Hubungan teknik menyikat gigi horizontal scrub murni dan horizontal scrub kombinasi dengan kejadian resesi gingiva pada pra-lansia dan lansia di kota cimahi: Studi cross-sectional

Frita Ferlita Shafri Djohan, Rizky Anzal Mubaraq

Abstract


ABSTRAK

Pendahuluan: Menyikat gigi merupakan salah satu metode membersihkan gigi, namun jika dilakukan dengan teknik yang keliru dapat mengakibatkan resesi gingiva. Teknik menyikat gigi Horizontal scrub adalah teknik yang sederhana tetapi memiliki potensi menyebabkan resesi gingiva. Sebagian individu menyikat gigi dengan teknik Horizontal scrub kombinasi. Informasi penelitian yang menjelaskan hubungan teknik horizontal scrub murni dan Horizontal scrub kombinasi terhadap kejadian resesi gingiva masih terbatas. Penelitian ini memiliki tujuan untuk menganalisis hubungan teknik menyikat gigi Horizontal scrub murni dan horizontal scrub kombinasi terhadap kejadian resesi gingiva pada pra-lansia dan lansia di Kota Cimahi Metode: Desain penelitian yaitu analitik observasional cross-sectional. Subjek penelitian adalah pra-lansia dan lansia pada tiga kecamatan di Kota Cimahi sebanyak 165 orang. Analisis korelasi antara teknik menyikat gigi dengan resesi gingiva dengan uji Fisher dengan p-value (p<0,05) (OR<1 dan CI=95%). Hasil: Prevalensi resesi gingiva pada kelompok horizontal scrub murni sebesar 97,7% lebih tinggi dibandingkan kelompok Horizontal scrub kombinasi sebesar 82,9%. Secara statistik menunjukkan terdapat hubungan signifikan antara teknik menyikat gigi dengan kejadian resesi gingiva (p=0,003). Subjek yang menggunakan teknik horizontal scrub murni memiliki resiko lebih tinggi mengalami resesi gingiva dibandingkan kelompok horizontal scrub kombinasi (OR= 0,114; 95%CI: 0,027-0,484) Simpulan: Terdapat hubungan bermakna antara teknik menyikat gigi Horizontal scrub murni dan Horizontal scrub kombinasi dengan kejadian resesi gingiva (p=0,003; OR=0,114; 95% CI: 0,027-0,484). Perlu penguatan kembali edukasi teknik menyikat gigi pada pasien 45 tahun ke atas sebagai upaya pencegahan resesi gingiva.

KATA KUNCI: Horizontal scrub; menyikat gigi; resesi gingiva

The association between pure and combined horizontal scrub technique and gingival recession among pre-elderly and elderly individuals in cimahi city: Study cross-sectional  

ABSTRACT 

Introduction: Toothbrushing is one of the most common methods of maintaining oral hygiene, however, when performed incorrectly, it may lead to gingival recession. The horizontal scrub technique is simple and widely used, but it may pose a risk of gingival recession. In practice, some individuals apply the horizontal scrub technique in combination with other brushing movements. Information regarding the association between pure horizontal scrub and combined horizontal scrub toothbrushing techniques and the occurrence of gingival recession remains limited. This study aimed to analyze the association between pure horizontal scrub and combined horizontal scrub toothbrushing techniques and the occurrence of gingival recession among pre-elderly and elderly individuals in Cimahi City.  Methods: This study employed an observational analytic cross-sectional design. The study subjects were pre-elderly and elderly individuals from three sub-districts in Cimahi City, with a total of 165 participants. The association between toothbrushing technique and gingival recession was analyzed using Fisher’s Exact Test with a significance level of p<0.05 and 95% confidence interval. Results: The prevalence of gingival recession in the pure horizontal scrub technique group (97.7%) was higher than that in the combined horizontal scrub technique group (82.9%). Statistical analysis revealed a significant association between toothbrushing technique and the occurrence of gingival recession (p=0.003). Subjects using the pure horizontal scrub technique were at a significantly higher risk of developing gingival recession compared to those using the combined horizontal scrub technique (OR=0.114; 95% CI: 0.027-0.484) Conclusions: There was a significant association between the pure horizontal scrub technique and combined horizontal scrub toothbrushing techniques of gingival recession. Reinforcement of toothbrushing technique education for patients aged 45 years and older is needed as an effort to prevent gingival recession.

KEY WORDS: Horizontal scrub; toothbrushing; gingival recession


Keywords


Horizontal scrub; menyikat gigi; resesi gingiva; Horizontal scrub; toothbrushing; gingival recession

Full Text:

PDF

References


DAFTAR PUSTAKA

Tandigau CM, Juliatri J, Khoman JA. Hubungan teknik menyikat gigi dengan terjadinya resesi gingiva. e-GiGi. 2023;11(2):121–127.

Putri V, Maimaznah M. Efektivitas gosok gigi Passal dan pendidikan kesehatan gigi mulut pada anak usia 7–11 tahun di SDN 174 Kelurahan Murni Kota Jambi. J Abdimas Kesehat. 2021;3(1):63–68.

Bok HJ, Lee CH. Proper tooth-brushing technique according to patient’s age and oral status. Int J Clin Prev Dent. 2020;16(4):149–153.

Stephanie S, Nababan I. Hubungan resesi gingiva dengan metode menyikat gigi horizontal dan vertikal pada lansia di panti jompo. Prima J Oral Dent Sci. 2019;2(7):1–9.

Sriani Y, Aljufri A, Yuzar Y, Herawati N, Lisnayetti L. Differences in hygiene index of brushing teeth with horizontal, roll and Fone’s method in children aged 9–12 years. JDHT J Dent Hyg Ther. 2023;4(2):125–131. https://doi.org/10.36082/jdht.v4i2.1259

Lapa J, Veiga NJ, Ribeiro C, Marques T, Santos NM, Sousa M. Determinants of gingival recessions in Portuguese adults. Rev Odonto Ciênc. 2016;31(2):64–69. https://doi.org/10.15448/1980-6523.2016.2.16957

Fiorellini JP, Sarmiento HL, Kim DM, Chang YC. Clinical features of gingivitis. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Newman and Carranza’s Clinical Periodontology. 13th ed. Philadelphia: Elsevier; 2017. p. 1490–1522.

Qiu C, Jie W, Qian Y, Lu X, Chen Y, Si M. Ageing of the oral mucosa: mechanisms and consequences. Int Dent J. 2026;76(3):109482. https://doi.org/10.1016/j.identj.2026.109482

Akaji EA, Onyejaka NK, Osadolor AJ. Gingival recession in a rural community in Nigeria: a pilot study. IOSR J Dent Med Sci. 2020;19(5):34–39.

Kementerian Kesehatan Republik Indonesia. Pedoman nasional pelayanan klinis tata laksana penyakit periodontal. Jakarta: Kementerian Kesehatan Republik Indonesia; 2025. p. 1–86.

Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Laporan nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2018. p. 156.

Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Laporan Riskesdas Provinsi Jawa Barat 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2018. p. 1–640.

Feng Y, Xiao L, Fu LL, Gosau M, Vollkommer T, Speth U, et al. Global, regional and national burden of edentulism and periodontal diseases from 1990 to 2021: analysis of risk factors and prediction of trends in 2050. In Vivo. 2025;39(2):1148–1161.

Çelik H, Güngörmek HS. Severity, extent, distribution and predisposing factors of gingival recession in Turkish patients: a cross-sectional study. Med Oral Patol Oral Cir Bucal. 2025;30(3):e401–e410. https://doi.org/10.4317/medoral.26956

Setiawati T, Robbihi HI, Dewi TK. Relationship of age and gender with periodontitis in elderly. J Dent Hyg Ther. 2022;3(2):43–48.

Djohan F. Correlation hand grip strength to gingival recession from brushing teeth trauma: preliminary study. J Health Dent Sci. 2025;4(3):265–276.

Hashem AS, Patil SR, Issrani R, Prabhu N, Albalawi AS, Alam MK. Relationship between gingival recession and tooth brushing habits. Bangladesh J Med Sci. 2024;23(3):846–850. https://doi.org/10.3329/bjms.v23i3.75118

Iba B, Adamu VE. Tooth brushing: an effective oral hygiene measure. Orapuh J. 2021;2(2):1–7.

Beltrán V, de La Roza GM, Wilckens M, Fuentes R, Padilla M, Aillapan E, et al. Effects of manual toothbrushing on gingival recession in an adult population sample in south of Chile. Int J Odontostomatol. 2014;8(3):461–467. https://doi.org/10.4067/S0718-381X2014000300022

Chan HL, Chun YHP, MacEachern M, Oates TW. Does gingival recession require surgical treatment? Dent Clin North Am. 2015;59(4):981–996. https://doi.org/10.1016/j.cden.2015.06.010

Dörfer CE, Staehle HJ, Wolff D. Three-year randomized study of manual and power toothbrush effects on pre-existing gingival recession. J Clin Periodontol. 2016;43(6):512–519. https://doi.org/10.1111/jcpe.12518

Febrida R, Faisal F, Mardhian DF. Pengetahuan penggunaan sikat gigi dan pasta gigi dalam rangka menjaga kesehatan gigi mulut pada masyarakat Desa Bojong. Dharma Saintika J Pengabdi Kpd Masy. 2023;1(2):1–9.

Lee JH, Lee SY, Han K, Han JS. Relationship between oral health behaviour and handgrip strength: a cross-sectional study with 7589 Korean adults. Acta Odontol Scand. 2020;78(6):438–444. https://doi.org/10.1080/00016357.2020.1735516

Krismariono A. Prinsip dasar perawatan resesi gingiva. Dentika Dent J. 2014;18(1):96–100.




DOI: https://doi.org/10.24198/pjdrs.v10i2.70058

Refbacks

  • There are currently no refbacks.


 

Creative Commons License All publications by the Universitas Padjadjaran [e-ISSN: 2656-985X p-ISSN: 2656-9868], are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License This license requires that reusers give credit to the creator. It allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, for noncommercial purposes only. 

Visitor Stat