PENATALAKSANAAN PERSISTENSI GIGI PADA PASIEN ANAK INISIAL R USIA 10 TAHUN DI PALEMBANG

Latar Belakang: Persistensi gigi sulung merupakan keadaan ketika gigi sulung
belum tanggal sesuai waktu fisiologisnya, meskipun gigi permanen penggantinya
telah erupsi. Kondisi ini dapat menyebabkan rasa tidak nyaman saat menggigit
makanan, susunan gigi tidak rapi, serta meningkatkan risiko terjadinya maloklusi
apabila tidak segera ditangani. Tujuan: Diketahui penatalaksanaan kasus
persistensi gigi sulung pada pasien anak inisial R usia 10 tahun di Palembang.
Metode Penelitian: Metode yang digunakan adalah studi kasus deskriptif melalui
wawancara, observasi, dokumentasi, dan pemeriksaan klinis. Subjek penelitian
adalah pasien anak inisial R usia 10 tahun yang mengalami persistensi gigi sulung
pada gigi 72. Hasil: Pemeriksaan menunjukkan gigi 72 masih berada pada
lengkung rahang meskipun gigi permanen penggantinya telah erupsi, disertai
keluhan tidak nyaman saat menggigit makanan. Nilai Free Plaque Score awal
sebesar 17,2% kategori buruk dan OHI-S 3,1 kategori buruk. Penatalaksanaan
dilakukan melalui pencabutan gigi sulung persisten dengan anestesi infiltrasi serta
edukasi kesehatan gigi dan mulut. Kesimpulan: Hasil evaluasi menunjukkan
pencabutan berjalan tanpa komplikasi, kondisi rongga mulut membaik, Free Plaque
Score meningkat menjadi 86,2%, OHI-S menjadi 1, pengetahuan dan perilaku
pasien meningkat, serta keterampilan menyikat gigi menjadi lebih baik.

Background: Retained primary tooth is a condition in which a primary tooth
remains in the oral cavity beyond its normal exfoliation time, even though the
permanent successor tooth has erupted. This condition may cause discomfort when
biting food, irregular tooth alignment, and an increased risk of malocclusion if not
treated properly. Purpose: it is know that the management of cases of primary tooth
persistence in a child patient with the initials R, aged 10 years in Palembang.
Research Method: This study used a descriptive case study method through
interviews, observation, documentation, and clinical examination. The subject of
the study was a 10-year-old child patient with the initial R who experienced
retained primary tooth on tooth 72. Results: The examination showed that tooth 72
remained in the mandibular arch although the permanent successor tooth had
erupted, accompanied by discomfort when biting food. The initial Free Plaque
Score was 17.2%, categorized as poor, and the OHI-S score was 3.1, categorized
as poor. The management was carried out through extraction of the retained
primary tooth using infiltration anesthesia and dental health education.
Conclusion: The evaluation showed that the extraction was performed without
complications, oral health condition improved, the Free Plaque Score increased to
86.2%, the OHI-S score improved to 1, patient knowledge and behavior increased,
and tooth brushing skills became better.