Abstract
Tooth and mouth disease is one of the health problems that many people complain. Tooth decay in children occurs due to lack of knowledge and independence of children in maintaining oral health. As the result, it can produce more plaque. Purpose: To determine the differences between the effectiveness of chewing Pineapple and Star fruit to reduce dental plaque for children aged 10-12 years. Methods: This study used 60 peoples and divided into three groups namely the intervention group (I: chewed pineapple; II: chewed Star Fruit and III: brushes teeth as control group). Data was analyzed with non parametric Wilcoxon test and the Kruskal wallis test. Results: The plaque index before intervention were 0,73 + 0,18 on group I, 0,78 + 0,19 on group II, and 0,83 + 0,18 on group III. After intervention plaque index were 0,47 + 0,18 on group I, 0,64 + 0,19 on group II, and 0,36 + 0,23 on group III. A significant difference existed in each groups in the reduction of dental plaque index. Comparing between group there were a significant differences existed between groups but the biggest decrease diference of plaque index occurred after being treated for brushing teeth (group III). Conclusion: Treatment chewing pineapple and star fruits can decrease dental plaque but brushing teeth was more effective in reducing the dental plaque.
Highlights
Dental and oral health can affect to body health [1]
Based on the results of the study there was a significant difference between decreasing the plaque index after chewing pineapple, chewing star fruit, and brushing teeth
Bromelin enzymes can break down protein bonds including glutamine-alanine which is used by bacteria as an attachment media, so that it can inhibit the attachment between bacteria and pellicles
Summary
Dental and oral health can affect to body health [1]. According to WHO data (World Health Organization, 2013), an increase in the prevalence of dental caries in the 12-year age group, which is 13.7% from 28.9% in 2007 to 42.6% in 2013. According to Carranza (2012) the factors of dental and oral diseases are age, sex, socioeconomic, education, employment, fruit and vegetable consumption, physical activity, smoking, diabetes mellitus, tooth brushing, stroke, hypertension, and stress [3]. Fruits and vegetables contain fiber that is very effective and it can be useful as a natural tooth cleaner. Notohartojo (2016) reported that 93 percent of Indonesian peoples were still less of consuming fruits and vegetables (
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