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"Karies adalah penyakit infeksi yang merusak jaringan keras gigi sehingga berlubang dan disebabkan oleh aktivitas bakteri kariogenik yang diaktivasi oleh karbohidrat. Streptococcus mutans adalah bakteri kariogenik dominan yang menyebabkan karies. Pada tahun 2018, tercatat bahwa 93% anak di Indonesia yang berusia 5 sampai 6 mengalami karies. Terapi topikal dalam bentuk fluoride varnish menjadi salah satu pencegah terjadinya karies pada gigi. Adapun, penelitian terdahulu membuktikan bahwa walaupun fluoride varnish memiliki kemampuan antibakteri terhadap Streptococcus mutans ketika diaplikasikan pada orang dewasa, hal yang sama tidak terjadi pada anak-anak. Selain itu, fluoride varnish dengan minyak perasa berbeda memiliki pelepasan ion fluoride yang berbeda pula. Oleh karena itu, dibutuhkan penambahan minyak perasa dan agen antibakteri pada komposisi fluoride varnish. Penelitian ini akan mempelajari metode formulasi fast release fluoride varnish dengan menggunakan penambahan minyak perasa merk LorAnn Oils dengan variasi strawberry-kiwi, cinnamon roll, dan marshmallow, serta agen antibakteri dari bahan alam yaitu ekstrak buah delima (Punica granatum), daun sirih merah (Piper crocatum), dan daun sirsak (Annona muricata) yang diperoleh melalui metode maserasi untuk menginhibisi bakteri Streptococcus mutans dengan waktu pelepasan ion fluoride di bawah 4 jam. Uji pelepasan ion fluoride dilakukan menggunakan elektroda ion selektif fluoride. Uji inhibisi bakteri dilakukan dengan metode difusi cakram pada bakteri Streptococcus mutans yang dibiakkan pada media BHI. Kontrol positif pada penelitian ini yaitu 3M Clinpro White Varnish. Hasil fast release fluoride varnish terbaik diperoleh pada variasi fast release fluoride varnish dengan penambahan 2% minyak perasa strawberry-kiwi dengan ekstrak daun sirih merah 1 g/L, dengan jumlah fluoride dalam larutan uji senilai 72,29 g/L pada jam ke-4 dan zona inhibisi bakteri Streptococcus mutans sebesar 3,81 mm.

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Caries is an infection that destroys teeth structure and is caused by the activity of cariogenic bacteria which are activated by the presence of carbohydrates. Streptococcus mutans is a dominant cariogenic bacteria that causes caries in oral cavity. In 2018, it is recorded that 93% of children aged 5 to 6 experience caries disease. Topical therapy in the form of fluoride varnish is one of many ways to prevent caries on teeth. However, although fluoride varnish is proven to have antibacterial activities against Streptococcus mutans when applied to adults, this does not happen to children. Fluoride varnish with an addition of different flavors also have different fluoride release performance. That is why an addition of flavor oils and antibacterial agents to fluoride varnish is needed. This research will conduct a study of fluoride varnish formulation using addition of LorAnn Oils flavor oils with the flavors strawberry-kiwi, cinnamon roll, and marshmallow, and also natural antibacterial agents from extracts of pomegranate (Punica granatum) fruit, betle (Piper crocatum) leaves, and soursop (Annona muricata) leaves obtained through maceration to inhibit Streptococcus mutans bacteria with the highest fluoride release rate. Fluoride release test is done in four hours by using fluoride ion selective electrode. Bacterial inhibition test is done by disc diffusion method on Streptococcus mutans bacteria grown on BHI agar. The positive control for this research is 3M Clinpro White Varnish. The best fast release fluoride varnish goes to the one with an addition of 2% strawberry-kiwi flavor oil and 1 g/L addition of betle leaves extract, with a highest fluoride release at 72,29 mg/L at the fourth hour and an inhibition zone of 3,81 mm against Streptococcus mutans bacteria."

"Karies merupakan penyakit infeksius yang paling sering terjadi pada anak di Indonesia. Oleh karena itu, dibutuhkan solusi yang dapat mengatasi karies, salah satunya dengan aplikasi Silver Diamine Fluoride (SDF). Tujuan: membahas evaluasi aplikasi SDF dalam mengatasi karies anak dan faktor-faktor yang berhubungan dengan persentase karies terhenti setelah aplikasi SDF. Metode: Studi kohort untuk evaluasi dan cross sectional dengan subjek penelitian 115 anak usia 3-5 tahun yang memiliki karies dentin aktif. Kuesioner diisi oleh orangtua untuk mengetahui faktor risiko karies. Hasil: Evaluasi pada 3 dan 10 bulan memperlihatkan permukaan karies aktif berpeluang terhenti 9.9 dan 6.8 kali setelah diaplikasi SDF, dibandingkan dengan yang tidak diaplikasi. Kesimpulan: SDF efektif menghentikan karies aktif anak serta meringankan rasa sakit yang diderita anak akibat karies sehingga berpotensi meningkatkan quality of life anak.

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Dental caries is one of the most prevalent infectious disease in children in Indonesia. Therefore, solution to overcome caries is needed.

Objective: evaluate Silver Diamine Fluoride (SDF) applications to overcome caries in children and factors related to the percentage of arrested caries after SDF application.

Method: Cohort study to evaluation and cross sectional with 115 children aged 3-5 years old who had active dentin caries were the subjects. Caries risk factors questionnaires filled by parents subject.

Results: Active caries which were applied SDF had odd ratios 9.9 and 6.8 times being arrested after 3 and 10 months, respectively, compared with those not applied.

Conclusion: SDF is effective to arrest caries and decrease toothache suffered by children, thus potentially increase the quality of life of children."

"Karies merupakan masalah kesehatan gigi mulut yang paling tinggi pada anak usia 3-5 tahun di Indonesia. Mengobati karies sejak dini dapat menghilangkan rasa sakit dan meningkatkan kualitas hidup anak. SDF merupakan salah satu perawatan karies pada gigi sulung. 59 anak usia 3-5 tahun di Serpong diaplikasikan SDF pada permukaan gigi sulung yang karies dan di evaluasi setelah 3 bulan. Ibu subjek diberikan kuisioner pengukuran kualitas hidup sebelum dan sesudah aplikasi SDF. Setelah dioleskan SDF, 89,36% karies terhenti. Kualitas hidup 59 subjek meningkat setelah aplikasi SDF (p < 0,05). SDF efektif dalam menghentikan karies gigi sulung dan meningkatkan kualitas hidup anak.

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Caries is the highest oral health problem in children aged 3-5 yeard old in Indonesia. Early caries treatment can heal tootache and increase quality of life. SDF is one of caries treatment for primary teeth. 59 children aged 3-5 years old were applied SDF and evaluated 3 months later. Mothers are given quality of life questionairre before and after SDF application. After SDF application, 89,36% caries are arrested. Quality of life of the subjects are increased after SDF application (p<0,05). SDF is effective in treating primary teeth caries and increase children quality of life."

"Latar Belakang: Karies gigi merupakan suatu permasalahan utama mengenai kesehatan gigi dan mulut di Indonesia. Menurut Riskesdas tahun 2018 prevalensi karies di Indonesia mencapai 88,8%. Karies gigi dapat terjadi disebabkan oleh bakteri patogen Streptococcus mutans yang menjadi faktor patogen utama terbentuknya karies gigi. Karies dapat terbentuk karena terdapat peran dari bakteri Streptococcus mutans dan Streptococcus sanguinis. Maka saat ini diperlukan pengembangan dari agen antibakteri, salah satu nya terhadap bakteri penyebab karies gigi. Pengembangan agen antibakteri yang dapat dilakukan adalah dengan menggunakan bahan alam sebagai agen antibakteri. Salah satu bahan alam yang dapat digunakan sebagai agen antibakteri adalah kulit semangka. Kulit semangka (Citrullus lanatus) memiliki banyak manfaat di bidang medis, salah satu nya sebagai agen antibakteri. Kulit semangka ternyata mengandung bahan fitokimia seperti: flavonoid, terpenoid, tanin, saponin, dan alkanoid yang dapat berperan sebagai antibakteri. Tujuan: Mengetahui dan menganalisis efektivitas ekstrak kulit semangka (Citrullus lanatus) dalam menghambat pertumbuhan dan membunuh koloni bakteri Streptococcus mutans (ATCC 25175) dan Streptococcus sanguinis (ATCC 10556) serta membandingkan efektivitas ekstrak kulit semangka dengan chlorhexidine (kontrol positif). Metode: Efektivitas ekstrak kulit semangka terdapat bakteri Streptococcus mutans (ATCC 25175) dan Streptococcus sanguinis (ATCC 10556) dilihat dari uji Kadar Hambat Minimum (KHM) dan uji Kadar Bunuh Minimum (KBM) dengan konsentrasi ekstrak kulit semangka yang digunakan adalah 30%, 20%, dan 10%. Selanjutnya hasil tersebut dianalisis dengan uji statistik One Way Anova. Hasil: Ekstrak kulit semangka (Citrullus lanatus) dapat menghambat pertumbuhan dan membunuh koloni bakteri Streptococcus mutans (ATCC 25175) dan Streptococcus sanguinis (ATCC 10556) dengan nilai KHM 10% dan KBM 10%. Melalui uji statistik One Way Anova didapatkan hasil bahwa tidak terdapat perbedaan bermakna pada efektivitas ekstrak kulit semangka dengan chlorhexidine (p ³ 0,05). Kesimpulan: Ekstrak kulit semangka (Citrullus lanatus) dapat menghambat pertumbuhan bakteri serta membunuh koloni bakteri Streptococcus mutans (ATCC 25175) dan Streptococcus sanguinis (ATCC 10556) sehingga dapat menjadi agen antibakteri terhadap karies gigi.

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Background: Dental caries is a major problem regarding dental and oral health in Indonesia. According to Riskesdas in 2018, caries prevalence in Indonesia reached 88.8%. Dental caries can be caused by the pathogenic bacteria Streptococcus mutans which is the main pathogenic factor for the formation of dental caries. Caries can be formed because of the role of the bacteria Streptococcus mutans and Streptococcus sanguinis. So now it is necessary to develop antibacterial agents, one of which is against bacteria that cause dental caries. The development of antibacterial agents can be done is to using natural ingredients as antibacterial agents. One of the natural ingredients that can be used as an antibacterial agent is watermelon peel. Watermelon peel (Citrullus lanatus) has many medical benefits, one of which is as an antibacterial agent. Watermetoln peel turns out to contain phytochemicals such as flavonoids, terpenoids, tannins, saponins, and alkaloids that can act as antibacterial. Objectives: To determine and determine the effectiveness of watermelon peel extract (Citrullus lanatus) in inhibiting the growth and killing bacterial colonies of Streptococcus mutans (ATCC 25175) and Streptococcus sanguinis (ATCC 10556) and to compare the effectiveness of watermelon peel extract with chlorhexidine (positive control). Methods: The effectiveness of watermelon peel extract contained Streptococcus mutans(ATCC 25175) and Streptococcus sanguinis (ATCC 10556) seen from the Minimum Inhibitory Concentration (MIC) test and Minimum Killing Concentration (MBC) test with concentrations of watermelon peel extract used were 30%, 20%, and 10%. Furthermore, these results were analyzed by using One Way Anova statistical test. Results: Watermelon peel extract (Citrullus lanatus) could inhibit the growth and kill the bacterial colonies of Streptococcus mutans (ATCC 25175) and Streptococcus sanguinis (ATCC 10556) with a MIC value of 10% and MBC of 10%. Through the One Way Anova statistical test, the results showed that there was no significant difference in the effectiveness of watermelon peel extract with chlorhexidine (p ³ 0.05). Conclusion: Watermelon peel extract (Citrullus lanatus) can inhibit bacterial growth and kill bacterial colonies of Streptococcus mutans (ATCC 25175) and Streptococcus sanguinis (ATCC 10556) so that it can be an antibacterial agent against dental caries."

"Studi ini bertujuan untuk mengetahui efek aplikasi SDF pada anak usia 36-71 bulan dalam menghentikan karies aktif dan menurunkan faktor risiko karies. Sampel yang digunakan adalah anak-anak PAUD Rama-rama yang dibagi menjadi dua kelompok secara acak: kelompok kontrol dan perlakuan. Skor karies dan pH plak anak diperiksa sebelum dan tiga bulan setelah dilakukan aplikasi SDF. Kuesioner ADA Caries Risk Assessment diisi oleh ibu subjek saat baseline. Terdapat perbedaan bermakna pada jumlah karies aktif dan pH plak anak kelompok perlakuan setelah dilakukan aplikasi SDF. Dapat disimpulkan bahwa SDF berpotensi efektif dalam menghentikan karies aktif gigi sulung dan menurunkan faktor risiko karies.

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The study aimed to assess the effect of SDF application to 36-71 months children in arresting active caries and decreasing caries risk factor. Samples were children at PAUD Rama-rama, randomly divided into two groups: control and intervention group. Caries score and plaque pH were examined before and three months after SDF application. ADA Caries Risk Assessment questionnaire was filled by subject’s mother. There were significant differences at number of active caries and plaque pH in intervention group after SDF application. It was concluded that SDF was potentially effective in arresting active caries on primary teeth and decreasing caries risk factor. rama randomly divided into two groups which are control and intervention group Teeth caries score and plaque pH were examined before and three months after SDF application ADA Caries Risk Assessment questionnaire was answered by subject rsquo s mother Result There were significant differences at number of active caries on decayed teeth p 0 000 mean SD 2 61 2 44 extracted teeth p 0 001 mean SD 1 10 2 80 and plaque pH p 0 008 mean SD 6 53 0 40 in control gorup compared to intervention group after SDF application Conclusion SDF was potentially effective in arresting active caries on primary teeth and decreasing caries risk factor."

"ABSTRAKRuang Lingkup dan Cara Penelitian: Mikoflora yang merupakan bagian dari plak yang melekat di permukaan gigi dan tumbuh dalam biakan anaerob adalah jamur Actinomyces. Di Indonesia, penelitian terhadap mikoflora Actinomyces sebagai bagian dari komposisi plak belum pernah dilaporkan. Penelitian ini bertujuan untuk menentukan prevalensi Actinomyces pada plak di dalam kavitas karies, kalkulus dan permukaan utuh gigi; apakah terdapat perbedaan prevalensi menurut lokalisasi plak pada permukaan gigi. Bahan pemeriksaan diambil dari penderita yang datang ke Laboratorium Ilmu Penyakit Mulut FKGUI. Bahan pemeriksaan adalah kerokan jaringan karies di bagian 2/3 oklusal dan bagian 1/3 servikal, kerokan kalkulus supragingiva dan subgingiva, serta kerokan plak pada permukaan utuh gigi. Bahan pemeriksaan dikelompokkan menurut macam penderita, yakni penderita karies (I), penderita kalkulus (II), dan penderita karies dan kalkulus (III). Bahan tersebut dibiak dan diisolasi secara anaerob dalam medium BHI cair. Hasil biakan dianggap positif berdasarkan morfologi sal, dan bentuk makrokoloni dan mikrokoloni Actinomyces sp.Hasil dan Kesimpulan: Telah diperiksa 65 penderita karies dan/atau kalkulus. Pada kelompok I dan II, mikoflora Actinomyces lebih sering ditemukan pada plak di permukaan utuh gigi (14,8% dan 13,3%). Pada kelompok III, Actinomyces lebih sering ditemukan pada plak di dalam kavitas karies di bagian 1/3 servikal (23%). Berdasar lokalisasi plak, pada setiap kelompok tidak ditemukan perbedaan yang bermakna prevalensi Actinomyces. Mikoflora yang ditemukan dari isolasi anaerob sebagian besar (90,7%) adalah Actinomyces AR. yang fakultatif anaerob.

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ABSTRACT

Scope and Method of Study: The mycoflora isolated from dental plaques and grown anaerobically are fungi which belong to the genus Actinomyces. In Indonesia, the study of Actinomyces sp. as a part in the composition of dental plaque has not been reported. This study was taken to determine the prevalence of Actinomyces as a part of dental plaque the cavity of caries, on calculus and in the plaque deposited on the smooth teeth surface, whether the prevalence differ according to the location of the plaque. The clinical materials were taken from patients who attended the Laboratory of Oral Medicine of the School of Dentistry of the University of Indonesia. The materials are caries tissues taken from 2/3 occlusal and 1/3 cervical of the tooth, curettage of supragingival and subgingival calculus and from plaques deposited on the smooth teeth surface. The material was divided into three groups according to the condition of the patients: the patients with caries (I), patients with calculus (II), and patients with both caries and calculus {III). The samples were cultured on BHI broth and isolated anaerobically. The identification of positive cultures was based on the morphology of the cell, as well as by studying the shape of macro and microcolonies.

Findings and Conclusions: A total of 65 patients had been observed. In group I and II, Actinomyces sp. was found most frequently on plaques of the smooth teeth surface (14,8 % and !3,3 %, respectively). In group III, Actinomyces sp. was most frequent on plaques in the cavity of caries at 1/3 cervical part of the teeth {23 %). There were no significant difference on the prevalence of Actinomyces sz. in the third group in relation to the location of the plaque. The majority of the mycoflora (90,7 %) isolated anaerobically are facultative anaerobic Actinomyces sp."

"Latar Belakang: Early Childhood Caries (ECC) adalah karies yang menyerang anak-anak pada umur dibawah 71 bulan, sedangkan Severe – Early Childhood Caries (S-ECC) adalah ECC yang keparahannya ekstensif. Salah satu faktor utama terjadinya ECC adalah bakteri Streptococcus mutans dan progresitifitas dari ECC dapat didukung oleh adanya jamur Candida albicans, tetapi hubungan antara Streptococcus mutans, Candida albicans, dan tingkat karies masih dipertanyakan. Tujuan: Mengetahui kuantitas dan hubungan antara antigen Streptococcus mutans serotipe c dan Candida albicans dari plak gigi yang dikorelasikan dengan OHI-S dan dmft pada pasien ECC dan S-ECC. Metode: Kuantitas antigen Streptococcus mutans serotipe c dan Candida albicans dari 37 sampel plak gigi pasien ECC dan S-ECC diukur menggunakan metode ELISA. Nilai optical density dideteksi pada panjang gelombang 450 nm kemudian dikorelasikan dengan OHI-S dan kategori ECC serta S-ECC. Hasil: Analisis statistik dengan menggunakan uji Mann – Whitney untuk menguji perbedaan kuantitas Streptococcus mutans serotipe c pada kelompok sampel ECC dan S-ECC didapatkan nilai p=0,424. Sedangkan uji Independent T test untuk menguji perbedaan kuantitas Candida albicans pada kelompok sampel ECC dan S-ECC didapatkan nilai p=0,535. Selanjutnya dilakukan pengujian Mann Whitney untuk menganalisis perbedaan kuantitas Streptococcus mutans serotipe c pada kelompok sampel OHI-S sedang dan OHI-S baik dan didapatkan nilai p=0,070. Untuk menguji kuantitas Candida albicans pada kelompok sampel OHI-S sedang dan OHI-S baik menggunakan uji independent T test didapatkan nilai p=0,353. Hasil analisis uji korelasi Spearman antara kuantitas antigen Streptococcus mutans serotipe c dan Candida albicans pada kategori ECC didapatkan hasil korelasi linier negatif kuat (r=-0,900 ; p=0,037). Serta hasil analisis uji korelasi Pearson antara kuantitas antigen Streptococcus mutans serotipe c dan Candida albicans pada kategori S-ECC didapatkan hasil kecenderungan korelasi linier positif lemah (r=0,018 ; p=0,923). Kesimpulan: Tidak terdapat perbedaan bermakna antara kuantitas Streptococcus mutans serotipe c dan Candida albicans yang diambil dari plak gigi pasien ECC dan S-ECC serta pada beberapa derajat OHIS dan terdapat hubungan antara antigen Streptococcus mutans serotipe c dan Candida albicans dari plak gigi ECC dan S-ECC.

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Background: Childhood Caries (ECC) is caries that attacks children under the age of 71 months, while Severe - Early Childhood Caries (S-ECC) is an ECC of extensive severity. One of the main factors of ECC is the Streptococcus mutans and the progression of ECC can be supported by the presence of the Candida albicans, but the relationship between Streptococcus mutans, Candida albicans, and ECC is still questionable. Objective: To determine the quantity and relationship between Streptococcus mutans serotype c and Candida albicans antigens from dental plaque correlated with OHI-S and dmft in ECC and S-ECC patients. Methods: The quantity of Streptococcus mutans antigens serotype c and Candida albicans from 37 dental plaque samples of ECC and S-ECC patients were measured using the ELISA method. Optical density values ​​were detected at a wavelength of 450 nm and then correlated with OHI-S and ECC and S-ECC categories. Results: Statistical analysis using the Mann-Whitney test to test differences in the quantity of Streptococcus mutans serotype c in the ECC and S-ECC sample groups showed a value of p = 0.424. While the Independent T test to test differences in the quantity of Candida albicans in the ECC and S-ECC sample groups obtained p = 0.535. Mann Whitney test was then performed to see differences in the quantity of Streptococcus mutans serotype c in the moderate OHI-S and good OHI-S sample groups and obtained p = 0.070. To test the quantity of Candida albicans in the moderate OHI-S and good OHI-S sample groups both using the independent T test, p = 0.353 was obtained. Spearman correlation test analysis results between the quantity of Streptococcus mutans serotype c and Candida albicans antigens in the ECC category showed strong negative linear correlation results (r = -0,900; p = 0.037). And the results of the Pearson correlation test analysis between the quantity of Streptococcus mutans serotype c and Candida albicans antigens in the S-ECC category showed a positive weak linear correlation trend (r = 0.018; p = 0.923). Conclusion: There was no significant difference between the quantity of Streptococcus mutans serotype c and Candida albicans taken from the dental plaque of ECC and S-ECC patients and to some degree of OHIS and there was a relationship between Streptococcus mutans serotype c antigens and Candida albicans from ECC dental plaque and S-ECC."

"Salah satu cara pencegahan karies adalah menyikat gigi. Streptococcus mutans dan Streptococcus sobrinus memiliki peranan pada terjadinya karies. Daun sirih dalam pasta gigi perlu diuji sebagai pencegah terjadinya karies.Tujuan: Menganalisis pengaruh pasta gigi daun sirih terhadap jumlah Streptococcus mutans dan Streptococcus sobrinus.Metode: Jumlah Streptococcus mutans dan Streptococcus sobrinus dari sampel plak dan saliva dikuantifikasi dengan menggunakan real-time PCR.Hasil: Terdapat perbedaan bermakna antara 3 jam setelah menyikat gigi dengan sebelum menyikat gigi pada Streptococcus mutans di plak.Kesimpulan: Terjadi penurunan jumlah Streptococcus mutans dan Streptococcus sobrinus setelah menyikat gigi menggunakan pasta gigi mengandung daun sirih.

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Brushing tooth is one of technique to prevent caries. Streptococcus mutans and Streptococcus sobrinus have role in development of caries. Betel leaf ingredient in toothpaste needs to be studied as caries prevention.Aim: To analyze the effect of betel leaf toothpaste against levels of Streptococcus mutans and Streptococcus sobrinus.Methods: Streptococcus mutans and Streptococcus sobrinus from plaque and saliva samples were quantified by real-time PCR.Result: There was significant difference between before brushing and three hoursafter brushing on amount of Streptococcus mutans in dental plaque.Conclusion:The levels of Streptococcus mutans and Streptococcus sobrinus showed reductionafter brushing tooth."

"Latar Belakang: Prevalensi karies gigi anak di Indonesia yang tinggi disebabkan karena perilaku ibu yang buruk dalam menjaga kebersihan gigi anaknya. Tujuan: Mengetahui peran lembar balik dan lembar evaluasi KMGS dalam merubah perilaku ibu terhadap kesehatan gigi mulut balita. Metode: melakukan pelatihan kader menggunakan lembar balik, pemeriksaan kesehatan gigi mulut balita, kemudian dievaluasi setelah diintervensi menggunakan lembar evaluasi KMGS. Hasil: terdapat peningkatan (57,15%) bermakna (p<0,05) perilaku ibu pada kelompok intervensi, penurunan bermakna (p<0,05) indeks plak (60%) dan skor kematangan plak (25,71%) anak. Kesimpulan: media lembar balik efektif meningkatkan perilaku ibu.

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Background: The high prevalence of early childhood caries in Indonesia is caused bymother’s behaviour of maintaining children’s oral hygiene.

Purpose: to know aboutthe role of flipchart and KMGS in maintaining mother's behaviour toward children's dental health.

Methods: training for cadre by using flipchart, examination of children's dental and oral health and evaluating after the intervention by using KMGS.

Results: there’s a significant improvement (57.15%) of mother’s behaviour (p<0,050) in intervention group, a significant reduction (p<0.05) of child plaque index (60%) and plaque maturity score (25.71%).

Conclusion: flipchart is an effective media to improve mother’s behaviour."

"Latar Belakang: Sampai saat ini tingkat penyakit gigi dan mulut di Indonesia masih sangat tinggi yaitu 57,6% dari total populasi dan penyakit karies mencapai 88,8% dari jumlah tersebut. Terdapat beberapa metode untuk mendeteksi karies, dan salah satu metode yang paling sering digunakan adalah kombinasi pemeriksaan klinis dan pemeriksaan radiografis. Akan tetapi, lesi karies dini sering kali tidak terdeteksi. Saat ini computed radiography memiliki kelebihan yaitu dapat meningkatkan kualitas gambaran radiografik dengan menggunakan imaging tools berupa filter, yang diharapkan dapat meningkatkan akurasi deteksi lesi karies dini. Tujuan: Penelitian ini membandingkan akurasi gambaran radiografik tanpa filter dan penggunaan beberapa filter dalam digital imaging processor untuk deteksi lesi karies dini. Metode: Penelitian dilakukan dengan desain laboratorik eksperimental dengan metode uji diagnostik. Penelitian ini menggunakan lima set model gigi posterior, terdiri dari 16 gigi dengan 42 permukaan tidak memiliki karies, dan 36 permukaan dengan simulasi karies dini buatan. Data primer berupa gambaran radiografik tanpa filter dan menggunakan filter yang diperoleh dengan menggunakan digital imaging processor yaitu sistem storage phosphor plate Vistascan©. Seluruh gambaran radiografik tanpa filter, filter fine, caries 1, caries 2 dan HD (High Diagnostic) dinilai oleh tiga orang pengamat yang menyatakan ada atau tidak ada lesi karies dini. Hasil: Berdasarkan hasil uji statistik paired T-test, didapatkan hasil gambaran filter HD dan fine memiliki nilai sensitivitas yang lebih tinggi secara signifikan dibandingkan gambaran tanpa filter (p < 0,05). Gambaran filter caries 1 dan caries 2 tidak memiliki perbedaan yang signifikan dibandingkan dengan gambaran tanpa filter. Tidak terdapat perbedaan yang signifikan pada spesifisitas antara gambaran sebelum dan sesudah penggunaan filter. Nilai akurasi keseluruhan antara gambaran tanpa filter dan gambaran dengan filter meningkat secara signifikan hanya pada gambaran filter HD (p < 0,05). Kesimpulan: Gambaran filter HD menunjukkan nilai sensitivitas, spesifisitas, dan akurasi keseluruhan tertinggi diantara gambaran filter-filter yang ada dalam sistem Vistascan maupun gambaran tanpa filter. filter HD juga merupakan satu-satunya filter yang memiliki nilai akurasi keseluruhan lebih tinggi secara signifikan dibandingkan gambaran tanpa filter.

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Background: Until now, record of 57.6% of the total population in Indonesia has oral diseases, with caries lesion problems amounting to 88.8% of these diseases. This can be interpreted as caries being highly prevalent in Indonesia. There are some methods to detect caries lesion, with one of the most popular method being combined clinical and radiographic examination. Nevertheless, early caries lesion is frequently undetected. Computed radiography offers the privilege of original image quality enhancement through imaging tools such as filters and is expected to increase the accuracy of early caries lesion detection. Objective: The aim of this study was to compare the accuracy of original radiographic images, and images which have been enhanced with specific filters on digital imaging processor for detection of early caries lesion. Methods: The type of research conducted was laboratory experiment research with diagnostic test methods. This research used 5 working model, containing 16 tooth with research 42 tooth surfaces were sound, and 36 had early caries lesions. Primary data were used in the form of radiographic images in several filters made by Vistascan storage phosphor plate system. All of the radiographic images were assessed by 3 observers who recorded the presence or absence of early caries lesions. Results: Using statistical paired T-test, the sensitivity of HD and fine filter images were significantly higher than the non-filter images (p < 0.05). The caries 1 and caries 2 images did not differ significantly than the original images. There is no significant difference between the specificity of original filter images and filter enhanced images. The overall accuracy between original filter images and filter enhanced images increased significantly only on HD filter (p < 0.05). Conclusion: HD filter showed the highest sensitivity, specificity, and overall accuracy from all other filters and the original images. Furthermore, HD filter is the only filter modalities that had significantly higher overall accuracy than the original images. Therefore, there is a significant increase in accuracy from the original images and filter enhanced images."