Page 50 - FINAL COMPENDIUM 2020-2021 27.2.2022

THE PLACEMENT AND REPLACEMENT OF RESTORATIONS IN CHILDREN ATTENDING
PUSAT PERGIGIAN KANAK-KANAK & INSTITUT LATIHAN KEMENTERIAN KESIHATAN
MALAYSIA (PPKK & ILKKM) PERGIGIAN, GEORGETOWN, PULAU PINANG
NMRR-18-3383-44269

Hong NZ, Nurfarhana FA, Norhayati M, Fauzilah MA, Hazimah AH
Introduction: Pusat Pergigian Kanak-kanak & Institut Latihan Kementerian Kesihatan
Malaysia (PPKK & ILKKM) Pergigian, Georgetown, Pulau Pinang is a training institution
where dental therapists, dental assistant and dental technician are trained and provided
for all government’s dental clinics and dental specialist clinics. Therefore, all the
auxiliaries’ dental staff are produced from this institution to fulfil the demand in the
dentistry services. Objectives: This research aims to study the placement and
replacement of restorations for permanent and deciduous tooth in children attending in
PPKK & ILKKM (Pergigian) done by trainee dental therapists and related factors. Materials
and methods: Cross sectional study was carried out to children aged 17-year-old and
below who attended to PPKK & ILKKM (Pergigian) for restoration done by trainee dental
therapists since year 2016. Analysis data was done using Microsoft Excel. Results: The
main reason of restoration replacement reported was restoration dislodged (61.70%)
followed by recurrent dental caries (25.53%) and fracture restorative material (11.17%).
The types of restoration (G.V Black) needed to be replaced were class II compound
(8.04%), class I compound (7.08%), class III (5.18%), class II simple (1.82%), class I simple
(1.65%), class V (1.47%). The prevalence types of restoration material used in restorations
need to be replaced were glass ionomer cement (4.96%), amalgam (2.38%) and composite
(1.87%). The median survival rate of restoration done by trainee dental therapists was
213 days. Conclusions: This research show that the main reason of replacement
restoration is due to restoration dislodgement. The majority types of restoration by G.V
Black classification need to be replaced are class II compound (8.04%) and class I
compound (7.08%). Restorative material which has highest prevalence to be replaced is
glass ionomer cement. The survival rate of restoration done by trainee dental therapists
is almost 7 months. This research showed that multiple factors may lead to restoration
failure and need to be replaced. Trainee dental therapists need to aware the predisposing
factors in order to reduce restoration dislodged and improve the quality of work.

Dr Neoh Zhen Hong
Fauzilah biniti Md Arif
Hazimah binti Abdul Hamid
Nufarhana Farah binti Abdullah
Pusat Pergigian Kanak- Kanak & ILKKM (Pergigian) Georgetown
Pulau Pinang, Malaysia

Norhayati binti Muhammad
Bahagian Pengurusan Latihan
Kementerian Kesihatan Malaysia
Kuala Lumpur, Malaysia

26