Widodo Widodo
Faculty of Dentistry, Universitas Lambung Mangkurat, Banjarmasin

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RELATION BETWEEN FOOD CONSUMPTION PATTERN AND DMF-T INDEX OF STUDENTS IN WETLANDS AREA OF KABUPATEN BARITO KUALA Observation on MTs students in Kabupaten Barito Kuala Adhani, Rosihan; Faradila, Annisa; Widodo, Widodo
Dentino Vol 2, No 2 (2017)
Publisher : FKG Unlam

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Background: Food consumption pattern is the composition of type, and amount of food material consumed by a person or population in a particular frequency and period of time. Data taken from 2013th RISKESDAS show that 75,5% Barito Kuala citizens over 10 years old have the tendency to consume sugary foods more than once a day. The high pattern of consuming sugary foods affects the dental plaque formation on tooth surface because strongly-attached plaque has great potential to induce caries. Caries plays an important part in oral health problems in Barito Kuala. Report shows that Barito Kuala citizens over 12-year-old have high caries history, even reaching 89%. This report is supported by 2007th RISKESDAS, which states that DMF-T index of Barito Kuala is 6.61 or very high. Purpose: The purpose of this study was to assess the relation between food consumption pattern and DMF-T index of students in wetlands area of Barito Kuala. Methods: This study was quantitative analytical study using cross sectional approach. Data were collected using Food Frequency Questionnaire and DMF-T index sheets. 100 samples were chosen using cluster sampling method. Results: Data were analyzed using Spearman test with 0.001 significance (p<0.05) and strong correlation (r=-0,648). Conclusion: There was a relation between food consumption pattern and DMF-T index of students in wetlands area of Barito Kuala
HUBUNGAN ANTARA TINGKAT SOSIAL EKONOMI ORANG TUA DENGAN INDEKS KARIES GIGI PELAJAR SMPN DI KECAMATAN BANJARMASIN SELATAN. Tinjauan SMP Negeri 11 Banjarmasin Fatmasari, Meilita; Widodo, Widodo; Adhani, Rosihan
Dentin Vol 1, No 1 (2017)
Publisher : Universitas Lambung Mangkurat

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ABSTRACTBackground: Oral diseases are one of the top ten diseases in Indonesia that is frequently being complained by people. The 2013 National Basic Health Survey (RISKESDAS) states that the prevalence of active caries in Indonesia is 43.4%. Banjarmasin has 38.2% of population who have issues with oral health, and 28.6% out of it is 12-15 year-olds. The socioeconomic status can affect knowledge, lifestyle and access to health services. Someone who is at low socioeconomic level will experience a poor health status, including the oral health which makes it more vulnerable to caries because the lack of nutrition and the lack of knowledge in regard to oral health. Purpose: Identify relation between the socioeconomic status of parents with caries index of students from SMPN 11 Banjarmasin. Methods: This research uses the analytical method with cross sectional approach. The samples of this research are 256 students of SMPN 11 Banjarmasin. Results: The result of Spearman test shows p= 0.001 (p<0.05) which validates the meaningful relation between the socioeconomic status of parents with caries index of students, wherein caries index of students with a low socioeconomic level of parents have a higher caries index than the students with a high socioeconomic level. Conclusion: meaningful relation between the socioeconomic status of parents with caries index students of SMPN 11 Banjarmasin.  Key words: caries index, socioeconomic, caries.  ABSTRAK Latar Belakang: Penyakit gigi dan mulut berada pada urutan 10 besar dari daftar penyakit yang paling sering dikeluhkan oleh masyarakat Indonesia. Masalah utama dalam kesehatan gigi dan mulut adalah karies gigi. Riset Kesehatan Dasar Nasional 2013 menyatakan prevalensi karies aktif di Indonesia adalah 43,4%. Kota Banjarmasin memiliki prevalensi penduduk yang bermasalah dalam kesehatan gigi dan mulut sebanyak 38,2% dan pada usia 12-15 tahun sebanyak 28,6%. Seseorang yang berada pada tingkat sosial ekonomi rendah akan mengalami status kesehatan yang buruk termasuk kesehatan gigi dan mulut sehingga lebih beresiko mengalami karies dikarenakan kurangnya asupan nutrisi serta kurangnya tingkat pengetahuan tentang kesehatan gigi dan mulut. Tujuan: Mengetahui hubungan antara tingkat sosial ekonomi orang tua dengan  indeks karies gigi pelajar SMPN 11 Banjarmasin. Metode: Penelitian menggunakan metode analitik dengan pendekatan cross sectional. Sampel penelitian berjumlah 256 pelajar SMPN 11 Banjarmasin. Hasil: Hasil uji Spearman menunjukkan nilai p= 0,001 (p<0,05) sehingga menunjukkan  adanya hubungan yang bermakna antara tingkat sosial ekonomi orang tua pelajar dengan indeks karies gigi pelajar dimana indeks karies gigi pelajar dengan tingkat sosial ekonomi orang tua rendah memiliki indeks karies lebih tinggi dibandingkan pelajar dengan tingkat sosial ekonomi yang tinggi. Kesimpulan: Terdapat hubungan antara tingkat sosial ekonomi orang tua pelajar dengan indeks karies gigi pelajar SMP Negeri 11 Banjarmasin.  Kata-kata kunci: Indeks Karies, Sosial Ekonomi, Karies
PERBANDINGAN INDEKS KARIES ANTARA ANAK YANG MENGKONSUMSI SUSU BOTOL DENGAN TANPA BOTOL USIA 2-5 TAHUN Tinjauan Playgroup Islam Terpadu Ukhuwah Banjarmasin Ghaitsa Ghaitsa; widodo widodo; Rosihan Adhani
Dentino : Jurnal Kedokteran Gigi Vol 2, No 2 (2017)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v2i2.4001

Abstract

Background: The prevalence of bottle caries in Indonesia is quite high at 48% is due to the high percentage of children drinking milk bottles which given while sleeping. Consuming milk formula using a bottle can cause caries, because the product of milk contain carbohydrates. Carbohydrate which contact with teeth will be fermented by bacteria become acid. This situation will cause the demineralization process that dissolves the enamel structure. Caries which caused by bottle feeding is known as Nursing Mouth Caries (NMC). Purpose: The purpose of this research is to know the difference of caries index of deciduous teeth between children who consumed milk with and without bottle.Methods: The target of this research is the students of Playgroup Islam Terpadu Ukhuwah Banjarmasin age 2-5 years with total sample of 80 children who were divided in to two groups, 40 children consumed milk with bottle and 40 children consumed milk without bottle. This research uses cross sectional design. def-t index is used as the measuring tool for deciduous teeth with caries.Results: The results showed that the index of caries in children who consumed milk with bottle is 5,3 which included in the high category, while the index of caries in children who consumed milk without bottle is 3,4 which included in the medium category. Statictical analysis of the results obtained value of p = 0,032 (p < 0,05) which indicated significant difference between the index of caries children who consumed milk with and without bottle. Children who consumed milk using bottle causing pool and contact with teeth. This situation will lower the pH of mouth and self cleansing diminished so that the process of demineralization happened. Conclusion: The conclusion is caries index in children who consumed milk with using bottle is higher than without using bottle.
Effectiveness of Line communication application as a social media on changes in tooth brushing behavior of junior high school students in Banjarmasin Widodo Widodo; Darmawan Setijanto; Agung Sosiawan
Dental Journal (Majalah Kedokteran Gigi) Vol. 49 No. 4 (2016): December 2016
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.596 KB) | DOI: 10.20473/j.djmkg.v49.i4.p223-228

Abstract

Background: There were only 10.7% of junior school students in Banjarmasin brushing their teeth before bedtime. Using Line (as one of the social media) can be assumed as an effective strategy to spread information. Purpose: This study aimed to reveal changes in tooth brushing behavior before bedtime in students of class VII in all state junior high schools in Banjarmasin after receiving information disseminated through Line. Method: Pre and post test technique with control group design was used in this research. Result: One week before the treatment, the mean frequency of tooth brushing behavior before bedtime in the Line group was 1.90, while in the poster group was 1.93. During the treatment, the mean frequency of tooth brushing behavior before bedtime in the Line group was 4.78 in the first 7 days, 5.07 in the second week, and 5.67 in the third week. On the other hand, the mean frequency of tooth brushing behavior before bedtime in the poster group was 4.66 in the first 7 days, 4.61 in the second week, and 5.18 in the third week. Conclusion: Messages/ information disseminated through both of Line and poster can give a significant change in tooth brushing behavior before bedtime. Nevertheless, Line can trigger better effectiveness than poster in stimulating a change in tooth brushing behavior before bedtime.
PERBANDINGAN KARAKTERISTIK PENGGUNA GIGI TIRUAN YANG DIBUAT DI DOKTER GIGI DENGAN TUKANG GIGI DI BANJARMASIN (Tinjauan terhadap Pengetahuan dan Biaya Pembuatan Gigi Tiruan) Sofi Arnesti Wahab; Rosihan Adhani; Widodo Widodo
Dentin Vol 1, No 1 (2017)
Publisher : Universitas Lambung Mangkurat

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ABSTRACT  Background: Missing teeth causes disruption of occlusal balance, disfunction, and mastication. The missing teeth can be replaced by denture. There are so many places to fulfill denture needs besides dentist that can be found, such as dental technician. Making of denture by incompetent health worker may leads to various impacts such as plaque deposits, halitosis, and soft tissue irritation. Purpose: Find out the characterisctics differences of denture wearers, review of knowledge and cost of denture that made by dentist and dental technician in Banjarmasin. Methods: Quantitative analytical with cross-sectional approach. Respondents consist of 50 denture wearers that made by dentist and 50 denture wearers that made by dental technician in Banjarmasin. Results: Analysis test using Mann Whitney have significance value p=0,001 (p<0,05), that means there are significant differences in knowledge of denture wearers and cost of denture that made by dentist and dental technician. Knowledge of denture wearers and cost of denture that made by dentist were higher than made by dental technician. Knowledge is influenced by education, information, experience, culture, and socioeconomic, and cost is influenced by economic level. Conclusion: There are significant differences in the characteristics in terms of knowledge and cost of denture that made by dentist and dental technician in Banjarmasin. Knowledge and cost of denture that made by dentist were higher than made by dental technician in Banjarmasin. Keywords: knowledge, cost of denture, denture, dentist, dental technician  ABSTRAK Latar Belakang: Kehilangan gigi dapat mengakibatkan terganggunya keseimbangan oklusi gigi geligi, menganggu fungsi, dan mastikasi. Gigi yang hilang dapat diganti dengan gigi tiruan. Tempat pemenuhan kebutuhan gigi tiruan selaim dokter gigi banyak ditemukan, salah satunya tukang gigi. Pembuatan gigi tiruan yang dilakukan oleh tenaga kesehatan yang tidak kompeten dapat menimbulkan dampak antara lain penumpukan plak,  halitosis, dan iritasi pada jaringan lunak. Tujuan: Mengetahui perbedaan karakteristik pengguna gigi tiruan, tinjauan terhadap pengetahuan dan biaya pembuatan gigi tiruan yang dibuat dokter gigi dengan tukang gigi. Metode: Merupakan kuantitatif analitik dengan pendekatan cross sectional. Responden terdiri dari 50 orang pengguna gigi tiruan yang dibuat di dokter gigi dan 50 orang pengguna gigi tiruan yang dibuat di tukang gigi di Banjarmasin. Hasil: Uji analisis menggunakan uji Mann Whitney mempunyai nilai signifikansi p=0,001 (p<0,05), itu berarti terdapat perbedaan yang bermakna pada pengetahuan pengguna gigi tiruan dan biaya pembuatan gigi tiruan yang dibuat di dokter gigi dengan tukang gigi. Pengetahuan pengguna gigi tiruan dan biaya pembuatan gigi tiruan yang dibuat di dokter gigi lebih tinggi daripada yang dibuat di tukang gigi. Pengetahuan dipengaruhi oleh pendidikan, informasi, pengalaman, budaya, dan sosial ekonomi, dan biaya pembuatan dipengaruhi oleh tingkat ekonomi. Kesimpulan: Terdapat perbedaan bermakna karakteristik dari segi pengetahuan dan biaya pembuatan gigi tiruan yang dibuat di dokter gigi dengan tukang gigi di Banjarmasin. Pengetahuan dan biaya pembuatan gigi itruan yang dibuat di dokter gigi lebih tinggi daripada tukang gigi di Banjarmasin.  Kata-kata kunci: pengetahuan, biaya pembuatan gigi tiruan, gigi tiruan, dokter gigi, tukang gigi
HUBUNGAN PERILAKU KESEHATAN GIGI DAN MULUT DENGAN INDEKS KARIES DMF-T DAN SIC (Tinjauan Terhadap Siswa SMP Negeri 5 Marabahan di Kabupaten Barito Kuala) Anshori Rohimi; Widodo Widodo; Rosihan Adhani
Dentin Vol 2, No 1 (2018)
Publisher : Universitas Lambung Mangkurat

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ABSTRAKLatar belakang: Rendahnya perilaku kesehatan gigi dan mulut dapat menjadi faktor menurunnya status kesehatan seseorang. Perilaku kesehatan gigi dan mulut meliputi perilaku menyikat gigi, pola makan, dan kunjungan ke dokter gigi. Studi epidemiologi menyebutkan bahwa perilaku kesehatan gigi dan mulut masih sangat rendah. Tujuan: Menganalisis hubungan perilaku kesehatan gigi dan mulut dengan indeks karies DMF-T dan SiC siswa SMPN 5 Marabahan di Kabupaten Barito Kuala. Metode dan bahan: Penelitian ini observasional analitik dengan pendekatan Cross Sectional pada 100 siswa SMPN 5 Marabahan di Kabupaten Barito Kuala. Instrumen kuesioner digunakan untuk mengukur tingkat perilaku kesehatan gigi dan mulut siswa dan indeks DMF-T untuk mengukur pengalaman karies siswa. Hasil penelitian: Perilaku kesehatan gigi dan mulut siswa SMPN 5 Marabahan di Kabupaten Barito Kuala sebagian besar (64%) dalam kategori cukup dan paling kecil kategori baik (1%). Indeks DMF-T siswa SMPN 5 Marabahan di Kabupaten Barito Kuala berada pada  skor 2,8 atau dalam tingkat yang sedang dan skor SiC 4. Hasil analisis statistik diperoleh nilai p= 0,001 (p<0,05). Kesimpulan: Terdapat hubungan yang bermakna antara perilaku kesehatan gigi dan mulut dengan indeks karies DMF-T dan SiC siswa SMPN 5 Marabahan di Kabupaten Barito Kuala.  ABSTRACT            Background: Lack of oral and dental health behaviors can be a factor in the decline of one's health status. Dental and oral behavior include brushing, eating, and dental visits. Epidemiological studies say that the behavior of dental and oral health is still very low. Purpose: To analysis the relationship of dental and oral health behavior with caries index DMF-T and SiC of SMPN 5 Marabahan students in Barito Kuala. Methods and materials: This research is analytic observational with Cross Sectional approach on 100 students of SMPN 5 Marabahan in Barito Kuala. The questionnaire instrument was used to measure the level of dental and oral health behaviors of students and the DMF-T index to measure the student's caries experience. Research: Dental and oral health behavior of students of SMPN 5 Marabahan in Regency of Barito Kuala most (64%) in enough category and smallest good category (1%). The DMF-T index of the students of SMPN 5 Marabahan in Barito Kuala is at a score of 2.8 or in the medium level and the SiC score 4. Result of statistical analysis obtained p= 0,001 (p <0,05).Conclusion: There is a meaningful relationship between dental and oral health behavior with caries index DMF-T and SiC students SMPN 5 Marabahan in Barito Kuala District.
PENGARUH MINUMAN JUS BUAH TERHADAP PERUBAHAN DERAJAT KEASAMAN (pH) SALIVA Disi Raudatul Janah; Widodo Widodo; Rosihan Adhani
Dentin Vol 5, No 3 (2021)
Publisher : Universitas Lambung Mangkurat

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ABSTRACTBackground: Caries is a hard tissue disease of teeth, namely enamel, dentin and cementum, which is caused by an activity of a microorganism in a carbohydrate. The cause of the mainstay of the teeth is a factor, which is caused by mineral substances with nutrients rich in carbohydrates. One of the predisposing factors for dental caries is drinking. Drinks that can cause a decrease in the acidity (pH) of saliva are drinks that contain sugars such as fructose, glucose, sucrose, citric acid and ascorbic acid. Methods: All articles reviewed were obtained from searches for data sources Google Scholar, and Science Direct which had a range maximum journal publication time in the last 10 years. Results: The review was conducted on 12 journals which were found to fit the inclusion criteria, such as journals available in full text form and research subjects fruit juice which is often consumed by the public. Conclusion: there is a decrease in salivary pH after consuming fruit juice. Keywords: acidity, fruit juice, pH of saliva. ABSTRAK       Latar Belakang: Karies merupakan suatu penyakit jaringan keras gigi, yaitu email, dentin dan sementum, yang disebabkan oleh aktivitas suatu jasad renik dalam suatu karbohidrat. Penyebab terjadinya karies gigi dipengaruhi beberapa faktor, seperti disebabkan zat mineral dengan dominan nutrisi kaya akan karbohidrat. Faktor predisposisi karies gigi salah satunya adalah minuman. Minuman yang dapat menyebabkan turunnya derajat keasaman (pH) saliva adalah minuman yang mengandung gula seperti fruktosa, glukosa, sukrosa, asam sitrat dan asam askorbat. Metode: Semua artikel yang direview diperoleh dari pencarian sumber data Google Scholar, dan Science Direct yang memiliki rentang waktu penerbitan jurnal maksimal 10 tahun terakhir. Hasil: Review dilakukan pada 12 jurnal yang ditemukan sesuai dengan kriteria inklusi seperti jurnal tersedia dalam bentuk full-text dan subjek penelitian jus buah yang sering dikonsumsi masyarakat. Kesimpulan: terjadi penurunan pH saliva setelah minum jus buah. Kata kunci: derajat keasaman, jus buah, pH saliva.
HUBUNGAN ANTARA PENGETAHUAN KESEHATAN GIGI DENGAN NILAI INDEKS DMF-T SISWA SEKOLAH MENENGAH PERTAMA M. Fahrul Ryzanur.A; Widodo Widodo; Rosihan Adhani
Dentin Vol 6, No 1 (2022)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentin.v6i1.6226

Abstract

ABSTRACTBackground: The prevalence of people with oral and dental problems in Indonesia according to Riskesdas in 2018 was 57.6% with the National DMF-T index of 7.1. Lack of knowledge about oral and dental health causes a person not knowing the causes and prevention of dental caries. Purpose: To determine the results of published studies related to the relationship between dental health knowledge and the DMF-T index value of junior high school students. Method: A literature review with the type of narrative literature review. Data collection is carried out through electronic media. The data source is Secondary data from journals regarding the relationship between dental and oral health knowledge on the DMF-T score of junior high school students. Results: The results of the review of 12 journals conducted, found that the largest average percentage of DMF-T from 6 journals was in the low category, which was 27.45%, the average percentage of the largest dental and oral health knowledge level of the 5 journals was in the good / high, which is equal to 57.68%. Conclusion: There is a relationship between the level of knowledge and the DMF-T index, most of the DMF-T index tends to be low in students with high levels of knowledge. Keywords: DMF-T index, Junior high school students, Level of knowledge. ABSTRAKLatar Belakang: Prevalensi masyarakat yang bermasalah gigi dan mulut di Indonesia menurut Riskesdas tahun 2018 sebesar 57,6% dengan indeks DMF-T Nasional sebesar 7,1%. Pengetahuan yang kurang mengenai kesehatan gigi dan mulut menyebabkan seseorang tidak mengetahui penyebab dan pencegahan karies gigi. Tujuan: Untuk mengetahui hasil penelitian yang sudah dipublikasikan yang berkaitan dengan hubungan pengetahuan kesehatan gigi dengan nilai indeks DMF-T siswa SMP. Metode: Literature review menggunakan jenis narrative literature review. Pengumpulan data dilakukan melalui media elektronik. Sumber data berupa data sekunder dari jurnal mengenai hubungan pengetahuan kesehatan gigi dan mulut terhadap nilai DMF-T siswa SMP. Hasil: Hasil review 12 jurnal yang dilakukan, ditemukan rata-rata persentase DMF-T terbesar dari 6 jurnal pada kategori rendah, yaitu sebesar 27,45%, rata-rata persentase tingkat pengetahuan kesehatan gigi dan mulut terbesar dari 5 jurnal tersebut adalah pada kategori baik/tinggi, yaitu sebesar 57,68%. Kesimpulan: Terdapat hubungan tingkat pengetahuan dengan indeks DMF-T, sebagian besar indeks DMF-T cenderung rendah pada siswa dengan tingkat pengetahuan tinggi. Kata kunci: Indeks DMF-T, Siswa SMP, Tingkat pengetahuan.
HUBUNGAN ANTARA JUMLAH KOLONI BAKTERI STREPTOCOCCUS MUTANS SALIVA DENGAN INDEKS KARIES (DMF-T) Wulandari Wulandari; Widodo Widodo; Isnur Hatta
Dentin Vol 6, No 3 (2022)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentin.v6i3.6826

Abstract

ABSTRACTBackground: The oral cavity is the second largest colony place for microbes in the body. One of the pathogenic bacteria in the oral cavity is Streptococcus mutans, has an important role in the occurrence of dental caries because it is acidogenic. Streptococcus mutans is able to attach to all surfaces of the oral cavity with the help of salivary pellicle. An increase in the number of Streptococcus mutans bacterial colonies in saliva is directly related to the degree of tooth decay. The degree of tooth decay in the oral cavity can be assessed using the DMF-T  caries index. Objective: To determine the relationship between the number of Streptococcus mutans bacteria colonies in saliva and the caries index (DMF-T) based on published research results. Methods: The review was conducted on 15 journals assessed according to inclusion criteria, such as being available in full-text form and relating to the relationship between the number of salivary Streptococcus mutans bacteria colonies and the caries index (DMF-T). Results: Based on 15 articles that have been reviewed, it was found that 13 articles (86.6%) stated that there was a relationship between the number of salivary Streptococcus mutans bacteria colonies with caries index (DMF-T) and 2 articles (13.4%) stated no there was a relationship between the number of salivary Streptococcus mutans with caries index (DMF-T). Conclusion: There is a correlation that tends to be directly proportional to the number of Streptococcus mutans bacteria colonies in saliva and the DMF-T caries index. Keywords: DMF-T index, Saliva, Streptococcus mutans. ABSTRAK Latar Belakang: Rongga mulut merupakan tempat berkumpulnya mikroba terbesar kedua dalam tubuh. Bakteri patogen dalam rongga mulut salah satunya adalah Streptococcus mutans, berperan penting dalam terjadinya karies karena bersifat asidogenik. Bakteri Streptococcus mutans mampu melekat disemua permukaan rongga mulut dengan bantuan pelikel saliva. Peningkatan jumlah koloni bakteri Streptococcus mutans dalam saliva berhubungan langsung dengan tingkat kerusakan gigi. Tingkat kerusakan gigi dalam rongga mulut dapat dinilai menggunakan indeks karies DMF-T. Tujuan: Mengetahui hubungan antara jumlah koloni bakteri Streptococcus mutans dalam saliva dengan indeks karies (DMF-T) berdasarkan hasil penelitian yang telah dipublikasi. Metode: Review dilakukan pada 15 jurnal yang dinilai sesuai dengan kriteria inklusi, seperti tersedia dalam bentuk full-text dan berkaitan dengan hubungan antara jumlah koloni bakteri Streptococcus mutans dalam saliva dengan indeks karies (DMF-T). Hasil: Berdasarkan 15 artikel yang telah dilakukan telaah, didapatkan sebanyak 13 artikel (86,6%) yang menyatakan bahwa terdapat hubungan antara jumlah koloni bakteri Streptococcus mutans dalam saliva dengan indeks karies (DMF-T) dan 2 artikel (13,4%) menyatakan tidak terdapat hubungan antara jumlah koloni bakteri Streptococcus mutans dalam saliva dengan indeks karies (DMF-T). Kesimpulan: Terdapat kecenderungan hubungan yang berbanding lurus antara jumlah koloni bakteri Streptococcus mutans dalam saliva dengan indeks karies DMF-T. Kata kunci: Indeks DMF-T, Streptococcus mutans, saliva.