LAPORAN KEGIATAN PRAKTIKUMRADIOLOGI KEDOKTERAN GIGI

3 cm

Nama Px

:

Jenis Kelamin:

Umur

:

4 cm 3 cm

Alamat

:

Operator

;

NIM

:

Kelompok/hari:

JENIS RADIOGRAF: .

GIGI/REGIO: .

KESALAHAN RADIOGRAF DAN PENYEBABNYA :

NoKESALAHANPENYEBAB

STRUKTUR ANATOMI NORMAL YANG TAMPAK :1. ..

2. .

3. .....

4. ..................................................

GIGI: - MAHKOTA : ......................................................................................................................................... ........................................................................................................................................ .........................................................................................................................................- AKAR: : ......................................................................................................................................... ........................................................................................................................................

- SAL.AKAR/PULPA: ............................................................................................ ................................................ JARINGAN PERIAPIKAL:

- LAMINA DURA PERIAPIKAL : ............................................................................................................ - LIG. PERIODONTAL PERIAPIKAL: .............................................................................................................. - TL.ALVEOLAR PERIAPIKAL : .................................................................................................................... - SEMENTUM PERIAPIKAL: ............................................................................................................................ JARINGAN PERIODONTAL :

- LIG. PERIODONSIUM : .- CRESTAL BONE : .- FURCATION : .

- KALKULUS : .................................................................................................................................. LESI PATOLOGIS : ( Tidak Ada/ ada - Lokasi Lesi : ................................................................................................................................... - Ukuran Lesi : ................................................................................................................................ - Margin Lesi : .................................................................................................................................. - Bentuk Lesi : .................................................................................................................................. - Radiodensitas Lesi :....................................................................................................................... - Efek Lesi thd Jar. Sekitar : ........................................................................................................... DIFFERENSIAL DIAGNOSIS RADIOLOGIS :

1. GIGI : 6 RB KA KARIES P P..............................................................................

2. JAR.PERIAPIKAL :....ABSES PERI.....................................................................................................

3. JAR.TAKBERHUBUNGAN GIGI : ....................................................................................................

JEMBER,

PEMBIMBING

()

NIP

LAPORAN KEGIATAN PRAKTIKUM PREKLINIK

RADIOLOGI KEDOKTERAN GIGI

3 cm

Nama Px:

Jenis Kelamin:

Umur

:

4 cm 3 cm

Alamat

:

Operator

:

NIM

:

Kelompok/hari:

JENIS RADIOGRAF: .

GIGI/REGIO: .

KESALAHAN RADIOGRAF DAN PENYEBABNYA :

NoKESALAHANPENYEBAB

INTERPRETASI :

GIGI: - MAHKOTA, AKAR: ( Normal.

DAN SAL.AKAR: ( Tidak Normal,/ Patologis................................................

- RESTORASI: ( Tidak Ada ( Ada ; Bahan ............................

- LAIN-LAIN: ( Tidak Ada ( Ada ; Bahan ............................

JARINGAN PERIAPIKAL:

- LAMINA DURA : ( Normal ( Terputus ( Menebal

- LIG. PERIODONSIUM : ( Normal ( Melebar

JARINGAN PERIODONTAL :

- LIG. PERIODONSIUM : ( Normal ( Melebar

- CRESTAL BONE : ( Normal(tajam) ( turun (vertikal/horisonal)

- FURCATION : ( Normal ( Loss/lisis

- KALKULUS : ( Ada ( Tidak ada

LESI PATOLOGIS : ( Tidak Ada

( Ada ,: - Lokasi Lesi : ...........................................................................

- Ukuran Lesi : .........................................................................

- Margin Lesi : .........................................................................

- Bentuk Lesi : .........................................................................

- Radiodensitas Lesi :...............................................................

- Efek Lesi thd Jar. Sekitar : .................................................... STRUKTUR ANATOMI NORMAL YANG TAMPAK :1. ..

2. .

3. .....

4. ..................................................

DIFFERENSIAL DIAGNOSIS RADIOLOGIS :

1. ..................................................

2. ..................................................

3. ..................................................

JEMBER,

PEMBIMBING

()

NIP

PAGE 39Petunjuk Praktikum Radiologi KG