Overview of Dental Caries and Treatment Needs in Early Childhood
DOI:
https://doi.org/10.46862/interdental.v21i3.11144Keywords:
Caries, children, early childhood, treatment need.Abstract
Introduction: The prevalence of dental caries in children remains high in Indonesia. Primary teeth are particularly vulnerable to caries, yet parental awareness of children's oral health is often insufficient. As a result, children with caries often do not receive proper treatment. It is unfortunate when caries occur at an early age. This study aims to describe the occurrence of dental caries and the need for dental treatment in early childhood.
Material and Methods: This study utilized a descriptive-analytic method with a cross-sectional approach, which involved 52 children, aged 3 to 5 years. Dental caries were assessed using the def-t index, while treatment needs were evaluated with the Required Treatment Index (RTI). The data collected were analyzed descriptively and further examined using the Mann-Whitney and Spearman's rank correlation test.
Results and Discussions: The prevalence of dental caries in children was 57.69%, with an average def-t score of 2.62. Caries were most commonly found in the upper jaw, particularly affecting the primary first incisors, followed by the primary molars. The treatment needs index (RTI) was 99.26%, indicating that most carious teeth were left untreated, requiring dental treatment. There was no significant caries difference between boys and girls (p > 0.05). However, a significant correlation was found between age and caries frequency (p < 0.05).
Conclusion: The average caries rate in primary teeth falls within the low category. However, nearly all affected teeth require treatment. Among children aged 3 to 5 years, caries prevalence tends to increase with age, and no difference between boys and girls.
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References
1. Bramantoro T, Irmalia WR, Santoso CMA, Nor NAM, Utomo H, Ramadhani A, et al. The Effect of Caries on the Chewing Ability of Children: A Scoping Review. Eur J Dent 2023;17(4):1012-1019. Doi:10.1055/s-0042-1758066
2. Oktarina, Tumaji, Roosihermiatie B. Korelasi faktor ibu dengan status kesehatan gigi dan mulut taman kanak-kanak di Kelurahan Kemayoran Kecamatan Krembangan, Kota Surabaya. Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan 2016; 19(17): 226–235. Doi: 10.22435/hsr.v19i4.6815.227-235
3. Fatimatuzzahro N, Prasetya RC, Amilia W. Gambaran perilaku kesehatan gigi anak sekolah dasar di Desa Bangalsari Kabupaten Bantaeng. Jurnal IKESMA 2016; 12(2): 85.
4. Soesilawati P. Imunogenetik karies gigi. Surabaya: Airlangga University Press; 2020.
5. Uribe SE, Innes N, Maldupa I. The global prevalence of early childhood caries: A systematic review with meta‐analysis using the WHO diagnostic criteria. Int. J. Paediatr. Dent 2021; 31(6): 817-30. Doi: 10.1111/ipd.12783
6. Kementeian Kesehatan RI. Laporan nasional riskesdas 2018. Jakarta: Lembaga Penerbit Balitbangkes; 2019.p. 197-200.
7. Badan Kebijakan Pembangunan Kesehatan. Laporan tematik survei kesehatan Indonesia tahun 2023: Potret Indonesia sehat. Jakarta: Kementerian Kesehatan RI; 2024.
8. Suratri MA, Jovina TA, Indirawati TN. Pengaruh (pH) saliva terhadap terjadinya karies gigi pada anak usia prasekolah. Buletin Penelitian Kesehatan 2017; 45(4): 241-8. Doi: 10.22435/bpk.v45i4.6247.241-248
9. Rahina Y. Dental health education with online group conversation and counseling methods improving knowledge, motivation, and behavior of mother of preschool children at Saraswati Foundation (exploratory sequential mixed-method study). Dissertation. Denpasar: Udayana Univerity; 2022.
10. Panda S, Quadri MF, Hadi IH, Jably RM, Hamzi AM, Jafer MA. Does dental fear in children predict untreated dental caries? An analytical cross-sectional study. Children(Basel) 2021; 8(5): 382. Doi: 10.3390/children8050382
11. Khan SY, Schroth RJ,Cruz de Jesus V, et al. A systematic review of cariesrisk in children <6 years of age. Int J Paediatr Dent 2024; 34: 410-431. Doi:10.1111/ipd.13140
12. Mount GJ, Hume WR. Preservation and restoration of tooth structure. 2nd ed. Dental Caries-The Major Cause of Tooth Damage. ed. McIntyre, JM. Queensland: Knowledge books and software; 2005.
13. Lin YT, Chou CC, Lin YT. Caries experience between primary teeth at 3–5 years of age and future caries in the permanent first molars. J. Dent. Sci 2021; 16(3): 899-904. Doi: 10.1016/j.jds.2020.11.014
14. Widiyawati C, Sugito BH, Marjianto A. Pengetahuan ibu tentang penambalan karies gigi sulung di TK Dharma Wanita Panjunan Kabupaten Sidoarjo. IJOHM 2023; 3(4): 15-25.
15. Putri M, Marlindayanti M, Ismalayani I. Gambaran frekuensi minum susu botol dengan kejadian rampan karies pada anak TK di Kecamatan Kalidoni. JKGM 2020; 2(2): 19-22.
16. Mahmoud N, Kowash M, Hussein I, Hassan A, Al Halabi M. Oral health knowledge, attitude, and practices of Sharjah mothers of preschool children, United Arab Emirates. J Int Soc Prev Community Dent 2017; 7(6): 308-14. Doi: 10.4103/jispcd.JISPCD_310_17
17. Rodelo JJV, Jau RAG, Barreras CMU, Celaya GEG, Jiménez MVG, Cruz CAM, et al. Factors associated with the development of dental caries among schoolchildren in northwest Mexico. J Clin Pediatr Dent. 2025; 49(1): 14-23. doi: 10.22514/jocpd.2025.002.
18. Santamaría RM, Splieth CH, Basner R, Schankath E, Schmoeckel J. Caries Level in 3-Year-Olds in Germany: National Caries Trends and Gaps in Primary Dental Care. Children 2024; 11(12): 1426. Doi: 10.3390/children11121426
19. Tinanoff N, Baez RJ, Diaz Guillory C, Donly KJ, Feldens CA, McGrath C, Phantumvanit P, Pitts NB, Seow WK, Sharkov N, Songpaisan Y. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. Int. J. Paediatr. Dent 2019; 29(3): 238-48. Doi: 10.1111/ipd.12484
20. Rahina Y, Januraga PP, Wirawan IMA, Wedagama DM & Elang P. Counseling method increasing knowledge, motivation, and behavior in mothers of preschool children. Proceeding in DFCT2022. 2022: May Fah Luang; 305-308.
21. Rahina Y, Iswari DIGAAC, Pratama IWAW, Duarsa P. Tingkat pengetahuan kesehatan gigi pada orang tua anak usia prasekolah. Interdental Jurnal Kedokteran Gigi (IJKG) 2019;15(2): 60-66. Doi: 10.46862/interdental.v15i2.593
22. Edi SI, Rohmah A, Purwaningsih E, Perilaku menyikat gigi dengan karies gigi molar pertama permanen pada siswa kelas III SDN Panaongan III Kecamatan Pasongsongan Sumenep. JDHT 2021; 2(2): 45-51. Doi: 10.36082/jdht.v2i2.339
23. Fauzia RA, Badruddin IA, Setiawati F, 2019, Association between early childhood caries and feeding pattern in 3- to 5-year-old children in Grogol Utara, South Jakarta. Pesqui. Bras. Odontopediatria Clín. Integr 2019; 19 e5080: 1-10. Doi: 10.4034/PBOCI.2019.191.112
24. Srivastava VK, Badnaware S, Kumar A, Khairnar M, Chandel M, Bhati V, Gupta P, Sonal S, Ramasamy S. Prevalence of most caries-susceptible area on individual primary tooth surface: an observational study. J. Clin. Pediatr. Dent 2024; 48(2): 111-120. Doi: 10.22514/jocpd.2024.040
25. Manepalli DS, Nuvvula PS. Caries prevalence and susceptibility of surfaces on individual primary teeth in children of Nellore Town. Int. J. Sci. Res 2020; 9(2): 76-78. Doi: 10.36106/ijsr
26. Silaban S, Gunawan PN, Wicaksono D. Prevalensi kaires gigi geraham pertama permanen pada anak umur 8-10 tahun di SD Kelurahan Kawangkoan Bawah. e-Gigi 2019; 1(2): 1-8. Doi: 10.35790/eg.1.2.2013.3147
27. Younis SM, Ahmed K, Mand W, Fatah SH. The correlation between BMI and dental caries/tooth eruption among 12 years old school children in both private and governmental in Erbil City. Eurosian J. Sci. Eng 2023; 9(2): 1-11. Doi: 10.23918/eajse.v9i2p1
28. Margaretha MS, Utomo H, Chusida A, Rizky BN, Widayanti BF, Prakoeswa R, Marini MI, Annariswati IA, Kurniawan A. Unveiling dental age patterns in a Chinese population: A study in Surabaya using the Demirjian method. World Journal of Advanced Research and Reviews 2023; 19(01): 529–534. Doi: 10.30574/wjarr.2023.19.1.1352
29. Ortiz S, Herrman E, Lyashenko C, Purcell A, Raslan K, Khor B, Snow M, Forsyth A, Choi D, Maier T, Machida CA. Sex-specific differences in the salivary microbiome of caries-active children. J. Oral Microbiol 2019; 11(1): 1653124. Doi: 10.1080/20002297.2019.1653124
30. Ali M, Nurjazuli N, Sulistiyani S, Budiono B, Hanani Y. Analisis faktor risiko lingkungan dan perilaku pada kejadian karies gigi anak sekolah dasar di Kecamatan Kempas Kab. Indragiri Hilir. J. Ners 2024; 8(1): 667-74. Doi: 10.31004/jn.v8i1.21534
31. Liversidge HM. Tooth eruption and timing. a companion to dental anthropology. 1st ed. Irish JD, Scott GR. West Sussecx. John Wiley & Sons, Inc.; 2015: 159–171.
32. Setty JV, Ila S.. Knowledge and awareness of primary teeth and their importance among parents in Bengaluru City, India. Int J Clin Pediatr Dent 2016; 9(1): 56–61. Doi: 10.5005/jp-journals-10005-1334
33. Dean JA. McDonald and avery’s dentistry for the Child and Adolescent. 10th ed. Jones JE, Avery DR, McDonald RE. St Louis: Elsevier; 2016
34. Bintari T, Prasetyowati S, Isnanto. Peningkatan pengetahuan kader UKGS tentang cara menjaga kesehatan gigi dan mulut melalui penyuluhan (pada anak SD Kelas IV dan V SDN Pajeruan 2 Sampang). Indonesian. J Health And Medical 2022; 2(3): 361-366.
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