EFEKTIFITAS PENCEGAHAN KARIES DENGAN A TRAUMATIC RESTORATIVE TREATMENT DAN TUMPATAN GLASS IONOMER CEMENT DALAM PENGENDALIAN KARIES DI BEBERAPA NEGARA

Abstract

Worldwide caries is still mainly problem in oral and dental diseases. In developing countries 30%-90% of 12-years old children do not get oral and dental treatment. In Indonesia, several programs have been implemented to improve oral and dental health status for all age groups. How over, a few reports/National dental health profile showed that mean DMF-T tend to increase, year 1970 DMF-T=0,70, 1980 DMF-T= 2,30, 1990 DMF-T=2,70, and National Health Research (Riskesdas) 2007 DMFT=4,8. In National Health Research 2007, it was revealed 29,8% of active caries found in 12-years old children. If the active caries are not managed further complication will occure that may cause teeth extraction. An early teeth extraction can influence mastication and general health. Atraumatic Restorative Treatment (ART) is a preventive and restorative approach for managing carious lesions ofthe teeth. It constitutes of hand instruments only (no electric drills used) for widening cavity openings and for excavating soft decayed tissue from within the cavity, followed by the application of an adhesive dental material, usually a high-viscosity glass-ionomer (GIC) filling material, into the cavity and over the adjacent pits and fissures. ART-GIC consepts are minimally invasive, inhibit further progression ofdental caries., preventive, as well as curative. Effectiveness of ART-GIC can be determined by successrate of ART-GIC fillings (F) and effect of ART-GIC on both Decayed (D) and Performance Treatment Index (PTI). Several studies showed that success rate ART-GIC are varies, around 71%-85%. There is no significant difference of success rate ART-GIC between dentis and dental nurses. The highest rate of Fluor release occurred on the first day after ART-GIC filling. Further more ART-GIC also inhibit new caries, as well as inhibit increased DMF-T. The increasing of F, may influence improvement of PTI (PTI around 50%-52%). Additional can improve dental health services. It is suggested that implementation of ART-GIC is needed in outreach areas with limited facilities; in all primary schools,all health services, under-5 years children, geriatric groups (Panti Wreda). As an alternative way to conduct ART-GIC development through dental nurses. More over suggested, although it is a simple method, a careful implementation of ART-GIC are need to be concern. Thus sustainability of continuing ART-GIC education and training is needed. Key words: Atraumatic Restorative Treatment (ART), Glass lonomer Cement (GiC), Efektifitas ART dan GIC