The impact of chewing betel nuts on human dentition in Indonesia: A literature review
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Background: Human behavior can significantly alter dental conditions. One such behavior is the habit of chewing betel nuts. Known as nginang, this tradition holds social significance in many cultures across Indonesia. Societal beliefs include the idea that chewing betel nuts offers a sensation similar to smoking cigarettes, provides a pastime, reduces bad breath, and even enhances dental health. However, evidence shows that it can cause severe damage to teeth. Purpose: This research aims to analyze the literature regarding the impact of chewing betel nuts on dental conditions and to recommend actions to address the problems caused by it. Reviews: While this habit can have positive aspects, it may also cause tooth damage when practiced with a certain frequency and intensity and using specific compositions. Issues such as calculus, periodontitis, attrition, and antemortem tooth loss may occur due to this habit. However, inconsistencies have been found concerning this habit's relation to caries. Conclusion: A pathological chain reaction triggered by betel nut chewing confirms its detrimental effect on dental health. Further investigations are required to explain the inconsistencies found in this review. The researchers recommend promoting tooth brushing to enable society to maintain its tradition without risking further teeth damage.
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Artaria MD. Variasi non-metris pada geligi manusia. Dent J Kedokt Gigi. 2008; 2(1): 32–7. web: https://www.academia.edu/1773289/Variasi_Non_Metris_pada_Geligi_Manusia
Artaria MD. Antropologi dental. 1st ed. Yogyakarta: Graha Ilmu; 2009. p. 1–102. web: http://grahailmu.co.id/previewpdf/978-979-756-471-1-492.pdf
Fachruliansyah I. Antropologi biologi di Indonesia: Sebuah penelusuran dan kemungkinan pengembangan. Antropol Indones. 2018; 39(2): 90–114. doi: https://doi.org/10.7454/ai.v39i2.11128
Hillson S. Dental anthropology. Cambridge: Cambridge University Press; 1996. p. 389. doi: https://doi.org/10.1017/CBO9781139170697
Scott GR. Dental anthropology. In: Encyclopedia of global archaeology. Cham: Springer International Publishing; 2018. p. 1–8. doi: https://doi.org/10.1007/978-3-319-51726-1_138-2
Suriyanto RA, Koesbardiati T. Dental modifications: a perspective of Indonesian chronology and the current applications. Dent J. 2010; 43(2): 81–90. doi: https://doi.org/10.20473/j.djmkg.v43.i2.p81-90
Badan Pengembangan dan Pembinaan Bahasa, Kementerian Pendidikan, Kebudayaan, Riset dan TRI. Kamus Besar Bahasa Indonesia. 2021. Available from: https://kbbi.kemdikbud.go.id/entri/gigi. Accessed 2021 Oct 14.
Scott GR, Turner CG. Dental anthropology. Annu Rev Anthropol. 1988; 17: 99–126.
Permatasari WA, Artaria MD. Keterkaitan kebiasaan manusia terhadap kondisi gigi. Masyarakat, Kebud dan Polit. 2015; 28(4): 181–7. doi:10.20473/mkp.v28i42015.181-187
Kurniawan A, Moza SM, Nuraini N, Hanif MA, Sekar DA, Talitha P. Lifestyle changes and its effect towards the evolution of human dentition. Egypt J Forensic Sci. 2022; 12(1): 8. doi: https://doi.org/10.1186/s41935-022-00268-4
Zumbroich TJ. The origin and diffusion of betel chewing: a synthesis of evidence from South Asia, Southeast Asia and beyond. eJournal Indian Med. 2008; 1(3): 87–140. web: https://ugp.rug.nl/eJIM/article/view/24712
Glover IC. Prehistoric plant remains from Southeast Asia, with special reference to rice. In: Taddei M, editor. South Asian Archaeology 1977. Naples: Instituto Universitario Orientale; 1979. p. 7–37. web: https://pennds.org/archaeobib/items/show/25090
Glover IC. Archaeology in Eastern Timor, 1966-67 (Terra Australis, 11). Canberra: The Australian National University Department of Prehistory Research School of Pacific Studies; 1986. p. 241. web: http://hdl.handle.net/1885/127426
Koesbardiati T, Murti DB, Suriyanto RA. Cultural dental modification in prehistoric population in Indonesia. Bull Int Assoc Paleodont. 2015; 9(2): 52–60. web: https://hrcak.srce.hr/en/clanak/221001
Oxenham MF, Locher C, Cuong NL, Thuy NK. Identification of Areca catechu (Betel Nut) residues on the dentitions of bronze age inhabitants of Nui Nap, Northern Vietnam. J Archaeol Sci. 2002; 29(9): 909–15. doi: https://doi.org/10.1006/jasc.2001.0767
Fitzpatrick SM, Nelson GC, Reeves R. The prehistoric chewing of Betel Nut (Areca catechu) in Western Micronesia. People Cult Ocean. 2003; 19: 55–65. web: https://cir.nii.ac.jp/crid/1541980095203737984
Koesbardiati T, Bayu Murti D. Konsumsi sirih pinang dan patologi gigi pada masyarakat prasejarah Lewoleba dan Liang Bua, di Nusa Tenggara Timur, Indonesia. Berk Arkeol. 2019; 39(2): 121–38. doi: https://doi.org/10.30883/jba.v39i2.470
Nelson BS, Heischober B. Betel nut: A common drug used by naturalized citizens from India, Far East Asia, and the South Pacific islands. Ann Emerg Med. 1999; 34(2): 238–43. doi: https://doi.org/10.1016/S0196-0644(99)70239-8
Touwely S, Kakiay AC, Makulua K. Sirih pinang sebagai simbol pemersatu keluarga (Suatu kajian pemaknaan budaya sirih pinang dalam konteks masyarakat Riring, Kecamatan Taniwel). NOUMENA J Ilmu Sos Keagamaan. 2020; 1(1): 12–27. web: https://e-journal.iaknambon.ac.id/index.php/N/article/view/168
Parianti NKW, Ariyasa IG. Hubungan kebiasaan menyirih terhadap kejadian karies gigi pada lanjut usia di Desa Batubulan Kangin. VIRGIN J Ilm Kesehat dan Sains. 2015; 1(2): 200–8. web: https://jurnal.undhirabali.ac.id/index.php/virgin/article/view/68
Iptika A. Keterkaitan kebiasaan dan kepercayaan mengunyah sirih pinang dengan kesehatan gigi. AntroUnairDotNet. 2014; 3: 64–9. pdf: https://journal.unair.ac.id/filerPDF/aun712fc6fc38full.pdf
Hernandez BY, Zhu X, Goodman MT, Gatewood R, Mendiola P, Quinata K, Paulino YC. Betel nut chewing, oral premalignant lesions, and the oral microbiome. Wilson BA, editor. PLoS One. 2017; 12(2): e0172196. doi: https://doi.org/10.1371/journal.pone.0172196
Lin Y-S, Jen Y-M, Wang B-B, Lee J-C, Kang B-H. Epidemiology of oral cavity cancer in Taiwan with emphasis on the role of Betel nut chewing. ORL. 2005; 67(4): 230–6. doi: https://doi.org/10.1159/000089214
World Health Organization. Review of Areca (Betel) nut and tobacco use in the Pacific: A technical report. Manila: World Health Organization; 2012. p. 66. web: https://apps.who.int/iris/handle/10665/206910
Lande PK, Haryani W, Yuniarly E. Hubungan kebiasaan menyirih dengan status gingiva (Kajian pada masyarakat desa Lipang Kecamatan Alor Timur Laut Kabupaten Alor NTT). Poltekkes Kemenkes Yogyakarta; 2019. p. 1–36. web: http://eprints.poltekkesjogja.ac.id/808/
Widyawati. Survey Menunjukkan Kebiasaan Gosok Gigi Menurun Saat Pandemi COVID-19. 2021. Available from: https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20210319/2537269/survey-menunjukkan-kebiasaan-gosok-gigi-menurun-saat-pandemi-covid-19/. Accessed 2022 Sep 28.
Budijanto D, Kurniawan R, Widiantini W, Sakti ES, Mulya D. InfoDATIN Kesehatan Gigi Nasional September 2019. Pusat Data dan Informasi Kementerian Kesehatan RI. Jakarta; 2019. p. 1–6. Available from: https://pusdatin.kemkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-gigi.pdf. Accessed 2022 Sep 28.
Tedjosasongko U, Hamid T, Kuntari S, Pradopo S, Wening GRS. Knowledge of dental health among mothers of poor families during the pandemic in East Java. J Int Womens Stud. 2022; 24(8): 2. web: https://vc.bridgew.edu/jiws/vol24/iss8/2/
Ritonga SW, Nurhamidah N, Lestari C. Pengaruh budaya makan sirih terhadap penyakit periodontal pada masyarakat di Desa Tanjung Medan Kecamatan Bilah Barat Labuhan Batu. B-Dent, J Kedokt Gigi Univ Baiturrahmah. 2019; 4(1): 45–51. doi: https://doi.org/10.33854/JBDjbd.88
Lustiawati A. Tradisi nginang (Studi tentang makna simbol pada tradisi nginang di desa Jatimulya Kecamatan Wonosari Kabupaten Boalemo). Universitas Negeri Gorontalo; 2016. https://repository.ung.ac.id/skripsi/show/281412052/tradisi-nginang-studi-tentang-makna-simbol-pada-tradisi-nginang-di-desa-jati-mulyakecamatan-wonosari-kabupaten-boalemo.html
Sutana IG, Sinarsari NM, Dwipayana AAP. Nginang: Kebiasaan masyarakat tradisional dalam memelihara kesehatan gigi dan mulut. J Yoga dan Kesehat. 2021; 4(2): 123–35. doi: https://doi.org/10.25078/jyk.v4i2.2698
Ngadilah C, Pinat LM. Memprediksi kebiasaan mengkonsumsi sirih pinang dan pengaruhnya terhadap kerusakan jaringan periodontal. In: Prosiding Semnas I Kesehatan Lingkungan & Penyakit Tropis. Kupang: Poltekkes Kemenkes Kupang; 2019. p. 16–26. web: https://semnaskesling.poltekeskupang.ac.id/index.php/ss
National Institute on Drug Abuse. Tobacco, nicotine, and e-cigarettes research report. 2021. Available from: https://nida.nih.gov/publications/research-reports/tobacco-nicotine-e-cigarettes/introduction.
Budisuari MA, Oktarina, Mikrajab MA. Hubungan pola makan dan kebiasaan menyikat gigi dengan kesehatan gigi dan mulut (karies) di Indonesia. Bul Penelit Sist Kesehat. 2010; 13(1): 83–91.web: https://www.neliti.com/publications/21306/hubungan-pola-makan-dan-kebiasaan-menyikat-gigi-dengan-kesehatan-gigi-dan-mulut
Badruddin IA, Kiptiyah NM, Prihartono N, Agtini MD, Musadad DA. The association between sweet food consumption, time of tooth brushing and dental caries experience in 12- to 15-year-old children in Indonesia (Analysis of Indonesian health basic research data, 2013). J Int Dent Med Res. 2017; 10(Special Issue): 583–9. pdf: http://www.jidmr.com/journal/wp-content/uploads/2017/12/32.46-Iwany-et-al-AB4-et-al-rev.pdf
Unbanu DK, Obi AL, Fankari F, Nubatonis MO. Status kesehatan gigi dan mulut pada masyarakat yang mempunyai kebiasaan menginang. Dent Ther J. 2019; 1(2): 52–7. doi: https://doi.org/10.31965/dtj.v1i2.447
Norton SA. Betel: Consumption and consequences. J Am Acad Dermatol. 1998; 38(1): 81–8. doi: https://doi.org/10.1016/S0190-9622(98)70543-2
Anand R, Dhingra C, Prasad S, Menon I. Betel nut chewing and its deleterious effects on oral cavity. J Cancer Res Ther. 2014; 10(3): 499–505. doi: https://doi.org/10.4103/0973-1482.137958
Nonong YH, Setiawan A, Dewi FD, Navaneetha C. Oral health knowledge among parents of autistic child in Bandung-Indonesia. Dent J. 2014; 47(3): 146–52. doi: https://doi.org/10.20473/j.djmkg.v47.i3.p146-152
Bramantoro T, Santoso CMA, Hariyani N, Setyowati D, Zulfiana AA, Nor NAM, Nagy A, Pratamawari DNP, Irmalia WR. Effectiveness of the school-based oral health promotion programmes from preschool to high school: A systematic review. Rittling SR, editor. PLoS One. 2021; 16(8): e0256007. doi: https://doi.org/10.1371/journal.pone.0256007
Effendi MC, Hartami E, Balbeid M, Hapsari GD. Effectiveness of reminder sticker books at increasing dental health knowledge and oral hygiene. Dent J. 2021; 54(1): 5–10. doi: https://doi.org/10.20473/j.djmkg.v54.i1.p5-10
Narwoko JD, Suyanto B. Sosiologi: Teks pengantar dan terapan. 4th ed. Jakarta: Prenada Media; 2019. p. 405. web: https://prenadamedia.com/product/sosiologi-teks-pengantar-dan-terapan-edisi-keempat/
Haryono TJS. Pengantar antropologi. Surabaya: Revka Petra Media; 2012. p. 331. web: https://www.goodreads.com/book/show/26024928-pengantar-antropologi
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