Melissa Adiatman
Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

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Mapping The Use of AI Interventions in Childhood Caries Pre-vention Based on Leavell and Clark's Levels: A Scoping Review Pani Matin Anugrah; Marceline Olivia; Melissa Adiatman; Risqa Rina Darwita
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 22 No. 2 (2026): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v22i2.14043

Abstract

Introduction: The high burden of childhood dental caries highlights the need for innovative approaches. Artificial Intelligence (AI) offers a breakthrough in enabling more efficient, measurable efforts to prevent and detect dental caries. Therefore, this scoping review aims to map the existing evidence on the use of AI interventions in the prevention of childhood dental caries based on Leavell and Clark’s prevention model. Review: This scoping review analyzed 49 studies from various countries that examined the application of AI in childhood caries prevention, using the Leavell and Clark framework. At the health promotion level, behavior-based chatbot applications were shown to significantly improve caregivers’ knowledge and toothbrushing habits. In the specific protection setting, predictive models based on tabular data and the salivary microbiome identified high-risk children before lesions formed, with AUC values ranging from 0.77 to 0.94. For early detection, deep learning algorithms trained on radiographic images and intraoral photographs demonstrated high accuracy in detecting caries lesions, including incipient lesions, with a sensitivity of up to 94.7%. For disability prevention, AI models successfully predicted the success of caries arrest therapy with silver diamine fluoride. The main limitations identified were a small sample size, a lack of cross-population external validation, and gaps in model interpretability at the clinical level. Conclusion: The use of AI interventions for childhood dental caries is unevenly distributed across Leavell and Clark's five preventive levels, especially for specific protection.
Intergenerational Relationship Between Parental and Their Children’ Gingivitis In Indonesia: A Life Course Approach Iwany Amalliah Badruddin; Faisha Atiina Maheswari; Febriana Setiawati; Herry Novrinda; Melissa Adiatman
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 22 No. 2 (2026): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v22i2.14315

Abstract

Introduction: Gingivitis, a reversible inflammatory condition, is the second most prevalent oral health issue in children, after dental caries. A national health survey in 2018 revealed a high prevalence of gingivitis among Indonesian children, with 5.8% among 5-year-old and 14.3% among 12-year-old children. Childhood is a critical period for the development of oral health behaviors, which are influenced by genetic, familial, and environmental factors. Research highlights the intergenerational transmission of gingivitis, linking parental oral health to child’s outcomes. This study aimed to analyze the relationship between the occurrence of gingivitis among parents and their 3--14-year-old children in Indonesia. Materials and Methods: Cross-sectional study using secondary data from the 2018 Riskesdas. The data were collected by the Republic of Indonesia Ministry of Health's Research and Development in March 2018. The subject criteria were 3--14-year-old children and their biological parents who had clinical data on gingivitis status and interviews for behavioral variables. Data analysis was performed using SPSS ver.27 for univariate and bivariate analyses. Results and Discussion: The relationship between the occurrence of gingivitis in parents and children was significant (p< .001). The parental risk factors included parents’ perceptions of oral health problems. Parents’ habits were also significantly related to their children’s habits. Conclusion: The significant relationship between the occurrence of gingivitis among parents and children, and the significant role of parents in shaping their children’s oral health behaviors were in accordance with the concept of the intergenerational life course.