49
DAFTAR PUSTAKA
1. Kidd
EAM,
Joyston-Bechal
S.
Dasar-dasar
karies:
Penyakit
dan
penanggulangannya. Alih Bahasa Sumawinata N. Jakarta: EGC, 1992. 2. Houwink, Dirks B, Winchel, C., 2000,
Ilmu Kedokteran Gigi Pencegahan.
Gadjah Mada University Press, Yogyakarta 3. SKRT, 2004. Balai Penelitian Kesehatan Jakarta. Depkes RI 4. Riech E, Lussi A, Newburn E. Caries risk assessment. Int Dent J 1999 ; 19 :15-26 5. Winarno, F.G.
1993.
Pangan Gizi, Teknologi dan Konsumen.
Jakarta:
Gramedia Pustaka Utama 6. Zaitsev et al., 1969. Fish Curing and Processing. MIR Publishers, Moscow 7. Forrest J O. 1995. Pencegahan Penyakit Mulut (Alih bahasa : Lilian Yuwono). Jakarta : Hipokrates:p.38 – 70. 8. Sundoro EH. Serba-Serbi Ilmu konsevasi Gigi, Jakarta FKG Universitas Indonesia. 2005, p 32-172 9. Hiranya Putri, Eliza Herijulianti, Neneng Nurjannah., Ilmu pencegahan penyakit jaringan keras dan jaringan pendukung gigi. Jakarta : EGC 2011. pp; 154-155 10. Kidd EAM, Smith BGN, Pickard HM. Manual konservasi restoratif menurut Pickard. Alih Bahasa. Narlan Sumawinata. Jakarta : Penerbit Widya Medika, 2002 : 3 11. Brotosoetarno S. Peran serta mikroorganisme dalam proses terjadinya karies gigi. Jurnal Kedokteran Gigi UI, vol. 4. Edisi khusus KPPIKG XI, 1997: 728-39
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12. Eccles JD. dan Green RM. Konservasi gigi, alih bahasa Lilian Yuwono. Ed. 2, Jakarta: Widya medika, 1994. 4-9 13. Panjaitan M. Pencegahan dental cares dengan topikal aplikasi fluor. upgrading dosen FKG UNAIR, 1977/1978: 1-11 14. Panjaitan M. Etiologi karies gigi dan penyakit periodontal. Medan: USU Press, 1997: 4-2 15. Amerongen AVN. Ludah dan Kelenjar Ludah: Arti bagi Kesehatan Gigi. Yogyakarta: Gajah Mada University Press. 1991. 1-39p. 16. Tarigan R. Karies gigi. Jakarta: Hipokrates, 1990 :1,8-12,36-48 17. Touger R, Loveren CV. Sugars and dental caries. Am J clin nutr 2003;78:8815925 18. Pintauli Sondang, Harahap KA. Erosi gigi yang disebebkan kandungan asam dalam minuman ringan. Dentika Dent J 2005; 10(2): 136-41. 19. Hughes cv. Burns RA, Davis WJ. Dental Caries and imunity prospects for a vaccine. Ohio Dent J. 1984; 58(3) : 43-6 20. Dentistry Operative, Dental caries: the incipient carious lesion. Dent 2003; 2: 1-5 21. Fehrenbach MJ. The Preventive Angle: remineralization, protection and the caries experience. Young dental 2004; 3(4): 1-8 22. Tarigan, Rasinta, 1993. Kesehatan Gigi dan Mulut. Jakarta : Edisi Revisi, Penerbit Buku Kedokteran 23. Budiardjo SB. Penyakit Jaringan Gigi pada Anak. In : penuntun Kuliah Ilmu Kedokteran Gigi Anak FKG UI. Jakarta: FKG UI; 2001
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24. Priyoono, B. Pengantar epidemologi untuk Kesehatan gigi dan mulut, Fakultas Kedokteran Gigi, Universitas Gajah Mada. 25. Anne AS. Indeks def-t dan DMF-T masyarakat desa Cipondoh dan desa Mekarsari kecamatan Tirtamulya kabupaten Karawang [Tesis]. Bandung: Universitas Padjadjaran; 2008. 26. Pine, C and Rebecca. H. 2007. Community Oral Health. Berlin: Quintessemce Publishing Co. Ltd. p. 165-167. 27. Hadiwiyoto S, Darmadji P, Purwasari SR. 2000. Perbandingan Pengasapan Panas dan Penggunaan Asap Cair pada Pengolahan Ikan. Tinjauan Kandungan Benzopiren, Fenol dan Sifat Organoleptik Ikan Asap. Agritech. 20 (1) 14-19 28. Winarno FG, Fardiaz S. 1980. Dasar Teknologi Pangan. Departemen Teknologi Hasil Pertanian. Fatemeta. IPB, Bogor 29. Maga JA. 1988. Smoke in Food Processing. CRC Press. Inc. Boca Raton. Florida 30. Harris RS, Karmas E. 1989. Evaluasi Gigi Pada Pengolahan Pangan. Terjemahan Achmadi. ITB Press, Bandung.k 31. Yuval V, Harold D. Self-perceived and clinically diagnosed dental and periodontal health status among young adults and their implications for epidemiological surveys. Jerusalem: Hebrew University; 2003. Tersedia pada: http://www.biomedcentral.com/content/pdf/1472-6831-3-3.pdf [diakses 01 Juli 2014] 32. Carranza FA, Newman MG, Takei HH, Klokkevold PR. Carranza’s Clinical Periodontology. 10th ed. Missouri: Saunders Elsevier, 2006
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33. K. Bruno-Ambrosius, G. Swanholm and S. Twetman. Eating habits, smoking and toothbrushing in relation to dental caries: a 3-year study in Swedish female teenagers. In: International journal of pediatric dentistry, volume 15.2005,p.190196.
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Lampiran 1 .Informed consent
INFORMED CONSENT PENELITIAN HUBUNGAN ANTARA PAPARAN ASAP DENGAN KEJADIAN KARIES GIGI (Studi pada Pekerja Pengasapan Ikan di Desa Bandarharjo, Kabupaten Semarang, Jawa Tengah) Setelah mendengar penjelasan dan diberi kesempatan untuk mengajukan pertanyaanpertanyaan mengenai tujuan, manfaat, prosedur, lamanya waktu, dan resiko penelitian ini, saya atas nama pribadi memahami tujuan,manfaat, prosedur, lamanya waktu, dan resiko penelitian ini serta bersedia tanda tangan dibawah ini secara sukarela untuk berpartisipasi dalam penelitian ini: Nama
: ..........................................................................................................
Jenis kelamin : .......................................................................................................... Umur
: ..........................................................................................................
Alamat
: .......................................................................................................... ..........................................................................................................
No Telp/Hp
: ..........................................................................................................
Dengan ketentuan apabila ada hal-hal yang tidak berkenan pada saya, maka saya berhak mengajukan pengunduran diri dari penelitian ini.
Semarang,...../...../2014 Peneliti
Responden
(Uun Uniati Melinda Sari)
(.........................................) Saksi
(.....................................)
Lampiran 2. Indeks DMFT Indeks DMFT
54
Nama : Usia : Jenis kelamin : a. Laki-laki b. Perempuan
1. Pengalaman Karies Indeks DMFT (WHO)
17
16
15
14
13
12
11
21
22
23
24
25
26
27
47
46
45
44
43
42
41
31
32
33
34
35
36
37
D = decay M = missing F = filling
Lampiran 3. Daftar Pertanyaan
DAFTAR PERTANYAAN
55
Pertanyaan
Ya / Tidak
1. Apakah saudara suka makanan atau minuman manis seperti teh manis, permen, sirup dan sebagainya dalam jumlah banyak? 2. Frekuensi menggosok gigi dalam sehari? Apakah rutin kontrol ke dokter gigi 6 bulan sekali? 3. Apakah setelah makan anda membersihkan sisasisa makanan yang menempel pada sela gigi anda? Dengan cara kumur atau mencongkel? 4. Apakah anda memiliki kebiasaan merokok? Berapa batang sehari? 5. Apakah anda sering mengkonsumsi makanan tinggi fluorida seperti sayur-sayuran, makanan laut, daging dan buah-buahan? Konsumsi air dari aqua, sumur atau ledeng?
Lampiran 4. Formulir data sampel
PENELITIAN HUBUNGAN ANTARA PAPARAN ASAP DENGAN KEJADIAN KARIES GIGI (Studi pada Pekerja Pengasapan Ikan di Desa Bandarharjo, Kabupaten Semarang, Jawa Tengah) I.
IDENTITAS Nama
: ..............................................................................................
56
Jenis kelamin : .............................................................................................. Umur
: ..............................................................................................
Alamat
: .............................................................................................. ...............................................................................................
No Telp/Hp
II.
: ..............................................................................................
DIAGNOSA Diagnosa karies gigi :
III.
Ya
/
Tidak
TOTAL SKOR INDEKS KARIES :........................
Lampiran 5. Analisis data
57
Usia * Indek s k arie s Cross tabulation
Usia
< 48
>= 48
Total
Indeks karies Rendah Tinggi 24 11 16.8 18.2 66.7% 28.2% 32.0% 14.7% 12 28 19.2 20.8 33.3% 71.8% 16.0% 37.3% 36 39 36.0 39.0 100.0% 100.0% 48.0% 52.0%
Count Ex pected Count % w ithin Indeks karies % of Total Count Ex pected Count % w ithin Indeks karies % of Total Count Ex pected Count % w ithin Indeks karies % of Total
Total 35 35.0 46.7% 46.7% 40 40.0 53.3% 53.3% 75 75.0 100.0% 100.0%
Chi-Square Te s ts
Pearson Chi-Square Continuity Correctiona Likelihood Ratio Fisher's Exact Test Linear-by -Linear A ss ociation N of V alid Cas es
V alue 11.126 b 9.635 11.409
df 1 1 1
10.978
A sy mp. Sig. (2-s ided) .001 .002 .001
1
Ex ac t Sig. (2-s ided)
Ex ac t Sig. (1-s ided)
.001
.001
.001
75
a. Computed only f or a 2x 2 table b. 0 cells (.0%) hav e ex pec ted count less than 5. The minimum expected c ount is 16. 80.
Ris k Estim ate
V alue Odds Ratio f or Usia (< 48 / >= 48) For c ohort Indeks karies = Rendah For c ohort Indeks karies = Tinggi N of V alid Cas es
95% Conf idence Interval Low er Upper
5.091
1.905
13.607
2.286
1.354
3.859
.449
.264
.763
75
58
Cas e Sum m aries Usia Paparan as ap Tidak Ya Total
N 34 41 75
Mean 46.26 48.05 47.24
Std. Deviation 9.699 7.252 8.437
Median 45.00 50.00 48.00
Minimum 30 32 30
Max imum 66 60 66
Crosstabs
Je nis ke lam in * Paparan as ap Cr os stabulation
Jenis kelamin
Laki-laki
Perempuan
Total
Count % w ithin Paparan asap % of Total Count % w ithin Paparan asap % of Total Count % w ithin Paparan asap % of Total
Paparan as ap Tidak Ya 10 8 29.4% 19.5% 13.3% 10.7% 24 33 70.6% 80.5% 32.0% 44.0% 34 41 100.0% 100.0% 45.3% 54.7%
Total 18 24.0% 24.0% 57 76.0% 76.0% 75 100.0% 100.0%
59
Explore
Usia
Des criptives Usia
Indeks karies Rendah
Tinggi
Mean 95% Conf idence Interval f or Mean 5% Trimmed Mean Median V arianc e Std. Deviation Minimum Max imum Range Interquartile Range Skew nes s Kurtosis Mean 95% Conf idence Interval f or Mean
Low er Bound Upper Bound
Low er Bound Upper Bound
5% Trimmed Mean Median V arianc e Std. Deviation Minimum Max imum Range Interquartile Range Skew nes s Kurtosis
Statistic 44.81 42.11
Std. Error 1.328
47.50 44.78 45.00 63.533 7.971 30 60 30 11 .308 -.456 49.49 46.79
.393 .768 1.333
52.19 49.57 50.00 69.309 8.325 32 66 34 10 -.370 -.208
.378 .741
Tes ts of Norm ality a
Usia
Indeks karies Rendah Tinggi
Kolmogorov-Smirnov Statistic df Sig. .143 36 .059 .147 39 .033
a. Lillief ors Signif icance Correction
Shapiro-Wilk Statistic df .953 36 .956 39
Sig. .132 .128
60
T-Test
Group Statis tics
Usia
Indeks karies Rendah Tinggi
N 36 39
Mean 44.81 49.49
Std. Dev iation 7.971 8.325
Std. Error Mean 1.328 1.333
Inde pe nde nt Sam ples Te st
Levene's Test f or Equality of V ariances t-test f or Equality of Means
Usia Equal variances Equal variances as sumed not assumed .008 .930 -2.483 -2.488 73 72.897 .015 .015
F Sig. t df Sig. (2-tailed) Mean Dif f erence Std. Error Dif f erenc e 95% Conf idence Interval of the Dif f erence
Low er Upper
-4.682
-4.682
1.885
1.882
-8.439 -.924
-8.433 -.931
61
62
Explore
Lama paparan
Des criptives Lama paparan
Indeks karies Rendah
Tinggi
Mean 95% Conf idence Interval f or Mean 5% Trimmed Mean Median Varianc e Std. Deviation Minimum Max imum Range Interquartile Range Skew nes s Kurtosis Mean 95% Conf idence Interval f or Mean
Low er Bound Upper Bound
Low er Bound Upper Bound
5% Trimmed Mean Median Varianc e Std. Deviation Minimum Max imum Range Interquartile Range Skew nes s Kurtosis
Statistic 15.90 12.69
Std. Error 1.418
19.11 15.72 15.00 20.100 4.483 10 25 15 6 .637 .847 23.32 20.34
.687 1.334 1.460
26.30 22.96 20.00 66.092 8.130 10 45 35 10 .779 .628
.421 .821
Tes ts of Nor m ality a
Lama paparan
Indeks karies Rendah Tinggi
Kolmogorov-Smirnov Statistic df Sig. .180 10 .200* .207 31 .002
*. This is a low er bound of the true signif ic anc e. a. Lillief ors Signif icance Correc tion
Statistic .934 .929
Shapiro-Wilk df 10 31
Sig. .488 .042
63
NPar Tests
Mann-Whitney Test
Ranks Lama paparan
Indeks karies Rendah Tinggi Total
N 10 31 41
Mean Rank 11.50 24.06
Sum of Ranks 115.00 746.00
64
Tes t Statis ticsb
Mann-Whitney U Wilc oxon W Z Asy mp. Sig. (2-tailed) Ex ac t Sig. [2*(1-tailed Sig.)]
Lama paparan 60.000 115.000 -2.931 .003 .003
a
a. Not c orrec ted f or ties. b. Grouping Variable: Indeks karies
Crosstabs
Je nis ke lam in * Inde ks k ar ie s Cross tabulation
Jenis kelamin
Laki-laki
Perempuan
Total
Count Ex pected Count % w ithin Indeks karies % of Total Count Ex pected Count % w ithin Indeks karies % of Total Count Ex pected Count % w ithin Indeks karies % of Total
Indeks karies Rendah Tinggi 10 8 8.6 9.4 27.8% 20.5% 13.3% 10.7% 26 31 27.4 29.6 72.2% 79.5% 34.7% 41.3% 36 39 36.0 39.0 100.0% 100.0% 48.0% 52.0%
Total 18 18.0 24.0% 24.0% 57 57.0 76.0% 76.0% 75 75.0 100.0% 100.0%
Chi-Square Te s ts
Pearson Chi-Square Continuity Correctiona Likelihood Ratio Fisher's Exact Test Linear-by -Linear A ss ociation N of V alid Cas es
V alue .542 b .217 .542
.534
df 1 1 1
1
A sy mp. Sig. (2-s ided) .462 .642 .462
Ex ac t Sig. (2-s ided)
Ex ac t Sig. (1-s ided)
.590
.321
.465
75
a. Computed only f or a 2x 2 table b. 0 cells (.0%) hav e ex pec ted count less than 5. The minimum expected c ount is 8. 64.
65
Ris k Estim ate
V alue Odds Ratio f or Jenis kelamin (Laki-laki / Perempuan) For c ohort Indeks karies = Rendah For c ohort Indeks karies = Tinggi N of V alid Cas es
95% Conf idenc e Interval Low er Upper
1.490
.513
4.327
1.218
.738
2.010
.817
.463
1.443
75
Crosstabs
Usia * Indek s k arie s Cross tabulation
Usia
< 48
>= 48
Total
Count Ex pected Count % w ithin Indeks karies % of Total Count Ex pected Count % w ithin Indeks karies % of Total Count Ex pected Count % w ithin Indeks karies % of Total
Indeks karies Rendah Tinggi 24 11 16.8 18.2 66.7% 28.2% 32.0% 14.7% 12 28 19.2 20.8 33.3% 71.8% 16.0% 37.3% 36 39 36.0 39.0 100.0% 100.0% 48.0% 52.0%
Total 35 35.0 46.7% 46.7% 40 40.0 53.3% 53.3% 75 75.0 100.0% 100.0%
66
Chi-Square Te s ts
Pearson Chi-Square Continuity Correctiona Likelihood Ratio Fisher's Exact Test Linear-by -Linear A ss ociation N of V alid Cas es
V alue 11.126 b 9.635 11.409
df 1 1 1
10.978
A sy mp. Sig. (2-s ided) .001 .002 .001
1
Ex ac t Sig. (2-s ided)
Ex ac t Sig. (1-s ided)
.001
.001
.001
75
a. Computed only f or a 2x 2 table b. 0 cells (.0%) hav e ex pec ted count less than 5. The minimum expected c ount is 16. 80.
Ris k Estim ate
V alue Odds Ratio f or Usia (< 48 / >= 48) For c ohort Indeks karies = Rendah For c ohort Indeks karies = Tinggi N of V alid Cas es
Explore
95% Conf idence Interval Low er Upper
5.091
1.905
13.607
2.286
1.354
3.859
.449
.264
.763
75
67
Des criptives Usia
Indeks karies
Mean 95% Conf idence Interval f or Mean
Statistic 47.24 45.30
Low er Bound Upper Bound
5% Trimmed Mean Median V arianc e Std. Deviation Minimum Max imum Range Interquartile Range Skew nes s Kurtosis Mean 95% Conf idence Interval f or Mean
Std. Error .974
49.18 47.27 48.00 71.185 8.437 30 66 36 14 -.026 -.662 10.19 8.87
Low er Bound Upper Bound
.277 .548 .662
11.51
5% Trimmed Mean Median V arianc e Std. Deviation Minimum Max imum Range Interquartile Range Skew nes s Kurtosis
9.84 9.00 32.857 5.732 3 28 25 7 .953 .240
.277 .548
Tes ts of Norm ality a
Usia Indeks karies
Kolmogorov-Smirnov Statistic df Sig. .125 75 .006 .151 75 .000
a. Lillief ors Signif icance Correc tion
Statistic .977 .905
Shapiro-Wilk df 75 75
Sig. .195 .000
68
Nonparametric Correlations
Cor relations Spearman's rho
Usia
Indeks karies
Correlation Coef f ic ient Sig. (2-tailed) N Correlation Coef f ic ient Sig. (2-tailed) N
**. Correlation is s ignif icant at the 0.01 level (2-tailed).
Usia Indeks karies 1.000 .378** . .001 75 75 .378** 1.000 .001 . 75 75
69
Explore
Indekskaries
Des criptives Indeks karies
Jenis kelamin Laki-laki
Perempuan
Mean 95% Conf idence Interval f or Mean 5% Trimmed Mean Median V arianc e Std. Deviation Minimum Max imum Range Interquartile Range Skew nes s Kurtosis Mean 95% Conf idence Interval f or Mean
Low er Bound Upper Bound
Low er Bound Upper Bound
5% Trimmed Mean Median V arianc e Std. Deviation Minimum Max imum Range Interquartile Range Skew nes s Kurtosis
Statistic 8.94 6.38
Std. Error 1.214
11.51 8.77 7.50 26.526 5.150 3 18 15 8 .620 -.903 10.58 9.02
.536 1.038 .780
12.14 10.21 9.00 34.712 5.892 3 28 25 8 1.002 .265
.316 .623
Tes ts of Norm ality a
Indeks karies
Jenis kelamin Laki-laki Perempuan
Kolmogorov-Smirnov Statistic df Sig. .167 18 .200 .156 57 .001
a. Lillief ors Signif icance Correction
Statistic .892 .894
Shapiro-Wilk df 18 57
Sig. .042 .000
70
NPar Tests
Mann-Whitney Test
Ranks Indeks karies
Jenis kelamin Laki-laki Perempuan Total
N
Tes t Statisticsa Mann-Whitney U Wilc oxon W Z A sy mp. Sig. (2-tailed)
Indeks karies 462.000 633.000 -.731 .465
a. Grouping V ariable: Jenis kelamin
18 57 75
Mean Rank 35.17 38.89
Sum of Ranks 633.00 2217.00
71
Logistic Regression
Cas e Proces s ing Sum m ary a
Unw eighted Cases Selected Cas es
N Included in A naly sis Mis sing Cases Total
Unselected Cases Total
75 0 75 0 75
Percent 100.0 .0 100.0 .0 100.0
a. If w eight is in ef f ect, s ee c las sif ication table f or the total number of cases .
Depe ndent Variable Encoding Original Value Rendah Tinggi
Internal Value 0 1
Block 0: Beginning Block
72
Clas sification Tablea,b Predicted
Step 0
Obs erved Indeks karies
Indeks karies Rendah Tinggi 0 36 0 39
Rendah Tinggi
Percentage Correc t .0 100.0 52.0
Overall Perc entage a. Cons tant is included in the model. b. The cut value is .500
Variables in the Equation
Step 0
Cons tant
B .080
S.E. .231
Wald .120
df
Sig. .729
1
Ex p(B) 1.083
Variables not in the Equation Step 0
Variables
Score 11.126 20.198 24.957
kat.us ia paparan
Overall Statis tics
df 1 1 2
Sig. .001 .000 .000
Block 1: Method = Backward Stepwise (Likelihood Ratio)
Om nibus Tes ts of Mode l Coe fficients Step 1
Step Bloc k Model
Chi-s quare 27.515 27.515 27.515
df 2 2 2
Sig. .000 .000 .000
Model Sum m ary Step 1
-2 Log Cox & Snell likelihood R Square 76.337 a .307
Nagelkerke R Square .410
a. Es timation terminated at iteration number 5 bec aus e parameter es timates c hanged by less than .001.
73
Clas sification Tablea Predicted
Step 1
Obs erved Indeks karies
Indeks karies Rendah Tinggi 26 10 8 31
Rendah Tinggi
Overall Perc entage
Percentage Correc t 72.2 79.5 76.0
a. The cut value is .500
Variables in the Equation
Step a 1
kat.us ia paparan Cons tant
B 1.399 2.153 -5.386
S.E. .567 .570 1.299
Wald 6.078 14.286 17.191
df 1 1 1
Sig. .014 .000 .000
Ex p(B) 4.051 8.613 .005
a. Variable(s ) entered on step 1: kat.us ia, paparan.
Model if Te rm Re m ove d
Variable Step kat.us ia 1 paparan
Model Log Likelihood -41.327 -46.222
Change in -2 Log Likelihood 6.318 16.107
df 1 1
Sig. of the Change .012 .000
95.0% C.I.f or EXP(B) Low er Upper 1.332 12.318 2.820 26.306