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Abstrak :
ABSTRACT
Latar Belakang: Parafunctional habit (clenching dan bruxism) menurunkan kualitas hidup melalui atrisi, abfraksi, dan resesi gingiva. Penelitian mengenai hal tersebut belum pernah dilakukan di Indonesia. Tujuan: Untuk mengetahui distribusi atrisi, abfraksi, dan resesi gingiva pada pasien dengan parafunctional habit. Metode: Penelitian deskriptif menggunakan data sekunder dari 70 rekam medis periodonsia subjek parafunctional habit di RSKGM FKG UI periode 2013-2017. Hasil: Distribusi terbanyak ditemukan pada subjek parafunctional habit dengan atrisi (50%), dan diikuti atrisi dan abfraksi (32,86%). Distribusi atrisi tertinggi pada subjek clenching terlihat di gigi 31, 32, dan 42 (1,23%), dan pada subjek bruxism di gigi 42 (5,31%). Distribusi abfraksi tertinggi pada subjek clenching terlihat di gigi 14 dan 15 (1,04%), dan pada subjek bruxism di gigi 14 dan 24 (7,25%). Mayoritas subjek parafunctional habit mengalami resesi gingiva (87,14%). Resesi gingiva akibat clenching (42,55%) dan bruxism (30,47%) sering terjadi pada sisi bukal. Resesi gingiva tertinggi pada subjek clenching ditemukan pada gigi 42 (8,51%), sedangkan pada subjek bruxism ditemukan pada gigi 41 (5,5%). Kesimpulan: Subjek parafunctional habit yang mengalami atrisi sebanyak 50%, atrisi dan abfraksi sebanyak 32,86%, dan resesi gingiva sebanyak 87,14%.

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ABSTRACT
Background: Parafunctional habit (clenching and bruxism) decreases quality of life through attrition, abfraction, and gingival recession. No study has evaluated about the problem in Indonesia. Objective: Evaluate distribution of attrition, abfraction, and gingival recession in subjects with parafunctional habit. Methods: A descriptive study using secondary data from 70 periodontal medical records of parafunctional habit subjects in RSKGM FKG UI 2013-2017. Result: Highest distribution was found in parafunctional habit subjects with attrition (50%), followed by attrition and abfraction (32.86%). Highest attrition distribution was seen in tooth 31, 32, and 42 (1.23%) of clenching subjects, and tooth 42 (5.31%) of bruxism subjects. Highest abfraction distribution was found in tooth 14 and 15 (1.04%) of clenching subjects, tooth 14 and 24 (7.25%) of bruxism subjects. Majority of parafunctional habit subjects got gingival recession (87.14%). Gingival recession from clenching (42.55%) and bruxism (30.47%) often occurred at buccal site of teeth. Highest gingival recession was found in tooth 42 (8,.51%) of clenching subjects, and tooth 41 (5.5%) of bruxism subjects. Conclusion: Parafunctional habit subjects experiencing attrition were about 50%, attrition and abfraction were about 32.86%, and gingival recession were about 87.14%.

Abstrak :
Abfraction, a cervical non caries lesion which occur mostly as a result of traumatic occlusion, needs to be taken into consideration. The aim of this case study is to understand how to treat abfraction lesion. First the focus of treatment is only to endodontic case but pain was still existed after the root canal treatment and it revealed that there were abfraction lesion on the other 5 teeths. Treatment of those lesions consisted of filling with GIC cement and occlusal adjustment.