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All Journal Journal of Social Research Jurnal Locus Penelitian dan Pengabdian
Marta Ulina Naibaho
Universitas Padjadjaran
Aerospace Engineering Humanities Automotive Engineering Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Mathematics Social Sciences

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A Scoping Review Comparing Oral Microbial Diversity of Fixed Versus Removable Orthodontic Appliances in Mouth-Breathing Children Marta Ulina Naibaho; Risti Saptarini Primarti
Journal of Social Research Vol. 5 No. 2 (2026): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v5i2.2942

Abstract

Mouth-breathing is a common condition among children undergoing orthodontic treatment, playing a significant role in altering the oral environment. Breathing through the mouth leads to changes in the humidity and temperature of the oral cavity, which can disrupt the balance of the oral microbiome. The study aims to systematically investigate oral microbial diversity in mouth-breathing children undergoing orthodontic treatment and assess the impact of each appliance type. The search process in this review was guided by predetermined clinical questions using the PCC framework: population (P), concept (C), and context (C). Relevant papers published between 2014 and 2024 were identified through PubMed, Scopus, and EBSCOhost databases, following PRISMA-ScR guidelines. Data extraction followed a structured approach, and the JBI Critical Appraisal Checklist was used to assess study quality. Of 204 papers identified, 6 studies met the inclusion criteria. Both appliance types led to shifts in microbial balance, with mouth-breathing children showing overgrowth of facultative anaerobes and reduced aerobic species. This influence appeared more pronounced with fixed appliances. Mouth-breathing in children undergoing orthodontic treatment significantly disrupts the oral microbiome, with fixed appliances showing a more pronounced negative impact on microbial diversity than removable appliances. Further longitudinal studies are required to explore the effects of oral hygiene interventions on the microbial environment and to inform clinical decision-making for better mouth-breathing management.
Protective Stabilization for Dental Management in a Child with Developmental Language Disorder: A Case Report Marta Ulina Naibaho; Ratna Indriyanti
Jurnal Locus Penelitian dan Pengabdian Vol. 5 No. 9 (2026): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v5i9.6348

Abstract

Children with Special Health Care Needs (SHCN) often present behavioral and developmental challenges, including Autism Spectrum Disorder (ASD), a neurodevelopmental condition characterized by deficits in social communication and restricted, repetitive patterns of behavior. ASD may also involve persistent difficulties in understanding and using spoken language, which can complicate oral health care. General Anesthesia (GA) is commonly used for full-mouth rehabilitation in uncooperative children with SHCN; however, parental concerns regarding safety, cost, or cultural beliefs may limit its acceptability. Protective Stabilization (PS), including the use of a papoose board, is a non-pharmacological alternative recommended by the American Academy of Pediatric Dentistry (AAPD). A 7-year-old boy with ASD and associated speech and language delay presented with recurrent discomfort during eating, frequent food impaction, and difficulty expressing pain. The family, who resided in Saudi Arabia, was visiting Indonesia and sought care at the Pediatric Dentistry Clinic, Universitas Padjadjaran Dental Hospital, Bandung. Although GA is commonly used for dental rehabilitation in Saudi Arabia, the parents declined this approach due to cultural and familial concerns regarding their child “falling asleep” during GA and provided consent for PS. Clinical findings included generalized calculus and reversible pulpitis involving multiple primary molars. No carious lesions with pulpal involvement were detected. This case illustrates the challenges of providing dental treatment for children with ASD, in whom communication barriers may hinder cooperation. PS enabled safe and effective dental care, resolving food impaction and improving oral comfort. The literature regarding PS use in children with ASD remains limited, highlighting the need for further clinical reports. PS provided a safe and effective alternative to GA in this child with Developmental Language Disorder (DLD), emphasizing the importance of individualized, family-centered, non-pharmacological approaches
Co-Authors Ratna Indriyanti Risti Saptarini Primarti