Pengaruh Menyikat Gigi dengan Siwak (Salvadora Persica) Terhadap pH Saliva
Abstract
Background: Salivary pH is one of factor which involved in caries development. Decreasing of salivary pH will cause enamel demineralization. Miswak (Salvadora persica) as a toothbrush because it has mechanical and chemical effects such as essential oil and bicarbonate which can stimulate salivary secretion. Thus, it will increase the buffer capacity and salivary pH lead to enamel remineralization. Objective: This study aimed to know the effect of toothbrushing with miswak (Salvadora persica) on salivary pH. Methods: The clinical experiment study with pre-test and post-test control group design. The sample of this study is the students of Faculty of Dentistry, Andalas University, Padang. There are 34 students that divided into two groups randomly that is case and control group. Case group used miswak while control group used conventional toothbrush, respectively brushing horizontally for 2 minutes. Salivary pH was measured using digital pH meter in scale of 0.0 to 14.0 with 0.1 sensitivity from pen type pH meter. The data analyzed by Shapiro-Wilk test continued by paired t-test and Mann-Whitney test. Results: paired t-test produced significant value p=0,001 in case group and p=0,000 in control group. Mann-Whitney test produced significant value p=0.317. There was no significant difference in statistic among these groups. Conclusion: Toothbrushing with miswak has effect on salivary pH. Miswak as effective as toothbrush on salivary pH. Keywords:Toothbrushing, miswak (Salvadora persica), Salivar
References
Selwitz RH, Ismail AI, dan Pitts NB. Dental Caries. the Lancet Proquest. 2007; 369(9555): 51-59.
Departmen Kesehatan RI. Riset Kesehatan Dasar 2013. Jakarta: BPPK; 2013.
Kidd EAM, dan Bechal SJ. Dasar-Dasar Karies: Penyakit dan Penanggulangannya. Ed. Ke-2. Jakarta: Penerbit Buku Kedokteran EGC; 1992.
Soeyoso UM, et al. Prevalensi dan Faktor Risiko Karies Gigi Murid Sekolah Dasar Kelas III-IV Negeri 161 Kota Palembang Tahun 2009. Jurnal Kesehatan Bina Husada. 2010;6(1):12- 20.
Sulendra KT, Fatmawati DWA, Nugroho R. Hubungan pH dan Viskositas Saliva terhadap Indeks DMF-T pada Siswa- Siswi Sekolah Dasar Baletbaru II Sukowono Jember. Artikel Ilmiah Hasil Penelitian Mahasiswa. 2013.
deAlmeida PDV, Gregio AMT, Machado MAN, et al. Saliva Composition and Functions: a Comprehensive Review. The Journal of Contemporary Dental Practice. 2008; 9(3): 1-11.
Felton A, Chapman A, Felton S. Basic Guide to Oral Health education and Promotion. UK: Wiley-Blackwell; 2009.
Soesilo D, et al. Peranan Sorbitol dalam Mempertahankan Kestabilan pH Saliva pada Proses Pencegahan Karies. Majalah Kedokteran Gigi Dental Journal. 2005; 38(1): 25–28.
Najoan SB, Kepel BJ, Wicaksono DA. Perubahan pH Saliva Siswa Ma Darul Istiqamah Manado Sesudah Menyikat Gigi dengan Pasta Gigi Mengandung Xylitol. Jurnal e-GIGI(eG). 2014; 2(2).
Angela A. Pencegahan Primer pada Anak yang Berisiko Karies Tinggi. Majalah Kedokteran Gigi. 2005; 38(3): 130-134.
Adhani R, et al. Perbedaan pH Saliva Menggosok Gigi Sebelum dan Sesudah Mengkonsumsi Makanan Manis dan Lengket Pengukuran Menggunakan pH Meter pada Anak Usia 10-12 Tahun di SDN Melayu 2 Banjarmasin. Dentino Jurnal Kedokteran Gigi. 2014; 2(1): 39- 45.
Almas K. the Effect Salvadora Persica Extract (Miswak) and Chlorahexidine Gluconate on Human Dentin: a SEM Study. The Journal of Contemporary Dental Practice. 2002; 3(3): 1-10.
Almas K, Al-Lafi TR. the Natural Toothbrush. World Health Forum. 1995; 16: 205-210.
Al-Bayaty FH, et al. Effect of Mouth Wash Extracted from Salvadora Persica (Miswak) on Dental Plaque Formation: a Clinical Train. Journal of Medicinal Plants Research. 2010;4(14): 1446-1454.
Nordin FNM, et al. a Review on the Sunnah of Miswak (Salvadora persica) and its Potentially to Improve Oral Health. Academy of Islamic Studies Journal, University of Malaya (UM). 2012; 02(01): 33-41.
Halawany HS. a Review on Miswak (Salvadora persica) and its Effect on Various Aspect of Oral Health. The Saudi Dental Journal of King Saud University. 2012; 24: 63-69.
Ezzoddni F, Ardakani. Efficacy of Miswak (Salvadora persica) in Preventing Dental Caries. Health. 2010; 2(5): 499-503.
Masood Y, Masood M, Hasan MIA, Al- bayaty FHMA. Biological Effects of Miswak. Current topics in nutraceutical reaserch. 2010; 8: 161-168.
Amerongen AVN, Michels LFE, Roukema PA, Veerman ECI. Ludah dan Kelenjar Ludah Arti Bagi Kesehatan Gigi. Yogyakarta: Gadjah Mada Universitas Press;1992.
Sofrata A, Lingstrom P, Baljoon M, Gustafsoon A. The Effect of Miswak Extract on Plaque pH. Caries Research. 2007; 41: 451-454.
Endarti, Fauzia, Erly Z. Manfaat Berkumur Dengan Larutan Ekstrak Siwak (Salvadora persica). Majalah Kedokteran Nusantara. 2006;39(4):393- 401.
Millward A, Shaw L, Harrington E, Smith AJ. Continuous Monitoring of Salivary Flow Rate and pH at the Surface of the Dentition Following Consumption of Acidic Beverages. Caries Research. 1997; 31(1): 44-49.
Sastroasmoro S, dan S Ismael. Dasar- Dasar Metedologi Penelitian Klinis. Jakarta: Sagung seto; 2011.
Dahlan MS. Stastiktik untuk Kedokteran dan Kesehatan. Jakarta: Salemba Medika; 2011.
Kusumasari Nila. Pengaruh Larutan Kumur Ekstrak Siwak (Salvadora persica) terhadap pH Saliva. Jurnal Media Medika Muda Fakultas Kedokteran Universitas Diponegoro. 2012.
Al Sadhan RI, Almas K,. Miswak (Chewing stick): a Cultural and Scientific Heritage. The Saudi Dental Journal. 1999; 11(2): 80-87.
Darout IA. Miswak as an Alternative to the Modern Toothbrush in Preventing Oral Diseases. Research Gate. 2003.
Ezoddini F, Ardakani, et al. Study of the Effect of Natural Toothbrush (Salvadora persica) in Prevention of Dental Caries and Plaque Index. Health. 2012; (9): 612- 618.
Mohammed SG. Comparative Study of In Vitro Antibacterial Activity of Miswak Extract and Different Toothpastes. American Journal of Agricultural and Biological Sciences. 2013; 8(1): 82-88.
Linardi AN. Perbedaan pH Saliva antara Pengguna Pasta Gigi yang Mengandung Baking Soda dan Pengguna Pasta Gigi yang Mengandung Fluor. 2014. Makassar: Fakultas Kedokteran Gigi Universitas Hasanuddin. Skripsi.
