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    EFEKTIVITAS SEDIAAN OBAT KUMUR MENGANDUNG

    CENGKEH (Syzygium aromaticum) DALAM MENURUNKAN

    KADAR VOLATILE SULFUR COMPOUNDS (VSC) KOMPONEN

    CYSTEIN (H2S)

    SKRIPSI

    Diajukan K!a"a Uni#$%i&a% Ha%anu""in

    Guna M'nui Saa %a&u S*a$a&

    Un&uk M'!$+ Ga$ Sa$jana K"+k&$an Gi,i

    DISUSUN OLEH:

    RISCA LISAL

    J111 11 133

    BAGIAN ILMU KESEHATAN GIGI MASYARAKAT

    FAKULTAS KEDOKTERAN GIGI

    UNIVERSITAS HASANUDDIN

    MAKASSAR

    2014

    LEMBAR PENGESAHAN

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    Judul : E!"#$%$#&' S!d$&&( O) Ku*u+ C!(,"!-(Syzygium aromaticum)

    D&l&* M!(u+u("&( K&d&+ Volatile Sulfur Compounds (VSC)

    ".*/.(!( C'#!$(H2S

    Ol!- : R$'& L$'&l J 111 11 133

    T!l&- D$/!+$"'& d&( D$'&-"&(

    5&d& T&(,,&l 16 N.%!*)!+ 2014

    Ol!- :

    P'-i'-in,

    P$+./ D$/ "$,/ Ra%'i"a$ Sa'a"0 MS

    NIP/ 1345622 17456 2 551

    M!(,!#&-u$7

    Dkan Faku&a% K"+k&$an Gi,i

    Uni#$%i&a% Ha%anu""in

    P$+./ "$,/ H/ Man%ju$ Na%i$0 P/D

    NIP/ 1365823 17659 1 551

    PERNYATAAN

    2

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    S&& &(, )!+#&(d& #&(,&( d$)&8&- $($ :

    N&*& : R$'& L$'&l

    N$* : J 111 11 133

    Ad&l&- *&-&'$'8& F&"ul#&' K!d."#!+&( G$,$ U($%!+'$#&' H&'&(udd$( M&"&''&+ &(,

    #!l&- *!l&"u"&( /!(!l$#$&( d!(,&( 9udul EFEKTIVITAS SEDIAAN OBAT

    KUMUR CENGKEH (Syzygium aromaticum) DALAM MENURUNKAN

    KADAR VOLATILE SULFUR COMPOUNDS (VSC) KOMPONEN CYSTEIN

    (H2S)d&l&* +&(,"& *!(!l!'&$"&( '#ud$ 5+.,+&* 5!(d$d$"&( S#+& Su

    D!(,&( $($ *!(&"&( )&-8& d$d&l&* '"+$/'$ $($ #$d&" #!+d&/ "&+& &(,

    /!+(&- d$&9u"&( u(#u" *!*/!+.l!- ,!l&+ "!'&+9&(&&( d$ 'uu 5!+,u+u&( T$(,,$7 d&(

    '!/&(9&(, /!(,!#&-u&( '&& 9u,& #$d&" #!+d&/ "&+& &u /!(d&/ &(, /!+(&-

    d$#ul$' &u d$#!+)$#"&( .l!- .+&(, l&$(7 "!u&l$ &(, '!&+& #!+#ul$' d$ &u d&l&*

    (&'"&- $($ d&( d$'!)u#"&( d&l&* d&+ /u'#&"&

    M&"&''&+7 2; N.%!*)!+ 2014

    Nu+&!d& A 7SS.'

    KATA PENGANTAR

    3

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    5u9$ d&( 'u"u+ /!(ul$' /&(9"&( "!/&d& Tu-&( &(, M&-& E'& "&+!(&

    -&(& d!(,&( )!+" "!"u&(7 "&'$- d&( +&-*

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    3 "$,/ Su$ijana Ma!!an,a$a0 S!/P$i+0 M/K% '!l&"u /!(&'!- &"&d!*$"

    &(, '!(&(#$&'& *!*)!+$ du"u(,&(7 (&'$- *.#$%&'$ d&( '!*&(,

    '!-$(,,& /!(ul$' )!+-&'$l *!(!l!'&$"&( 9!(9&(, /!+"ul$&-&( d!(,&( )&$"

    4 O+&(, #u&"u7 Ni;+ Li%ad&( C$i%&ina Buain7 '!+#& '&ud&+&

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    ? Na$>a%&u (Kak F-*0 S$i&a0 Sa$i0 =&$*;ia0 =in"i0 Nia0 d&( Ran&i) '!+#&

    Ha"ija&u d&( G$a;ia/ T!+$*& "&'$- &' "!-&d$+&(7 "!#ulu'&(7 d.&7 )&(#u&(7

    '!*&(, *.#$%&'$7 /!+-$&(7 d&( &(d& #&8& &(, '!l&lu "&l$&( )!+$"&(

    M!(,!(&l "&l$&( &d&l&- '&l&- 'u -&l &(, /&l$(, $(d&- d&l&* -$du/"u

    6 T!*&( '!/!+9u&(,&( Nia Lian&+ d&( T$i%an&+%+ R?"* A%aui0 &(, #!l&-

    '&*&

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    5!(ul$' )!+-&+&/ "$+&(& Tu-&( )!+"!(&( *!*)&l&' '!,&l& "!)&$"&( d&+$ '!,&l&

    /$-&" &(, #!l&- )!+'!d$& *!*)&(#u /!(ul$' A"-$+(& d!(,&( '!,!(&/ "!+!(d&-&(

    -$7 /!(ul$' *!(,-&+&/"&( &,&+ "$+&(& #ul$'&( $($ d&/ *!(9&d$ '&l&- 'u )&-&(

    /!*)!l&9&+&( d&( /!($(,"&( "u&l$#&' /!(d$d$"&( d$ F&"ul#&' K!d."#!+&( G$,$ "!

    d!/&((&7 9u,& d&l&* u'&-& /!($(,"&( /!+)&$"&( "u&l$#&' "!'!-&( G$,$ d&(

    Mulu# *&'&+&" A*$(

    M&"&''&+7 23 N.%!*)!+ 2014

    R$'& L$'&l

    EFEKTIVITAS SEDIAAN OBAT KUMUR MENGANDUNG CENGKEH

    (Syzygium aromaticum) DALAM MENURUNKAN KADAR VOLATILE

    SULFUR COMPOUNDS (VSC) KOMPONEN CYSTEIN (H2S)

    R$'& L$'&l

    7

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    ABSTRAK

    B&u *ulu# &u )$&'& d$'!)u# d!(,&( halitosis &d&l&- (&&' #&" '!d&/ &(,

    )!+&'&l d&+$ ud&+& &(, d$"!lu&+"&( .l!- '!'!.+&(, l!8 *ulu# d&( 60@(& )!+&'&l

    d&+$ +.(,,& *ulu# &(, d$'!)&)"&( .l!- '!(&8& 'ulu+ &(, *ud&- *!(,u&/ &(,

    d$'!)u# d!(,&( Volatile Sulfur Compound VSC T!l&- )!+!d&+ .) "u*u+ &(,

    *!(,&(du(, !(,"!- "&+!(& .) "u*u+ !(,"!- *!(,&(du(, -&'$l $'.l&'$ d&+$

    *$(&" !(,"!- Syzygium aromaticum) &$#u '!(&8& !u,!(.l &(, )!+/!+&(

    '!)&,&$ &(#$)&"#!+$ &(, d&/ *!l&8&( )&"#!+$ +.(,,& *ulu# Tujuan !ni&ian$($

    u(#u" *!(,!#&-u$ !!"#$%$#&' '!d$&&( .) "u*u+ &(, *!(,&(du(, !(,"!-Syzygium aromaticum d&l&* *!(u+u("&( "&d&+ Volatilesulfur compounds VSC

    ".*/.(!( -$d+.,!( 'ul$d&H2S 5!(!l$#$&( $($ d$l&"u"&( d$ "l$($" -&l$#.'$' RSGM

    U($%!+'$#&' G&d9&- M&d& /&d& S!/#!*)!+

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    ABSTRACT

    M.u#- .d.+ .+ -&l$#.'$' $' .**.(l &ll!d )&d )+!- +.* #-! &$+ !/!ll!d ) &

    /!+'.( #-+.u,- -$' *.u#-7 &(d 60@ &*! +.* #-! .+&l &%$# &u'!d ) %.l$l!

    'ulu+ .*/.u(d' &ll!d %.l$l! 'ulu+ .*/.u(d VSC M.u#-8&'- #- .(#&$('

    l.%! -&' )!!( $+ul!d (.8&d&'7 $# )!&u'! l.%!' &' & *.u#-8&'- .(#&$($(,

    $'.l!d

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    LEMBAR PENGESAHAN ///////////////////////////////////////////////////////////////////////// ii

    PERNYATAAN //////////////////////////////////////////////////////////////////////////////////////////// iii

    KATA PENGANTAR ///////////////////////////////////////////////////////////////////////////////// i#

    ABSTRAK //////////////////////////////////////////////////////////////////////////////////////////////////// #iii

    DAFTAR ISI/////////////////////////////////////////////////////////////////////////////////////////////////

    DAFTAR TABEL////////////////////////////////////////////////////////////////////////////////////////// i#

    DAFTAR GAMBAR///////////////////////////////////////////////////////////////////////////////////// #

    BAB I PENDAHULUAN

    11 LATAR BELAKANG 1

    12 RUMUSAN MASALAH 2

    13 TUJUAN 5ENELITIAN 3

    131 Tu9u&( U*u* 3

    132 Tu9u&( K-u'u' 3

    14HI5OTESIS 5ENELITIAN 3

    BAB II TINAUAN PUSTAKA

    21 HALITOSIS 4

    10

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    211 E#$.l.,$ H&l$#.'$' 4

    212 Kl&'$$"&'$ H&l$#.'$' =

    213 M!"&($'*! H&l$#.'$' ?

    22 CENGKEH 6

    221 K&(du(,&( K$*$& 5&d& C!(,"!- 6

    222 M&(& C!(,"!- 10

    23 OBAT KUMUR 13

    231 A"#$ D&l&* O) Ku*u+ 13

    24 HUBUNGAN HALITOSIS DAN CENGKEH 1;

    BAB III KERANGKA KONSEP

    31 KERANGKA KONSE5 1

    32 VARIABEL 5ENELITIAN 1?

    33 KETERBATASAN 5ENELITIAN 1?

    BAB IV METODE PENELITIAN

    41 JENIS 5ENELITIAN 16

    42 LOKASI 5ENELITIAN 16

    11

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    43 AKTU 5ENELITIAN 16

    44 5O5ULASI SAM5EL 5ENELITIAN 16

    4; METODE 5ENGAMBILAN SAM5EL 20

    4= VARIABEL 5ENELITIAN 20

    4 DEFINISI O5ERASIONAL 20

    4? KRITERIA 5ENILAIAN 20

    46 ALAT BAHAN 21

    461 Al 21

    462 B&-&( 21

    410 5ROSEDUR 5ENELITIAN 21

    4101 5!(,&*)$l&( S&*/!l 21

    4102 5+.'!' 5!(,u9$&( D!(,&( O+&l-+.*& F$' I( 22

    4103 K!l&$"&( E#$" 5!(!l$#$&( 22

    411 DATA 23

    412 ALUR 5ENELITIAN 24

    BAB V HASIL PENELITIAN//////////////////////////////////////////////////////////////// 23

    12

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    BAB V1 PEMBAHASAN/////////////////////////////////////////////////////////////////////// 91

    BAB VII PENUTUP

    1 SIM5ULAN 3=

    2 SARAN 3=

    DAFTAR PUSTAKA//////// 94

    DAFTAR TABEL

    T&)!l ;1 D$'#+$)u'$ "&+&"#!+$'#$" '&*/!l /!(!l$#$&( 2;

    T&)!l ;2 D$'#+$)u'$ "&d&+ +&

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    "u*u+ !(,"!- )!+d&'&+"&( u'$& '&*/!l 2=

    T&)!l ;3 5!+)!d&&( "&d&+ -$d+.,!( 'ul$d& H2S d&( *!#-$l*!+&/#&(

    CH3SH '!)!lu* (pretest)d&( '!'ud&- $(#!+%!('$ (posttest)

    )!+"u*u+ .) "u*u+ !(,"!- 26

    T&)!l ;4 5!+)!d&&( "&d&+ Volatile Sulfur CompoundVSC '!)!lu*

    (pretest)d&( '!'ud&- $(#!+%!('$ (posttest))!+"u*u+ .)

    "u*u+ !(,"!- 30

    DAFTAR GAMBAR

    G&*)&+ 41 Alu+ 5!(!l$#$&( 24

    G&*)&+ ;1 5+.'!' /!(,&*)$l&( '&*/!l d."u*!(#&'$

    /+$)&d$ 2=

    14

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    G&*)&+ ;2 5+.'!' )!+"u*u+ .) "u*u+ !(,"!- d."u*!(#&'$

    /+$)&d$ 2

    G&*)&+ ;3 I(9!"'$ '&*/!l "! $(l!# oralchromad."u*!(#&'$

    /+$)&d$ 26

    BAB I

    PENDAHULUAN

    1/1/ LATAR BELAKANG

    B&u *ulu# &u )$&'& d$'!)u# d!(,&( halitosis &d&l&- (&&' #&" '!d&/ &(,

    )!+&'&l d&+$ ud&+& &(, d$"!lu&+"&( .l!- '!'!.+&(, l!8 *ulu# d&( *!(u+u# '#ud$

    d&+$ /&+& &-l$ d$ A*!+$"& S!+$" 60@(& )!+&'&l d&+$ +.(,,& *ulu# &(,

    d$'!)&)"&( .l!- '!(&8& 'ulu+ &(, *ud&- *!(,u&/ &(, d$'!)u# d!(,&( Volatile

    Sulfur Compound VSC Volatile sulfur compounds &d&l&- -&'$l /+.du"'$ d&+$

    &"#$$#&' )&"#!+$ &(&!+.) d$ d&l&* *ulu# &(, *!(,-&'$l"&( '!(&8& )!+u/& 'ulu+

    &(, *ud&- *!(,u&/ d&( )!+)&u #$d&" !(&" 5+.'!' #!+9&d$(& VSC &d&l&- d$&8&l$

    d!(,&( /!*!&-&( 'u)'#+ /+.#!$( d&+$ '$'& *&"&(&( .l!- )&"#!+$ ,+&* (!,$ &(,

    )!+'$ /+.#!.l$#$" *!(9&d$ +&(#&$ /!/#$d& d&( &'&* &*$(. '!/!+#$ *!#-$.($(7

    '#!$(! d&( '#$(!1K!*ud$&( &'&* &*$(. #!+'!)u# &"&( d$+!du"'$ *!(9&d$ *!#-$l

    *!+&/#&(7 -$d+.,!( 'ul$d& d&(

    d$*!#-$l 'ul$d& revotella intermedia7 revotella nigrescens d&( !reponema

    denticola )!+".+!l&'$ d!(,&( "&d&+ -$d+.,!( 'ul$d& orphyromonas gingivalis7

    .intermedia7 d&( !annerella forsythensis)!+".+!l&'$ d!(,&( "&d&+ *!#$l *!+"&/#&(

    S!l&(9u#(&7 *!#$l *!+"&/#&( *!+u/&"&( /!(!)&) u#&*& -&l$#.'$' d$)&(d$(,"&(

    15

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    -$d+.,!( 'ul$d& d&( d$*!#$l'ul$d& d$*&(& *!#$l *!+"&/#&( d&( -$d+.,!( 'ul$d&

    )!+&'&l d&+$ $(#+&.+&l7 '!d&(,"&( d$*!#$l'ul$d& d$du,& )!+&'&l d&+$ !"'#+&.+&l2

    B&-&( &(#$*$"+.)& &(, '!+$(, d$,u(&"&( d&l&* "!-$du/&( '!-&+$

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    2 A/&"&- '!d$&&( .) "u*u+ &(, *!(,&(du(, !(,"!- Syzygium

    Aromaticum d&/ *!(u+u("&( "&d&+ Volatilesulfur compounds VSC

    ".*/.(!( *!#-$.($( CH3SH

    1/9/ TUUAN PENELITIAN

    1/1/1/ Tujuan U'u'

    U(#u" *!(,!#&-u$ !!"#$%$#&' '!d$&&( .) "u*u+ &(, *!(,&(du(,

    !(,"!- Syzygium Aromaticum d&l&* *!(u+u("&( "&d&+ Volatile

    sulfur compounds VSC

    1/1/2/ Tujuan Ku%u%

    1 U(#u" *!(,!#&-u$ !!"#$%$#&' '!d$&&( .) "u*u+ &(,

    *!(,&(du(, !(,"!- Syzygium Aromaticum d&l&* *!(u+u("&(

    "&d&+ Volatilesulfur compounds VSC ".*/.(!( '#!$(! H2S

    2 U(#u" *!(,!#&-u$ !!"#$%$#&' '!d$&&( .) "u*u+ &(,

    *!(,&(du(, !(,"!- Syzygium Aromaticum d&l&* *!(u+u("&(

    "&d&+ Volatilesulfur compounds VSC ".*/.(!( *!#-$.($(!

    CH3SH

    1/6/ HIPOTESIS PENELITIAN

    3

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    1 S!d$&&( .) "u*u+ &(, *!(,&(du(, !(,"!- Syzygium Aromaticum

    d&/ *!(u+u("&( "&d&+ Volatile sulfur compounds VSC ".*/.(!(

    '#!$(! H2S

    2 S!d$&&( .) "u*u+ &(, *!(,&(du(, !(,"!- Syzygium Aromaticum

    d&/ *!(u+u("&( "&d&+ Volatile sulfur compounds VSC ".*/.(!(

    *!#-$.($(! CH3SH

    BAB II

    TINAUAN PUSTAKA

    2/1/ HALITOSIS

    H&l$#.'$' &d&l&- )&u (&&' #&" '!d&/ &(, "!lu&+ d&+$ +.(,,& *ulu# S&*/&$ '&

    $($7 -&l$#.'$' *!+u/&"&( '&l&- 'u *&'&l&- "!'!-&( *ulu# &(, )&(&" d$"!lu-"&(

    *&'&+&" '!#!l&- "&+$!' d&( /!(&"$# /!+$.d.(#&l4

    2/1/1/ E&i++,i Hai&+%i%

    H&l$#.'$' d&/ d$'!)&)"&( .l!- )!)!+&/& &"#.+7 &(#&+& l&$( :

    & F$'$.l.,$'

    5!(u+u(&( &l$+&( '&l$%& '& #$du+ *!+u/&"&( '&l&- 'u /!(!)&)

    -&l$#.'$'

    Fu(,'$ u#&*& d&+$ '&l$%& &d&l&- '!)&,&$ &(#$)&"#!+$7 *!(,&(,"u# ."'$,!( "!

    d&l&* +.(,,& *ulu#7 #+&('/.+# !($* '!/!+#$ &*l&'! d&( u(#u" *!('#&)$l"&(

    4

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    /H d&l&* *ulu#;

    ) 5.l.,$'

    1 5!(!)&) I(#+&.+&l

    & G$,$

    D$'!)&)"&( .l!- ,$,$ ,!l$,$ "&+!(& &d&(& l!'$ "&+$!' &(,

    d&l&* d!(,&( $*/&"'$ *&"&(&(7 lu"& !"'#+&"'$ d!(,&(

    ,u*/&l&( d&+&- G$,$ /&l'u &"+$l$"7 #!+u#&*& "!#$"& d$/&"&$

    '& #$du+ d&( #$d&" #!+u+ d$)!+'$-"&(7 9u,& d&/

    *!(,-&'$l"&( )&u *ulu# &(, d$'!)&)"&( .l!- &(d$d$&'$'=

    ) I(!"'$ 5!+$.d.(#&l

    B!+d&'&+"&( )!)!+&/& /!(!l$#$&( *!(u(9u""&( )&-8&

    /!(&"$# /!+$.d.(#&l *!(!)&)"&( )&u #$d&" '!d&/ K.('#+&'$

    VSC &(, #$(,,$ d$d&/"&( /&d& /!(d!+$#& /!(&"$#

    /!+$.d.(#&l T.(!(#$-= *!(u9u""&( )&-8& ".('#+&'$ d&+$

    VSC /&d& (&&' d&+$ *ulu# *!($(," d!(,&( &d&(& /."!#

    d&l&*7 VSC d$#!*u"&( l!)$- )&(&" /&d& /&'$!( d!(,&(

    /+.)$(, '!)!'&+ 4 ** &u l!)$- d&+$/&d& /&'$!( d!(,&(

    "!d&l&*&( /."!# "u+&(, d&+$ 4 **=

    M$"+.l.+&

    B&"#!+$ &(, *!(!)&)"&( )&u *ulu#7 &d&l&-

    Fuso#acterium nucleatum$ revotella intermedia$ d&(

    !annerella forsythensis B&"#!+$ l&$( &(, #!l&- #!+l$) d&l&*

    5

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    /+.du"'$ '!(&8& 'ulu+ %.l$l #!+*&'u" rophyromonas

    gingivalis$ orphyromonas endodontalis$ !reponema

    denticola$ Aggregati#acter actinomycetemcomitans$

    Atopo#ium parvulum$ Campylo#acter rectus$ %esulfovi#rio

    spesies$ "i&enella corrodens$ "u#acterium sulci$ Spesies

    Fuso#acterium dan eptostreptococcus micros B&"#!+$