KESIMPULAN DAN SARAN
6.1 Kesimpulan
Avulsi gigi merupakan lepasnya gigi dari soket alveolar secara utuh akibat trauma.4-7 Berdasarkan beberapa penelitian prevalensi avulsi yaitu 0,5-1,6% dari kasus truma gigi yang terjadi.7,8,9 Trauma gigi avulsi merupakan masalah yang cukup serius di kalangan masyarakat terutama pada anak usia 8-12 tahun, sehingga menjadi pelajaran yang cukup penting bagi orangtua, dokter gigi serta pelayan kesehatan lainnya dalam menangani kasus ini.8 Pada penelitian pengetahuan dan sikap orangtua terhadap penanganan trauma avulsi gigi permanen anak diperoleh kesimpulan bahwa:
1. Berdasarkan jawaban atas pertanyaan mengenai pengetahuan dan sikap orangtua tentang penanganan darurat trauma avulsi gigi permanen anak disimpulkan bahwa 1,4% orangtua yang memiliki pengetahuan yang baik dan 75% orangtua memiliki sikap yang baik.
2. Ada hubungan yang bermakna antara tingkat pendidikan orangtua dengan pengetahuan tentang penanganan darurat trauma avulsi gigi permanen anak (p=0,020). Ada hubungan yang bermakna antara sosial ekonomi keluarga dengan pengetahuan orangtua tentang penanganan darurat trauma avulsi gigi permanen anak di Kecamatan Medan Baru dan Medan Amplas (p= 0,017).
3. Tidak ada hubungan yang bermakna antara tingkat pendidikan orangtua dengan sikap orangtua tentang penanganan darurat trauma avulsi gigi permanen (p=0,492). Tidak ada hubungan yang bermakna antara sosial ekonomi keluarga dengan sikap orangtua tentang penanganan darurat trauma avulsi gigi permanen di Kecamatan Medan Baru dan Medan Amplas (p=0,036).
4. Ada hubungan yang bermakna antara pengetahuan orangtua dengan sikap orangtua tentang tentang penanganan darurat trauma avulsi gigi permanen anak (p=0,036).
6.2 Saran
1. Perlu diadakan penelitian lebih lanjut tentang pengetahuan dan sikap orangtua tentang penanganan darurat kasus trauma avulsi gigi permanen anak.
2. Perlu dilakukan peningkatan pengetahuan dan sikap orangtua mengenai trauma gigi anak terutama penanganan darurat trauma gigi avulsi melalui program edukasi seperti penyuluhan di puskesmas maupun di sekolah-sekolah oleh dokter gigi.
3. Pelayanan kesehatan setempat perlu memperkenalkan trauma gigi pada anak terutama avulsi gigi dan penanganannya dengan media poster maupun iklan sehingga dapat diketahui secara luas.
4. Bagi peneliti lain yang ingin melakukan penelitian yang sejenis dengan penelitian ini, diharapkan memperoleh data yang lebih seimbang sehingga dapat mengkaji faktor atau variabel yang mempengaruhi meliputi tingkat pendidikan dan sosioekonomi maupun dengan variabel tambahan seperti usia, jenis kelamin, daerah tempat tinggal mapupun pengaruh sesudah menerima penyuluhan.
DAFTAR PUSTAKA
1. Ozer S, Yilmaz EI, Bayrak S, Tunc ES. Parental knowledge and attitudes regarding the emergency treatment of avulsed permanent teeth. European Journal of Dentistry 2012; 6: 370-5.
2. Quaranta, De Giglio O, Corretti C, Vaccaro S, Barbuti G, Strohmenger L. What do parents know about dental trauma among school-age children A pilot study. Ann Ig 2014; 26: 443-6.
3. Shashikiran ND, Reddy VVS, Nagaveni NB. Knowledge and attitude of 2000 parents (urban and rural -1000 each) with regard to avulsed permanent incicors and their emergency management, in and around Davangere. J Indian Soc Pedod Prev Dent 2006; 116-121.
4. Mori G, Castilho L, Nunes D, Turcio K, Molina R. Avulsion of permanent teeth: Analysis of the efficiency of an informative campaign for professionals from elementary school. Journal of Applied Oral Science 2007; 15(6): 534-8. 5. Sigurdsson A, Bourguignon C. Avulsion. In: Berman L, Blanco L, Cohen S.
eds. A clinical guide to dental traumatologi.,Missouri:Mosby Elsevier, 2007: 99-101.
6. Loo TJ, Guruthan D, Somasundaran S. Knowledge and attitude of parents with regard to avulsed permanent tooth of their children and their emergency management- Chennai.J Indian Soc Pedod Prev Dent 2014; 32(2): 97-106. 7. Cohenca N, Forrest JL, Rotstein I. Knowledge of oral health professionals of
treatment of avulsed teeth. Dent Traumatol 2006; 22: 296-301.
8. Fujita Y, Shiono Y, Maki K. Knowledge of emergency management of avulsed tooth among Japanese dental students. BMC Oral Health 2014; 14(36): 1-6.
9. Gupta N, Singh K, Ahuja R, Saxena T. Knowledge of mothers with different education levels about the emergency management of avulsed teeth. OHDM 2014; 13(3): 792-97.
10.Levin L, Zadik Y. Education on and prevention of dental trauma: it’s time to
act. Dent Traumatol 2012; 28: 49-54.
11.Young C, Wong KY, Cheung LK. Emergency management of dental trauma: knowledge of Hong Kong primary and secondary school teachers. Hong Kong Med J 2012; 18(5): 362-3
12.Santos M, Habecost A, Gomes F, Weber J, Gerhard M. Parent and Caretaker knowledge about avulsion of permanent teeth. Dent Traumatol 2009; 25: 203-8.
13.Abeer M, Abdelatif, Salwa A. Hegazy. Knowledge of emergency management of avulsed teeth among a sample of Egyptian parents. J Advanced Res 2011; 2: 157-62.
14.Notoatmojo S. Ilmu kesehatan masyarakat. Jakarta: Rineka Cipta, 2003; 127-34.
15.Andersson L, Andreason JO, Day P, Heithersay G, Trope M, DiAngelis AJ et al. Guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. International Association of Dental Traumatology 2012; 35(6); 319-26.
16.Andreasen JO, Anderasen FM, Andreasen L.Texbook and color of atlas of traumatic injuries to the teeth. 4th ed., Conpenhagen: Blackwell Munksguard,2007:229-35.
17.Arriza AM, Ramadhan AF. Coconut water (Cocos nucifera) as storage media for the avulsed tooth. Journal of Dentistry Indonesia 2010; 17(3): 74-9.
18.Prabakar AR, Sugandhan, Roopa KB, Gulati A . Esthetic management of an anterior avulsed tooth. International Journal of Clinical Pediatric Dentistry 2009; 2(3): 35-38.
19.Ajayi MD, Denloye O, Funmilayo I, Solanke A. The unmet treatment need of traumatized anterior teeth in selected secondary school children in Ibadan, Nigeria. Dent Traumatol 2009; 26: 60-63.
20.Tezel H, Atalayin C, Kayrak G. Replantation after traumatic avulsion. European Journal of Dentistry 2013; 7(2): 229-32.
21.Zakirulla M, Togoo RA, Yaseen SM. Knowledge and attitude of Saudi Arabian school teachers with regard to emergency management of dental trauma. International Journal of Clinical Dental Science 2011; 2(2): 25-28. 22.Sanu OO, Utomi IL. Parental awareness of emergency management avulsion
of permanent teeth of children in Lagos,Nigeria. Niger Postgrad Med J 2005; 12: 115-20.
23.Bhayya DP, Shyagali TR. Traumatic injuries in the primary teeth of 4 to 6year-old school children in Gulbarga City, India. OHDM 2013; 12(1): 17-23. 24.Power R. Dental trauma in children. Part 2: management. Dental Nursing
2013; 9 (5): 270-74.
25.Howe S. Protecting teeth from damage with mouthguards. Dental Nursing 2014; 10(2): 76-8.
26.Keels MA, The Section on Oral Health. Management of dental trauma in a primary care setting. Pediatrics 2014; 133(2): 466-76.
27.Firmino RT, Siqueira MBLD, Andrade RGV. Prediction factors for failure to seek treatment following traumatic dental injuries to primary teeth. Braz Oral Res 2014; 28(1): 1-7.
28.Hwang JY, Choi SC, Park JH, Kang SW. The use of green tea extract as storage medium for the avulsed tooth.JOE 2011; 37(7): 962-66.
29.Bazmi BA, Singh AK, Kar S, Mubtasum H. Storage media for avulsed tooth. Indian Journal of Multidicplinary Dentistry 2013; 3(3): 741-49.
30.Mohandas U, Chandan GD. Knowledge, attitude and practice in emergency management of dental injury among physical educational teachers: A survey in Bangalore urban schools. J Indian Soc Pedod Prevent Dent 2009; 4(27): 242-8.
31.Sae-Lim V, Chulaluk K, Lim LP. Patient and parental awareness of importance of immediate management of traumatized teeth. Endod Dent Traumatol 1999; 15: 37-41.
32.Hashim R. Dental trauma management awareness among primary school teachers in the Emirate of Ajman, United Arab Emirates. European Journal of Pediatric Dentistry 2011; 12(2): 99-102.
33.Adekoya-Sofowora CA, Oziegbe EO, Ugboko V, Akinbade A. Knowledge of first aid measures of avulsion replantation of teeth in Nigerian school children. The Internet Journal of Dental Science 2008; 7(1): 1-5.
