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Validity comparison of CAT (caries risk assessment tool) and CAMBRA (caries management by risk assessment) on children: a rapid review Raisya Aurellia Putri LESMANA; Anne Agustina SUWARGIANI; Meirina GARTIKA
Journal of Syiah Kuala Dentistry Society Vol 7, No 1 (2022): Juni 2022
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v7i1.27256

Abstract

Caries Risk Assessment (CRA) focuses on caries prevention than restorative approaches. CariesManagement by Risk Assessment (CAMBRA) and Caries Risk Assessment Tool (CAT) are examples of manualcharting CRA methods that were made to make it easier for clinicians and non-clinicians. This study aims tocompare the validity of CAMBRA and CAT as CRA for children. This study is a rapid review and uses articles asresearch samples. Systematic searching was carried out using the PRISMA diagram. This study uses PubMed andScience Direct databases. This study includes randomized controlled, cohort, and methodological studies reportingthe validity of CAT and CAMBRA methods on children published from 2011-2021. Searching strategy for this studyis (children) AND (dental caries) AND (risk assessment) AND ((CAT) OR (CAMBRA) OR (AAPD)) AND (validity).Articles that meet the inclusion criteria will be extracted and discussed. One hundred three articles were identified,and only five articles met the inclusion criteria. Modified CAT by adding the patient's Streptococcus mutansexamination without asking the patient's social-economic status has the highest validity value. The method with thelowest validity value in this study is the unmodified CAT method. Both CAMBRA and CAT validity are stilllimited. The evidence is still low. CAT has high sensitivity score but a low specificity value, while the CAMBRAmethod has a different validity value for each reported article.KEYWORDS: Caries risk assessment, children, Caries Management by Risk Assessment (CAMBRA), Caries RiskAssessment Tool (CAT), validity
Developmental defect of email in children and adolescent: a review Vera YULINA; Meirina GARTIKA
Journal of Syiah Kuala Dentistry Society Vol 6, No 1 (2021): June 2021
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v6i1.21895

Abstract

ABSTRACT Developmental defect of enamel (DDE) is a defect on the surface of the enamel layer thatoccurs during tooth development due to various genetic and environmental factors. Defects that occurresult in changes in color and texture on the enamel surface so that it interferes with aesthetics. Thedefect level that happens can be classified based on the DDE index to determine the option of a casetreatment plan consisting of enamel microabrasion, conservative aesthetic restoration, and bleaching.This review aims to analyze and review studies related to DDE in primary and permanent teeth. Anelectronic search was conducted through PubMed/Medline, Google Scholar, Semantic Scholar,SpringerLink, and Wiley Online Library using the keywords defect email, developmental defectemail, and defect on primary teeth for research published between January 2011 and April 2020, thesame article was eliminated, the initial search resulted in a total of 55 articles. The exclusion of articleswas carried out based on the title and abstract so that finally, 45 relevant articles were obtained. Threestudies were included in this review for qualitative analysis. The results show that Enamel (DDE)Developmental defects can occur in both primary and permanent teeth with the same prevalence rate. KEYWORDS: Developmental Defect of Email (DDE), DDE Index, defect to primary teeth, defect topermanent teeth
Apexification treatment of immature permanent maxillary first molar with taurodontism: a case report Ferianto, Ferianto; Gartika, Meirina
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): April 2025 (Supplements 1)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59295

Abstract

Introduction: Taurodontism is a rare developmental abnormality affecting the permanent molars, resulting from the incomplete invagination of Hertwig’s epithelial root sheath at the proper horizontal level. Apexification treatment of a taurodont tooth is challenging and requires special attention due to the difficulty in finding the orifices, as well as the complexity involved in the preparation and obturation of the root canals. Case Reports: This case report aims to present the clinical management of apexification in an immature permanent molar with taurodontism, highlighting, endodontic treatment strategy, and the rationale for using calcium hydroxide as the material of choice. The apexification treatment with calcium hydroxide was performed on the immature maxillary left first molar (tooth 26) of an 11-year-old girl patient diagnosed with symptomatic irreversible pulpitis and mesotaurodontism. After six months, no subjective or clinical symptoms were reported. Although apical closure was not clearly evident on radiography, an apical stop was observed during clinical examination. Following this evaluation, tooth 26 was obturated with gutta-percha combined with a bioceramic sealer, and subsequently restored using direct composite restoration. An evaluation was performed three months post-treatment, incorporating clinical examination and radiographic and cone-beam computed tomography (CBCT) imaging. Conclusion: This case report highlights the successful apexification of a maxillary first molar with taurodontism using calcium hydroxide. The patient remained asymptomatic throughout treatment, with radiographic evaluations indicating conditions within normal limits. Cone-beam computed tomography (CBCT) confirmed adequate obturation extending to the apical region and demonstrated definitive apical closure after six months follow-up.
Differences in plaque index among children aged 6-12 years before and after acquiring a toothbrushing before bedtime habit Simanjuntak, Debora Rotua Novita; Gartika, Meirina; Setiawan, Arlette Suzy Puspa Pertiwi
Padjadjaran Journal of Dentistry Vol 27, No 1 (2015): March 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol27no1.26690

Abstract

Introduction: The habit of brushing teeth before bedtime is very important to keep the teeth and mouth clean and healthy this can be evaluated from the plaque index. The objective of this study was to analyzed differences of plaque index among children aged 6-12 years old in Panti Sosial Asuhan Anak William Booth and Rumah Perlindungan Sosial Asuhan Anak (RPSAA) Ciumbuleuit Bandung before and after acquiring a habit of brushing their teeth before bedtime. Methods: This study was a quasi-experimental and it was analyzed statistically using the t test. Total subjects of 31 children consist of 22 children in Panti Sosial Asuhan Anak William Booth and 9 children in Rumah Perlindungan Sosial Asuhan Anak (RPSAA) Ciumbuleuit Bandung. Data was obtained through clinical examination with the PHP (Personal Hygiene Performance) plaque index of Podshadley and Haley. Results: The mean plaque index before acquiring a habit of brushing teeth before bedtime is 2.247 and after, is 0.591. Conclusion: There is a difference in plaque index in children aged 6-12 years in Children's Orphanage William Booth and RPSAA Ciumbuleuit Bandung before and after acquiring a habit of brushing before bedtime.
A novel treatment for an 8-year-old pulpectomy patient followed by the placement of Bioflx crowns: a case report Paham, Anindya Larasati; Gartika, Meirina
Padjadjaran Journal of Dentistry Vol 37, No 2 (2025): July 2025
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no2.59315

Abstract

Introduction: Pulpectomy is a common treatment for primary teeth affected by irreversible pulpitis or pulp necrosis, with the goal of preserving their function and condition until natural exfoliation occurs. Successful outcomes depend not only on effective canal debridement but also on the selection of an appropriate final restoration. Bioflx crowns are a newly introduced full-coverage restoration that offers both aesthetic and functional benefits, making them suitable for pediatric patients. This case report presents a novel treatment for an 8-year-old patient who underwent a pulpectomy, followed by the placement of Bioflx crowns. Case Report: An 8-year-old girl complained of persistent pain in her lower left posterior tooth for the past two weeks. Clinical and radiographic examination confirmed a diagnosis of pulp necrosis in tooth #75. The treatment plan included pulpectomy followed by Bioflx crown placement, based on parental preference for a durable and aesthetic solution. This case highlights the application of a flexible hybrid polymer crown in a post-endodontic primary molar-an approach rarely reported. The report provides a comprehensive account of the clinical procedure and short-term outcomes. At each visit, favorable healing was observed, with no discomfort or signs of reinfection. After one month of follow-up, radiographic evaluation confirmed adequate obturation and crown margin adaptation. Conclusion: Bioflx crowns demonstrated clinical effectiveness as a restorative option following pulpectomy in pediatric patients, with excellent marginal integrity, retention, and aesthetics observed during follow-up. 
Eight to thirteen years old children fear at dental treatment Aryani, Dwi Destaria; Gartika, Meirina; Hidayat, Syarief
Padjadjaran Journal of Dentistry Vol 25, No 2 (2013): July 2013
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol25no2.26792

Abstract

Introduction: Fear is an emotion occurring in situation of stress and uncertainty and can make the person experience the threatened or helpless feeling. The etiology of child dental fear consist of personal factor, external factor, and dental factor. The purpose of this study was to describe the child fear at 8-13 years of age toward dental treatment and find the most dominant etiology of fear. Methods: A descriptive survey was conducted amongs 53 childs in MI Cikapayang Islamic Elementary School who had ever gotten the dental treatment using CFSS-DS and questionnaire. The sampling method was total sampling. Results: The result shows that the description of child fear at 8-13 years of age to the dental treatment is not afraid at all (45,3%), a little afraid (33%), a fair amount afraid (15,2%), pretty much afraid (4%), and the most little is very afraid (2,5%). The etiology of child dental fear consist of personal factor (52,8%), external factor (7,5%), and dental factor (39,6%). Conclusion: Majority of child fear at 8-13 years of age to the dental treatment in MI Cikapayang Islamic Elementary School feel not afraid at all to the dental treatment (45,3%) and the most dominant etiology is personal factor (52,8%).
Comparison of the upper, middle, and lower vertical facial height between Down syndrome and normal children Mohammad Ali, Nor Dayana; Hartanto, Rudy; Gartika, Meirina
Padjadjaran Journal of Dentistry Vol 24, No 2 (2012): July 2012
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol24no2.26817

Abstract

Introduction: Down syndrome (DS) is a common genetic disorder also known as Trisomy 21.DS individuals have specific physical dysmorphism especially the face. The most common features and problems associated with Down’s syndrome  are characteristic facial features, cognitive problems, congenital heart disease, hearing problems, short stature, thyroid problems and Alzheimer’s disease. This study aims to determine the differences of the vertical facial height measurement (UFH, MFH and LFH) between DS and regular (R) children. Methods: The study is a Cross-sectional analytical. Subjects are 6-13 years of age, with a total of 20 DS children (10 males; 10 females) of selected Sekolah Luar Biasa-C (SLB- Cs) and 160 R school children (80 males; 80 females) from selected Sekolah Dasar Negeri (SDNs) in Kota Bandung. Subjects selected using the three levels Multi stage cluster sampling. Measurements taken were upper, middle and lower facial height with each measurement taken three times. Data was analysed using the t-test and p-value. Results: UFH in DS males are 5.623, 5.986, 6.352, 6.396, 6.585, 6.747,7.109; MFH 3.325, 3.456, 3.457, 3.646, 3.611, 3.720, 3.716 and LFH are 4.163, 4.283, 4.235, 4.771, 4.850, 4.979, 5.132. UFH in R males are 5.924, 6.029, 6.223, 6.362, 6.476, 6.725, 6.903, 7.366; MFH 3.942, 3.998, 4.103, 4.148, 4.175, 4.247, 4.463, 4.534 and LFH 4.509, 4.658, 4.882, 5.058, 5.167, 5.450, 5.532, 5.606. In DS females UFH are 5.745, 5.912, 5.986, 6.394, 6.339, 6.778; MFH 3.575, 3.704, 3.711, 3.768, 3.749, 3.865 and LFH 4.49, 4.552, 4.646, 4.909, 5.034, 5.039. UFH for R females 6.062, 6.167, 6.243, 6.308, 6.476, 6.515, 6.799, 6.965; MFH 3.700, 3.863, 3.981, 4.084,4.091, 4.116, 4.191, 4.221 and LFH 4.576, 4.702, 3.764, 4.998, 5.156, 5.326, 5.374, 5.552 (in cm). Conclusion: There are significant differences with the MFH and LFH between DS and R children and UFH differences is non significant between these two populations.
Prevalence of caries on permanent first molar on cerebral palsy children aged 6-12 years old in SLB Bandung at 2010 Rizkyawati, Devy; Gartika, Meirina; Runkat, Jakobus
Padjadjaran Journal of Dentistry Vol 22, No 3 (2010): November 2010
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol22no3.26880

Abstract

Introduction: Caries is an irreversible tooth disease that is frequently encountered in the community. Caries on the permanent first molar, if not being treated, can cause tooth loss and other disadvantages. Cerebral palsy children have a motor abnormalities, that leads to high prevalence of caries. The purpose of this research was to find the prevalence of caries on the first permanent molar teeth in cerebral palsy children ages 6-12 years old. Methods: Type of research was descriptive research. Population is the cerebral palsy children in SLB Bandung, with criterion of children aged 6-12 years, has four permanent first molars, and no patches or restorations on permanent first molars. Samples from the population was taken by total sampling, a total of 26 cerebral palsy children. Results: The result shown that 22 cerebral palsy children (84.62%) tends caries on their first permanent molar teeth. The prevalence of caries on the first permanent molar tooth of the maxilla of children with cerebral palsy is 76.92 % and on the first permanent molar of the mandible is 78.84%. Conclusion: Prevalence of caries on the first permanent molar teeth in cerebral palsy children ages 6-12 years old is high.
The relationship of the formation of dental fear between mothers and their 7 to 9 year-old children Cheema, Jasmine Kaur; Gartika, Meirina; Herdiyati, Yetty
Padjadjaran Journal of Dentistry Vol 34, No 1 (2022): March
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol34no1.38870

Abstract

Introduction: Dental fear is a common occurrence that responds to the stress induced by various dental procedures. Its intensity varies from nervousness and anxiety to dental phobia, and it is considered the main barrier to successful completion of treatment. This research aims to analyse the relationship of the formation of dental fear between mother and their 7 to 9-year-old children. Methods: The research design was analytical studies with a cross-sectional survey technique, with samples chosen by the simple random sampling method. Thirty-five mothers and children aged 7-9 years who attended Neglasari 2 and Neglasari 5 Public Elementary School, Sadang Serang, Bandung, were the respondents. This study used a questionnaire called the Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS), tested and proven to be a reliable and valid psychometric instrument for dental fear evaluation in children in Bahasa Indonesia. This study was analysed using Spearman's rank correlation coefficient. Results: The mean score of the mothers was 24.314, and the mean score of the children was 23.571.  The correlation value was 0.765. The figure scales in the 'strong' criteria. Conclusion: There is a strong relationship between the formation of dental fear in mothers and their 7-9 years-old children.
Relationship between protein deficiency accompanied by low body mass index with the head shape and face type of 6-7 years old children Gunawan, Idelia; Andiesta, Niekla Survia; Gartika, Meirina; Primarti, Risti Saptarini
Padjadjaran Journal of Dentistry Vol 32, No 1 (2020): March 2020
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol32no1.21165

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Introduction: Environmental factors such as socio-economic and nutrients factor can affect the dimensions and proportions of the body. Nutritional intake has a long-term effect on physical growth and can be assessed through body mass index up to age. Children with a nutritional disorder are characterised with low body mass index. This study was aimed to analyse the relationship of protein deficiency and low body mass index on the head shape and facial type of 6-7 years old children. Methods: The research type was descriptive correlative, and the research was conducted towards 16 subjects with low body mass index. Protein deficiency was assessed from food intake for 3 x 24 hours through food recall method and interview. The measurement of the cephalic and facial index was carried out to find out the head shape and face type, and then to correlate with protein deficiency and body mass index. Data was analysed using the chi-square test with the significance (p-value)<0.05. Results: There was a significant correlation between protein deficiency and low body mass index with the head shape (p-value=0.007), and the facial type of 6-7 years old children (p-value=0.027). There was a significant correlation between head shape with facial type in protein-deficient children with low body mass index (p-value=0). Conclusion: Protein deficiency accompanied by low body mass index influences the head shape and facial type of children.