Efektivitas Tindakan Skeling terhadap Perawatan Gingivitis di Rumah Sakit Gigi dan Mulut Universitas Sam Ratulangi Manado

Abstract

Abstract: The most common periodontal disease is gingivitis which is caused by biofilm accumulation on plaque around the gingival margin and inflammatory response to bacteria. Scaling is used to eliminate bacterial and calculus deposits that cause gingivitis. This study was aimed to determine the effectiveness of scaling in gingivitis treatment. This was a pre-experimental study with one group pre and post test design. Samples were obtained by using total sampling technique. There were 30 patients aged 17-45 years that had scaling performed on them at RSGM in 2019. Gingivitis was observed before and after scaling using the modified gingival index (MGI). The results showed that before scaling, there were mild gingivitis 23.30%, moderate gingivitis 70%, and severe gingivitis 6.70%. Two days after scaling, mild gingivitis and moderate gingivitis were observed 50% each. The paired sample t-test showed a p-value of 0.000. In conclusion, scaling is effective in gingivitis treatment based on the assessment using the modified gingival index.

Keywords: gingivitis, scaling, modified gingival index

Abstrak: Penyakit periodontal yang paling sering dijumpai yakni gingivitis (peradangan gingiva). Gingivitis disebabkan oleh akumulasi biofilm pada plak di sekitar margin gingiva dan respon peradangan terhadap bakteri. Tindakan untuk menghilangkan deposit bakteri dan kalkulus yang menyebabkan gingivitis salah satunya ialah tindakan skeling. Tujuan penelitian ini untuk mengetahui efektivitas tindakan skeling terhadap perawatan gingivitis. Jenis penelitian ialah pra eksperimental dengan one grup pre and post test design. Pengambilan sampel menggunakan teknik total sampling terhadap pasien yang berusia 17-45 tahun yang dilakukan tindakan skeling di RSGM pada tahun 2019 berjumlah 30 orang. Penelitian ini dilakukan dengan melihat gingivitis sebelum skeling dan setelah skeling melalui pengukuran keparahan gingiva menggunakan modified gingival index (MGI). Hasil penelitian menunjukkan bahwa sebelum skeling gingivitis ringan 23,30%, gingivitis sedang 70%, gingivitis berat 6,70%. Dua hari pasca skeling didapatkan gingivitis ringan dan gingivitis sedang sama besar yaitu masing-masing 50%. Hasil uji t berpasangan menunjukkan nilai p=0,000. Simpulan penelitian ialah tindakan skeling efektif terhadap perawatan gingivitis berdasarkan penilaian modified gingival index.

Kata kunci: gingivitis, skeling, modified gingival index