The Efectivenness of Chewing Honi Pineapple (Ananas comosus (L.) Merr.) in Reducing The Debris Index Among Elementary School Students
Keywords:
Honi Pineapple, Debris Index, Oral Hygiene, Elementary School ChildrenAbstract
Oral health is an important component of general health that can affect an individual's quality of life. One indicator of oral hygiene is the Debris Index, which reflects the presence of food debris or plaque on tooth surfaces. Elementary school-aged children tend to have suboptimal oral hygiene practices, putting them at risk of increased Debris Index scores. One preventive approach is the consumption of fibrous fruits with a self-cleansing effect, such as Honi pineapple, which contains fiber, water, and the enzyme bromelain. This study aimed to determine the effectiveness of chewing Honi pineapple (Ananas comosus (L.) Merr.) in reducing the Debris Index among fifth-grade students in Surabaya. This study employed a pre-experimental design with a one-group pretest–posttest design. The sample consisted of 60 students selected using purposive sampling. The Debris Index was measured before and after chewing Honi pineapple. Data were analyzed using the nonparametric Wilcoxon Signed-Rank Test. The results showed that the median Debris Index decreased from 2.3 before the intervention to 1.0 after chewing Honi pineapple. In addition, the mean Debris Index decreased from 2.21 (poor category) to 1.07 (fair category). The Wilcoxon Signed-Rank Test showed a statistically significant difference between the pretest and posttest measurements (p < 0.001). These findings indicate that Honi pineapple may have potential as a simple preventive approach to improving oral hygiene among elementary school students.Downloads
References
Adventus, M. L. R., Jaya, I. M. M., & Mahendra, D. (2019). Buku Ajar Promosi Kesehatan (pp. 69–70). Universitas Kristen Indonesia. repository.uki.ac.id
Azmi, R. F., & Febriani, H. (2024). Pengaruh Mengunyah Tebu Terhadap Penurunan Indeks Plak Pada Anak SDN 3 Ulim Kabupaten Pidie Jaya. MULTIPLE: Journal of Global and Multidisciplinary, 2(9), 2891–2898.
Damayantyh, A. V, Prasetyowati, S., & N.P Astuti, I. G. A. K. (2021). Efektivitas Mengunyah Buah Bengkuang dan Buah Apel Terhadap Penurunan Angka Debris Indeks pada Siswa Tunarungu. JIKG: Jurnal Ilmiah Keperawatan Gigi, 4(3), 160–170.
Fadjeri, I., Dzulfaqor, A., & Purnama, T. (2023). Chewing yam fruit (Pachyrhizus erosus) as an effort to reduce index debris in elementary school children. Asian Journal of Dental and Health Sciences, 3(2), 15–17. https://doi.org/10.22270/ajdhs.v3i2.41
Fransiska, A., Ramayanti, S., Pradypta, P. G., Chairanna, I., Aprilia, Nofika, R., Adityatama, P., Hidayati, S., Yohana, N., Sukarsih, Suprianto, K., Rizal, M. B., Wijayanti, Z., & Khoironi, E. (2024). Ilmu Kesehatan Gigi dan Mulut (E. Khoironi & C. Diyah, Eds.). CV. Eureka Media Aksara.
Gasper, I. A. V, Arna, Y. D., Siagian, H. J., Ponidjan, T. S., Nurmawi, Y., Rosmawati, Karamoy, Y., Raule, J. H., Rahakbauw, G. Z., Alifariki, L. O., Pandean, M. M., Marasabessy, N. B., Meiliana, Bukit. Br Rosmeri, Kolompoy, J. A., Ilaen, S. P. J., Bungawati, A., Aisyah, S., & Kristiani Anie. (2025). Ilmu Perilaku Kesehatan (L. O. Alifariki, Ed.). PT. Media Pustaka Indo. http://www.mediapustakaindo.com/
Ghufron, Moh. R., Mahirawatie, I. C., & Astuti N.P, I. G. A. K. (2024). Maintenance Of Dental And Oral Hygiene Among 5th Grade Students After Using Game Board Media. Jurnal Kesehatan Gigi Dan Mulut (JKGM), 6(2), 23–28. https://doi.org/10.36086/jkgm.v6i2.2531
Ifitri, I. (2021). Perbedaan Indeks Debris Antara Mengunyah Mentimun Dengan Tomat Pada Mahasiswa Keperawatan Gigi Bukittinggi. Jurnal Menara Medika, 3(2), 208–214.
Kementerian Kesehatan RI. (2018). Laporan Nasional Riskesndas 2018.
Kusumaningrum, N., Hadi, S., & Sugito, B. H. (2025). ABOUT MAINTENANCE OF DENTAL AND ORAL HYGIENE USING COUNSELING MEDIA MYSTERY BOX SNAKE LADDER GAME (Study on Class IV and V Student of SD Praja Mukti Surabaya in 2024). Surabaya Dental Therapist Journal, 3(1), 140–146. https://doi.org/10.36568/sdtj.v3i1.35
Lubis, R., Rangkuti, A. R., Berutu, N. A., Wassalwa, M., Juliani, S. F., & Prastiwi, T. S. (2024). Analisis Perkembangan Peserta Didik Anak Usia SD Kelas 5 di Letda Sudjono Kecamatan Medan Tembung. Fatih: Journal of Contemporary Research, 1(2), 151–160. https://doi.org/10.20961/jkc.v9i2.52555
Maramis, J. L., Ratula, J. E., & Rumbayan, J. J. (2023). Efektivitas Buah Pir (Pyrus) Terhadap Penurunan Debris Indeks. Jurnal Ilmiah Gigi Dan Mulut (JIGIM), 6(2), 50–53.
Nabila, R., Nuraskin, C. A., & Niakurniawati, N. (2023). Mengunyah Buah Apel dapat Menurunkan Indeks Plak. NASUWAKES: Jurnal Kesehatan Ilmiah, 15(2), 119–124. https://doi.org/10.30867/nasuwakes.v15i2.448
Notoatmodjo, S. (2018). Metodologi Penelitian Kesehatan. Rineka Cipta.
Noviarini, A., & Zinur, R. A. (2020). Efektivitas Mengonsumsi Buah Pepaya Dan Buah Semangka Dalam Penurunan Skor Debris. Jurnal Kesehatan Gigi Dan Mulut (JKGM), 2(2), 27–31.
Nurnaningsih, H., & Laela, D. S. (2022). Efektivitas berbagai konsentrasiIenzim bromelain dari ekstrak buah nanas (AnanasIcomosus (L.) Merr) terhadap daya antibakteri Streptococcus mutans secara in vitro. Padjadjaran Journal of Dental Researchers and Students, 6(1), 74. https://doi.org/10.24198/pjdrs.v6i1.38211
Pakpahan, M., Siregar, D., Susilawaty, A., Tasnim, Mustar, Ramdany, R., Manurung, E. I., Sianturi, E., Tompunu, M. R. G., Sitanggang, Y. F., & M, M. (2021). Promosi Kesehatan dan Perilaku Kesehatan (R. Watrianthos, Ed.). Yayasan Kita Menulis. [email protected]
Pratiwi, N. N., & Prasetyowati, S. (2020). Efektivitas Mengunyah Apel Jenis Anna Dikupas dan Tanpa Dikupas Terhadap Penurunan Indeks Plak. Jurnal Kesehatan Gigi (Dental Health Journal), 7(2), 59–64.
Purnama, M. C., Suryandari, K. C., & Suhartono, S. S. (2021). Analisis Minat Belajar Dan Gaya Belajar Selama Pandemi Covid-19 Siswa Kelas V Sdn 3 Cikembulan Kecamatan Pekuncen Kabupaten Banyumas Tahun Ajaran 2020/2021. Kalam Cendekia: Jurnal Ilmiah Kependidikan, 9(2). https://doi.org/10.20961/jkc.v9i2.52555
Ripana, N., Widyagdo, A., & Daniati, N. (2024). Hubungan Pengetahuan dan Perilaku Menyikat Gigi dengan Kebersihan Gigi dan Mulut pada Anak Kelas 3 Sekolah Dasar Negeri 2 Waled Kota Kabupaten Cirebon. Jurnal Ilmiah Keperawatan Gigi (JIKG), 5(2), 34–40.
Rosdiana, Wirawan, S., Hartika, A. Y., Aji, S. P., Febriantika, Nayoan, C. R., Tarigan, F. L. B., Arisanti, D., Trisilawati, R., & Simanunjutak, R. R. (2023). Penerapan Strategi Perubahan Perilaku. Get Press Indonesia.
Safitri, D. K., & Ainun, M. (2024). Hubungan Mengunyah Makanan dengan Status Kebersihan Gigi dan Mulut Pada Masyarakat Kecamatan Darussalam Kabupaten Aceh Besar tahun 2024. Jurnal Ilmiah Keperawatan Gigi, 5(3), 1–7. https://doi.org/10.37160/jikg.v5i3.529
Septiarini, D. (2023). Modification Of Ropita (Round Spin Table) Education Model As An Effort To Improve Behavior In Maintaining Dental Health In Students At Sdn Sendangmulyo 01, Semarang. Jurnal Health Sains, 4(8), 136–145. https://doi.org/10.46799/jhs.v4i8.1049
Sumiati, T., Masaenah, E., & Mustofa, K. N. (2021). Formulasi Obat Kumur Herbal Ekstrak Etanol Kulit Buah Nanas (Ananas Comosus (L.) Merr.) Sebagai Antibakteri Streptococcus Sanguinis Penyebab Plak Gigi. Jurnal Farmamedika (Pharmamedica Journal), 6(1), 15–23. https://doi.org/10.47219/ath.v6i1.112
Tahulending, A. A., Ratuela, J., Gladys, A., & Pangeiang. (2024). Efektivitas Mengunyah Buah Belimbing Manis (Averrhoa Carambola) dan Buah Nanas (Ananas Cosmosus L. Merr) Terhadap Plak Indeks pada Siswa Kelas VII dan VIII di SMP Negeri 3 Manganitu Kabupaten Kepulauan Sangihe. Jurnal Ilmiah Gigi Dan Mulut (JIGIM), 7(2), 1–10.
Ulfah, S. F., Dhiya, E., & Arum, S. (2023). Mengunyah Buah Mentimun sebagai Tindakan Alamiah dalam Menurunkan Debris Indeks. Indonesian Journal of Health and Medical, 3(3), 88–97.
World Health Organization. (2022). Global oral health status report.
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