Effect of Areca Nut Extract Tooth Paste on Tooth Discoloration

Authors

  • Shulhan Rijal Dentistry Study Program, Faculty of Dentistry, Andalas University
  • Aria Fransiska Department of Dental Material, Faculty of Dentistry, Andalas University
  • Mustika Arini Department of Public Health, Faculty of Dentistry, Andalas University

DOI:

https://doi.org/10.30649/denta.v19i2.2

Abstract

Background: Areca nut extract is an active compound that can be used as an alternative toothpaste ingredient because it has antibacterial properties that can prevent cavities, but the tannin and flavonoid content in areca nut extract has the potential to cause discoloration of tooth. Objective: To determine the effect of areca nut extract (Areca catechu L.) toothpaste on tooth enamel color. Materials and Methods: This study was a true experimental laboratory type using pre test - post test with control group design. The study sample was 28 post-extraction human premolars who met the inclusion and exclusion criteria. The samples were divided into 4 treatment groups, 7 samples each in the group brushed using areca nut extract toothpaste concentrations of 1,5%, 3%, 4,5% and toothpaste without areca nut extract. Samples were brushed 2 times a day for 14 days. Measurement of color change using ColorFlex EZ spectrophotometer. Results: The results of data analysis obtained the average value of color change for toothpaste concentration of 1,5% of 4,38, 3% concentration of 5,40, 4,5% concentration of 7,37 and without areca nut extract of 0,98. The results of the One Way ANOVA test obtained a p value <0,05, meaning that there were a significant effect in each treatment group. The results of Post Hoc LSD analysis showed significant differences between all treatment groups, except between the treatment groups using 1,5% concentration of areca nut extract toothpaste and 3% concentration of areca nut extract toothpaste.  Conclusion: areca nut extract toothpaste has an effect on the color of tooth enamel. The 4,5% concentration of Areca nut extract toothpaste has a significant effect on tooth discoloration.

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References

Marheni, IGAMWPRKGA. Persepsi Mahasiswa PSPDG Fakultas Kedokteran Universitas Udayana terhadap Senyum dan Estetika Gigi. Bali Dental Journal. 2017;1(1): 23–28.

Bahayu C, Pangemanan DHC, & Mintjelungan CN. Uji Efektivitas Pasta Gigi Pemutih terhadap Perubahan Warna Gigi Ekstrinsik. E-GiGi. 2021;9(2):204–208. https://doi.org/10.35790/eg.v9i2.34872

Rosidah NA, Erlita I, & Nahzi MYI. Perbandingan Efektifitas Jus Buah Apel (Malus Syvestris Mill) sebagai Pemutih Gigi Alami Eksternal berdasarkan Varietas. Dentin Jurnal Kedokteran Gigi. 2017; 1(1): 1–5.

Hadi L, Muttaqin Z, Halim S, Adhana A, Sariyanti Pasaribu E, Alfida S, & Maghrifah Z. Persepsi Diri terhadap Estetika Gigi dan Senyum pada Mahasiswa Kedokteran Gigi. Prima Journal of Oral and Dental Sciences. 2021; 4(1): 1–8. https://doi.org/10.34012/primajods.v4i1.2395

Raj M, Murali M, Krishna S, Prasanna D, & Shankar D. The Effect of Teeth Whitening Produced by Various Natural Food Subtances. International Journal of Current Research. 2019; 10(10): 74406–74407. https://doi.org/10.24941/ijcr.32276.10.2018

Fibryanto E. Efektivitas Pasta Gigi Pemutih Terhadap Perubahan Warna ekstrinsik. JKGT. 2019; 1(2), 5–7. https://doi.org/10.2341/11-360-L

Nurdianti L, Annissya WF, Pamela YM, Novianti E, Audina M, & Kurniasari E. Formulasi Sedian Pasta Gigi Herbal Kombinasi Ekstrak Daun Sirih (Piper betle) dan Kulit Buah Jeruk Lemon (Citrus limon burm f.) sebagai Pemutih dan Antiseptik pada Gigi. In Jurnal Kesehatan Bakti Tunas Husada. 2016; 16: 177-187.

Grossman LI. (2021). Grossman’s Endodotic Practice. In Gopikrishna (Ed.), Wolters Kluwer (14th ed.). Wolters Kluwer.

Amanda BP, & Wahyuni S. Pengaruh Perendaman Gigi Artifisial Resin Akrilik dalam Ekstrak Daun Kemangi terhadap Perubahan Warna. Padjadjaran Journal of Dental Researchers and Students. 2023; 7(1): 63–68. https://doi.org/10.24198/pjdrs.v7i1.42400

Puspasari N, Effendi, Chair, & Nugraeni Y. Effect of Apple Juice on Whitening Teeth After Immersion In Coffee Solution In Vitro. IDJ. 2012; 1(2): 17–19. http://drosalina.blogspot.com/2

Kalasworojati RT, Soesetijo A, & Parnaadji RR. Pengaruh Rebusan Minyak Atsiri Daun Sirih Merah (Piper Crocatum) sebagai Bahan Pembersih Gigi Tiruan Resin Akrilik terhadap Kekasaran Permukaan dan Perubahan Warna. Stomatognatic (J.K.G Unej). 2020; 17(2): 50–53.

Sovira GDJ, Sumantri D, & Auliana FN. View of Pengaruh Pasta Gigi Ekstrak Strawberry (Fragaria x ananassa) dan Pasta Gigi Whitening Terhadap Diskolorasi Akibat Minuman Kopi Robusta. ANDALAS DENTAL JOURNAL. 2023; 12(2): 74–81.

Djohari M, Fernando A, & Safitri A. Aktivitas Daya Hambat Ekstrak Etanol Biji Pinang (Areca Catechu L.) terhadap Isolat Bakteri Gigi. Jurnal Ilmu Kefarmasian Indonesia. 2020; 18(1), 81–87.

Afni N, Said N, & Yuliet. Uji Aktivitas Antibakteri Pasta Gigi Ekstrak Biji Pinang (Areca catechu L.) terhadap Streptococcus mutans dan Staphylococcus aureus. GALENIKA Journal of Pharmacy. 2015; 1(1): 48–58.

Amudhan MS, Begum VH, & Hebbar KB. A Review on Phytochemical and Pharmacological Potential of Areca Catechu L. Seed. IJPSR. 2012; 3(11): 4151–4157. www.ijpsr.com

Baiti M, Lipinwati, & Elrifda S. Pengaruh Pemberian Ekstrak Ethanol Biji Buah Pinang (Areca catechu L.) Terhadap Pertumbuhan Staphylococcus aureus Secara In Vitro. JMJ. 2018; 6(1): 10–19.

BPS. 2022. https://sumbar.bps.go.id/indicator/54/51/1/produksi-perkebunan-.html.

Proklamasiningsih E, Budisantoso I, & Maula I. Pertumbuhan dan Kandungan Polifenol Tanaman Katuk (Sauropus androgynus (L.) Merr) pada Media Tanam dengan Pemberian Asam Humat. Al-Kauniyah: Jurnal Biologi. 2019; 12(1): 96–102. https://doi.org/10.15408/kauniyah.v12i1.8972

Tsao R. Chemistry and biochemistry of dietary polyphenols. Nutrients. 2010; 2(12): 1231–1246. https://doi.org/10.3390/nu2121231

Zaky M, Susanti TR, & Kuncoro B. Pengembangan Formulasi dan Uji Evaluasi Fisik Sediaan Pewarna Rambut Ekstrak Biji Pinang (Areca catechu L.) sebagai Pewarna Alami. Farmagazine. 2015; II(1): 35–43.

Annisa H & Pintadi H. Pengaruh Konsentrasi Kopi Hitam Terhadap Perubahan Warna Pada Resin Komposit Hybrid. IDJ. 2013; 2(1): 63–67.

Dewi SRP, Bikarindrasari R, & Oktaviani W. Pengaruh Berbagai Minuman terhadap Stabilitas Warna pada Resin Komposit Nanofill. Jurnal PDGI Cabang Makassar. 2012; 1: 1–5.

Fredison, Triyandi R, Iqbal M, Ramdini DA, & Suharmanto. Kajian Potensi Biji Pinang (Areca catechu L.) sebagai Antibakteri. JK Unila. 2023; 7(1): 51–59.

Khasanah N, Syahniati T, & Mujiyati. Hubungan Kebiasaan Mengonsumsi Kopi terhadap Terjadinya Stain. Jurnal Kesehatan Gigi Dan Mulut (JKGM). 2021; 3(1): 39–43.

Sin CC, Hayati AT, & Sukartini E. The Effects of Robusta Coffee on Tooth Discolouration. Padjadjaran Journal of Dentistry. 2012; 24(2): 194–198.

Nordb0, H. (1977). Discoloration of dental pellicle by tannic acid.

Alazmah A. Primary Teeth Stains and Discoloration: A Review. In Journal of Child Science. 2021; 11 (1):E20–E27. Georg Thieme Verlag. https://doi.org/10.1055/s-0040-1722276

Pani SC, Alenazi, FM, Alotain AM, Alanazi HD, & Alasmari AS. Extrinsic Tooth Staining Potential of High Dose and Sustained Release Iron Syrups on Primary Teeth. BMC Oral Health. 2015; 15(1): 1–6. https://doi.org/10.1186/s12903-015-0072-0

Nathoo SA. (1997). The Chemistry and Mechanisms of Extrinsic and Intrinsic Discoloration. Journal of the American Dental Association, 128(4 SUPPL.), 6S-10S. https://doi.org/10.14219/jada.archive.1997.0428

Listari KM & Siham. Potential of Virgin Coconut Oil Paste as Exstrinsic Dental Stain Removal. Interdental Jurnal Kedokteran Gigi (IJKG). 2024; 20(1): 83–89. https://doi.org/10.46862/interdental.v20i1.8634

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Published

2025-08-31

How to Cite

Shulhan Rijal, Aria Fransiska, & Mustika Arini. (2025). Effect of Areca Nut Extract Tooth Paste on Tooth Discoloration. DENTA JURNAL KEDOKTERAN GIGI, 19(2), 72–78. https://doi.org/10.30649/denta.v19i2.2

Issue

Vol. 19 No. 2 (2025): Agustus

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