top of page
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

Screen Shot 2018-08-12 at 1.24.09 AM.png
Screen Shot 2018-08-12 at 1.24.02 AM.png
Screen Shot 2018-08-12 at 1.23.57 AM.png
Screen Shot 2018-08-12 at 1.23.52 AM.png
open access

Published: 20 September 2021

Dental Health Care Influence on Dental Hygiene of Elementary School Children

Ni Ketut Nuratni, I Nyoman Wirata, Ni Wayan Arini, I Made Budi Artawa, I Gusti Ayu Raiyanti, Ni Putu Adihacita

Poltekkes Kemenkes Denpasar, Indonesia

journal of social and political sciences
pdf download

Download Full-Text Pdf



Pages: 84-92

Keywords: Dental Health Care, Children, Debris Index, Dental Caries


Most of Indonesians suffer from dental caries. This is due to bad dental health maintenance. Although in fact, dental caries is a preventable disease. Dental and oral hygiene that is not maintained will cause various dental diseases that will affect general health, although it does not cause death directly, but is also a risk factor for other diseases including: tonsillitis, pharyngitis, otitis media, low birth weight (LBW) , and even heart disease. We undertook this research by evaluating the influence of dental health care towards elementary school children. The subjects are fifth grade in SD Saraswati 4 Denpasar, Indonesia. There are control and intervention groups in this research. The treatment for control group was given leaflet and intervention group was given dental health care with the provision of dental therapist. We evaluate the influence on knowledge, attitude, practice and Debris Index score. The analysis using bivariate test employed Wilcoxon test and univariate test employed Mann-Whitney test. The results show that in intervention group, there is influence of dental health care on knowledge, attitude, practice and Debris Index score of the students. Meanwhile in control group, there is influence on knowledge and attitude but no influence on practice and Debris Index score. Mann-Whitney test shows that there are significant differences in knowledge and attitude, but no significant practice and Debris Index score in intervention and control group. The Debris Index criteria of the intervention group are 100% good with the treatment of dental health care.


  1. Abullais, S. S., Al-shahrani, F. M. F., Al-mathami, S. A., & Bhavikatti, S. K. (2020). The Knowledge , Attitude and Practices of the Caregivers about Oral Health Care , at Centers for Intellectually Disabled , in Southern Region of Saudi Arabia. Healthcare, 8(416), 1–12.

  2. Afeef, M., Felemban, N., Alhazmi, N., & S.Natto, Z. (2021). Factors associated with a late visit to dentists by children: A cross-sectional community-based study in Saudi Arabia. Journal of Taibah University Medical Sciences, 16(4), 513–520.

  3. Ahamed, S., Moyin, S., Punathil, S., Patil, N. A., Kale, V. T., & Pawar, G. (2015). Evaluation of the Oral Health Knowledge , Attitude and Behavior of the Preclinical and Clinical Dental Students. Journal of International Oral Health, 7(November 2014), 65–70.

  4. Al-qahtani, S. M., Razak, P. A., & Khan, S. D. A. A. (2020). Knowledge and Practice of Preventive Measures for Oral Health Care among Male Intermediate Schoolchildren in Abha , Saudi Arabia. International Journal of Environmental Research and Public Health, 17(703), 1–11.

  5. Anil, S., & Anand, P. S. (2017). Early Childhood Caries: Prevalence, Risk Factors, and Prevention. Frontiers in Pediatrics, 5(July), 1–7.

  6. Ansari, M., & Mahesar, H. A. (2017). Associated Factors Affecting Dental Health on Daily Life from Health Perspective. Sindh Univ. Res. Jour., 49(1), 225–228.

  7. Apesteguia, J., Huck, S., Oechssler, J., Weidenholzer, E., & Weidenholzer, S. (2018). Imitation of Peers in Children and Adults. Games,9(11), 1–15.

  8. Benjamin, R. M. (2010). Oral Health: The Silent Epidemic(Vol. 125).

  9. Blaggana, A., Grover, V., Kapoor, A., & Blaggana, V. (2016). Oral Health Knowledge , Attitudes and Practice Behaviour among Secondary School Children in Chandigarh. Journal of Clinical and Diagnostic Research, 10(10), 1–6.

  10. Çolak, H., Dülgergil, Ç. T., Dalli, M., & Hamidi, M. M. (2013). Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med, 4(1), 29–38.

  11. Davidovi, B., Ivanovic, M., Jankovi, S., & Lecic, J. (2014). Knowledge , attitudes and behavior of children in relation to oral health. Vojnosanit Pregl, 71(10), 949–956.

  12. Elamin, A., Garemo, M., & Mulder, A. (2021). Determinants of dental caries in children in the Middle East and North Africa region : a systematic review based on literature published from 2000 to 2019. BMC Oral Health, 21(237), 482–487.

  13. Haleem, A., Siddiqui, M. I., & Khan, A. A. (2012). School-based strategies for oral health education of adolescents- a cluster randomized controlled trial. BMC Oral Health, 12(54), 1–12.

  14. Igić, M., Apostolović, M., Kostadinović, L., Tricković-Janjić, O., & Surdilović, D. (2008). The importance of health education in prevention of oral health in children. Med Pregl, 61(1–2), 65–70.

  15. Kwan, S. Y. L., Petersen, P. E., Pine, C. M., & Borutta, A. (2005). Health-promoting schools : an opportunity for oral health promotion.Bulletin of the World Health Organization, 020305(04), 677–685.

  16. Lewis, C. W., Grossman, D. C., Domoto, P. K., & Deyo, R. A. (2000). The Role of the Pediatrician in the Oral Health of Children : A National Survey. Pediatrics, 106(6), 1–7.

  17. Medina-Solís, C. E., Maupomé, G., Avila-Burgos, L., Segovia-Villanueva, M. H.-M. A., & Pérez-Núñez, R. (2006). Factors influencing the use of dental health services by preschool children in Mexico. Pediatr Dent, 28(3), 285–292.

  18. Neupaul, P., & Mahomed, O. (2020). Influence of parents ’ oral health knowledge and attitudes on oral health practices of children ( 5-12 years ) in a rural school in KwaZulu Natal , South Africa- A cross sectional survey. J Int Soc Prev Community Dent., 10(5), 605–612.

  19. Prasad, M., Manjunath, C., Murthy, A. K., Sampath, A., Jaiswal, S., & Mohapatra, A. (2019). Integration of oral health into primary health care : A systematic review. J Family Med Prim Care, 8, 1838–1845.

  20. Saffan, A. D. Al, Baseer, M. A., Alshammary, A. A., Assery, M., Kamel, A., & Rahman, G. (2017). Impact of Oral Health Education on Oral Health Knowledge of Private School Children in Riyadh City, Saudi Arabia. J Int Soc Prev Community Dent, 7(3), 186–193.

  21. Sogi, H. P. S., Hugar, S. M., Nalawade, T. M., Sinha, A., Hugar, S., & Mallikarjuna, R. M. (2016). Knowledge, attitude, and practices of oral health care in prevention of early childhood caries among parents of children in Belagavi city: A Questionnaire study. J Family Med Prim Care,5(2), 286–290.

  22. Veiga, N., Pereira, C., Amaral, O., Ferreira, P., & Ij, C. (2015). Oral Health Education : Community and Individual Levels of Intervention. OHDM, 14(2), 129–135.

  23. Wei, S. H. Y., & Lang, N. P. (1982). Periodontal epidemiological indices for children and adolescents: II. Evaluation of oral hygiene; III. Clinical applications. Pediatric Dentistry, 4(1), 64–73.

  24. World Health Organization (WHO). (2003). Dental Disease and Oral Health.

  25. Zita, Z., Soni, Z., Kusniati, R., Rakhmawati, A. K., Gigi, F. K., Semarang, U. M., … Semarang, U. M. (2020). Gambaran Status Kesehatan Gigi dan Mulut pada Pasien Prolanis di Puskesmas Kedungmundu Description of Dental and Mouth Health Status of Prolanis Patients in Kedungmundu Health karies gigi , kemudian pada urutan kedua di Kesehatan Kota Semarang tahun 2018. Medica Arteriana, 2(1), 43–52.

bottom of page