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удК616.314-002-035.2-053.5(910)(045)=111 Оригинальная статья PReVeNtIVe INteRVeNtION OF PIt FISSURe SeALANt tO ReDUCe New DeNtAL CARIeS INCIDeNCe IN tHe StUDeNt OF SUMBANGSIH PRIMARY SCHOOLS JAkARtA Risqa Rina Darwita – Indonesia, Jakarta, University of Indonesia, Faculty of Dentistry, Department of Dental Public Health and Preventive Dentistry, Lecturer., DDS., PhD; Iwany Amalliah – Indonesia, Jakarta, University of Indonesia, Faculty of Dentistry, Department of Dental Public Health and Preventive Dentistry, Lecturer., DDS.

ПрофилактичеСкое Покрытие ЗУБныХ фиССУр для Снижения риСка воЗникновения кариеСа У СтУдентов начальной Школы СУмБанджи Риска Рина Дарвита – Индонезия, Джакарта, Университет Индонезии, Факультет Стоматологии, Кафедра Общественной и Профилактической Стоматологии, Доктор Стоматологии, Доктор Философии; Ивани Амалиа – Индонезия, Джакарта, Университет Индонезии, Факультет Стоматологии, Кафедра Общественной и Профилактической Стоматологии, Доктор Стоматологии.

дата поступления – 4.04.10 г. дата принятия в печать – 15.06.2010 г.

Risqa Rina Darwita, Iwany Amalliah. Preventive Intervention of Pit Fissure Sealant to Reduce New Dental Caries Incidence in the Student of Sumbangsih Primary Schools Jakarta. Saratov Journal of Medical Scientific Research, 2010, vol. 6, № 2, p. 386-388.

the limitation on dental personnel at local community health center to cover the performing on dental school health service, the prevention for dental caries disease in school children in Jakarta and other area of indonesia are not successful yet. in order to reduce dental caries in school children, pit fissure sealant technique as a preventive intervention for dental caries prevention activities. the aim of this study to determine whether a pit fissure sealing teeth represents an effective method of decreasing the incidence of new dental caries, to gain the parents, teachers and Sumbangsih education foundation acceptance on this new activity. Methods. the subjects were 7-11 year of age of 251 student of Sumbangsih primary School, which located in kemang, South Jakarta and grogol, west Jakarta. intra oral examinations and pit fissure sealing were done in the school dental clinic. the data were analyzed by chi-square test. the results showed that, the number of student who receives pit-fissure sealant in primary school kemang was 38%, and grogol was 62%. the number of tooth with pit fissure sealant in 251 student was 825 tooth, however, the students who were received pit-fissure sealant age of 8 and years old (40.36% and 43.39%) were higher then the other students of age 7, 10 and 11 years old. after 6 month evaluation, the occlusal sealant retention rates are including to, full complete retention in occlusal molar surface was 383 tooth had full retention higher significant than those of partial loss occlusant sealant retention (174 tooth). nevertheless, the occlusal with complete sealant loos was significantly lower (p<0.001) than those of full occlusal sealant retention. the new decay was significantly decrease (p<0001) in all student, and almost 100% of parent of student were accepted the dental caries prevention through pit fissure sealant. further, almost more than 50% of tooth was still having a complete full retention glass-ionomer sealant. conclusions. these findings were described that pit fissure sealant technique as an intervention for dental caries prevention in Sumbangsih primary school student could prevent the expansion of initial decay.

Key word: pit-fissure sealant, dental caries, occlusal retention, and school children Риска Рина Дарвита, Ивани Амалиа. Профилактическое покрытие зубных фиссур для снижения риска возникновения кариеса у студентов начальной школы Сумбанджи. Саратовский научно-медицинский журнал, 2010, том 6, № 2, с. 386-388.

Сокращение медицинского персонала в местных центрах Общественного Здоровья с целью осуществления стоматологического лечения в школах джакарты и других районах Индонезии и профилактики кариеса у детей все еще малоэффективно. для снижения риска возникновения кариеса у школьников используется метод покрытия зубных фиссур в целях профилактики. В основе исследования лежит определение эффективности данного метода и возможности доказать родителям, учителям и представителям образовательного центра Сумбанджи необходимость его применения в рамках детских образовательных учреждений. 251 ребенок в возрасте 7-11 лет, обучающийся в начальных школах джакарты в районах Кеманг, южная джакарта и Грогол, Западная джакарта, был включен в исследование. Обследование ротовой полости и уплотнение зубных фиссур проводиолсь в стоматологических клиниках школы. Полученные данные были проанализированы методом хи-квадрат. Результаты показали, что данному методу лечения подверглись 38 % школьников из Кеманг и 62% из Грогол, в основном дети 8 (40,36%) и 9 (43,39%) лет. Количество зубов – 825, из них после 6 месяцев оценки состояния 383 зуба на окклюзивной молярной поверхности сохранили покрытие полностью, 174 – частично (p<0.001). Количество образоваp<0.001). Количество образова<0.001). Количество образования новых застойных областей снизилось (p<0001) у всех школьников, и 100% родителей одобрили исследуемый метод профилактики возникновения кариеса. 50% из всего количества зубов до сих пор сохраняют стеклянный ионосодержащий полимер. В заключение необходимо отметить, что данная методика профилактики кариеса в начальной школе Сумбанджи может способствовать предотвращению развития новых застойных областей.

Ключевые слова: профилактическое покрытие зубных фиссур, кариес, окклюзивное сохранение, школьники.

Introduction. unlike many other countries in the 1970 the average number of score decay Missing filling world the prevalence of dental caries has increased in tooth (dMft) for 12 years’ olds has risen from 2.30 in indonesia. data from Ministry of health shows that since 1980 to 2.70 in 1990. while the prevalence dental caries disease of children age 8 years old was 45.2%, and Corresponding author: Risqa Rina darwita 72.76% in children age 14 years old.1 the other hand, department of dental public health and preventive dentistry, faculty of dentistry, university of indonesia, reporting from health family oral health survey which deJl. Salemba Raya no. 4 Jakarta 10430, indonesia scribes that dental ache was in the 6th rank after general e-mail: risqarina2004@yahoo.com or risqarina@ui.ac.id Саратовский научно-медицинский журнал. 2010. Том 6. № 2.

StOMAtOLOGY symptom of other disease in health center services [1]. mirror attached to a fiber optic light source. in addition, dental caries therefore is becoming a serious disability standard procedures to prevent cross-infection will be in indonesia. followed including the use of disposable gloves and darwita (2000) was carry out research about dental masks, and having instruments immersed in a solution treatment need in the primary school students in Ja- of cold sterilizing solution for 20 minutes.

karta had indicates that the mean dMfS for 12 year of Dental Sealant and Dental Health Education age group was 3.65 surfaces and the mean dMft was before performing the research, all parents of sub1.78 teeth. in addition, these conditions describes that jects were gave the information about the benefits of the largest proportion of both tooth and surface indices dental sealant that will performed in their children, and for each group was the decayed component, which the the parents who were agree with dental sealant will sign untreated caries is accounted for a mean of 60.8 % of in the inform consent.

surfaces, 69.2 % of tooth, and 50 percent of all decayed the subject will receive dental health education surfaces are occlusal surfaces [2]. this reported clearly program, there is including informing of the role of diet suggests that fissure sealant in particular, as like as sub- in dental caries initiation and progression, information stantial improvements in oral health for most people in about tooth brushing with fluoride toothpaste, and practhe developed country during the 20th century, if intro- tice tooth brushing together at school. after all subjects duced, as a part of a comprehensive program, would be perform tooth brushing together, they will get an intervena great benefit for indonesian children. tion on indicated permanent molar for dental sealant by however, Ministry of health of indonesia as the policy- a conventional method sealant that is a sealant material maker stated that one of the cause of oral health problem, was applied to the dried occlusal molar surface, after such as the limitation on dental personnel at local com- The Data Management and Statistical Analysis munity health center to cover the performing on dental the data is stored in aScii format. before being anaschool health service. nevertheless, the main cause of lyzed, the data is converted into the appropriate statistical the problem is the children are not a ware on oral health program with use the statistical software for pc window.

problem, which because of dental disease is behavioral all collected data were analyzing using chi-square test.

disease. the condition gets even worse when the parents Result. during the study period, the total number of do not care about their children’s oral health condition. 251 children, age 7-11 year was eligible in Sumbangsih therefore efforts to find an efficient and effective primary School. the students were provided dental sermethod for preventing widespread dental caries should vices at Sumbangsih primary School dental clinic. figbe undertaken with same degree of urgency. an ap- ure 1 describes the total number of children who were repropriate method of controlling dental caries taking into ceiving pit fissure sealant in Sumbangsih primary School account on the economic of indonesia circumstances kemang (38%) and grogol (62%).

would suggest to that primary preventive approach shall table.1 describes the total number of tooth indicated be taken. Such methods would include pit and fissure for pit fissure sealant in 251 student was 822 tooth, the sealant is an effective preventive strategy, commonly highest number tooth indicated for pit fissure sealant is used to protect permanent molars from decay. pit and belong to the student age 9 years old (358 tooth) and age fissure sealants have been used for over 30 years and 8 years old (330 tooth). the lowest number tooth indicated are approved by the american dental association, na- for pit fissure sealant is belong to the student age 11 years tional institutes of dental and craniofacial Research, old (2 tooth) and the student age 10 years old (9 tooth).

and the american public health association, and widely the figure 2, describe about the retention of denused as a non-operative preventive method in public tal sealant material for pit-fissure sealant in 822 tooth of dental health in several developed countries, the per- children age 7-11 years old. in those figure indicated that centage of school-aged children with sealants has risen 46 % of pit-fissure sealant was still have full retention in recent years, as one goal of healthy people 2010 is to is still higher significant (p<0.001) than those of partial have 50% of children will receive dental sealants on their loss on pit-fissure sealant material (21%). however, the permanent molars [3-7]. occlusal tooth surfaces with full retention (46%) is still the purpose of this study is to determine whether a higher significant (p<0.001) compare to the tooth with fissure sealing teeth represents an effective method on complete loss on pit-fissure sealant material (30 %).

decreasing the incidence of new dental caries, to gain table 2, indicated that the highest dental material the parents, teachers and Sumbangsih education foun- sealant retention rates is found as a full retention in the dation acceptance on this new activity. children age 9 years old (21.17%), and follows by age of Methods. 8 years old (15.81%), and age 7 years old (8.75%). while Components of the study design: the highest partial loss of sealant in occlusal first molar the type of problem-solving project is preventive surface was found in children age 8 years old (11.56), intervention of pit fissure Sealant (pfS) on healthy this condition was still significant lower (p<0.001) compermanent posterior teeth (first molars) in Sumbangsih pare to the full retention material of pit-fissure sealant in primary school children. the subjects as an intervention children age 8 and 9 years old. in addition, the occlusal group is 7-11 year of age, that will receive routine in- with complete sealant loss in children age 8 and 9 years terventions, there are consist of screening examination, old were significantly lower (p<0.001) than those of the oral hygiene instruction, pit and fissure sealing of first full retention material of pit-fissure sealant in children molar erupted with deeply pit & fissure. the screening age 8 and 9 years old.

examinations will be undertaken by calibrated examiners table.3. describe that decay score in student of as dental students who were experiences in dental clinic Sumbangsih primary School in kemang and grogol work, which to record each subject’s oral health status age of 8 year were significantly decrease from 18 to using the score of decay Missing filling tooth (dMft). (p<0.0001).

The dental examination while the parent of student in Sumbangsih primary the subjects will be examined by dental students in School almost 100% accept pit fissure sealant activities.

the student’s class room by using their table and chairs. Discussion. the results obtained in this study are the oral examinations use a sickle probe and mouth similar to those obtained by others, demonstrating that a Saratov Journal of Medical Scientific Research. 2010. Vol. 6. № 2.

388 Стоматология pit fissure sealant can be used to prevent the expansion References.

of initial caries lesions. the retention of the sealant al1. Ministry of health, Republic of indonesia. oral health promost high and similar than others. Recurrent caries was file in the 6th of five years development programme.1st ed.

directorate of oral health, Ministry of health library. Jakarta:

minimal and occurred in pit fissure areas in which some depkes., 1999: 2-5.

sealant loss had exposed a susceptible pit fissure. al2. darwita R.R. potential use of aRt technique in the Manthough resealing was not used in this study, but several agement of dental caries in the School dental Service in indostudy describe that fluoride will release from the pit fis- nesia. idJ 2000; 7: 56-61.

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