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Latar belakang: Early Childhood Caries (ECC) atau karies anak usia dini masih merupakan masalah kesehatan yang serius terutama di kalangan anak-anak. Streptococcus mutans diketahui sebagai penyebab utama dari ECC. Sementara bakteri lain seperti jamur, yaitu, Candida albicans, dianggap terlibat dalam proses perkembangan ECC. Resistensi atau kerentanan terhadap karies juga dipercaya dapat berkorelasi secara signifikan dengan perubahan komponen protein saliva. Beberapa mikroorganisme oral dan protein saliva tersebut dapat berfungsi sebagai biomarker untuk memprediksi risiko dan prognosis karies. Tujuan: Mengetahui kuantitas dari antigen Streptococcus mutans serotype c dan Candida albicans pada saliva pasien ECC serta menganalisis hubungan keduanya yang dikaitkan dengan OHI-S dan skor dmf-t. Metode: S. mutans serotype c dan Candida albicans yang diisolasi dari sampel saliva pasien ECC dan caries free diuji menggunakan Indirect ELISA untuk memperoleh kuantitas antigen S. mutans serotype c dan Candida albicans, yang selanjutnya dikorelasikan dengan OHI-S dan skor dmf-t pasien ECC dan caries free. Hasil: Kuantitas antigen S. mutans serotype c dan Candida albicans paling tinggi ditemukan pada pasien caries-free. Kuantitas antigen S. mutans serotype c paling tinggi ditemukan pada pasien dengan OHI-S sangat baik, sebaliknya pada Candida albicans kuantitas paling tinggi ditemukan pada pasien dengan OHI-S sedang. Secara statistik tidak terdapat perbedaan yang signifikan antara kuantitas antigen S. mutans serotype c dan Candida albicans pada pasien ECC dan caries-free. Secara statistik terdapat perbedaan yang signifikan antara kuantitas antigen Candida albicans pada kelompok OHI-S baik dan sedang, namun tidak pada antigen S. mutans serotype c. Pada pasien ECC dan caries free, antigen S. mutans serotype c dan Candida albicans memiliki arah dan bentuk korelasi yang positif. Kesimpulan: Peningkatan kuantitas antigen Streptococcus mutans serotype c dan Candida albicans tidak mencerminkan kondisi mulut pasien ECC maupun caries free. Peningkatan kuantitas antigen Streptococcus mutans serotype c dan Candida albicans dapat mencerminkan kondisi OHI-S pasien. Streptococcus mutans serotype c dan Candida albicans pada pasien ECC berkorelasi sementara pada pasien caries-free tidak.

 

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Background: Early Childhood Caries (ECC) or early childhood caries is still considered as serious health problem, especially among children. Streptococcus mutans is known as a major cause of ECC. While other bacteria such as fungi, that is, Candida albicans, are considered to be involved in the ECC progression. Resistance or susceptibility to caries is also believed to be significantly correlated with changes in salivary protein components. Some of these oral microorganisms and salivary proteins can be functioned as biomarkers to predict caries risk and prognosis. Objective: To determine the quantity of Streptococcus mutans serotype c and Candida albicans antigens in the saliva of ECC patients and analyze the relationship between the two antigens and associated with OHI-S and dmf-t scores. Methods: S. mutans serotype c and Candida albicans were isolated from saliva samples of ECC and caries free patients were tested using Indirect ELISA to obtain the quantity of S. mutans serotype c and Candida albicans antigen, which were correlated further with OHI-S and dmf-t scores of ECC and caries free patients. Results: The highest quantity of S. mutans serotype c and Candida albicans antigens was found in caries-free patients. The highest quantity of S. mutans serotype c antigen was found in patients with very good OHI-S, whereas the highest quantity of Candida albicans was found in patients with moderate OHI-S. There was no statistically significant difference between the quantity of S. mutans serotype c antigens and Candida albicans in ECC and caries-free patients. There is a significant difference statistically between the quantity of Candida albicans antigen in the good and moderate OHI-S group, but not in the S. mutans serotype antigen c. In patients with ECC and caries free, S. mutans serotype c antigens and Candida albicans have a positive direction and form of correlation. Conclusion: Increasing the quantity of Streptococcus mutans serotype c and Candida albicans antigens did not reflect the oral condition of ECC or caries free patients. The increase in the quantity of Streptococcus mutans serotype c and Candida albicans can reflect the patient's OHI-S condition. Streptococcus mutans serotype c and Candida albicans in ECC patients correlated but in caries-free patients they did not correlate.

 

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"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.......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."