DOI: https://doi.org/10.14710/jkli.22.3.252-258

Hubungan Kadar Kesadahan dan Fluorida dalam Air Bersih pada Kejadian Penyakit Periodontal di Kecamatan Pundong, Kabupaten Bantul, Yogyakarta

Program Studi Higiene Gigi, Fakultas Kedokteran Gigi, Univeritas Gadjah Mada 55281, Indonesia

Open Access Copyright 2023 Jurnal Kesehatan Lingkungan Indonesia under http://creativecommons.org/licenses/by-sa/4.0.

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Abstract

Latar belakang: Penyakit periodontal termasuk masalah kesehatan oral di Indonesia dengan jumlah kasus periodontitis sebesar 74,10% pada tahun 2018. Penyakit periodontal pada tingkat keparahan tinggi dapat menyebabkan kehilangan gigi. Faktor primer penyebab penyakit periodontal adalah plak gigi dan diperkuat oleh keberadaan kalkulus. Terjadinya pembentukan kalkulus dapat meningkat bersama dengan jumlah kalsium dan mineral lainnya dalam saliva termasuk fluorida. Air sumur sebagai sumber air bersih yang digunakan masyarakat mengandung kesadahan dan fluorida. Tujuan penelitian ini adalah untuk mengetahui hubungan kadar kesadahan dan fluorida dalam air bersih pada kejadian penyakit periodontal di Kecamatan Pundong, Kabupaten Bantul, Yogyakarta.

Metode: Penelitian ini adalah penelitian observasional analitik dengan desain case control (kasus kontrol). Subjek penelitian sebanyak 120 responden, 60 kasus terdiagnosis penyakit periodontal dan 60 kontrol tidak terdiagnosis penyakit periodontal. Penelitian ini menggunakan data primer berupa sampel air bersih yang diujikan di Balai Laboratorium Kesehatan Yogyakarta, data sekunder berupa data penyakit periodontal dari rekam medis pasien Puskesmas Pundong, Kecamatan Pundong, Kabupaten Bantul Yogyakarta pada tahun 2016. Variabel bebas adalah kadar kesadahan dan fluorida dalam air bersih, variabel terikat adalah penyakit periodontal. Data yang diperoleh diuji menggunakan bivariate Chi Square dengan tingkat signifikansi 0,05 (5%).

Hasil: Berdasarkan analisis bivariate, variabel kesadahan tidak berhubungan dengan kejadian penyakit periodontal (p=0,3153; OR=1,16), begitu pula variabel kadar fluorida tidak berhubungan dengan kejadian penyakit periodontal (p=0,1664; OR=1,7).

Simpulan: Kadar kesadahan dan fluorida dalam air bersih tidak memiliki hubungan yang signifikan dengan kejadian penyakit periodontal.

 

ABSTRACT

Title: Relationship between Hardness and Fluoride Levels in Water with Incidence of Periodontal Disease in Pundong District, Bantul Regency, Yogyakarta

Background: Periodontal disease is one of oral health problems in Indonesia with 74.10% of periodontitis cases in 2018. Periodontal disease at high levels of severity can cause tooth loss. The primary factor causing periodontal disease is dental plaque and reinforced by the presence of calculus. The occurrence of calculus formation can increase along with the amount of calcium and other minerals in saliva including fluoride. Well water as a source of clean water used by the community contains hardness and fluoride. The purpose of this study was to determine the relationship between hardness and fluoride levels in water on the incidence of periodontal disease in Pundong District, Bantul Regency, Yogyakarta.

Method: This research was analytical observational study with a case control design. The research subjects were 120 respondents, consisting of 60 cases with diagnosis of periodontal disease and 60 controls without diagnosis of periodontal disease. This study used primary data in the form of water samples tested at the Yogyakarta Health Laboratory Center, secondary data in the form of periodontal disease data from medical records of patients at the Puskesmas Kecamatan Pundong, Pundong District, Bantul Regency, Yogyakarta in 2016. The independent variables were fluoride and hardness levels in water, the dependent variable was periodontal disease. The data obtained was tested using Chi Square bivariate with a significance level of 0.05 (5%).

Result: Based on bivariate analysis, the hardness variable was not associated with the incidence of periodontal disease (p=0.3153; OR=1.16), as well as the fluoride level variable was not associated with the incidence of periodontal disease (p=0.1664; OR=1, 7).

Conclusion: Hardness and fluoride levels in water have no significant relationship with the incidence of periodontal disease.


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Keywords: Kesadahan; Fluorida; Periodontal
Funding: Fakultas Kedokteran Gigi Universitas Gadjah Mada

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  1. Osuh ME, Oke GA, Lilford RJ, Owoaje E, Harris B, Taiwo OJ, et al. Prevalence and determinants of oral health conditions and treatment needs among slum and non-slum urban residents: Evidence from Nigeria. PLOS Global Public Health. 2022;2(4). https://doi.org/10.1371/journal.pgph.0000297
  2. Spanemberg JC, Cardoso JA, Slob EMGB, López-López J. Quality of life related to oral health and its impact in adults. J Stomatol Oral Maxillofac Surg. 2019 Jun;120(3):234–9. https://doi.org/10.1016/j.jormas.2019.02.004
  3. Vos T, Abajobir AA, Abbafati C, Abbas KM, Abate KH, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211–59. https://doi.org/10.1016/S0140-6736(17)32154-2
  4. Kementerian Kesehatan, Kemenkes. Riset Kesehatan Dasar (RISKESDAS). Jakarta; 2018
  5. Séverin T. Periodontal Health and Disease : A Practical Guide to Reduce the Global Burden of Periodontal Disease. FDI World Dental Federation. 2018. p. 6
  6. Sedghi LM, Bacino M, Kapila YL. Periodontal Disease: The Good, The Bad, and The Unknown. Front Cell Infect Microbiol. 2021;11(December):1–26. https://doi.org/10.3389/fcimb.2021.766944
  7. Kim D-W, Park J-C, Rim T-T, Jung U-W, Kim C-S, Donos N, et al. Socioeconomic disparities of periodontitis in Koreans based on the KNHANES IV. Oral Dis. 2014 Sep;20(6):551–9. https://doi.org/10.1111/odi.12168
  8. U.S. Department of Health and Human Services National Institue of Health. Periodontal (Gum) Disease. National Institute of Dental and Craniofacial Research; 2013. p. 2–6
  9. Tandelilin RT, Saini R. Dental Plaque: a Biofilm. 1st ed. Erdian, editor. Yogyakarta: Kanisius; 2018. p.24
  10. Trace A, Warinner C. Genetic determination through dental calculus : Promise and hope ! Contemp Clin Dent. 2017;7(2):2016–7. https://doi.org/10.4103/0976-237X.183065
  11. Artawa IMB, Swastini IGAAP. Perbedaan Terjadinya Karang Gigi pada Masyarakat Pengkonsumsi Air Sumur dengan Bukan Air Sumur. J Skala Husada. 2011;8(2):167–71
  12. Wungkana WS, Kepel BJ, Wicaksono DA. Gambaran Kalkulus Pada Masyarakat Pesisir Yang Mengonsumsi Air Sumur Gali Di Desa Gangga II. e-GiGi. 2014 Jul;2(2). https://doi.org/10.35790/eg.2.2.2014.5436
  13. Eley BM, Manson JD. Periodontics. 5th ed. Edinburgh ; New York : Wright; 2004
  14. Tin MH, Mohamed Ali S, Ardini YD, Taib MNA. Periodontal health status of Malaysian diabetic children and adolescent: a hospital based case-control study in Kuala Lumpur and Kuantan. In: Tth Asia Pacific Primary Care Research Conference 2015 (APPCRC),. Academy of Family Physicians of Malaysia; 2015
  15. Nyoman RN, Amri I, Harun H. Perbandingan Kadar Kesadahan Air Pdam Dan Air Sumur Suntik Kelurahan Tondo Kota Palu Tahun 2017. Med Tadulako J Ilm Kedokt Fak Kedokt dan Ilmu Kesehat. 2019 Mar;5(3):12–21
  16. Nriagu JO. Encyclopedia of Environmental Health. Second. Michigan: Oliver Walter; 2020. 167 p
  17. Sengupta P. Potential Health Impacts of Hard Water. Int J Prev Med. 2013;4(8):866–75
  18. Asian Development Bank. Indonesia Country Water Assessment. Metro Manila, Philippines; 2016
  19. O’Mullane DM, Baez RJ, Jones S, Lennon MA, Petersen PE, Rugg-Gunn AJ, et al. Fluoride and oral health. Community Dent Health. 2016;33(2):69–99
  20. Dinas Lingkungan Hidup Kabupaten Bantul. Dokumen Informasi Kinerja Pengelolaan Lingkungan Hidup Daerah (DIKPLHD) Kabupaten Bantul Tahun 2019. 2020
  21. Peraturan Gubernur Daerah Istimewa Yogyakarta Nomor 20 Tahun 2008 Tentang Baku Mutu Air di Provinsi Daerah Istimewa Yogyakarta. Peraturan Gubernur Daerah Istimewa Yogyakarta Nomor 20 Tahun 2008 Tentang Baku Mutu Air di Provinsi Daerah Istimewa Yogyakarta,
  22. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 32 Tahun 2017 Tentang Standar Baku Mutu Kesehatan Lingkungan Dan Persyaratan Kesehatan Air Untuk Keperluan Higiene Sanitasi, Kolam Renang, Solus Per Aqua dan Pemandian Umum. Peratur Menteri Kesehat Republik Indones. 2017;1–20
  23. Bappeda Bantul. Kecamatan Pundong [Internet]. Bantul. 2020. Available from: https://kec-pundong.bantulkab.go.id
  24. Badan Penelitian dan Pengembangan Kesehatan Yogyakarta. Laporan Provinsi di Yogyakarta RISKESDAS 2018. Yogyakarta; 2018
  25. Rohmawati N, Santik YDP. Status Penyakit Periodontal pada Pria Perokok Dewasa. Higea J Public Health Res Dev. 2019;3(2):286–97
  26. Singh A, Peres MA, Watt RG. The Relationship between Income and Oral Health: A Critical Review. J Dent Res. 2019;98(8):853–60. https://doi.org/10.1177/0022034519849557
  27. Walther C, Spinler K, Borof K, Kofahl C, Heydecke G, Seedorf U, et al. Evidence from the Hamburg City Health Study – association between education and periodontitis. BMC Public Health. 2022;22(1):1–6. https://doi.org/10.1186/s12889-022-14096-7
  28. Wulandari P, Widkaja D, Nasution AH, Syahputra A, Gabrina G. Association between age, gender and education level with the severity of periodontitis in pre-elderly and elderly patients. Dent J. 2022;55(1):16–20. https://doi.org/10.20473/j.djmkg.v55.i1.p16-20
  29. Murray JJ, England LW. Gingivitis and Recession in Adults from High-Fluoride and Low Fluoride Areas. Archs Oral Biol. 1972;17(1957):1269–77. https://doi.org/10.1016/0003-9969(72)90160-4
  30. Zalfa N, Moeharyono M, Wahluyo S. Relationship of Fluoride and Calcium Levels in Drinking Water on Periodontal Diseases in Children Aged 6-8 Years (Research observations in Bangkalan district). EurAsian J Biosci Eurasia J Biosci. 2020;14:3247–50
  31. Artawa IMB, Swastini IGAAP. Perbedaan Kondisi Karang Gigi pada Masyarakat yang Mengkonsumsi Air Sumur dengan Bukan Air Sumur. :1–49
  32. Said NI, Ruliasih. Penghilangan Kesadahan di dalam Air Minum. In: Penghilangan Kesadadahan di Air Minum. 2008. p. 387–442
  33. Kumar S, Sharma J, Duraiswamy P, Kulkarni S. Fluoride - An Adjunctive Therapeutic Agent for Periodontal Disease? Evidence From A Cross-Sectional Study. Med Oral Patol Oral Cir Bucal. 2009;14(10). https://doi.org/10.4317/medoral.14.e547
  34. National Research Council. Fluoride in Drinking Water: A Scientific Review of EPA’s Standards. Fluoride Drink Water. 2006 Mar;3:530
  35. Dinas Kesehatan Kabupaten Bantul. Profil Kesehatan Kabupaten Bantul. 2016. p. 6
  36. Environmental Protection Agency. Water Quality: Ambient Water Quality Criteria for Fluoride. Ministry of Environment, Government of British Columbia. 1995
  37. National Health and Medical Research Council. A systematic review of the efficacy and safety of fluoridation. Part A: Review Methodology and results. Australian Government. 2007. p.1–189
  38. Widana GAB, Astawa KP, Pasek IK, Nida S. Analisis Ion Fluorida (F -) dalam Air Minum Kemasan , PAM dan Mata Air di Wilayah Kecamatan Buleleng Bali. Semin Nas Kim dan Pendidik Kim VI. 2014;536–42
  39. Harding MA, O’Mullane DM. Water Fluoridation and Oral Health. Acta Med Acad. 2013;42(2):131–9. https://doi.org/10.5644/ama2006-124.81
  40. Kanduti D, Sterbenk P, Artnik and. Fluoride: a Review of Use and Effects on Health. Mater Socio Medica. 2016;28(2):133. https://doi.org/10.5455/msm.2016.28.133-137

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