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Available online at ajdhs.com 

Asian Journal of Dental and Health Sciences 
Open Access to Dental and Medical Research 

Copyright  © 2022 The  Author(s): This is an open-access article distributed under the terms of the CC BY-NC 4.0 
which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use provided the 

original author and source are credited 
 

 

 

Significant Caries (SiC) Index and Distribution of Regional Origins for 
Members of Formed Police Unit (FPU) XI 

Ita Yulita1, Tedi Purnama1*, Nurul Hidayah2 

1 Department of Dental Health, Poltekkes Kemenkes Jakarta I, Jakarta, Indonesia 

2 Dental Nursing, LKOK Pusdokkes Polri, Jakarta, Indonesia 

Article Info: 
_______________________________________ 
Article History: 
Received 06 Oct 2022      
Reviewed 19 Nov 2022 
Accepted 03 Dec 2022 
Published 15 Dec 2022 

_______________________________________ 
Cite this article as:  

Yulita I, Purnama T, Hidayah N, Significant 
Caries (SiC) Index and Distribution of Regional 
Origins for Members of Formed Police Unit 
(FPU) XI, Asian Journal of Dental and Health 
Sciences. 2022; 2(4):69-71 

DOI: http://dx.doi.org/10.22270/ajdhs.v2i4.31  

_______________________________________
*Address for Correspondence:   

Tedi Purnama, Department of Dental Health, 
Poltekkes Kemenkes Jakarta I, Indonesia 

Abstract 
___________________________________________________________________________________________________________________ 
Indonesia's geographical conditions are very diverse. Oral disease which is the most common global 
health problem is caries. An indicator of caries experience which includes decay, missing, filled criteria 
is DMF, the easiest and most frequently used method for epidemiological surveys of dental caries. To 
identify the subset of the population with high and very high DMF-T scores and to find individuals who 
are still susceptible to caries, the Significant Caries (SiC) index is used as a complement to the average 
DMF-T value. This study aims to determine the description of the Significant Caries (SiC) index and the 
distribution of regional origins of members of the Formed Police Unit (FPU) in LKOK Pusdokkes Polri 
Jakarta by the year 2020. This research is descriptive study with a total sampling method of selecting 
samples. A The DMF-T score was 1157 with a mean DMF-T of 6.4 (high criteria), and SiC index of 11.4 
(very high criteria). Respondents from the Western Region of Indonesia had a DMF-T score of 465 and 
SiC index of 11.34 (very high criteria). The DMF-T score for respondents from Central Region of 
Indonesia was 155 and SiC index 11.9 (very high criteria). Respondents from Eastern Region of 
Indonesia had DMF-T score of 76 and SiC index 10.85 with (very high criteria). It can be concluded that 
respondents have DMF-T scores in the high criteria and SiC index with very high criteria. Based on the 
regions of origin of the respondents, SiC score index in all three regions are of origin is included in the 
very high criteria with respondents from the Central Region of Indonesia having the highest SiC index 
compared to the other 2 regions. 

Keywords: Significant Caries (SiC) Index, Regions of Origin of FPU XI Member 

 

INTRODUCTION  

Diseases in the oral cavity have become a global health 
problem, everyone must have experienced poor oral health in 
their life. The disease most often found in the oral cavity is 
caries. Most of dental caries that occurs in developing 
countries is not treated.1,2 In Indonesia, the incidence of caries 
is increasing from year to year, even in the top ten major 
diseases.3 Although efforts to prevent this disease have been 
promoted, they have not shown tangible results. The results of 
the 2018 Basic Health Research stated that the largest 
proportion of dental problems in Indonesia was damaged 
teeth/dental caries (45,3%), while the proportion of the 
population who received treatment by dental health personnel 
to solve dental problems was 10,2%.4 Most people do not 
realize the importance of taking care of oral and dental health. 
The public's ignorance has resulted in decreased productivity 
due to the effects of pain that is felt. This is due to decreased 
dental support tissue. This dental caries later becomes a 
source of infection which can lead to several systemic 
diseases.5–7 

The economic impact of dental caries is the weakening of 
community productivity. If children experience dental caries, 
then the child's development will be hampered so that it can 
reduce the level of intelligence of the child, which in the long 
term will have an impact on the quality of life of the 
community.5,8 According to WHO, the diagnosis of caries 
experience that meets the criteria for decay, missing, filled 
(DMF index) is the easiest and most frequently used method 

for epidemiological surveys of dental caries, because they can 
measure the health status of the oral cavity.9,10 Although a 
decrease in the prevalence of dental caries has been observed 
in several countries, there is also a random distribution of 
dental caries in children within the age range of 12 years. In 
fact, some individuals aged 12 years have high and very high 
DMF-T scores while other individuals low or caries-free DMF-
T rates.11,12 Therefore, to identify the subset of the population 
with high and very high DMF-T rates, and to identify 
individuals who are still susceptible to caries, a new index 
called the Significant Caries (SiC) index was introduced by 
Brathall to be used as a attention to individuals who have a 
high caries value in each population. The value was obtained 
from the mean DMF-T scores in one third of the population 
with the highest caries score. This index is used as a 
complement to the mean DMF-T value.11,13 This study aims to 
determine the description of the Significant Caries (SiC) index 
and the distribution regional origin of members of the Formed 
Police Unit (FPU) XI in LKOK Pusdokkes Polri Jakarta 

METHOD AND MATERIAL  

The method used is descriptive method. Descriptive method is 
a research method conducted to describe a situation 
objectively. The form of implementation of descriptive 
research used is the type of survey. The population in this 
study were 182 members of the Formed Police Unit (FPU) XI. 
From this number, 61 people (1/3 of the total population) 
with the highest DMF-T scores were determined to be used as 
research samples. 

                       Open Access                                                                                                                                                                                                        Research Article                                          

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http://dx.doi.org/10.22270/ajdhs.v2i4.31


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Data collection was carried out at LKOK Pusdokkes Polri 
Jakarta on April to May 2020, the data was obtained from the 
medical records of members of the Formed Police Unit (FPU) 
XI. To obtain the SiC index, the steps taken are: 1) calculating 
the DMF-T score for each sample; 2) calculate the mean DMF-
T; 3) determine the number of individuals included in 1/3 of 
the population with the highest DMF-T score; 4) summing the 
DMF-T scores; and 5) dividing the DMF-T score by the sample 
size of the 1/3 population. 

RESULT 

This research was conducted in LKOK Pusdokkes Polri Jakarta 
in 2020 with targets members of the Formed Police Unit (FPU) 
XI. The population in this study was the medical records of 
members of the Formed Police Unit (FPU) XI with 182 
respondents. The sampling technique used in this study was 
total sampling, which is a sampling technique in which the 
number of samples is the same as the population. 

The data used in this study are secondary data, obtained from 
the medical records of members of the Formed Police Unit 
(FPU) XI by calculating the DMF-T score, grouping data with 
the same DMF-T score, calculating the mean DMF-T, 
determining the number of individuals who are included in 
1/3 of the population takes the DMF-T data with the highest 
score, then divides it based on the value of 1/3 of the 
population so that the overall SiC value is obtained. Data 
collection was carried out on April to May 2020 at LKOK 
Pusdokkes Polri Jakarta. The data collection was carried out 
by researchers and assisted by an administrative officer of the 
LKOK Pusdokkes Polri 

Table 1: DMF-T scores on members of the Police Formed 
Police Unit (FPU) XI 

Total (person) DMF-T Mean DMF-T  Criteria 

182 1157 6.4 High 

 

Table 1 shows the DMF-T for members of the Formed Police 
Unit (FPU) XI at LKOK Pusdokkes Polri Jakarta in 2020, from 
the total personnel of 182 people, the DMF-T score was 1157 
with a mean DMF-T of 6.4 which was included in the high 
criteria. 

Table 2: Significant Caries Index (SiC) for members of the 
Formed Police Unit (FPU) XI 

Total (person) DMF-T SiC Score  Criteria 

61 694 11.4 Very high 

 

Table 2 shows the Significant Caries (SiC) index for members 
of the Formed Police Unit (FPU) XI at LKOK Pusdokkes Polri 
Jakarta in 2020. The number of respondents is 61 people 
which is 1/3 of the total population with the highest DMF-T 
score (1/3 x 182 people). The DMF-T score was 694 with a 
mean SiC score of 11.4 which was included in the very high 
criteria.

 

Table 3: Significant Caries (SiC) Index of Members of the Formed Police Unit (FPU) XI Based on Region of Origin 

Region of Origin  Total (person) DMF-T SiC Criteria 

Western Region of Indonesia 41 465 11.34 Very high 

Central Region of Indonesia 13 155 11.9 Very high 

Eastern Region of Indonesia 7 76 10.85 Very high 

Total 61 696   

 

Table 3 shows that there were 41 respondents who came from 
the Western Region of Indonesia with a DMF-T score of 465 
and a SiC score of 11.34 with very high criteria. Respondents 
from the Central Region of Indonesia are 13 people, have a 
DMF-T score of 155 and SiC 11.9 with very high criteria, and 
respondents from the Eastern Region of Indonesia have a 
DMF-T score of 76 and a SiC of 10.85 with very high criteria.  

DISCUSSION 

From the results of the study, it can be seen that the total score 
of DMF-T in 182 members of the Formed Police Unit (FPU) XI 
at LKOK Pusdokkes Polri Jakarta is 1157 with a mean DMF-T 
of 6.4 (high criteria). The results of this study are worse when 
compared to research conducted by Jotlely et al (2017) which 
was conducted on Papuan people aged 18-25 years, where the 
mean DMF-T score was 5.3 which was classified as a high 
criteria. However, when compared with the mean DMF-T 
results in the 2018 Riskesdas National Report according to job 
characteristics, the results of this study were better because in 
Riskesdas 2018 the mean DMF-T score in the field of work of 
the National Police (Polri) is 7.7 (very high criteria).14 

The Significant Caries Index (SiC) score of the Formed Police 
Unit (FPU) XI at LKOK Pusdokkes Polri Jakarta is 11.4 with 
very high criteria. This result is worse when compared with 
the results of a study conducted by Loyola et al. (2011 on 

adolescents and young adults in Mexico aged 16-25 years. 
From Loyola's research, it was found that the DMF-T score for 
the respondents was 4.04 and the prevalence of caries was 
74.4%. Based on caries severity, 48.8% of respondents had a 
DMFT score > 3 and 24% of respondents had a DMFT score > 
6. The SiC index is 8.64.15 

The comparison of SiC scores based on the regional origin of 
members of the Formed Police Unit (FPU) XI at LKOK 
Pusdokkes Polri Jakarta showed that the mean SiC score of 
respondents from the Western Region of Indonesia is 11.4 
with very high criteria, respondents from the Central Region 
of Indonesia have a mean SiC index of 11.9 with very high 
criteria, and respondents from the Eastern Region of 
Indonesia have a mean SiC score of 10.85 with very high 
criteria. From the calculation of the proportion of dental 
problems by province in the result of Riskesdas 2018, it was 
found that the Indonesian national figure for cavities is 45.3%, 
19% of teeth lost due to extractions, and 4.1% of teeth had 
been filled due to cavities.4 These results are relevant to the 
results of this study where in the examination of the DMF-T 
index, the most commonly found be components are D (Decay) 
compared to M (Missing) and F (Filling). From the comparison 
of data on respondents in the Western, Central and Eastern 
Regions of Indonesia, both the DMF-T and SiC scores indicate 
very high criteria. This shows that the location of the area does 



Yulita et al                                                                                                                                    Asian Journal of Dental and Health Sciences. 2022; 2(4):69-71 

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not affect the level of tooth damage, but the dental health of 
individuals or communities is one of the factors that affect the 
health of these individuals or communities. To prevent the 
occurrence of dental caries and maintain good oral hygiene, a 
person needs to keep the teeth clean by regularly brushing his 
in the right way. Correct brushing behavior refers to FDI Word 
Dental Federation, which is the habit of brushing your teeth 
every day, at least twice a day, after breakfast and at night 
before going to bed.  

CONCLUSION 

From the results of research conducted on members of the 
Formed Police Unit (FPU) XI, it was concluded that: 

1. The number of caries experience in respondents as 
measured by the DMF-T indicator shows a score with high 
criteria 

2. From 1/3 of the population with the highest DMF-T score, 
the SiC index was found to be in the very high criteria 

3. If it based on the respondent's area of origin, the SiC score 
was not too different in the three regions, each of which 
was included in the very high criteria. Respondents from 
the Central Region of Indonesia have the highest SiC score 
compared to the other 2 regions. 

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