MODUL 3MODUL 3HUMAN AND ENVIRONMENT HUMAN AND ENVIRONMENT

Member Member ofof

The The GroupGroup

• Arinil Haque 021211133050

• Cornelia Johana C. 021211133051

• Reno Andrey S. 021211133052

• Luluk Rahmawati 021211133053

• Amelia Sinta M. 021211133054

• Dita Dwi Firza P. 021211133055

• Indira Ika Christianti 021211133056

Member Member ofof

The The GroupGroup

• Valita Aulia A. 021211133057

• Diyang Mahiswari 021211133058

• Nathania Astria 021211133059

• Christopher 021211133060

• Eghia Laditra A. 021211133061

• Intan Ayu R. P. 021211133062

• Ainani Dwi Hapsary 021211133063

ANALYSISANALYSIS & CONCLUSION & CONCLUSION

CASECASE

INTRODUCTION

CONCEPT CONCEPT MAPPINGMAPPING

REVIEWOF

LITERATURES

ROOT FRAGMENTSROOT FRAGMENTSROOT FRAGMENTSROOT FRAGMENTS

SELF CURED ACRYLICSELF CURED ACRYLICSELF CURED ACRYLICSELF CURED ACRYLIC RESIDUAL MONOMERRESIDUAL MONOMERRESIDUAL MONOMERRESIDUAL MONOMER

Candida albicans Candida albicans and DENTURE STOMATITISand DENTURE STOMATITISCandida albicans Candida albicans and DENTURE STOMATITISand DENTURE STOMATITIS

ORAL CANCERORAL CANCERORAL CANCERORAL CANCER ENVIRONMENTENVIRONMENTENVIRONMENTENVIRONMENT

ILLEGAL DENTAL PRACTICEILLEGAL DENTAL PRACTICEILLEGAL DENTAL PRACTICEILLEGAL DENTAL PRACTICE

ROOT FRAGMENTSROOT FRAGMENTSROOT FRAGMENTSROOT FRAGMENTS

Not infrequently a root or roots break during an extraction.If the retained root is very small and therefore deeply placed

and not associated with any periapical pathology then it is acceptable to leave the fragment in situ, having informed the

patient (Yates, 2000)

SELF CURED ACRYLICSELF CURED ACRYLICSELF CURED ACRYLICSELF CURED ACRYLIC

Generally, these materials reach the ‘dough’ stage quite quickly and remain workable for only a short period of time.Within a few minutes of attaining a dough consistency, the

rate of polymerization increases rapidly causing a large temperature rise and the material becomes hard and

unmanageable (McCabe & Walls, 2008)

RESIDUAL MONOMERRESIDUAL MONOMERRESIDUAL MONOMERRESIDUAL MONOMER

The polymerization by chemically activated method remains incomplete as residual monomer is more in chemically

activated cured resin, which may irritate the tissues and also result in decreased transverse strength

(Chandra, 2000).

Candida albicans Candida albicans and DENTURE STOMATITISand DENTURE STOMATITISCandida albicans Candida albicans and DENTURE STOMATITISand DENTURE STOMATITIS

Candida albicans is an innocuous commensal of the microbial communities of the human oral cavity (Salerno et

al, 2011)

Denture Stomatitis is also known as denture induced stomatitis, denture sore mouth, inflammatory papillary

hyperplasia and chronic atrophic candidiasis. It is one of the most common problems in elders wearing complete or

partial dentures (Pattanaik et al, 2010)

ORAL CANCERORAL CANCERORAL CANCERORAL CANCER

Oral cancer, a subtype of head and neck cancer, is any cancerous tissue

growth located in the oral cavity. It may arise as a primary lesion originating in

any of the oral tissues (Werning, 2007)

ILLEGAL DENTAL PRACTICEILLEGAL DENTAL PRACTICEILLEGAL DENTAL PRACTICEILLEGAL DENTAL PRACTICE

“Tukang gigi”as controversial dental practitioners in

Indonesia

ENVIRONMENTENVIRONMENTENVIRONMENTENVIRONMENT

The Social Factor

The Educational Factor

The Economical Factor

INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION

The environment is a vital component to the human health.

The best way to counteract problems like this is by preventing the exposure

from the related agents.

There are many ways for us to be exposed to diseases form the environment,

especially those that affects the oral cavity.

Understanding the dangers of certain aspects in the environment will help us

in avoiding unwanted diseases.

Additional information1. The denture is made of self-cured acrylic without retention.2. The patient’s mother died because of breast cancer.3. The denture is attached on the 44 & 47 teeth.

CASECASECASECASE

In a dental hospital, a 45 years old female patient, referred from the Puskesmas, is

diagnosed with Oral Cancer. According to intraoral checkup, the patient is

using Denture from acrylic, without taking it off since using it 3 years ago.The denture is attached very tightly against the gingiva and teeth, and successfuly

removed by the dentist, Root Fragments are found in 45 & 46 teeth. The

denture itself was not applied by a Dentist.

Oral cancerDenture made of self cured acrylic - Residual monomer

The appliance of denture without retention

The denture itself has not been removed for 3 years since it was applied

Bacterial plaque - Candida albicans

Denture StomatitisRoot fragments were found in the location of 45 & 46 teeth

The patient’s mother died because of breast cancer

Environmental factors : Economical factor, Social factor, and Educational factor

ANALYSISANALYSISANALYSISANALYSIS

It can be concluded from our discussion that the main cause of the patient’s Oral Cancer is the wrong appliance of denture by Tukang Gigi. The Tukang Gigi uses

a wrong type of denture base material without any retention.The denture itself is not removed for three years, resulting in a condition known as

Denture Stomatitis.Supporting factors of the oral cancer formation includes the root fragments and the

passed down cancer gene from the patient’s mother.

Environmental factors such as Social, Educational, and Economical factor play a vital role in this scenario.

These environmental factors affect the patient’s decision in choosing Tukang Gigi as her operator in applying denture.

CONCLUSIONCONCLUSIONCONCLUSIONCONCLUSION

Thank YouThank Youfor Your for Your

Attention Attention