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Abstract

There are several factors that cause dental caries. According Yuwono (2003) factors that
enable caries is as follows:
Age
There are three phases of life from the point of teeth, namely:
1. The period of mixed dentition, here most often affected first molar caries
2. The period of puberty (teenage) age between 14 years to 20 years at puberty hormonal
changes that can cause swelling of the gums, so the oral hygiene become less awake. This
causes a higher percentage of caries.
3. Age between 40 to 50 years, at this age already happened retraction or a decline in the
gums and papil so, the rest - the rest of the food is more difficult to clean
Vulnerability tooth surface
1. The morphology of the teeth. Regional dental plaque easily happen very possible caries.
2. Environment teeth. Environmental gear includes the number and content of saliva (spit),
the degree of viscosity and the ability bbuffer that influence the occurrence of caries, saliva
protects the tissues in the oral cavity by means pelumuran element gear that reduces wear
grafting caused by mastication, Effect of buffer so up and down PH can be reduced and
classified dental element is inhibited, Agrogasi bacteria that inhibit colonization of
microorganisms, anti-bacterial activity, mechanical cleaning can reduce the accumulation of
plaque.
Saliva
The influence of saliva on the teeth has long been known, especially in affecting the enamel
hardness. Saliva is the generated by: paritis gland, sublingual gland and submandibular gland.
For 24 hours, saliva glands removed as much as 1000-1500 ml, submandibular glands secrete
40% and 26% of the parotid gland. At night spending less saliva, saliva is mechanically
functioning wet the oral cavity and the food is chewed. Enzymatic properties of saliva is
involved in mastication to solve the element - the element of food.
Relationship saliva in dental caries has been known that patients with secretion of saliva
which little or nothing at all has a percentage of dental caries is increasingly rising for
example due to: therapeutic radiation malignant cancer, xerostomia, a client in a short time
will have the percentage of high caries. Often also found patients toddlers aged 2 years to
decay or caries around the teeth, priority gland aplasia (Yuwono, 2003).
Bacterium
According Yuwono (2003), three types of bacteria that commonly cause caries are:
1. Steptococcus. Gram positive cocci bacteria are a major cause of dental caries and the
highest number in the mouth, one of which is streptococcus mutant species, more than than
others can lower the pH of the medium up to 4.3%. Sterptococus mutant especially there are
many populations that consume sucrose.
2. Actynomyces. All species aktinomises ferment glucose, especially forming lactic acid,
acetate, succinate, and formic acid. Actynomyces visocus and actynomises naesundil capable
of forming root caries, fissure and damage periodontonium.
3. Lactobacillus. The population affect eating habits, the most preferred are lesions in dentin.
Lactobasillus only considered auxiliary factors caries process.
Plaque
This plaque trerbentuk from a mixture of ingredients such as mucin saliva, remnants of oral
tissue cells, leukocytes, lymphocytes with food debris and bacteria. Plaque is initially formed,
so that the liquid gradually becomes chelates, where bertmbuhnya bacteria.
Frequency of eating foods that cause caries (cariogenic food)

Frequency of eating and drinking not only causes erosion but also tooth decay or dental
caries. Consumption of sweet foods in his spare time mealtimes will be more dangerous than
when the main meal.
http://www.e-jurnal.com/2013/12/faktor-penyebab-terjadinya-karies-gigi.html (rumusan
maslah satu)
by endodontists from the faculty of Dentistry, University of Indonesia (UI), Dr. Ratna
Meidyawati drg, SpKG (K), how to brush their teeth is
1. Brush your teeth regularly. Brushing your teeth every day during morning after breakfast
and at night before bed can avoid the various problems of the mouth, such as tooth decay,
gum disease and bad breath odor.
2. In the mouth there are parts that are difficult to reach with a toothbrush, so usually the back
teeth be often overlooked. Choose the right toothbrush and is designed to reach between the
teeth and the deepest part.
3. Toothbrush ideal, usually has a shape that follows the contour of the mouth, with the tip of
the brush head is small and rounded, soft bristle brush, also handle firmly grasped.
4. The soft bristles are usually designed to simultaneously keep the gums. "For patients
perodental alias gums bleed easily, you should select the brush bristles soft softness level.
While bristle brush softness medium level, for the normal condition of the teeth and gums,"
said Ratna
5. How to brush teeth properly is the vertical movement or twisting of the direction of the
gums to the teeth.
6. For the surface (tooth) chewable, brush with a back and forth motion. Do not forget to
brush your teeth in the section near the surface of the tongue and palate with movements such
as gouging.
7. Brush the surface of the tongue, because this area is a gathering place for bacteria.
8. Remember to replace your toothbrush every three months or when the bristles are already
visible expands.
http://tabloidnova.com/Kesehatan/Umum/Inilah-8-Cara-Menyikat-Gigi-Yang-Benar-AgarTerhindar-Dari-Gigi-Berlubang
(rumusan masalah empat)
Sometimes the sense of pain may occur while enjoying food, drink or even a snack. Some
feel numb for a moment while enjoying a drink that is too cold, while some others felt
soreness while chewing and enjoying the food. It is undeniable that the sense of pain that
occurs while enjoying meals or drinks this was very disturbing and sometimes even be able to
eliminate your appetite.
Why does this happen? Why tooth ache when chewing food or snack? What are the causes?
Here are some of the contributing factors why the tooth ache when chewing which is a trigger
factor, as compiled from various sources, namely:
Decrease Gums: The decrease gum is one factor contributing to the sense of pain when
chewing. According to a medical journal gigiTips Overcoming Dental Yang Love Pain and
gums that have been published, it is said that the decline of the gums will lead to the stability
of the root of the tooth to be reduced, so that when the stimuli of pressure in the form of
chewing, tooth root will put pressure on the gums inside, causing a sense pain or soreness.

The Shake Teeth Roots: Roots rocking due to loss of teeth, plaque at the gum line, or a
decrease in the gums, may give rise to a sense of pain when chewing caused by pressure on
the tooth root is forwarded to the network persyarafan on the teeth. Still according to the
same source, it is said that it could have been triggered by the presence of missing teeth and
cause cavities or empty spaces between the teeth.
Fracture Or Broken Teeth: Teeth are broken also one of the triggers of interference of pain
when chewing food. According to the medical journal dentistry some time ago, revealed that
the teeth were fractured and damaged tooth crown will be contributed to the increased
sensitivity persyarafan teeth, so that the slightest stimuli can trigger a sense of pain.
Denture: Installation of artificial teeth that are less precise follow gums orthodontic shape
and arrangement of teeth around it, could lead to a sense of pain when chewing food.
Thus some of the contributing factors why the tooth ache when chewing food or snacks. It is
better to immediately visit a dental hygienist and a local gum to know with certainty what the
cause and get the best solution. Hope it is useful.
http://www.unhas.ac.id/fkg/ika/mengapa-gigi-terasa-ngilu-saat-mengunyah/
(rumusan masalah lima)