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KESIMPULAN DAN SARAN

6.1 Kesimpulan

1. Prevalensi trauma gigi sulung anterior pada anak usia 1-4 tahun di PAUD, TK dan Posyandu Kecamatan Medan Polonia dan Medan Marelan sebesar 22,16%.

2. Terdapat perbedaan frekuensi trauma gigi antara anak laki-laki dibandingkan perempuan yaitu anak laki-laki lebih banyak terkena trauma sebesar 58,14% dan anak perempuan 41,86%

3. Usia anak yang mengalami trauma paling tinggi yaitu usia 4 tahun 43,02%, usia 3 tahun 26,74%, usia 2 tahun 18,60% dan usia 1 tahun 11,64%.

4. Elemen gigi yang paling sering terkena trauma yaitu gigi insisivus sentral maksila sebesar 68,22%.

5. Tempat yang paling umum terjadinya trauma adalah di rumah dengan persentase sebesar 63,95%.

6. Fraktur yang paling sering terjadi berdasarkan klasifikasi WHO adalah fraktur enamel yaitu sebanyak 40,18% dan diikuti oleh fraktur enamel-dentin 26,17%.

7. Etiologi utama terjadinya trauma yaitu terjatuh, baik oleh karena belajar berjalan 8,14% dan terjatuh karena bermain sebesar 87,21%.

8. Masih kurangnya perhatian orangtua terhadap anak yang mengalami trauma gigi sulung dapat dilihat dari kebanyakan orangtua membiarkan saja trauma gigi yang terjadi pada anak tanpa melakukan tindakan perawatan apapun sebesar 73,11% kasus.

6.2 Saran

1. Perlu dilakukan program penyuluhan kepada orangtua oleh tenaga kesehatan kota Medan untuk memberikan informasi dan pengetahuan yang jelas

mengenai trauma gigi sulung anterior yang dapat berdampak terhadap pertumbuhan dan perkembangan gigi permanen.

2. Perlu edukasi kepada orangtua mengenai perawatan segera yang harus dilakukan apabila anak mengalami trauma gigi sulung karena perawatan tersebut berpengaruh terhadap prognosis, menjelaskan cara pencegahan dan alat perlindungan yang tepat terhadap trauma gigi sulung anak.

DAFTAR PUSTAKA

1. Schuch HS, Goettems ML, Correa MB, Torriani DD, Demarco FF. Prevalence and treatment demand after traumatic dental injury in South Brazilian School Children. Dent Traumatol 2013; 29: 297-302.

2. Avsar A, Topaloglu B. Traumatic tooth injuries to primary teeth of children aged 0-3 years. Dent Traumatol 2009; 25: 323-27.

3. Fauziah E, Hendrarlin S. Perawatan fraktur kelas tiga Ellis pada gigi tetap insisif sentral atas. Indo J Dent 2008;15(2):169-74.

4. Martins VM, Sousa RV, Rocha ES, Leite RB, Paiva SM, Garcia AFG. Dental trauma among Brazilian School Children: prevalence, treatment and associated factors. Eur Arch Pediat Dent 2009; 13(5): 232-7.

5. Heasman P. Restorative dentistry, paediatric dentistry and orthodontics. 2nd ed. Philadelphia : Elsevier, 2009: 189-209.

6. Jorge MLR, Jorge JR, Veloso IM, Olivia KJ, Zarzar PM, Marques LS. Parent’s recognition of dental trauma. Dent Traumatol 2013; 29: 266-71.

7. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma : A review of the literature. Australian Dent J 2000; 45(1): 2-9.

8. Malmgren B, Andreasen JO, Flores MT, Robertson A, Diangelis AJ, Andersson L, et al. Guidelines for the management of traumatic dental injuries : 3. Injuries in the primary dentition. Dent Traumatol 2012; 28: 174-82.

9. Murali K, Krishnan R, Kumar S, Shanmugam S, Rajasundharam P. Knowledge, attitude, and perception of mothers towards emergency management of dental trauma in Salem District, Tamil Nadu: A questionnaire study. J Indian Soc Pedod Prev Dent 2014; 32(3): 202-6.

10.Jesus MA, Antunes LAA, Risso PA, Freire MV, Maia LC. Epidemiologic survey of traumatic dental injuries in children seen at the federal University of Rio de Janeiro, Brazil. Braz Oral Res 2010; 24(1): 89-94.

11.Naidoo S, Sheiham A, Tsakos G. Traumatic dental injuries of permanent incisors in 11 to 13 year-old South African schoolchildren. Dent Traumatol 2009; 25: 224-8.

12.Siqueira MBLD, Gomes MC, Oliveira AC, Martins CC, Garcia AFG, Paiva SM. Predisposing factors for traumatic dental injury in primary teeth and seeking of post-trauma care. Braz Dent J 2013; 24(6): 647-54.

13.Murthy AK, Chandrakala B, Pramila M, Ranganath S. Dental trauma in children with disabilities in India: a comparative study. Eur Arch Paediatr Dent 2013; 14: 221-5.

14.Mellara TDS, Filho PN, Queiroz AM, Junior MS, Silva RAB, Silva LAB. Crown dilaceration in permanent teeth after trauma to the primary predecessors. Braz Dent J 2012; 23(5): 591-6.

15.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 2010; 26: 60-3.

16.Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. Guidelines for the management of traumatic dental injuries : 1. Fractures and luxation of permanen teeth. Dent Traumatol 2012; 28: 308-18.

17.Murthy AK, Mallaiah P, Sanga R. Prevalence and associated factors of traumatic dental injuries among 5 to 16 year-old school children in Bangalore City, India. Oral Health Prev Dent 2014; 14(1): 37-43.

18.Tumen EC, Adiguzel O, Kaya S, Uysal E, Yavuz I, Atakul F. The prevalence and etiology of dental trauma among 5-72 months preschool children in South-Eastern Anatolia, Turkey. J Int Dent Med Res 2009; 2(2): 40-4.

19.Goettems ML, Azevedo MS, Correa MB, Costa CT, Wendt FP, Schuch HS, et al. Dental trauma occurrence and occlusal characteristics in Brazilian Preschool Children. Pediatr Dent 2012; 34(2): 104-7.

20.Gungor HC. Management of crown-related fractures in children: an update review. Dent Traumatol 2014; 30: 88-99.

21.Vanka A, Ravi KS, Roshan NM, Shashikiran ND. Analysis of reporting pattern in children aged 7-14 years with traumatic injuries to permanen teeth. Int J Clinic Pediactr Dent 2010; 3(1): 15-9.

22.Aldrigui JM, Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bonecker M, et al. Impact of traumatic dental injuries and malocclusions on quality of life of young children. Biomed Centr 2011; 9: 1-7.

23.Berman LH, Blanco L, Cohen S. A clinical guide to dental traumatology. Philadelphia: Elsevier, 2007: 1-11.

24.Power R. Dental trauma in children. Part 1: causes and assessment. Dent Nurs 2013; 9(4): 208-11.

25.Chandra SS, Choudhary E, Chandra S. Traumatic injuries to permanent anterior teeth among Indians: frequency, aetiology and risk factors. Endo Articl 2014; 8(1): 23-30.

26.Piovesan C, Guedes RS, Casagrande L, Ardenghi T. Sosioeconomic and clinical factors associated with traumatic dental injuries in Brazilian Preschool Children. Braz Oral Res 2012; 26(5): 464-70.

27.Ankola AV, Hebbal M, Sharma R, Nayak SS. Traumatic dental injuries in Primary School Children of South India- a report from district-wide oral health survey. Dent Traumatol 2013; 29: 134-8.

28.Bakland LK, Andreasen JO. Essential diagnosis and treatment planning. Endod Topics 2004; 7: 14-34.

29.Srigupta AA. Perawatan gigi dan mulut. Alih Bahasa. Masrudi I. Jakarta: Prestasi Pustaka Publisher, 2004: 109-16.

30.Birnbaum W, Dunne SM. Diagnosis kelainan dalam mulut. Alih Bahasa. Ruslijanto H, Rasyad EM. Juwono L. Jakarta : EGC, 2009: 162-3.

31.Wagle E, Alired EN, Needleman HL. Time delays in treating dental trauma at a children’s hospital and private pediatric dental practice. Pediatr Dent 2014; 36(3): 216-21.

32.Power R. Dental trauma in children. Part 2: management. Dent Nurs 2013; 9 (5): 270-74.

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