Pengaruh kehilangan mahkota gigi desidui anterior atas terhadap tongue thrusting pada anak usia 4-6 tahun: studi cross sectional

Suci Kurniawati, Putri Kusuma Wardani Mahendra, Indra Bramanti

Abstract


Pendahuluan: Tongue thrusting dapat diakibatkan karena kondisi lokal rongga mulut maupun faktor sistemik. Ada pendapat yang mengatakan premature loss gigi anterior dapat mengembangkan kebiasaan tongue thrusting. Lidah mempunyai adaptasi yang luar biasa terhadap perubahan rongga mulut termasuk kehilangan mahkota gigi desidui anterior atas. Tujuan penelitian ini adalah untuk menganalisis pengaruh kehilangan mahkota gigi desidui anterior atas terhadap tongue thrusting pada anak usia 4-6 tahun. Metode: Penelitian ini dilakukan secara cross sectional di 6 TK Kecamatan Wates Kabupaten Kulon Progo. Sampel dipilih secara acak sebanyak 96 sampel dari masing-masing kelompok yaitu 96 anak yang kehilangan mahkota gigi desidui anterior atas dan 96 yang memiliki mahkota gigi desidui anterior atas utuh. Pemeriksaan pada subyek dilakukan untuk melihat ada atau tidak adanya tongue thrusting saat menelan. Data diuji menggunakan uji chi-square dengan tingkat signifikansi 0,05. Hasil: Hasil penelitian menunjukkan tongue thrusting lebih banyak terjadi pada anak yang kehilangan mahkota gigi desidui anterior atas (80,21%) dibanding anak yang memiliki mahkota gigi desidui anterior atas utuh (21,88%). Terdapat perbedaan tongue thrusting yang signifikan antara kelompok anak yang kehilangan mahkota gigi desidui anterior atas dan anak yang memiliki mahkota gigi desidui anterior atas utuh (p=0,001). Simpulan: Tongue thrusting lebih banyak terjadi pada anak yang kehilangan mahkota gigi desidui anterior atas dibanding anak yang memiliki mahkota gigi desidui anterior atas yang utuh.


The Effect of Upper Anterior Deciduous Crown Loss on Tongue Thrusting in Children Aged 4–6 Years: A Cross-Sectional Study


Introduction: Tongue thrusting can be associated with local conditions of the oral cavity as well as systemic factors. There is evidence suggesting that premature loss of anterior teeth can contribute to the development of tongue-thrusting habits. The tongue has a remarkable ability to adapt to changes in the oral cavity, including upper anterior deciduous crown loss. This study aimed to determine the effect of upper anterior deciduous crown loss on tongue thrusting in children aged 4-6. Methods: This cross-sectional study was conducted in six kindergartens in Wates District, Kulon Progo Regency. The sample was randomly selected and consisted of 96 children with upper anterior deciduous crown loss and 96 children with intact upper anterior deciduous crowns. All subjects underwent clinical examination to determine the presence or absence of tongue thrusting during swallowing. Data were analyzed using the Chi-square test with a significance level of 0.05. Results: The results showed that tongue thrusting occurred significantly more frequently in children with upper anterior deciduous tooth crown loss (80.21%) than in children with intact upper anterior deciduous teeth (21.88%). There was a significant difference in tongue thrusting between the group with upper anterior deciduous crown loss and the group with intact upper anterior deciduous crowns (p=0.001). Conclusion: Tongue thrusting occurs more frequently in children with upper anterior deciduous tooth crown loss compared to children with intact upper anterior deciduous teeth.

Keywords


tongue thrusting, anak usia 4-6 tahun, kehilangan mahkota desidui anterior.

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References


Francesco M, Nicole P, Letizia S, Giorgia C, Antonio S. Impact of oral myofunctional therapy on orofacial myofunctional status 2 and tongue strength in patients with tongue thrust. Research Article, 2021;73(5): 413-421. https://doi.org/10.1159/000510908.

Proffit WR. Contemporary orthodontics. 6th ed. St. Louis: Mosby Elsevier; 209. p. 84-86, 130-131.

Devi OR, Somani R, Bashir A, Basu P, Laleesh M, Thanglienzo G, Kumar S. Tongue thrusting oral habit – A review. Int J Adv Res. 2022;10(2):351-368. https://doi.org/10.21474/IJAR01/14212

Sasiagoenwong U, Samnieng P, Puwanun S, Piyattamin T, Tansalarak R, Nunthayanon K, Satrawaha S. Prevalence of abnormal oral habits and its relation to malocclusion in dental patients of the lower northern part of Thailand. Dental Journal DFCT, 2016;36 (2):113-122.

Malik F, Haq H, Mehmood R, Haroon K, Hussain M, Khan F. Parafunctional oral habits: Frequency and association with malocclusion traits in adolescents. J Pak Dent Assoc. 2022;31(4). https://doi.org/10.25301/JPDA.314.188

Zakirulla M, Alshehri AD, Hudaybi AH, Fageeh SN, Alghothimi AA, Almoammar S. Oral Habits: Prevalence and Effects on Occlusion Among 7 to 13 Years Old School Children in Aseer, Saudi Arabia. Pesquisa Brasileira em Odontopediatria e Clínica Integrada 2020; 20:e0005. ISSN 1519-0501. https://doi.org/10.1590/pboci.2020.094

Rusdiana E, Goenharto S, Asdika RG. Variation of fixed tongue crib for correcting tongue thrusting habit. J Voc Health Stud. 2018;1(3):136-133. https://doi.org/10.20473/jvhs.v1.i3.2018.136-133

Mrunali D, Thosar NR, Kabra SP, Yeluri R, Rathi NV. The influence of the tongue on the development of dental malocclusion. Cureus. 2024;16(5):e61281.

Almotareb FL, Al-Shamahy HA. Comparison of the prevalence of malocclusion and oral habits between children with cerebral palsy and healthy children. BMC Oral Health. 2024;24:72. https://doi.org/10.1186/s12903-024-02288-0.

Bunta O, Filip I, Garba C, Colceriu-Simon IM, Olteanu C, Festila D, Ghergie M. Tongue Behavior in Anterior Open Bite—A Narrative Review. MDPI Journal Diagnostics, 2025. Volume 15, Issue 6, p. 124. ttps://doi.org/10.3390/diagnostics15060724

Bitencourt FV, Rodrigues JA, Toass RFC. Narratives about a stigma: Attributing meaning to the early loss of deciduous teeth on children’s caregivers. Braz Oral Res. 2021;35:e044. https://doi.org/10.1590/1807-3107bor-2021.vol35.0044

Hussein AS, Venkiteswaran A, Zaki MMM, Zin MAM, Al-Naser MGh. Patterns and reasons for extracted primary teeth in children attending a pediatric dental teaching clinic. J Med J. 2023;57(3):221-227. https://doi.org/10.35516/jmj.v57i3.1674

Nadelman P, Magno MB, Pithon MM, de Castro ACR, Maia LC. Does the premature loss of primary anterior teeth cause morphological, functional, and psychosocial consequences? Braz Oral Res. 2021;35:0092. https://doi.org/10.1590/1807-3107bor-2021.vol35.0092

Vu DA, Vu HM, Nguyen QT, Vu HM. Malocclusion among children in Vietnam: Prevalence and associations with different habits. Journal of Oral Biology and Craniofacial Research. 2024:112-115. https://doi.org/10.1016/j.jobcr.2024.01.007

Peng CL, Jost-Brinkmann PG, Yoshida N, Chou HH, Lin CT. Comparison of tongue functions between mature and tongue-thrust swallowing-An ultrasound investigation. Am J Orthod Dentofacial Orthop. 2004:125(5). https://doi.org/10.1016/j.ajodo.2003.06.003

Weiss CE, Van Houten JT. A remedial program for tongue-thrust. Am J Orthod Dentofacial Orthop. 1972;62:499-506.

Kurihara K, Fukui T, Sakaue K, Hori K, Ono T, Saito I. The effect of tongue thrusting on tongue pressure production during swallowing in adult anterior open bite cases. J Oral Rehabil. 2019;46(10):12820. https://doi.org/10.1111/joor.12820.

Libreros-Jimenez HM, Manzo J, Rojas-Duran F, Aranda-Abreu GE, Garcia-Hernandez LI, Coria-Avila GA, Herrera-Covarrubias D, Perez-Estudillo CA, Toledo-Cardenas MR, Harnandez-Aguilar ME. On the cranial nerves. NeuroSci. 2024;5(1):8-39. https://doi.org/10.3390/neurosci5010002.

Rusdiana E, Goenharto S, Asdika RG. variasi fixed tongue crib untuk mengatasi kebiasaan menjulurkan lidah. J Vocat Health Studies, 2019;01:126-133. DOI: 10.20473/jvhs. v1i3.2018.126-133

Mathis S, Solé G, Damon-Perrière N, Rouanet-Larrivière M, Duval F, Prigent J, Nadal L, Péréon Y, Le Masson G. Clinical Neurology in Practice: The Tongue (Part 1). The neurologist Vol. 2023. 28, Nomor 5. https://doi.org/10.1097/NRL.0000000000000512

Kalhoff H, Kersting M, Sinningen K, Lucke T. Development of eating skills in infants and toddlers from a neuropediatric perspective. Ital J Pediatr. 2024;50:110. https://doi.org/10.1186/s13052-024-01683-0.

Gomez-Gonzalez C, Gonzalez-Mosquera A, Alkhraisat MH, Anitua E. Mouth breathing and its impact on atypical swallowing: A systematic review and meta-analysis. Dent J. 2024;12(2):21. https://doi.org/10.3390/dj12020021.

Tuncer A, Uzun A, Tuncer AH, Guzel HC, Atilgan ED. Bruxism, parafunctional oral habits, and oral motor problems in children with spastic cerebral palsy: A cross-sectional study. J Oral Rehabil. 2023;00:1-8. https://doi.org/10.1111/joor.13578.

Manzoor Z, Wadhawan A, Nagar S, Kumar A, Singh M. A modified tongue crib appliance for correction of tongue thrusting. Cureus. 2023;15(6):e40518. https://doi.org/10.7759/cureus.40518.

Bansal K, Aggarwal N, dan Bansal B. Treating the tongue thrusting: A case repor,. IP Indian Journal of Orthodontics and Dentofacial Research, 2020:6(3). https://doi.org/10.18231/j.ijodr.2020.035

Khan AJ, Sabri BAM, Ahmad MS. Factors affecting provision of oral health care for people with special health care needs: A systematic review, Saudi Dental Journal, 2022;34:527-537. https://doi.org/10.1016/j.sdentj.2022.08.008

Sarvas E, Webb J, Landrigan-Ossar M, Yin L. Oral Health Care for Children and Youth With Developmental Disabilities: Clinical Report. Am Acad Pediatrics. 2024 Aug 1;154(2):e2024067603. https://doi.org/10.1542/peds.2024-067603

Salmiah S, Mustafa NS. Gambaran Maloklusi Kebiasaan Buruk Penderita Sindrom Down Usia 6-18 Tahun di SLB C Kota Medan. dentika Dent J 2016:19(1):42-46. https://doi.org/10.32734/dentika.v19i1.147

Shah SS, Nankar MY, Bendgude VD, Shetty BR. Orofacial Myofunctional Therapy in Tongue Thrust Habit: A Narrative Review. Int J Clin Pediatr Dent. 2021 Mar-Apr;14(2):298-303. https://doi.org/10.5005/jp-journals-10005-1926

Tournier C, Forde CG. Food oral processing and eating behavior from infancy to childhood: evidence on the role of food texture in the development of healthy eating behavior. Crit Rev Food Sci Nutr. 2024 Sep;64(26):9554-9567. https://doi.org/10.1080/10408398.2023.2214227




DOI: https://doi.org/10.24198/jkg.v37i3.60704

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