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Journal of

Dental Study, Dental Clinics, Dental Prospects

Original Article

The Importance of Dental Treatment Needs for Permanent First


Molar to Indonesian Elementary School Students
Dainatun Hayati1*•Frida A. Priyadie2•Nok Mega2•Siti Rizqa Ayu Djayanti3•Yunisa Rosalina4
1
Dental therapist Student, Department of Dental Nurse, Health Polytechnic of Tasikmalaya, the Ministry of Health, Indonesia
2
Dental therapist Student, Department of Dental Nurse, Health Polytechnic of Tasikmalaya, the Ministry of Health, Indonesia
3
Dental therapist Student, Department of Dental Nurse, Health Polytechnic of Tasikmalaya, the Ministry of Health, Indonesia
4
Dental therapist Student, Department of Dental Nurse, Health Polytechnic of Tasikmalaya, the Ministry of Health, Indonesia
*Corresponding Author; E-mail: nokmega17@gmail.com

Received: 14 September 2018; Accepted: 04 October 2018 J


Dent Res Dent Clin Dent Prospect 2018; 4(2):52-55
This article is available from: http://dentalnursetasikmalaya.com/

© 2018 The Authors; Health Polytechnic of The Health Ministry Tasikmalaya


This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://dentalnursetasikmalaya.com/), which
permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract
Background and aims. The permanent first molar is very important, because it is so important tooth if this tooth has a
problem, it must be treated immediately. In spite of their enormous importance, permanent first molar might be affected by
caries in children in developing countries. The aim of this study was to announce the importance of dental treatment needs
for permanent first molar to Indonesian elementary school students.
Materials and methods. This study was carried out on 7-12 years old of 1520 patient’s elementary student from all
dental therapists clinic then would be taken 150 patient of elementary student from population, the data was taken based on
gender and age, the treatments (TAF, Fissure Sealant, ART, Glass Ionomer Filling, Endodontic treatment, Extraction and
Prostodontic) and DMF-T index. After coding of variables, all of data were gathered and computerized the SPSS Software
was use to describe the frequency and percentage of all patient. Chi-square and Mann-Whitney were used for data analysis.
Results. A total of 150 students (75 boys and 75 girls) with an age range 7-12 years were surveyed from 38 in all
Indonesian dental therapists clinic. The DMFT index in permanent first molars was 85.33% in the present study. Our results
showed that 85.33% of elementary school student needed some type of treatment, which is more than other studies. There
was significant different in need for filling. In our study some treatment had the greatest need for filling (39.4%) and
Prostodontic (31.5%).
Conclusion. High treatment needs and caries prevalence in permanent first molar in Indonesia Elementary School student
show that dental caries is still important problem in the children of our society, therefore educating the parents and teachers
in the importance of permanent first molars and promoting children’s oral health care is necessary.
Key words: Caries prevalence, first molar, DMF-T and dental treatment needs
First Molar Treatment Needs to Elementary Student 53
Introduction assess the treatment needs for primary and permanent
teeth in Children. This tudy got the data from dental

T he first permanent molars are the most


important, because considered a key of
occlusion system. The common causes of
record and odontogram among 7-12 years old or
elementary student in all Indonesian dental therapists
clinic, the data was taken and reevaluated to seen the
losing permanent first molar was dental caries, if the condition of elementary student permanent first molar. A
first permanent molar was losing by dental caries, it total of 1520 patient’s elementary student from all dental
could create a hollow space with the result the therapists clinic then would be taken 150 patient of
neighbooring teeth could be shifting and supereruption elementary student from population, the data was taken
of the teeth in the opposite arch. By it’s the opposite based on gender and age, the treatments (TAF, Fissure
teeth would be down and occupying to the hollow Sealant, ART, Glass Ionomer Filling, Endodontic
space and finally would be imperfection on the treatment, Extraction and Prostodontic) and DMF-T
mastication system or malocclusion. index.
The cause of losing permanent first molar teeth The type of data in this study was secondary data
was usually by dental caries which left and the which obtained from patients elementary student data
assumtion of parents who considered that permanent collection in all Indonesian dental therapists clinic, in the
first molar was first molar (decidui teeth). Based on form of DMF-T index data. The DMF-T index was the
Riset Kesehatan Dasar (RISKESDAS, 2013)the instrument for measuring experiences of primary tooth
prevalance of dental caries in Indonesia increased to caries, where the meaning of D code was Decay (caries),
53.2% from 2007. The first permanent molar teeth the meaning of M code was Missing (missing teeth by
usually erupt when a Child is six years of age, at this caries) and the meaning of F code was Filling (good
age is the right time to doing topical application of sealant).
fluoride (TAF) treatment. This treatment highly After coding of variables (Gender, treatment,
recommended for a new eruption of permanent teeth And DMF-T) all of data were gathered and computerized
and the function to strengthen enamel surface of tooth the SPSS Software was use to describe the frequency and
not be occur by dental caries (Ni Made, 2014). it should percentage of all patient. Chi-square and Mann-Whiteney
be noted that occlusal surfaces of permanent first molar used for data analysis.
has several pits and fissures that make them
suscepticable to dental caries (Dental schoolchildren, Results
2009) in this condition was recommended to do the A total of 150, 7-12 year-old of elementary
treatment pit and fissure sealant. If in the surface of students were surveyed, consisting of 75 (50%) girls and
enamel we found a black spot which is first 75 (50%) boys. All the subjects were in mixed dentition
characteristic of dental caries we should to do ART period. The chi-square was used to compare DMFT
sealant treatment. This black spot became tooth cavity between genders.
and made painfull without the treatment, so we should
to do Glass Ionomer or resin composite sealant. If the Table 1: Distribution frequency of respondent by gender
condition of dental caries was achieved the cavum pulp
Gender (n) (%)
then it should to do endodontic treatment and if the Girls 75 50
tooth could not maintain it should be exodontia and Boys 75 50
prostodontic treatment.
To maintain the prevalence of dental caries in
Indonesia for not to increasing every year and because Total 150 100
the first permanent molar are utmost of importance in
children for balanced mastication system and the It was significantly higher in girls (DMFT =
generally treatment must be done to maintenance the 65.55%) than boys (DMFT = 63.83%) in maintain teeth.
permanent first molar which mentioned above, we Chi-Square and Mann-Whitney ware used to compare
decide to announce the importance of dental treatment DMFT between the two gender groups.
needs for permanent first molar to Indonesian
elementary school students. Table 2: DMFT in permanent first molar by gender

Gende D M F Total
Materials and Methods r
N % N % n % n %
The present study was carried out by (Bunga Female 2 50.0 15 30.0 10 20 50 100.0
2016) student of Bachelor Dental Therapist in Health 5
Male 4 51.3 25 32.1 13 16.7 78 100.0
Polytechnic of Tasikmalaya, the Ministry of Health to
JODDD, Vol. 4, No. 2 Autumn 2018
First Molar Treatment Needs to Elementary Student 54
0 required some type of treatment. From 150 children
Total 6 50.8 40 31.2 23 18.0 12 100.0 examined, 17 (13.4%) needed for topical application of
5 8 fluor, 5 (3.9%) needed fissure sealant and 50 (39.4%)
Table 3: Comparison analysis DMFT by gender required filings. The needed for pulp care 15 (11.8%),
and Prosthodontic treatment 40 (31.5%). Chi-square was
Gender N Mean Rank
Girls 50 65.55 used to evaluate the relationship between gender and type
Boys 78 63.83 of treatment needs. There was significant different in
Total 128 need for filling.
Table 4 shows the results for dental treatment needs by
gender. A total of (85.33%)of the study population

Table 4: Dental treatment needs in first permanent molar by gender

Discussion low level of parental awareness about the important of


permanent first molar and the oral health of children.
A total of 150 students (75 boys and 75 girls) Parents and teachers must be instructed in the
with an age range 7-12 years were surveyed from 38 in importance of permanent first molars in the oral cavity,
all Indonesian dental therapists clinic. The DMFT index oral hygiene, decreasing the frequency of sugar
in permanent first molars was 85.33% in the present consumption, use of multiple delivery systems of
study. Our results showed that 85.33% of elementary fluoride and routine chek up. It should be emphatically
school student needed some type of treatment, which is that insurance policies do not cover the costs of dental
more than other studies. There was significant different treatments and preventive measures which play an
in need for filling. In our study some treatment had the important role in the lack of access to oral health service
greatest need for filling (39.4%) and prostodontic systems in our society.
(31.5%).
It was found that the boys had more need for Conclusions
filling and prostodontic treatments for permanent first
molar. As a result, boys had more treatments need than Permanent first molar are the most important
girls, which might be attributed to a greater attention teeth but missing of permanent first molar is a common
paid to oral health by girls in comparison with boys. finding in this selected population. High treatment needs
It was concluded that (13.4%) in Indonesian of and caries prevalence in permanent first molar in
elementary school student needed TAF, (3.9%) for Indonesian Elementary School student show that dental
fissure sealant, (11.8%) for pulp care, (31.5%) for caries is still important problem in the children of our
prostodontic and for filling had the greatest need society, therefore educating the parents and teachers on
(39.4%) Treatment needs for primary and permanent the importance of permanent first molars and promoting
teeth have been evaluted in a number of studied by children’s oral health care is necessary.
Bunga and in our study has only to announce the
parents and teachers about the importance of dental References
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JODDD, Vol. 4, No. 2 Autumn 2018
First Molar Treatment Needs to Elementary Student 55
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JODDD, Vol. 4, No. 2 Autumn 2018


JODDD, Vol. 4, No. 2 Spring 2010