Efektifitas Berbagai Macam Teknik Penggunaan Topical Application Fluoride terhadap Karies Anak
DOI:
https://doi.org/10.35790/eg.v13i1.57611Abstract
Abstract: Fluoride can be utilized in two ways, systemically, through the digestion of the mineral; and locally, through the topical application of fluoride containing solutions. When fluoride is applied to tooth surface, the fluoride ions replace hydroxide ions in the hydroxyapatite crystals of the tooth form, which will promote remineralization by reducing tooth solubility. The direct approach of fluoride to the tooth base is known as topical fluoride application (TAF). This study aimed to determine the effectiveness of various topical application fluoride (TAF) application techniques on pediatric caries in the form of a systematic review. Article searching used google schoolar database, pubmed, web of science, and manual searching. The results obtained eight articles that met the criteria from 258 article searching results. The use of trays with fluoride gel was effective in reducing caries in children and adolescents. Fluoride varnish applied every 3-6 months could significantly reduce the incidence of dental caries. The use of fluoride mouthwash twice a day could reduce plaque and improve overall dental health. Regular use of fluoride toothpaste could reduce the incidence of caries by 30%. In conclusion, each type of topical fluoride application technique has its own superiority. Moreover, the right combination of techniques and frequency of application according to individual need provides the best result.
Keywords: topical application fluoride; dental caries; application method
Abstrak: Fluorida dapat dimanfaatkan dengan dua cara, yaitu secara sistemik melalui pencernaan mineral oleh tubuh, dan secara lokal melalui aplikasi fluorida secara topikal menggunakan larutan fluorida. Ketika fluorida diaplikasikan pada permukaan gigi, ion fluorida menggantikan ion hidroksida dalam kristal hidroksiapatit pada bentuk gigi, yang akan meningkatkan remineralisasi dengan mengurangi kelarutan gigi. Pendekatan langsung fluorida ke dasar gigi dikenal sebagai aplikasi fluorida topikal. Penelitian ini bertujuan untuk mengetahui efektifitas berbagai macam teknik penggunaan topical application fluoride (TAF) terhadap karies anak dalam bentuk systematic review. Penelusuran menggunakan database google schoolar, pubmed, web of science, dan manual searching. Hasil penelitian mendapatkan delapan artikel yang memenuhi kriteria dari 258 hasil pencarian artikel. Penggunaan tray dengan gel fluoride efektif dalam mengurangi karies pada anak dan remaja. Fluoride varnish yang dioleskan setiap 3-6 bulan dapat mengurangi insiden karies gigi secara bermakna. Penggunaan obat kumur fluorida dua kali sehari dapat mengurangi plak dan meningkatkan kesehatan gigi secara menyeluruh. Penggunaan pasta gigi berfluorida secara rutin dapat mengurangi kejadian karies hingga 30%. Simpulan penelitian ini ialah setiap macam teknik aplikasi topical application fluoride yang tepat memiliki keunggulan masing-masing, serta kombinasi teknik dan frekuensi sesuai dengan kebutuhan individu memberikan hasil terbaik.
Kata kunci: topical application fluoride; karies gigi; metode aplikasi
References
Ryzanur MFA, Widodo, Adhani R. Hubungan antara pengetahuan kesehatan gigi dengan nilai indeks DMF-T siswa sekolah menengah pertama. Dentin. 2022;6(1):2. Available from: https://doi.org/10.20527/dentin.v6i1.6226
Survei Kesehatan Indonesia (SKI) (2023). Badan Kebijakan Pembangunan Kesehatan Kementrian RI tahun 2023. Available from: https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka
Setianingtyas P, Nurniza N, Attamimmi FA. Pencegahan karies dengan aplikasi topikal fluoride pada anak usia 12-13 tahun. Jurnal Pengabdian Kepada Masyarakat. 2019;25(2):75. Available from: https://doi.org/ 10.24114/jpkm.v25i2.13177
Clark MB, Keels MA, Slayton RL. Fluoride use in caries prevention in the primary care setting. Pediatrics. 2020 Dec 1;146(6):1. Available from: https://doi.org/10.1542/peds.2020-034637
Munteanu A, Holban AM, Păuna MR, Imre M, Farcașiu AT, Farcașiu C. Review of professionally applied fluorides for preventing dental caries in children and adolescents. Applied Sciences (Switzerland). 2022;12(1054):1. Available from: https://doi.org/10.3390/app12031054
Hati AK, Dyahariesti N, Richa Y. Optimasi formula pasta gigi kombinasi ekstrak boesenbergia pandurata dan cymbopogon nardus dengan bahan pengikat CMC-Na dan carbomer. JURNAL Kefarmasian Indonesia. 2021;11(1):26. Available from: vhttps://doi.org/10.22 435/jki.v11i1.2317
Arum YP, Maritasari DY, Antoro B. Faktor-faktor yang berhubungan dengan kejadian karies gigi pada remaja di klinik gigi cheese bandar lampung tahun 2022. Dental Health Journal. 2023;10(1):23. Available from: https://doi.org/10.33992/jkg.v7i1
Willianti E, Theodora, Parmasari WD. Pencegahan karies gigi melalui aplikasi topikal fluoride terhadap siswa-siswi kelas II SDN dukuh kupang V surabaya. Jurnal Abdidas. 2024;5(2):65. Available from: https://doi.org/10.31004/abdidas.v5i2.897
Theresia TT, Goalbertus, Nurifai FH. The Relationship Of Frequency Of Instant Food Consumption And Energy Drinks’ Consumption With Prevalence Of Caries. Jurnal Kesehatan Gigi. 2023;10(1):8. Available from: https://doi.org/10.31983/jkg.v10i1.9129
Devi MS, Ahmed A. Effectiveness of fluoride gel application in prevention of dental caries and its sensitivity in post-radiation of head and neck cancer patient. J Hematol Oncol. 2023;12(1):25. Doi: 10.37591/RRJoOH
Parkinson CR, Hara AT, Nehme M, Lippert F, Zero DT. A randomised clinical evaluation of a fluoride mouthrinse and dentifrice in an in situ caries model. J Dent. 2018;70(1):59. Available from: https://doi.org/10.1016/j.jdent.2017.12.015
Rahma A, Dewi N, Putri DKT. Pengaruh aplikasi sodium fluoride 2% terhadap ph plak dan ph saliva anak usia 7-9 tahun. Jurnal Kedokteran Gigi. 2020;4(3):70,72. Available from: https://doi.org/10.20527/dentin.v4i3.2593
Ginta EA, Putri RMH, Praptiwi Y, Supriyanto I. Gambaran pengetahuan tentang topikal aplikasi fluor (TAF) pada orang tua anak usia sekolah dasar. Jurnal Kesehatan Siliwangi. 2020;1(1):15 Available from: https://doi.org/10.34011/jks.v1i1.611
Annisa, Ahmad I. Mekanisme fluor sebagai kontrol karies pada gigi anak. Journal of Indonesian Dental Association. 2018;1(1):63. Available from: https://doi.org/10.32793/jida
Seno PW, Mardiunti AD, Putri DS, Khoerunisa I, Oktadewi FD. School-based flouride mouth rinse (S-FMR) sebagai upaya pencegahan karies pada anak. Odonto Dental Journal. 2020;7(2):136. Available from: 10.30659/odj.7.2.134-142
Hatipoğlu Z, Yavlal Gö, Kargül B. Effects of different fluoride-containing toothpastes on in vitro enamel remineralization. Bezmialem Science. 2019;7(1):13. Available from: https://doi.org/10.14235/bas. galenos.2018.1810
Keratibumrungpong K, Trairatvorakul C, Jirakran K, Govitvattana N. A Comparison of the fluoride ‘paint- on’ vs tray application techniques for enamel remineralisation. Int Dent J. 2024;1(1):2. Available from: https://doi.org/10.1016/j.identj.2024.03.003
Shabrina FN, Hartomo BT. Pemberian topical application fluor untuk initial caries pada pasien anak. Journal of Oral Health Care. 2020;8(2):8–9. Available from: http://dx.doi.org/10.29238
Nurilawaty V, Budiarti R, Erwin E, Purnama T. Pencegahan karies gigi melalui aplikasi fluoride varnish terhadap murid sd islam teladan al hidayah. GEMAKES Jurnal Pengabdian Kepada Masyarakat. 2021;1(2):90–2. Available from: https://doi.org/10.36082/gemakes.v1i2.370
Obi AL, Pinat LMA, Ayatullah MI. Penyuluhan dan pemberian aplikasi flouride varnish untuk meningkatkan pengetahuan anak dalam mencegah karies gigi. EJOIN. 2023;19:950–1. Available from: https://doi.org/10.55681/ejoin.v1i9.1530
Balian A, Campus G, Bontà G, Oliveira ME, Salerno C, Cirio S, et al. Long-term caries prevention of dental sealants and fluoride varnish in children with autism spectrum disorders: a retrospective cohort study. Sci Rep. 2022;12(1):2. Available from: https://doi.org/10.1038/s41598-022-12176-7
Mascarenhas AK. Validating the safety of fluoride varnish. J Am Dental Assoc. 2021;152(5):364. Available from: https://doi.org/10.1016/j.adaj.2021.01.013
Alvarez F, Russo N, Coser E, Botelho FL, Gomes FM, Pedroso C, et al. Remineralizing effect of commercial fluoride varnishes on artificial enamel lesions. Braz Oral Res. 2019;33(44):2. Available from: https://doi.org/10.1590/1807-3107bor-2019.vol33.0044
Radha S, Kayalvizhi G, Adimoulame S, Prathima GS, Muthusamy K, Ezhumalai G, et al. Comparative evaluation of the remineralizing efficacy of fluoride varnish and its combination varnishes on white spot lesions in children with ECC: a randomized clinical trial. Int J Clin Pediatr Dent. 2020;13(4):311–2. Available from: 10.5005/jp-journals-10005-1673
Sonesson M, Brechter A, Abdulraheem S, Lindman R, Twetman S. Fluoride varnish for the prevention of white spot lesions during orthodontic treatment with fixed appliances: a randomized controlled trial. Eur J Orthod. 2020;42(3):326-30. Doi: 10.1093/ejo/cjz045. PMID: 31197364.
Wang Z, Rong W, Xu T. Effect of fluoride varnish in preventing dental caries of first permanent molars: a 24-Month cluster randomized controlled trial. Int J Environ Res Public Health. 2022;19(16656):8. Available from: https://doi.org/10.3390/ijerph192416656
Hayaza WT, Jeddy, Laksmiastuti SR. Acidulated phosphate fluoride sebagai bahan pencegahan karies gigi anak: a scoping review (Laporan Penelitian). Jurnal Kedokteran Gigi Terpadu. 2022;4(2):63. Available from: https://doi.org/10.25105/jkgt.v4i2.15548
Sirat NM. Pengaruh aplikasi topikal dengan larutan NaF dan SnF2 dalam pencegahan karies gigi. Jurnal Kesehatan Gigi. 2018;2(2):224-8. Available from: https://doi.org/10.33992/jkg.v2i2.606
Piszko PJ, Piszko A, Jan K, Adam L, Wojciech D, Wiglusz RJ, et al. The influence of fluoride gels on the physicochemical properties of tooth tissues and dental materials—a systematic review. Gels. 2024;10(98):2. Available from: https://doi.org/10.3390/gels10020098
Szybka AT, Piotrkowicz Z, Prokopczyk M, Kowalczyk DO, Sierakowski M, Gozdowski D, et al. Concentration of fluoride in saliva after fluoride gel application: a randomised clinical trial. Int Dent J. 2024;74(1):799. Available from: https://doi.org/10.1016/j.identj.2024.01.005
Loyola APP, Rodriguez MM, Santillana RLR, Pacheco MGR, Granillo HI, Rosado JFC, et al. Control of dental caries in children and adolescents using fluoride: an overview of Community-Level Fluoridation Methods. Pediatr Rep. 2024;16(1):244. Available from: https://doi.org/10.3390/pediatric16020021
Dwimega A. Penggunaan pasta gigi bagi anak. Jurnal Kedokteran Gigi Terpadu. 2023;(1):124–5. Available from: 10.25105/jkgt.v5i1.16952
Kurnia P, Rahmi E, Nofika R, Setiawan Y, Yemima E. Efektivitas edukasi penggunaan pasta gigi yang mengandung fluoride terhadap peningkatan pengetahuan ibu tentang kesehatan mulut. Jurnal Ilmu Kesehatan Masyarakat. 2022;11(5):418. Available from: https://doi.org/10.33221/jikm.v11i05.1584
Supriyatin S, Solikhah S, Al Sas O. Daya hambat obat kumur dengan kandungan povidone iodine dan metil salisilat terhadap pertumbuhan Staphylococcus aureus. Jurnal Multidisiplin Indonesia. 2023;2(1):82. Available from: https://doi.org/10.58344/jmi.v2i1.145
Arianto, Andriyani D. Penyuluhan pemeliharaan kesehatan gigi dan mulut, pemeriksaan gigi, sikat gigi bersama pada siswa tk asmai rahman bandar lampung. JOMPA ABDI: Jurnal Pengabdian Masyarakat. 2023;2(1):31. Available from: https://doi.org/10.57218/jompaabdi.v2i1.588
Kermanshah H, Ahmadi E, Rafeie N, Rafizadeh S, Omrani LR. Vickers micro-hardness study of the effect of fluoride mouthwash on two types of CAD/CAM ceramic materials erosion. BMC Oral Health. 2022;22(1):6. Available from: https://doi.org/10.1186/s12903-022-02135-z
Weyant RJ, Tracy SL, Anselmo TT, Beltrán-Aguilar ED, Donly KJ, Driscoll HF, et al. Topical fluoride for caries prevention: Executive summary of the updated clinical. J Am Dental Assoc. 2021;5(2):632-641. Available from: 10.14219/jada.archive.2013.0057
Chou, R. Cantor A. Zakher B. Mitchell J P. Pappas M. Preventing dental caries in children <5 years. Pediatrics. 2019;144(6):11. Doi: 10.1542/peds.2013-1469
Sirivichayakul P, Jirarattanasopha V, Phonghanyudh A, Tunlayadechanont P, Khumsub P, Duangthip D. The effectiveness of topical fluoride agents on preventing development of approximal caries in primary teeth: a randomized clinical trial. BMC Oral Health. 2023;23(349):1. Available from: https://doi.org/10.1186%2Fs12903-023-03045-4
Walsh T. Worthington HV, Glenny AM, Marinho VC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database. 2018;1(12):15-6. Available from: https://doi.org/10.1002/14651858.cd007868.pub3
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