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Perbedaan Indeks Kebutuhan Perawatan Periodontal (CPITN) antara Pengguna Kontrasepsi Metode Oral dan Suntik di Departemen Periodonsia RSUB Periode November-Desember 2024

Differences in the Index of Periodontal Treatment Needs (CPITN) between Users of Oral and Injectable Hormonal Contraceptives at the Department of Periodontics RSUB during the Period of November–December 2024

1Prodi Pendidikan Dokter Gigi, Fakultas Kedokteran Gigi, Universitas Brawijaya, Indonesia

2Departemen Periodonsia, Fakultas Kedokteran Gigi, Universitas Brawijaya, Indonesia

3Departemen Ilmu Kedokteran Gigi Masyarakat – Pencegahan, Fakultas Kedokteran Gigi, Universitas Brawijaya, Indonesia

Received: 12 Aug 2025; Revised: 28 Oct 2025; Accepted: 28 Oct 2025; Available online: 14 Jan 2026; Published: 1 Jun 2026.
Open Access Copyright 2026 Elizabeth Chandradewi Purnamasari, Ega Lucida Chandra Kumala, Nungky Devitaningtyas, Dyah Nawang Palupi Pratamawari
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Abstract

Background: Hormonal contraceptives can trigger periodontal inflammation through changes in estrogen and progesterone levels, thereby increasing the risk of damage to the tooth-supporting structures and elevating periodontal treatment needs. Objective: To analyze the differences in periodontal treatment needs between users of oral and injectable hormonal contraceptives based on the Treatment Needs (TN) classification derived from Community Periodontal Index of Treatment Needs (CPITN) scores. Methods: This analytical observational study with a cross-sectional design was conducted on 18 women using hormonal contraceptives, divided into two groups: 9 oral contraceptive users and 9 injectable contraceptive users at the Department of Periodontology, RSUB, Malang. Periodontal examinations were performed using a WHO probe, and the results were categorized according to Treatment Needs. The Mann–Whitney U test was used to assess differences between groups. Results: The Mann–Whitney test showed a significant difference in periodontal treatment needs (p = 0.006) between oral and injectable hormonal contraceptive users. Conclusion: There is a difference in CPITN-based periodontal treatment needs between oral and injectable hormonal contraceptive users visiting the Periodontology Department of RSUB, Malang, during November–December 2024, with oral contraceptive users more frequently classified in TN 3 and injectable contraceptive users in TN 2.

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Keywords: Kontrasepsi Hormonal; Inflamasi Periodontal; CPITN; Kebutuhan Perawatan Periodontal: Hormonal Contraceptives; Periodontal Inflammation; CPITN; Periodontal Treatment Needs

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