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"Early childhood caries ECC merupakan keadaan terdapatnya satu atau lebih gigi karies, hilang atau ditambal pada anak dengan usia kurang dari 71 bulan. Streptococcus mutans serotype c merupakan bakteri utama penyebab ECC. Imunoglobulin A dan saliva berperan pada pencegahan terbentuknya biofilm pada permukaan gigi. Tujuan: Menganalisis level IgA anti-Streptococcus mutans serotype c serta korelasinya dengan viskositas dan skor dmft pada saliva pasien ECC. Metode: Level IgA anti-S. mutans serotype c dari 11 sampel saliva pasien ECC di ukur menggunakan metode ELISA. Nilai absorbansi dibaca pada panjang gelombang 405 nm. Level IgA anti-S. mutans serotype c kemudian dikorelasikan dengan data skor dmft dan viskositas saliva pasien ECC. Hasil: Level IgA anti-S. mutans serotype c saliva terstimulasi adalah 4,6 sedangkan saliva tidak terstimulasi adalah 6. Level IgA anti-S. mutans serotype c pada saliva kental dan encer berturut turut adalah 6 dan 3,5. Peningkatan skor dmft tidak di ikuti dengan penurunan level IgA anti-S. mutans serotype c. Kesimpulan: Pada pasien ECC, tidak terdapat perbedaan bermakna antara level IgA anti-S. mutans serotype c saliva terstimulasi dan tidak terstimulasi. Terdapat korelasi positif antara level IgA anti-S.mutans serotype c dengan viskositas saliva pasien ECC, sedangkan dengan skor dmft pasien ECC diperoleh korelasi negatif.

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Background: Early Childhood Caries is the presence of one or more decayed, missing or filled tooth in a child 71 months of age or younger. Streptococcus mutans serotype c is the main causes of ECC. Salivary Immunoglobulin A inhibit the biofilm formation of S. mutans serotype c on the tooth surface.

Objective: To analyze Immunoglobulin A anti Streptococcus mutans serotype c level and the correlation towards saliva viscosity and dmft score of ECC patients.

Methods: Levels of IgA anti Streptococcus mutans serotype c calculated from 11 saliva sample of ECC patients using ELISA methods. Absorbance readings conducted at 405 nm wavelength. Levels of IgA anti Streptococcus mutans serotype c then correlated with saliva viscosity and dmft score of ECC patients.

Result: Levels of IgA anti Streptococcus mutans serotype c in stimulated saliva is 4.6, while unstimulated saliva is 6. Levels of IgA anti S. mutans serotype c in high and low saliva viscosity. The escalation of dmft score causes a decrease in the levels of IgA anti Streptococcus mutans serotype c.

Conclusion: There's no significant differences of IgA anti S.mutans serotype c level in stimulated and unstimulated saliva. There is a positive correlation between IgA anti Streptococcus mutans serotype c levels with saliva viscosity of ECC patients, while dmft score of ECC patients has negative correlations."

"Latar belakang: Early childhood caries adalah penyakit gigi dan mulut yang paling umum dan paling sering terjadi pada anak-anak diseluruh dunia. Saliva berfungsi dalam menjaga kesehatan mulut dan homeostasis, serta berperan dalam sistem pertahanan terhadap karies gigi yaitu melalui efek pembersihan, kapasitas buffer, agen antimikroba, serta sebagai penampung ion kalsium dan fosfat untuk remineralisasi lesi karies awal. Nitric oxide yang terdapat dalam saliva memiliki efek antimikroba yang dapat menyebabkan autoinhibisi bakteri-bakteri kariogenik penyebab karies. Tujuan: Mengkaji konsentrasi nitric oxide pada saliva anak dengan early childhood caries dan bebas karies ditinjau dari skor dmf-t serta korelasi antara laju alir saliva, viskositas saliva dengan aktivitas karies anak melalui tinjauan pustaka. Metode: Penelitian ini dilakukan sepanjang bulan Desember 2020-Januari 2021. Pencarian literatur terkait dilakukan melalui 2 database elektronik, yaitu PubMed dan ProQuest dengan menggunakan kata kunci yang sesuai dengan pertanyaan penelitian. Penentuan literatur inklusi dilakukan dengan mengikuti alur PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), sehingga didapatkan literatur yang menggunakan bahasa inggris, dipublikasikan dalam 10 tahun terakhir, tersedia dalam full-text, serta sesuai dengan kriteria inklusi dan ekslusi. Hasil: Terdapat 4 literatur yang terpilih. 3 buah literatur memaparkan bahwa konsentrasi nitric oxide secara signifikan lebih tinggi pada anak yang bebas karies, dibandingkan anak dengan early childhood caries. 1 buah literatur memaparkan bahwa terdapat penurunan laju alir dan peningkatan viskositas saliva (viskositas kental) pada anak dengan early childhood caries. Kesimpulan: Konsentrasi nitric oxide lebih tinggi pada anak yang bebas karies dibandingkan anak dengan early childhood caries. Penurunan konsentrasi NO di saliva dapat menyebabkan peningkatan pada keparahan karies

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Background: Early childhood caries is a disease of the teeth and mouth that is most common and most often occurs in children around the world. Saliva functions to maintain oral health and homeostasis, and plays a role in the defense system against dental caries, namely through its cleaning effect, buffer capacity, antimicrobial agents, as well as a reservoir for calcium and phosphate ions for remineralization of early carious lesions. The content of nitric oxide in saliva has an antimicrobial effect which can cause autoinhibition of cariogenic bacteria that cause caries. Objective: Study nitric oxide concentration in saliva of children with early childhood caries and caries-free in terms of the dmf-t score and the correlation between salivary flow rate, salivary viscosity and caries activity of children through literature review. Methods: This research was carried out during December 2020-January 2021. The search for related literature was carried out through 2 electronic databases, namely PubMed and ProQuest using keywords that match the research question. The determination of inclusion literature was carried out by following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes), so that literature in English was obtained, published in the last 10 years, available in full text, and in accordance with the inclusion and exclusion criteria. Result: There are 4 selected literatures. 3 pieces of literature describe that concentrations nitric oxide were significantly higher in caries-free children, compared to children with early childhood caries. 1 piece of literature describes that there is a decrease in flow rate and an increase in salivary viscosity (thick viscosity) in children with early childhood caries. Conclusion: Nitric oxide concentration was higher in caries-free children compared to children with early childhood caries. Decreasing the NO concentration in saliva can lead to an increase in caries severity."

"Latar Belakang: Pada tahun 2018 ditemukan angka prevalensi karies anak di Indonesia mencapai 90,2%. Sebelumnya saliva diketahui dapat digunakan sebagai biomarker karies dengan menguji kuantitatif bakteri, identitas konsentrasi protein, karakteristik psikokimia serta karakteristik biokimia. Tujuan: Menganalisis konsentrasi malondialdehyde pada saliva anak ECC (early childhood caries) dan bebas karies serta kaitannya dengan skor dmf-t, OHI-S, viskositas saliva dan laju alir saliva. Metode: Mengukur konsentrasi malondialdehyde pada 33 sampel saliva anak tersimpan (22 sampel saliva anak ECC dan 11 sampel saliva anak bebas karies) dengan ELISA. Hasil: Analisis Mann Whitney antara konsentrasi malondialdehyde pada saliva ECC dan anak bebas karies didapatkan nilai p=0 serta didapatkan nilai p=0 dan r= -0,641 saat dilakukan analisis Spearman. Analisis Kruskal Wallis pada konsentrasi malondialdehyde anak dengan skor dmf-t berbeda didapatkan nilai p=0,014 serta didapat nilai p=0,004 dan r=0,488 saat dilakukan analisis Spearman. Tidak terdapat perbedaan bermakna serta korelasi antara konsentrasi malondialdehyde terhadap skor OHI-S, viskositas dan laju alir saliva berbeda. Kesimpulan: Konsentrasi malondialdehyde pada saliva anak ECC berbeda dengan konsentrasi malondialdehyde anak bebas karies, semakin tinggi konsentrasi malondialdehyde maka semakin parah karies yang dialami anak. Anak dengan skor dmf- t yang berbeda memiliki konsentrasi malondialdehyde yang berbeda pula. Semakin tinggi skor dmf-t semakin tinggi pula konsentrasi malondialdehyde. Tidak ditemukan hubungan antara konsentrasi malondialdehyde pada anak bebas karies dan ECC terhadap skor OHI- S, viskositas saliva dan laju alir saliva.

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Background: In 2018, prevalence rate of children’s caries in Indonesia reached 90,2%. Previously, saliva was known as a caries biomarker by testing quantitative bacteria, protein concentration identity, psychochemical and biochemical characteristics. Objective: Analyze malondialdehyde concentration in children’s saliva with ECC (early childhood caries) and caries-free and its relation to dmf-t score, OHI-S, salivary viscosity and salivary flow rate. Methods: Measuring malondialdehyde concentration from 33 stored children’s saliva samples (22 samples ECC and 11 samples caries-free) using ELISA. Results: Mann Whitney analysis between malondialdehyde concentration from ECC children’s saliva and caries free children obtained p=0 and then p=0, r= -0,641 for Spearman analysis. Kruskal Wallis analysis of malondialdehyde concentrations in children with different dmf-t scores obtained p=0,014 and p=0,004, r=0,488 for Spearman analysis. There was no significant difference and there was no significant correlation between malondialdehyde concentration and OHI-S score, viscosity and different salivary flow rates. Conclusion: Malondialdehyde concentration in ECC children’s saliva was different from malondialdehyde concentration in caries free children, higher malondialdehyde concentration show worse caries experienced in children. Children with different dmf-t scores had different malondialdehyde concentrations. Higher dmf-t score show higher malondialdehyde concentration. There was no relation between malondialdehyde concentration in caries-free children and ECC to OHI-S score, salivary viscosity and salivary flow rate."

"Latar Belakang: Early Childhood Caries (ECC) merupakan salah satu penyakit kronismultifaktorial yang sering terjadi pada anak usia pra sekolah. Data penelitianmengatakan sebanyak 65% anak usia 3-5 tahun mengalami ECC dan pada sebuahpenelitian di Jakarta tahun 2016 menunjukkan indeks def-t sebesar 7,5 pada anak usia 5tahun sedangkan pada penelitian yang dilakukan di Bandung pada tahun 2017didapatkan indeks def-t sebesar 7,04. Berdasarkan RISKESDAS tahun 2018, sebanyak81,5% anak mengalami karies dengan indeks def-t sebesar 6,2 pada anak usia 3-4 tahundan indeks def-t sebesar 8,1 pada anak usia 5 tahun. Dalam terjadinya ECC, salah satufaktor yang berperan dalam proteksi dari terjadinya karies gigi adalah saliva yang didalamnya terkandung protein saliva seperti lysozyme yang berperan dalam mekanismeproteksi rongga mulut dari bakteri Gram-positif. Pada beberapa penelitian, kadarlysozyme saliva berhubungan dengan skor def-t. Tujuan: Menganalisis perbedaan kadarlysozyme saliva pada anak ECC dan bebas karies usia 3-5 tahun serta berdasarkantingkat karies. Metode Penelitian: Penelitian merupakan potong lintang analitik secaralaboratorik. Subjek penelitian adalah 14 anak ECC dan 14 anak bebas karies usia 3-5tahun yang memenuhi kriteria inklusi. Sampel whole saliva tanpa stimulasidikumpulkan dari subjek penelitian kemudian dilakukan pengukuran kadar lysozymedengan uji ELISA teknik sandwich. Hasil: Kadar lysozyme saliva pada anak ECC lebihtinggi daripada kelompok anak bebas karies serta kadar lysozyme saliva pada anakdengan tingkat karies tinggi lebih tinggi dibandingkan dengan kelompok anak dengantingkat karies rendah, secara statistik dinyatakan bahwa terdapat perbedaan bermaknaantara kadar lysozyme saliva anak ECC dan bebas karies usia 3-5 tahun (p < 0,05).Kesimpulan: Kadar lysozyme saliva lebih tinggi pada anak ECC dibandingkan denganbebas karies usia 3-5 tahun dan peningkatan kadar lysozyme saliva terjadi pada anakdengan tingkat karies tinggi.

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Background: Early Childhood Caries (ECC) is one of common chronic multifactorial

diseases affecting preschool children. Previous study showed 65% of children aged 3-5

years experience ECC and a research in Jakarta in 2016 showed def-t index of children

aged 5 years was 7.5. According to research in Bandung in 2017 showed def-t index

was 7.04. Based on Basic Health Research in Indonesia (RISKESDAS) in 2018, 81.5%

of children experienced caries with def-t index 6.2 in children aged 3-4 years and 8.1 in

children aged 5 years. In the occurrence of ECC, one of the factors that play role in the

protection of dental caries is saliva, which contains salivary protein such as lysozyme

that play a role in the mechanism of protecting oral cavity from Gram-positive bacteria.

In several studies, salivary lysozyme levels were associated with def-t score. Objective:

To analyze differences in salivary lysozyme levels in ECC and caries-free children aged

3-5 years and based on caries levels. Methods: This study is a laboratory analytical

cross-sectional study. Subjects were 14 ECC children and 14 caries-free children aged

3-5 years that in line with the inclusion criteria. Unstimulated whole saliva were

collected from subjects. Salivary lysozyme levels were measured by ELISA sandwich

method. Results: Salivary lysozyme levels in ECC children was higher than in cariesfree

and salivary lysozyme levels in children with high caries level higher than in

children with low caries level, it was statistically stated that there was a significant

differences between the levels of lysozyme in children with ECC and caries-free

children aged 3-5 years (p < 0.05). Conclusion: Salivary lysozyme levels were higher in

ECC children compared to caries-free children aged 3-5 years and increased levels of

salivary lysozyme occurred in children with high caries level."

"Latar balakang: Early Childhood Caries seringkali dijumpai pada anak-anak dalam rentang usia kurang dari 71 bulan. Diduga kuat bakteri Streptococcus Mutans serotipe e menjadi bakteri penyebab terjadinya ECC. Imunoglobulin A (IgA) berperan didalam mulut sebagai penghambat kolonisasi dari bakteri penyebab karies gigi. Tujuan: Menganalisis keterkaitan titer IgA anti S .mutans serotipe e terhadap viskositas saliva dan skor dmft pasien Early Childhood Caries. Metode: 15 subjek ECC dari saliva pasien yang terdiri dari 8 saliva terstimulasi dan 7 saliva tidak terstimulasi yang dihitung titer IgA anti S. mutans serotipe e menggunakan teknik ELISA. Keterkaitan antara level IgA dengan viskositas saliva dan skor dmft pasien ECC dianalisis menggunakan uji korelasi. Hasil: Level IgA pada saliva yang terstimulasi lebih rendah daripada level saliva tidak terstimulasi. Adanya hubungan bermakna antara level IgA dengan viskositas saliva (r = 0.766). Tidak ditemukan adanya hubungan yang bermakna (r >0.005) antara level IgA dengan skor dmft (r= -0.413). Kesimpulan: Hasil penelitian ini menunjukan bahwa terdapat korelasi yang positif dan bermakna antara level IgA anti S. mutans serotipe e dengan viskositas saliva. Terdapat hubungan negatif dan tidak bermakna antara level IgA anti S. mutans serotipe e dengan skor dmft pasien ECC. Selain itu, titer IgA anti S. mutans serotipe e pada saliva tidak terstimulasi ditemukan lebih tinggi daripada saliva yang terstimulasi tetapi tidak bermakna.

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Background: Early Childhood caries is often found in children in the age range of less than 71 months. Allegedly bacteria Streptococcus mutans serotype e took a stake in the process of formation or the occurrence of ECC. One of the body's natural defense line is immunoglobulin A (IgA). Objective: To analyze the relationship level of IgA anti-bacterial S .mutans serotype e on the viscosity of saliva and saliva dmft score of patients Early Childhood caries. Methods: 15 patients saliva samples ECC consists of 8 saliva stimulated and unstimulated saliva 7 calculated level of IgA anti bacteria S. mutans serotype e. Observations were made using ELISA technique. IgA levels were then analyzed its association with the viscosity of saliva and saliva of patients ECC dmft score. Results: Stimulated saliva ECC patients had IgA levels were lower than unstimulated saliva levels and found no significant correlation (r> 0.005) between salivary IgA level ECC patients with a viscosity of saliva and dmft score. Conclusion: There were no significant correlation and positive correlation between levels of IgA anti S. mutans serotype e dmft score saliva of patients with ECC. Obtained a positive correlation and significant correlation between the viscosity of saliva to the value level of IgA anti S. mutans serotype e. Unstimulated saliva had IgA level anti S. mutans serotype e higher than the stimulated saliva but there was no significantly difference."

"Karies gigi adalah salah satu penyakit menular kronis yang palingumum pada anak-anak usia prasekolah. Bentuk agresif karies gigi pada gigi sulung anakdi bawah, sampai dengan usia 71 bulan disebut dengan Early Childhood Caries (ECC).Indonesia melaporkan prevalensi dan keparahan ECC yang tinggi hingga mencapai angka90%. DKI Jakarta memiliki prevalensi sebesar 81,2%. Faktor risiko utama ECC yaituhost (gigi dan saliva), mikroorganisme kariogenik, dan karbohidrat (substrat).Mikroorganisme kariogenik yang berperan yaitu Streptococcus mutans. Penelitian diJakarta pada anak usia 3-5 tahun yang memiliki karies, menunjukkan bahwa serotipe fmerupakan jenis yang paling banyak di temukan (85,5%), diikuti dengan serotipe c(74,2%), serotipe e (22,6%) dan serotipe d (19,4%). Penelitian lainnya di Jakartamenemukan bahwa kombinasi serotipe c dan f lebih tinggi pada anak yang memilikikaries. Streptococcus mutans serotipe c dan f berperan dalam patogenesis karies gigi, haltersebut sesuai dengan tingginya tingkat karies gigi di Indonesia. Salah satu faktor hostyaitu saliva, merupakan cairan tubuh yang kompleks yang terdiri dari unsur-unsurorganik dan anorganik yang penting untuk kesehatan rongga mulut. Komposisi proteinsaliva seperti Lactoferrin sangat penting karena memiliki kemampuan antibakteri sertaberperan dalam sistem imun bawaan dan adaptif. Tujuan penelitian ini adalah untukmenganalisis kadar Lactoferrin saliva antara anak Early Childhood Caries (ECC) danbebas karies pada usia 3-5 tahun. Metode penelitian: Desain penelitian ini adalah potonglintang analitik secara laboratorik. Penelitian ini dilakukan pada 14 anak dengan ECCdan 14 anak bebas karies. Saliva didapat dari seluruh subjek dan kadar LF diukurmenggunakan metode ELISA sandwich. Hasil: Analisis data menggunakan uji MannWhitney U menunjukkan terdapat perbedaan bermakna antara kadar Lactoferrin anakECC dan anak bebas karies dengan nilai p=0,006 (p<0,05). Kesimpulan: KadarLactoferrin saliva anak Early Childhood Caries (ECC) lebih tinggi dari anak bebas kariesyang menunjukkan bahwa Lactoferrin dapat menjadi indikator peningkatan risiko EarlyChildhood Caries (ECC).Backgrounds: Dental caries is one of the most common chronic infectious diseases inpreschool children. The aggressive form of dental caries in the primary teeth of childrenunder and up to the age of 71 months is called Early Childhood Caries (ECC). Indonesiareports a high prevalence and severity of ECC (90%). DKI Jakarta has a prevalence81.2%. The main risk factors for ECC are hosts (teeth and saliva), cariogenicmicroorganisms, and carbohydrates (substrates). The cariogenic microorganisms thatplay a role are Streptococcus mutans. Research in Jakarta on children aged 3-5 years whohad caries, showed that serotype f was the most common type (85.5%), followed byserotype c (74.2%), serotype e (22.6%) and serotype d (19.4%). Another study in Jakartafound that the combination of serotypes c and f was higher in children with caries.Streptococcus mutans serotypes c and f play a role in the pathogenesis of dental caries,which is consistent with the high level of dental caries in Indonesia. One of host factor,saliva, is a complex body fluid consist of organic and inorganic elements that areimportant for oral health. Salivary protein such as Lactoferrin is very important becauseit has antibacterial ability and plays an important role in innate and adaptive immunesystem. The purpose of this study is to analyze Lactoferrin levels between EarlyChildhood Caries (ECC) and caries-free children aged 3-5 years. Methods: The designof this study is cross-sectional analytical laboratory. This study was conducted on 14children with ECC and 14 caries-free children. Saliva were taken from all subjects and theLactoferrin levels were measured using ELISA sandwich method. Results: Data analysisusing the Mann Whitney U test showed that there were significant differences betweenthe levels of salivary Lactoferrin in children with ECC and caries-free children with pvalue0,006 (p<0,05). Conclusion: Salivary Lactoferrin levels in Early ChildhoodCaries (ECC) were higher than caries-free children which indicate that Lactoferrin canbe an indicator of an increased risk of Early Childhood Caries (ECC)."

"Latar Belakang: Early Childhood Caries (ECC) merupakan penyakit kronis yang umum pada masa anak anak. Penyakit ini didefinisikan sebagai adanya kerusakan pada permukaan gigi, kehilangan gigi, atau restorasi pada gigi sulung anak berusia 71 bulan atau dibawahnya. Terdapat empat faktor utama yang memegang peranan penting untuk terjadinya karies pada anak usia dini, yaitu faktor host atau tuan rumah, agen atau mikroorganisme, substrat atau diet, serta waktu. Kelompok bakteri Streptococcus mutans menjadi yang utama di antara spesies bakteri tersebut. Streptococcus mutans dibagi menjadi beberapa serotype yang terdiri dari serotype c, e dan f. Serotype c menjadi yang paling banyak ditemukan pada kasus ECC. Namun, tidak hanya bakteri yang menjadi peran dalam pembentukan karies, terdapat pula Candida Albicans yang merupakan jamur yang biasa menjadi penyebab infeksi pada rongga mulut.Tujuan: Evaluasi terhadap kuantitas antigen Streptococcus mutans serotype C dan Candida albicans pada dorsal lidah anak usia dini dan kaitannya dengan tingkat dmft.Metode: Metode yang digunakan pada kuantifikasi antigen yang disebutkan adalah metode ELISA (enzyme-linked immunosorbent assay). Nilai absorbansi dibaca pada panjang gelombang 450 nm, nilai tersebut dijadikan sebagai nilai kuantitas dari masing masing antigen.Hasil: Perbedaan jumlah kuantitas antigen Streptococcus Mutans serotype C pada indeks dmft rendah sebesar 2,87, pada indeks dmft sedang 3,004 serta pada indeks dmft tinggi sebesar 3,174. Selanjutnya pada antigen Candida Albicans, terdapat perbedaan jumlah kuantitas, yaitu pada indeks dmft rendah sebesar 1,728, pada indeks dmft sedang 1,738, serta pada indeks dmft tinggi sebesar 1,71. Kesimpulan: Tidak terdapat perbedaan signifikan antara kuantitas antigen Streptococcus mutans serotype c dan Candida albicans pada derajat dmft. Selain itu, peneliti juga mendapatkan bahwa kuantitas antigen Streptococcus mutans serotype c dan Candida albicans pada anak bebas karies dan ECC memiliki korelasi negatif.

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Background: Early Childhood Caries (ECC) is a common chronic disease in childhood. This disease is defined as damage on the tooth surface, tooth loss, or restoration in the deciduous teeth of children aged 71 months or below. There are four main factors that play important roles for caries in early childhood, which are host, agent or microorganism, substrate or diet, and time. The Streptococcus Mutans group of bacteria is the main of these bacterial species. Streptococcus Mutans are divided into several serotypes consisting of serotypes C, E and F. Serotype C is the most commonly found in ECC cases. However, it is not only bacteria that play a role in caries formation, there are also Candida Albicans which are fungi that commonly cause infections in the oral cavity.

Objective: evaluation of the quantity of Streptococcus Mutans serotype C and Candida Albicans antigens on the dorsal tongue of early childhood and its relation to dmft levels.

Method: The method used in the quantification of the antigen mentioned is the ELISA (enzyme-linked immunosorbent assay) method.The absorbance value is read at a wavelength of 450 nm, the value is used as the quantity value of each antigen.

Result: The difference in the quantity of Streptococcus Mutans serotype C antigens on the low dmft, the quantity is 2.87, on the medium dmft, the quantity is 3.004 and on the high dmft, the quantity is 3.174. Candida Albicans antigens, there are differences in the quantity, on the low dmft, the quantity is 1.728, on the medium dmft, the quantity is 1.738, and on the high dmft, the quantity is 1.71.

Conclusion: There is no significant difference between the quantity of Streptococcus mutans serotype c antigens and Candida albicans at dmft degrees. In addition, researcher also found that the quantity of Streptococcus mutans serotype c antigens and Candida albicans in caries-free children and ECC have a negative correlation."

"Latar Belakang: Karies gigi merupakan masalah kesehatan yang banyak terjadi di dunia. Saliva memiliki berbagai peran di dalam rongga mulut yang berhubungan dengan karies. Total Antioxidant Capacity berperan dalam melindungi tubuh dari berbagai kondisi patologis. Tujuan: Menganalisis konsentrasi Total Antioxidant Capacity pada saliva bebas karies dan early childhood caries dihubungkan dengan OHI-S, dmf-t, serta viskositas dan laju alir saliva. Metode: Sampel saliva tersimpan sebanyak 33 sampel yang diperoleh dari anak usia di bawah 71 bulan dengan kondisi bebas karies dan early childhood caries diuji dengan menggunakan total antioxidant capacity assay kit. Hasil: Terdapat perbedaan konsentrasi Total Antioxidant Capacity dalam saliva anak bebas karies dan early childhood caries, terdapat korelasi linier positif sedang antara konsentrasi Total Antioxidant Capacity dalam saliva anak dengan skor dmf-t, tidak terdapat perbedaan konsentrasi Total Antioxidant Capacity dalam saliva anak dengan kategori OHI-S baik dan sedang, laju alir saliva tinggi dan sedang, serta viskositas saliva encer dan kental. Kesimpulan: Konsentrasi Total Antioxidant Capacity pada saliva early childhood caries lebih tinggi dibandingkan bebas karies.

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Background: Dental caries is a common disease worldwide. Saliva has a big role in oral cavity associated with dental caries. Total Antioxidant Capacity has a role to protect the body from any pathological condition. Objective: Analysing Total Antioxidant Capacity concentration of Early Childhood Caries and Caries Free saliva and its relation to OHI-S, dmf-t, and salivary flow rate and viscosity. Method: 33 stored saliva samples of children under 71 month old with early childhood caries and caries free tested using total antioxidant capacity assay kit. Result: There is a significant difference between Total Antioxidant Capacity concentration in saliva of caries free and early childhood caries children, there is a moderate linear positive correlation between Total Antioxidant Capacity concentration and dmf-t. There is no difference between Total Antioxidant Capacity concentration in saliva of children with good and moderate OHI-S, high and moderate salivary flow rate, and watery and thick saliva. Conclusion: Total Antioxidant Capacity concentration in saliva of early childhood caries children is higher than caries free."

"Sebelum adanya penggunaan susu formula sebagai pengganti ASI, gigi berlubang pada bayi jarang ditemukan.2,19 Dilaporkan pada anak riwayat ASI Eksklusif, karies jarang ditemukan karena mendapat komponen imunitas khususnyaIgA yang dapat memperlambat pertumbuhan bakteri S.mutans.2,11 Pada anak riwayat susu formula komponen imunitas belum diketahui. Penelitian ini bertujuan untuk menganalisis perbedaan kadar sIgA saliva anak ECC riwayat ASI eksklusif dan susu formula. Penelitian ini dilakukan pada 34 anak ECC usia 18-48 bulan yang memiliki skor deft >1, dengan 17 subjek riwayat ASI eksklusif dan 17 subjek riwayat susu formula. Seluruh subjek dilakukan pemeriksaan skor deft, dan dilakukan pengukuran sampel saliva dengan ELISA. Rerata skor deft anak ECC kelompok riwayat ASI eksklusif lebih rendah dibanding susu formula. Terdapat perbedaan bermakna rerata kadar sIgA saliva anak ECC antara riwayat ASI eksklusif dan susu formula (p=0,004).

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Time before formula feeding has been found, baby tooth decay is definitely rare.2,19 Studies reported, children with exclusive breastfeeding have low caries as they have immunity component, specifically IgA, which may exhibits colony of S.mutans.2,11Meanwhile, immunity component of children with formula feeding is barely unknown. This study aimed to analyze the difference of quantity salivary sIgA Early Childhood Caries (ECC) children between exclusive breastfeeding and formula feeding history. Saliva samples were collected from 34 ECC children aged 18-48 months who have deft score >1, both exclusive brestfeeding and formula feeding history group are 17 subjects each. Deft score were examined, and quantity of salivary sIgA were assesed by ELISA. Deft score mean of exclusive breastfeeding history group is lower than formula feeding history group. There is a significant difference quantity salivary sIgA ECC children between exclusive breastfeeding and formula feeding history (p=0,004)."

"Latar Belakang: Early Childhood Caries (ECC) merupakan salah satu masalah kesehatan yang umum terjadi pada anak-anak. Saliva berkaitan penting dengan patogenesis ECC dan protein saliva kemungkinan mempunyai kaitan dengan kejadian ECC. Tujuan: Menganalisis level protein saliva yang diisolasi dari anak dengan ECC Metode: sampel saliva yang terstimulasi dan tidak terstimulasi diambil dari anak ECC. Konsentrasi protein saliva ditetapkan dengan metoda Bradford assay. Hasil: tidak terdapat perbedaan konsentrasi protein saliva tersimulasi dan tidak terstimulasi pada anak dengan ECC (two tail test, p≤0.05).

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Background: Early Childhood Caries ( ECC ) is one of the common health problems in children. Saliva has connection with the occurence of ECC and salivary proteins is probably related to the occurrence. Objective: to Analyze the level of proteins isolated from stimulated and unstimulated saliva taken from children with ECC. Methods: stimulated an unstimulated saliva samples were taken from children, age 3-5 years old, with ECC. Salivary protein levels were determained using Bradford Assay. Results: there is no consentration difference between protein consentration in stimulated and unstimulated saliva in children with ECC ( two- tail test, p≤0.05)"