ENAMEL AND
DENTIN
HYPOCALCIFICATION
HYPOCALCIFICATION
HYPOCALCIFICATION
DISCOLORATION
DISCOLORATION
DISCOLORATION
pada GIGI SUSU
DISCOLORATION
pada GIGI SUSU
TRAUMATIC TOOTH
TRAUMATIC TOOTH
DENTINOGENESIS IMPERFECTA
DENTINOGENESIS IMPERFECTA
THE FUNCTION AND PURPOSES
OF
OP- DENT ARE :
• DIAGNOSIS
• PREVENTION
• INTERCEPTION
• PRESERVATION
• RESTORATION
THE THEORY OF CARIES

• ACIDOGENIC THEORY
• PROTEOLYSIS THEORY
• MICROBIOTIC SECRETIONS
THEORY
ACIDOGENIC
THEORY
CARBOHYDRATE
+
BACTERIAL PLAQUE

ACID PRODUCT
CAVITY = DECAY
PROTEOLYTIC THEORY
ORGANIC MATRIX

LYTIC ENZYME

INORGANIC MATERIAL WITHOUTMATRIX

TO BE WASHED AWAY

CAVITY
MICROBIOTIC SECRETION
MICROORGANISM

METABOLIC PRODUCTS

TOOTH STRUCTURE


to chelate
Ca++

ORGANIC MATRIX

DESINTEGRATED

CAVITY
FOR DECAY PROCESS
TO BE ESTABLISHED !!!!
 THERE MUST BE :

• HOST (TOOTH)
• MICROORGANISM (PLAQUE)
• MEDIUM (CARBOHYDRATES IN THE DIET)
• TIME
PLAQUE
 MICROORGANISM (STREP. MUTANT)
 SALIVARY GLYCOPROTEIN
 INORGANIC SALTS
DEXTRAN

POLYSACCHARIDE
ECTODERM

AMELOBLAST

ENAMEL
ENAMEL
 1.0-3mm
• THICKNESS BE VARIED

•HYDROXYAPATITE  Ca (PO4) (OH)


10 6 2

• INORGANIC  85 %
• WATER  12 %
• PROTEIN & LIPID  3.%
ENAMEL CONSIST OF
• ENAMEL PRISMS
• ENAMEL SPINDLES
• STRIAE OF RETZIUS
• DENTINOENAMEL JUNCTION
(DEJ)
• NASMYTH MEMBRANE
ENAMEL

SUSCEPTIBILITY

SOLUBLE

ACID
ECTOMESENCHYME

ODONTOBLAST

DENTIN
NON-CARIOUS DEFECTS
• ABRASION IS ABNORMAL
TOOTH SURFACE LOSS
RESULTING FROM DIRECT
FRICTION FORCES BETWEEN THE
TEETH AND EXTERNAL OBJECTS.
ABRASION MAY OCCUR FROM:

1. IMPROPER BRUSHING
2. HABITS SUCH AS HOLDING
A PIPESTEM BY THE
TEETH.
• 3. TOBACCO CHEWING
• 4. VIGOROUS USE OF
TOOTHPICK
BETWEEN ADJACENT
EROSION (INCL. IDIOPHATIC)
• EROSION IS THE WEAR OR LOSS
OF THE TOOTH SURFACE BY
CHEMICO- MECHANICAL ACTION.
• REGURGITATION EROSION ON
LINGUAL SURFACES OF MAX.TEETH
IS RESULTING FROM
REEGURGITATION OF STOMACH
ACID
ATTRITION
• ATTRITION IS MECHANICAL WEAR OF
INCISAL OR OCCLUSAL SURFACE AS A
RESULT OF FUNCTIONAL OR
PARAFUCTIONAL MOVEMENTS OF
THE MANDIBLE (T-T-C)
NONHEREDITARY ENAMEL
HYPOPLASIA

• IS OCCURRED BY INJURY OF
AMELOBLAST DURING ENAMEL
FORMATION, RESULTING IN
DEFECTIVE ENAMEL (DIMINISHED
FORM AND OR CALCIFICATION)
• COLORS : OPAQUE WHITE OR LIGHT
BROWN.
AMELOGENESIS
IMPERFECTA
• AMELOGENESIS IMPERFECTA OF THE
ENAMEL IS DEFECTIVE EITHER IN
FORM OR CALCIFICATION DUE TO
HEREDITY.
DENTINOGENESIS IMPERFECTA
• DENTINOGENESIS IMPERFECTA IS A
HEREDITY CONDITION WHERE ONLY
THE DENTIN IS DEFECTIVE.
• ENAMEL IS NORMAL BUT WEAKLY
ATTACHED AND LOSS EARLY.
LITERATURES
• PRESERVATION AND RESTORATION
OF TOOTH STRUCTURE--GJ.MOUNT
&W.R HUME
• OPERATIVE DENTISTRY CLIFFORD
STURDEVANT
• OPERATIVE DENTISTRY  H.M
PICKARD
• RESTORATIVE DENTISTRY 
WALMSLEY
• OPERATINE DENTISTRY  M.A.
BUKAN LAGI BAGAIMANA
DOSEN MENGAJAR DENGAN
BAIK ( TEACHER CENTER ), TRANSFER OF
KNOWLEDGE
TAPI…….

BAGAIMANA MAHASISWA BISA


BELAJAR DENGAN BAIK DAN
METHOD OF
BERKELANJUTAN INQUIRY AND
( STUDENT CENTERED LEARNING ) DISCOVERY
The Four Pillars of Education
in the 21st century (UNESCO)

•Learn to know,
•Learn to do,
•Learn to be,
•Learn to live together.

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