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"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."

"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."

"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."

"Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan karies gigi pada murid SD di Kota Jambi Tahun 2014. Penelitian menggunakan desain cross sectional. Hasil penelitian diperoleh 59,3% responden karies gigi. Susunan gigi dan derajat keasaman saliva merupakan faktor yang berhubungan dengan karies gigi, dimana responden dengan derajat keasaman saliva yang tidak normal berisiko terjadi karies gigi 2,6 kali dibanding yang normal setelah dikontrol oleh susunan gigi dan kebersihan gigi dan mulut. Susunan gigi tidak teratur berisiko terjadi karies gigi 2,6 kali dibanding yang teratur, setelah dikontrol oleh derajat keasaman saliva dan kebersihan gigi dan mulut. Disarankan untuk meningkatkan upaya promotif dan preventif pada murid SD di Kota Jambi.

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The purpose of this study to determine the factors associated with dental caries in primary school students in the city of Jambi 2014. The study used a cross-sectional design. The results were obtained 59.3 % of respondents dental caries. Arrangement of the teeth and saliva acidity is a factor associated with dental caries, where respondents with the degree of acidity abnormal salivary caries risk occurs 2.6 times compared to normal after controlled by the arrangement of teeth and oral hygiene. The composition of irregular teeth caries risk occurs 2.6 times compared to regular, once controlled by the acidity of saliva and oral hygiene. It is recommended to increase the promotive and preventive primary school students in the city of Jambi."

"ABSTRAKPatogenesis ECC dipengaruhi oleh salah satu faktor virulensi Streptococcus mutans yang berasal dari protein S.mutans. Tujuan : Menganalisis perbedaan profil protein S.mutans diisolasi dari permukaan lidah pasien ECC dan bebas karies. Metode : Profil protein S.mutans diisolasi dari permukaan lidah diperoleh melalui metode SDS PAGE dan dibaca melalui pita protein yang terlihat pada gel poliakrilamida. Hasil : Pita protein terlihat pada gel poliakrilamida. Terlihat perbedaan frekuensi ekspresi protein S.mutans pada 13 kDa, 29 kDa, 39 kDa, 41,3 kDa, 74 kDa dan 94,5 kDa pasien ECC dan bebas karies. Kesimpulan : Terdapat perbedaan profil protein S.mutans yang diisolasi dari permukaan lidah pasien ECC dan bebas karies.

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ABSTRACTPathogenesis of ECC is influenced by one of virulence factors from protein S.mutans. Objective To analyze the difference of S.mutans protein profiling which is isolated from tongue surface in ECC dan free caries subjects. Method Protein Profiling of S.mutans isolated from tongue surface was obtained from SDS PAGE method. It was read by protein band which expressed on polyacrylamide gel. Result Protein band was present on polyacrylamide gel. This study found the different frequencies in protein expression of S.mutans 13 kDa, 29 kDa, 39 kDa, 41,3 kDa, 74 kDa dan 94,5 kDa in ECC and free caries subjects. Conclusion There is difference of S.mutans protein profiling isolated from tongue surface in ECC and free caries subjects."

"Karies merupakan salah satu komplikasi yang umumnya terjadi pada gigi impaksi. Penelitian yang membahas mengenai distribusi frekuensi karies pada gigi impaksi sudah banyak dilakukan di berbagai negara, namun di Indonesia masih sedikit. Penelitian ini bertujuan untuk memperoleh informasi mengenai distribusi frekuensi karies pada gigi molar tiga kelas IA di Rumah Sakit Khusus Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Indonesia. Jenis penelitian ini adalah studi deskriptif yang bersifat retrospektif dengan sampel penelitian berupa data sekunder yang diperoleh dari kartu status pasien RSKGM FKGUI periode Januari 2010-Juli 2013. Dari penelitian ini didapatkan hasil bahwa prevalensi impaksi molar tiga bawah kelas IA sebesar 42,5% dari 496 kasus impaksi molar tiga bawah. Rasio laki-laki : perempuan yang mengalami impaksi molar tiga kelas IA adalah 1:1,7. Mayoritas pasien berusia 17-35 tahun dan kebanyakan berasal dari suku Jawa (44,1%). Sebanyak 23,2% pasien mengalami karies pada gigi impaksinya dan umumnya terjadi pada impaksi mesioangular (17,2%). Permukaan oklusal merupakan daerah yang paling rentan terhadap terjadinya karies baik pada impaksi mesioangular, vertikal, horizontal, maupun transverse, yaitu sebanyak 59,6%.

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Caries is one of the complications commonly arise in impacted teeth. Studies concerning frequency distribution of caries in impacted third molar are widely available in several countries, but not in Indonesia. This study aims to get information regarding frequency distribution of caries in class IA impacted third molar among patients of Rumah Sakit Khusus Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Indonesia. Research was done using retrospective descriptive study through observation of patient’s status cards at RSKGM FKGUI from January 2010 to July 2013.

The results indicate that prevalence of class IA impacted third molar is 42.5% out of 496 cases of all impacted mandibular third molar. Gender ratio of male to female is 1: 1.7, whereas the majority of the patients are aged 17-35 years old and of Javanese origins (44.1%). Some patients have caries in their impacted third molar (23.2%), especially in mesioangular impaction (17.2%). Occlusal surface accounts for the most susceptible site to caries in class IA impacted third molar (59.6%) in all mesioangular, vertical, horizontal and transversal impaction."

"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."

"Latar belakang: Indonesia memiliki jumlah lansia yang banyak dan akan terus bertambah setiap tahunnya. Karies gigi dan karies akar merupakan masalah kesehatan gigi dan mulut yang sering dialami oleh lansia. Perilaku kesehatan gigi dan mulut merupakan salah satu faktor penyebab karies yang dapat dimodifikasi. Tujuan penelitian ini adalah untuk mengetahui hubungan perilaku kesehatan gigi dan mulut pada status karies gigi dan akar lansia di tahun 2018. Metode: Desain studi cross-sectional menggunakan data Riskesdas 2018. Jumlah sampel sebanyak 4678 subjek usia 60 tahun ke atas. Hasil: Prevalensi karies gigi dan karies akar lansia Indonesia secara berturutturut adalah 95,7% dan 95,5%. Lansia Indonesia memiliki skor rerata decay, missing, filled teeth (DMFT) sebesar 15,6 (SE 0,1) dan skor median root caries index (RCI) sebesar 38,9% (IQR 10%,77,8%). Sembilan dari sepuluh lansia Indonesia tidak mengunjungi tenaga medis gigi dalam setahun terakhir. Uji korelasi Spearman menunjukkan bahwa perilaku menyikat gigi, konsumsi makanan manis, konsumsi minuman manis, dan berkunjung ke tenaga medis gigi memiliki korelasi (p < 0,05) pada skor rerata DMFT lansia Indonesia. Hal yang mirip juga terlihat pada skor median RCI lansia Indonesia, kecuali pada korelasinya dengan makanan manis. Selain itu, perbedaan skor rerata DMFT terlihat antara kategori sosiodemografi usia, tingkat pendidikan, status ekonomi, pekerjaan dan daerah domisili. Perbedaan status karies akar juga terlihat antara kategori sosiodemografi usia, tingkat pendidikan, status ekonomi, daerah domisili, dan jaminan kesehatan. Kesimpulan: Terdapat hubungan antara perilaku kesehatan gigi dan mulut dengan status karies lansia di Indonesia. Program preventif karies, peningkatan kunjungan dokter gigi, dan adanya kebijakan pemerintah untuk menurunkan konsumsi gula pada lansia disarankan.

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Background: Indonesia has a large number of elderly and will continue to grow every year. Dental caries and root caries are dental and oral health problems that are often experienced by the elderly. Dental and oral health behavior is one of the modifiable causes of caries. The purpose of this study was to determine the relationship between dental and oral health behavior on the dental caries status and roots of the elderly in 2018. Methods: Cross-sectional study design using Riskesdas 2018 data. The number of samples was 4678 subjects aged 60 years and over. Results: The prevalence of dental caries and root caries in the Indonesian elderly were 95.7% and 95.5%, respectively. Indonesian elderly have a mean decay, missing, filled teeth (DMFT) score of 15.6 (SE 0.1) and a median root caries index (RCI) score of 38.9% (IQR 10%, 77.8%). Nine out of ten Indonesian seniors did not visit dental personnel in the past year. Spearman correlation test showed that the behavior of brushing teeth, consumption of sweet foods, consumption of sugary drinks, and visits to dental medical personnel had a correlation (p < 0.05) on the average DMFT score of the Indonesian elderly. The same thing is also seen in the median RCI score of the Indonesian elderly, except for the correlation with sweet foods. In addition, differences in DMFT mean scores were seen between sociodemographic categories of age, education level, economic status, occupation and area of ​​domicile. Differences in root caries status were also seen between sociodemographic categories of age, education level, economic status, area of ​​domicile, and health insurance. Conclusion: There is a relationship between dental and oral health behavior and the caries status of the elderly in Indonesia. A caries prevention program, an increase in dentist visits, and a government policy to reduce sugar consumption in the elderly are recommended."

"Latar Belakang: ECC merupakan penyakit multifactorial pada anak. Tujuan: menganalisis korelasi antara viskositas saliva, frekuensi menyikat gigi dan asupan karbohidrat dengan skor dmft pada anak ECC usia 3 – 5 tahun. Metode: viskositas saliva, frekuensi menyikat gigi, dan asupan karbohidrat dari 21 subjek dianalisis korelasinya dengan skor dmft menggunakan regresi linier. Hasil: koefisien korelasi (r): antara asupan karbohidrat dengan skor dmft adalah 0,569; viskosita saliva dengan skor dmft adalah 0,389; dan frekuensi menyikat gigi dengan skor dmft adalah – 0,179. Korelasi dari ketiga faktor diperoleh F-hitung = 3,19 > F-tabel (0,05) = 2,43743. Kesimpulan: ketiga faktor berkorelasi terhadap skor dmft dengan asupan karbohidrat menunjukkan korelasi yang kuat untuk terjadinya ECC.

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Background: ECC is a multifactorial desease in children.

Aim: analyzed the correlation between the viscosity of saliva, tooth brushing frequency and carbohydrate intake with dmft score in ECC aged 3 – 5 years.

Methods: the correlation from 21 data viscosity of saliva, tooth brushing frequency, and carbohydrate intake were analyzed with dmft score using linear regression

Results: the correlation coefficient (r): between carbohydrate intake with dmft score was 0.569; the viscosity of saliva with dmft score was 0.389; and the frequency of tooth brushing with dmft score was – 0.179. Correlation of three factors obtained F-count = 3.19 > F-table (0,05) = 2.43743.

Conclusion: The three factors correlate to dmft score with carbohydrate intake showed a strong relationship to the ECC."

"Karies merupakan penyakit gigi yang banyak dijumpai pada anak-anak usia sekolah dasar di Indonesia. Walaupun tidak menimbulkan kematian, sebagai akibat dari kerusakan gigi dan jaringan pendukung gigi, dapat mennurunkan tingkat produktivitas seseorang, karena dari aspek biologis akan dirasakan sakit, sehingga aktivitas belajar, makan dan tidur terganggu. Penelitian ini dilakukan di Sekolah Dasar Negeri kelas 1 yang ada di Wilayah Kerja puskesmas Walantaka. Penelitian ini bertujuan untuk mengetahui fakor prilaku yang mempengaruhi status karies gigi pada siswa sekolah dasar dengan desain cross sectional dan alat yang digunakan untuk mengumpulkan data berupa kuesioner. Hasil Penelitian menunjukkan bahwa 238 (69,4%) dari 343 anak yang menderita karies gigi, jenis kelamin terbanyak adalah perempuan 114 (74%). Dari penelitian ini faktor yang paling beresiko terhadap status karies gigi siswa adalah Cara anak menyikat gigi (PR = 2,557), Frekuensi sering mengkonsumsi jajanan manis (PR = 2,197), Pekerjaan ibu (PR = 2,051) dan Frekuensi sikat gigi (PR = 1,782). Usaha untuk menurunkan angka karies gigi pada anak yaitu dengan meningkatkan kegiatan program Usaha Kesehatan Gigi Sekolah, melalui promotif dan preventif tentang kesehatan gigi dan mulut, melalui pemeriksaan gigi dan mulut secara rutin ke sekolah-sekolah sehingga dapat diambil tindakan untuk mencegah dan menanggulangi masalah kesehatan gigi dan mulut pada anak sekolah.

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Dental caries is a disease that is common in children of primary school age in Indonesia. Although no cause of death, as a result of tooth decay and tooth supporting tissues, may lower a person's level of productivity, because of the biological aspects will be felt sick, so the learning activities, eat and sleep undisturbed.

The research was conducted at the State Primary School Grade 1st in the Work Area Walantaka clinic. This study aims to determine the behavior factor affect the status of dental caries in primary school students with the cross- sectional design and the tools used to collect data in the form of a questionnaire.

Research results showed that 238 (69.4%) of 343 children who suffer from dental caries, is the most sex women 114 (74%). From this study the risk factors for dental caries status of students is the way children brushing their teeth (PR = 2.557), frequency often consume sugary snacks (PR = 2.197), maternal work (PR = 2.051) and frequency toothbrush (PR = 1.782).

Efforts to reduce the number of dental caries in children by increasing activity UKGS program, through promotion and prevention of oral health through oral examination regularly to schools so that they can take action to prevent and addressthe problem of oral health on school children. "