JDHT Journal of Dental Hygiene and Therapy

Development and Feasibility Evaluation of SIMANIS PLUS for Digital Prolanis Management and Integrated Dental and Oral Health Services

2026-09-18T12:37:46+07:00

Background: The Chronic Disease Management Program (Prolanis) requires continuous and integrated management of patients with chronic diseases, particularly diabetes mellitus and hypertension. However, manual data recording and limited integration of general health, chronic disease, and dental and oral health information may hinder effective service management. Objective: This study aimed to develop and evaluate the feasibility of SIMANIS Plus as a digital platform for Prolanis management and integrated dental and oral health services. Methods: This Research and Development study employed the Rapid Application Development (RAD) model. The study included 33 Prolanis patients selected through total sampling. SIMANIS Plus was developed based on a needs assessment and validated by experts in information technology, medical records and health information, and healthcare service quality. Feasibility was evaluated using a 21-item questionnaire based on the SERVQUAL dimensions of tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed using the Wilcoxon signed-rank test. Results: SIMANIS Plus integrates patient registration, health profiles, blood pressure and blood glucose monitoring, health history, schedules and notifications, chronic disease education, dental and oral health education, communication with dental health professionals, dashboards, and monitoring reports. The evaluation demonstrated significant improvements in perceived service quality across all SERVQUAL dimensions: tangibles (p=0.001), reliability (p=0.002), responsiveness (p=0.001), assurance (p=0.004), and empathy (p=0.001). Conclusion: SIMANIS Plus was successfully developed and demonstrated feasibility as a digital platform for supporting Prolanis management and integrating dental and oral health services. The system may support more organized, integrated, and patient-centered Prolanis care.

The Effect of Dental Health Maintenance Booklet Media on Improving The Knowledge of Diabetes Mellitus Patients

2026-09-25T13:34:23+07:00

The International Diabetes Federation (IDF) reported in 2021 that approximately 537 million adults worldwide live with diabetes mellitus. Indonesia ranks fifth as the country with the highest number of diabetes sufferers. People with diabetes mellitus have a high prevalence of periodontal tissue damage. Periodontal tissue damage will worsen if sufferers lack knowledge and behaviors to maintain good dental and oral health. This study aims to determine the effect of dental health booklets in improving knowledge of dental and oral health maintenance among people with diabetes mellitus at the Sungai Ulin Community Health Center in Banjarbaru. The study design was pre-experimental with a one-group pre-test and post-test. The population in this study was 30 people, and the sampling technique used was purposive sampling. The results were analyzed using Wilcoxon Signed Rank Test, obtained value p = 0,000 (p < 0,05) so that Ho is rejected and Ha is accepted. The conclusion of this study is that the dental health maintenance booklet has a significant influence on increasing the knowledge of patients with diabetes mellitus at the Sungai Ulin Community Health Center in Banjarbaru. Recommended Education using booklets can be combined with counseling, tooth brushing demonstrations, so that increased knowledge can be followed by changes in dental health maintenance behavior

Anthropometric-Based Optimization of Portable Toothbrushing Table Design for Inpatient Care

2026-09-18T08:40:21+07:00

Oral hygiene is an essential aspect of inpatient care, particularly for patients with limited mobility. A toothbrushing table has been developed as an ergonomic innovation to support patients in performing oral hygiene independently. This study aims to examine the validity and reliability of a questionnaire measuring patient perceptions of the suitability of the toothbrushing table, based on Garvin’s (1987) Conformance dimension, and to analyze the relationship between patient anthropometric data and perceived suitability of the device. A quantitative approach was employed with a sample of 32 inpatients. The instrument consisted of 8 Likert-scale items (1–5). Validity was tested using Pearson correlation, reliability with Cronbach’s alpha, and the relationship between anthropometry and perception was analyzed using Spearman correlation.Results indicated that all questionnaire items were valid (r-values 0.589–0.645 > r-table 0.349; p < 0.05) and reliable (Cronbach’s alpha = 0.874). Descriptive analysis yielded a mean of 32.19, median of 33, modes of 27 and 35, and a standard deviation of 3.86. Spearman correlation revealed a moderately strong positive relationship between elbow height and total score (? = 0.61), as well as between oral cavity height and total score (? = 0.64). In conclusion, the questionnaire instrument is both valid and reliable, and the toothbrushing table is proven to conform to the anthropometric dimensions of inpatients. Further research is recommended to expand the sample size, conduct factor analysis to strengthen construct validity, and integrate clinical data to enhance the practical application of ergonomic healthcare device design.

The Efectivenness of Chewing Honi Pineapple (Ananas comosus (L.) Merr.) in Reducing The Debris Index Among Elementary School Students

2026-09-18T07:31:16+07:00

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.

Integrating Oral Health Into Primary Health Care in Nigeria and Somalia: A Comparative Narrative Review

2026-09-17T10:15:17+07:00

This structured narrative review compares barriers, policy frameworks, and implementation priorities for integrating oral health into primary health care in Nigeria and Somalia. PubMed and targeted bibliographic and agency searches covered January 2017–August 2026; 29 sources were synthesized: 24 peer-reviewed journal publications and five official policy or World Health Organization documents. Evidence was organized around burden, governance, financing, workforce, service delivery, referral, community participation, information systems, and education. World Health Organization country profiles report modeled 2019 estimates of untreated caries in primary teeth among children aged 1–9 years of 35.5% in Nigeria and 43.0% in Somalia, and in permanent teeth among people aged 5 years or older of 23.9% and 33.7%, respectively. Nigeria reported 4,358 dentists (0.2 per 10,000 population) in 2018; the Somalia country profile reported no workforce estimate. Both systems face access and affordability barriers, while Somalia also has acute regulatory and data gaps. Nigeria’s National Oral Health Policy and Somalia’s Essential Package of Health Services 2020 provide policy entry points, although implementation capacity remains uneven. Feasible integration requires a financed basic package, competency-based task-sharing, essential supplies, two-way referral, routine indicators, and local evaluation. Research priorities include workforce mapping, cost-effectiveness, referral completion, and equitable access. Screening and exclusion totals were not available in the source record, so this narrative review does not claim a PRISMA flow.

The Relationship Between Motivation Level and Denture Use Among Older Adults in Mojo Village Surabaya

2026-09-21T07:28:51+07:00

Denture use among older adults plays an important role in maintaining masticatory function, aesthetics, and oral health. One factor that may influence denture use is motivation. This study aimed to determine the relationship between motivation level and denture use among older adults in Mojo Village, Surabaya. This study employed a quantitative research method with an analytical design using a cross-sectional approach. The sample consisted of 60 respondents selected using simple random sampling. Data were collected using a questionnaire to measure motivation levels and observation to determine denture use. Data were analyzed using the Chi-Square test with a significance level of 0.05. The results showed that most older adults had low motivation and did not use dentures. The Chi-Square test showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between motivation level and denture use among older adults. The conclusion of this study is that there is a significant relationship between motivation level and denture use among older adults in Mojo Village Surabaya.

The 3D Holodent Display Media in Improving Oral Health Knowledge of Elementary School Students

2026-09-28T08:07:37+07:00

Background. Oral health plays a crucial role in supporting overall physical health, yet elementary school children remain highly vulnerable to oral diseases due to a lack of knowledge regarding oral health care. As a promotive-preventive measure, oral health education is now beginning to utilize highly innovative electronic media, such as the Holography Fan Projector, referred to in this study as the 3D HoloDent Display. Aim. This study aimed to analyze the role of the 3D HoloDent Display media in improving oral health knowledge of elementary school students. Methods. This study employed a pre-experimental design with a one-group pretest-posttest approach. Research subjects were selected using purposive sampling, resulting in a total sample of 72 respondents. Data analysis was conducted using the Wilcoxon Signed-Rank test. Results. Data analysis confirmed an increase in the respondents’ knowledge following the 3D HoloDent Display media intervention, with the average knowledge score rising from 66.67 to 93.61, while the standard deviation decreased from 16.01 to 7.75, indicating that the data distribution became more homogeneous. Consistent with these changes, the hypothesis test showed p-value < 0.001. Conclusion. The 3D HoloDent Display media has been proven to play a significant role in improving oral health knowledge of elementary school students.

The Relationship Between Nutritional Status, Dental Caries Severity, and Mandibular Permanent Tooth Eruption In 1st and 2nd Grade Elementary School Students

2026-10-03T11:11:38+07:00

Growing children need nutritious food to support their play and learning activities. However, the foods children consume often contain high amounts of sugar, which can increase the risk of dental caries. If a child’s nutritional needs are not met, this can affect their growth and development, including disruptions in the eruption of permanent teeth. This study aimed to examine the relationship between children’s nutritional status and the severity of dental caries as well as the eruption of permanent teeth in the lower jaw. This was an analytical observational study with a cross-sectional design. The sample consisted of 60 first- and second-grade students at SDN Tidung Elementary School in Makassar. The results showed that 85% of the children were underweight, 58.3% had dental caries (PUFA), and 86.7% had already experienced the eruption of permanent teeth in the lower jaw. The data were analyzed using univariate and bivariate tests, specifically the Mann-Whitney U test. The results of the bivariate analysis of children’s nutritional status in relation to the severity of dental caries (PUFA) yielded a p-value of 0.102, and the analysis of nutritional status in relation to permanent tooth eruption yielded a p-value of 0.206. Thus, there was no association between children’s nutritional status and dental caries or permanent tooth eruption in the lower jaw among first- and second-grade elementary school students.

Design of A Website-Based Dental and Oral Health Fererrah Application Model for School Dental Health Program (UKGS) Teachers in Elementary Schools

2026-09-02T08:11:05+07:00

The 2023 SKI data shows the high prevalence of cavities in Indonesia (43.6%) and West Java (48%), along with low proper tooth brushing habits affecting 84.9% of 5-year-old children. The School Dental Health Program (UKGS) plays a crucial role in identifying this problem, but the referral process from schools remains ineffective because it is delivered verbally without an official form. This study aims to create and develop a website-based dental and oral health referral application model design for UKGS teachers to optimize digital recording and reporting. The problem-solving method uses a research and development (R&D) model approach modified by Sugiyono, which includes nine stages, starting from potential and problem analysis, data collection through focus group discussions (FGDs) with experts and users, design planning, expert validation, and prototype creation. Expert criteria include health management experts, health service departments, IT experts, dental and oral therapists, and elementary school teachers. The analysis technique uses the Intraclass Correlation Coefficient (ICC) test with a Two-way mixed effects model. Expert validation results found the application to be highly feasible with an average score of 81.5%, and user validation showed that 84.26% of respondents stated that the application was highly feasible. These results indicate that the reference application model design meets the criteria for good feasibility and a good level of assessment reliability.

Comparison of Quality of Life Between Denture Users and Non-Users in The Elderly Using GOHAI

2026-09-15T07:50:54+07:00

Tooth loss is a common oral health problem experienced by the elderly, which leads to decreased masticatory function, speech ability, oral comfort, and psychosocial aspects. The use of dentures serves as a rehabilitative effort to restore oral function in older adults. This study aimed to analyze the differences in the quality of life of the elderly based on denture-wearing status in Kutisari, Surabaya. This study applied a quantitative comparative design with a cross-sectional approach. A total of 46 elderly individuals were selected using purposive sampling, consisting of 23 denture users and 23 non-denture users. Quality of life was measured using the GOHAI instrument, covering the dimensions of physical function, pain/discomfort, and psychosocial aspects. Data analysis was performed using the Mann-Whitney test. The results showed that the average GOHAI score for the denture user group was 2.4 (good category), while the non-user group was 2.1 (fair category). The Mann-Whitney test confirmed a significant difference in quality of life between the two groups (), where the user group had a higher mean rank (27.78) compared to the non-user group (19.22). Elderly denture users have a better perception of quality of life; therefore, the use of dentures needs to be encouraged as an effort to improve oral health in the elderly.

Development of A Digital-Based Dental Health Activity Books as An Educational Media to Improve Cognitive and Psychomotor for Diabetes Mellitus Patients

2026-09-28T08:01:01+07:00

Diabetes mellitus (DM) is the main non-communicable disease (NCD) in Indonesia which is referred to as the mother of disease. The prevalence of DM in Indonesia continues to increase and one of the impacts that is often overlooked is dental and oral health disorders. Digital-based dental health education through the Activity Books is expected to improve the cognitive and psychomotor abilities of DM patients in maintaining dental and oral health. Objective: To develop a digital-based activity books that is suitable for use, as well as to analyze the cognitive and psychomotor of DM patients in the maintenance of dental and oral health. Methods: This study uses Research and Development (R&D) design with experts and users, product design drafting, design revision, small group trials, and large group trials. The research sample consisted of media experts, health promotion experts, dental health promotion experts, NCD program holders, and DM patients who were selected using purposive sampling based on inclusion and exclusion criteria. Data analysis was carried out in a qualitative descriptive manner for product development data, the Likert scale for validation data, and the Wilcoxon test to assess cognitive and psychomotor differences before and after intervention. Results: Expert validation results showed an average feasibility score of 94.01 and user validation of 91.91, both of which were in the very feasible category. The cognitive category of good increased from 6% to 76%, the psychomotor category of good increased from 56% to 74%. The Wilcoxon test showed a value of p = 0.000 on cognitive and psychomotor variables. Conclusion: The digital-based dental health activity books is stated to be suitable for use as a dental and oral health education media and has been proven to be effective in improving the cognitive and psychomotor of diabetes mellitus patients in maintaining dental and oral health in Tasikmalaya City.

Usability of The Pregnancy Dental Health Card (KASIH) as A Tool For Dental Health Monitoring

2026-09-29T08:04:01+07:00

Pregnant women are vulnerable to dental and oral diseases, which increase the risk of giving birth to babies with lower-than-normal birth weight. Therefore, maintaining dental and oral health in pregnant women is essential. The Pregnancy Dental Health Card (KASIH) was developed as a tool to assist in monitoring dental health and providing follow-up guidance based on the completed questionnaire. A usability evaluation is necessary to assess user acceptance before the tool is further developed. The purpose of this study was to determine the usability of KASIH based on the perceptions of pregnant women as users. The study employed a quantitative descriptive design with 15 pregnant women as respondents in Jabungan, Semarang City. The questionnaire consisted of ten questions using a 1–5 Likert scale. All statements were formulated in positive terms, taking into account the respondents’ characteristics and the context of use. The result shows a score of 82,5, falling within the “acceptable” range, grade B, and an adjective rating of “excellent.” These results indicate a positive user perception regarding the use of the KASIH Card as a tool for monitoring. The KASIH Card demonstrates a level of usability that is acceptable to the target users. The KASIH Card has the potential to be used as a supportive tool for monitoring the oral health of pregnant women. Further research is needed with a larger sample size for more representative results.

The Effectiveness of Tuberculosis Pocket Books and Dental and Oral Health on The Knowledge and Attitudes of Parents of Children With TB in The City of Tasikmalaya

2026-09-30T18:00:24+07:00

Background: Children with Tuberculosis (TB) often experience systemic manifestations that have an impact on the decline in dental and oral health. Parents play a role in accompanying children's care, so applicable educational media is needed to increase promotive capacity. Objective: This study aims to analyze the effectiveness of the implementation of pocket books on tuberculosis and oral dental health on improving the knowledge and attitudes of parents of children with TB in Tasikmalaya City. Methods: A pre-experimental quantitative study using a one-group pre-test and post-test design on 176 parents of children with tuberculosis in the Tasikmalaya City area. Intervention in the form of education using structured pocket book media. The assessment instrument consisted of a knowledge questionnaire (score 0-20) and an attitude questionnaire (score 0-80). Data analysis was carried out using a comparative test of wilcoxon signed-rank test. Results: The average knowledge score increased significantly from 13.99 to 16.92 (p = 0.001). The average attitude score also increased from 68.93 to 74.82 (p = 0.001). Conclusion: The implementation of pocket books has been shown to be very effective in improving the knowledge and attitude aspects of parents of children with tuberculosis in Tasikmalaya City.

Development of An Interactive Infographic Website as An Oral Health Education Media on The Knowledge of Prolanis Elderly Participants

2026-09-07T16:02:36+07:00

Background: Elderly patients with chronic diseases (Prolanis participants) have specific vulnerabilities in the oral cavity, such as xerostomia and oral candidiasis. The decline in digital literacy and visual acuity demands innovative, visually comprehensible medical education media. Objective: This study aims to develop the prolanisgigi.com website as an interactive educational media to increase the knowledge and independence of Prolanis elderly. Methods: This Research and Development (R&D) study uses the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). The trial sample involved 35 elderly participants at the Cibeber Community Health Center. Data collection instruments used expert validation questionnaires and knowledge questionnaires (pre-test and post-test). Data analysis was performed using the Wilcoxon Sign Rank Test. Results: Material expert validation obtained a score of 90.5% (Very Feasible) and media expert validation obtained 88.5% (Very Feasible) after adjusting the elderly UI/UX design and simplifying clinical language. The average knowledge score of the elderly increased drastically from 58.42 in the pre-test to 84.20 in the post-test. The Wilcoxon bivariate test results showed a p-value = 0.001 (p < 0.05). Conclusion: The prolanisgigi.com infographic website is highly feasible and proven to be significantly effective in improving oral health knowledge in elderly Prolanis patients.

Effectiveness of A Dental Health Animation Video to Improve Pregnant Women's Knowledge Regarding Stunting Prevention

2026-09-08T12:18:23+07:00

Stunting is a chronic nutritional problem whose prevention begins during pregnancy. The oral health of pregnant women is a crucial factor because oral infections can increase the risk of premature birth and low birth weight (LBW), which are risk factors for stunting. However, pregnant women's knowledge regarding the relationship between dental health and stunting is still low. This study aims to analyze the effectiveness of developing dental health animation videos in increasing the knowledge of pregnant women as an effort to prevent stunting. This study used a Quasi-Experimental design with a pre-test and post-test control group design. The sample consisted of 60 pregnant women in the Sukajadi Health Center area, Bandung City, divided into an intervention group (receiving animated video) and a control group (receiving a leaflet). Data analysis used the Wilcoxon test to compare knowledge before and after intervention, and the Mann-Whitney test to compare the two groups. The results showed a significant increase in knowledge in the intervention group after watching the animated video, with the average score increasing from 7.45 to 14.38 ( -value = 0.000). The Mann-Whitney test results showed a significant difference in knowledge between the intervention group (average 14.38) and the control group (average 7.25) with a -value = 0.000. In conclusion, animated video media proved to be significantly more effective than leaflet media in increasing pregnant women's knowledge of dental and oral health for stunting prevention.

Development and Feasibility of AI- Based 3D Animation Video Brushing Teeth to Improve Teeth Brushing Knowledge and Skills in Kindergarten Students

2026-09-28T07:42:02+07:00

Oral health is a condition in which the mouth, teeth, and related elements in the oral cavity are in a healthy condition that allows a person to perform important functions such as eating, breathing, speaking, and interacting socially. Children are one of the vulnerable groups targeted by dental and oral health services . One way to increase knowledge about maintaining dental health is by using animated videos on brushing teeth. Educational activities based on how to brush teeth properly by brushing your teeth morning and night using animated videos with AI technology. The aim of this study is to produce a 3D animated video on tooth brushing that is suitable for use as a dental health education medium. This research method uses a mixed methods and research and development (R&D) research design. There are five stages of research: 1. Analyze, 2. Design, 3. Develop, 4. Implement, and 5. Evaluate.The results of the study showed that the validation results of media experts were 36 (90%) with the criteria for media feasibility being very feasible with revision. The validation results of media experts were 35 (87.5%) with the criteria for media feasibility being very feasible with revision. The results of the trial of the media or the responses from children in kindergarten were 1325 (maximum value 1500), with a percentage of the total score of 88.3% and the criteria for media feasibility being very feasible. Based on the assessments of expert validators including media, subject matter, and language experts the 3D animated video on oral health is deemed highly suitable for dental health promotion, serving as a medium to enhance the knowledge and toothbrushing skills of kindergarten children.

The Impact of Oral Health Education on Awareness of Halitosis Among The General Public

2026-10-13T18:42:05+07:00

Halitosis is a common oral health problem in the general population but is often overlooked, even though it can lower self-confidence and serve as an early indicator of periodontal disease. This study aims to analyze the effectiveness of a structured oral health education intervention in improving the public’s knowledge of halitosis, its intraoral etiology, and its prevention. This quantitative study, employing a one-group pre-test and post-test design, involved 200 respondents from various demographic backgrounds. Knowledge levels were assessed before (pre-test) and after (post-test) the interactive educational session using a validated structured questionnaire. A paired-sample t-test revealed a highly significant increase in the mean knowledge score, from 6.79 ± 1.53 to 8.48 ± 1.47 following the intervention (p < 0.0001). Analysis of the normalized gain score (N-Gain) yielded an average value of 61.38%, which falls into the moderate (effective) category; 38.5% of respondents achieved the high improvement category, and 46.5% fell into the moderate category. The most notable increase in knowledge was observed in correcting the public’s perception that halitosis is not only triggered by strongly odorous foods but also stems from intraoral factors such as plaque buildup, tartar, gingivitis, or periodontitis. Key findings from this study indicate that structured oral health education has been shown to effectively improve the public’s understanding of halitosis.

Relationship Between Nutritional Diet and Blood Sugar Levels, Dental Caries, and Periodontal Tissue Condition in Type 2 Diabetes Mellitus Patients

2026-10-07T08:03:25+07:00

Diabetes Mellitus (DM) is a non-communicable disease that can cause manifestations in the oral cavity, known as oral diabetic, including dental caries, dry mouth, bleeding gums, calculus, alveolar bone resorption, and periodontitis. The quality of the nutritional diet is thought to play an important role in maintaining the stability of blood sugar levels as well as the health of teeth and periodontal tissue in DM patients. Objective: to analyze the relationship between nutritional diet and blood sugar levels, dental caries, and periodontal tissue conditions in type 2 DM patients at the Kersanegara Health Center, Cibeureum District, Tasikmalaya City. Method: this type of research is an observational analytical research with a cross sectional design. The sample was selected using the purposive sampling method with the inclusion criteria of type 2 DM patients, having index teeth, and willing to be respondents, with a total of 128 participating respondents. Nutritional diet was measured using the Dietary Behavior and Quality Index (DBQI), blood sugar levels were clinically measured, dental caries using the DMF-T Index, and periodontal tissue condition using the CPITN Index. Data analysis used the Spearman's rho correlation test because the data was not normally distributed. Results: there was a significant association between nutritional diet and blood sugar levels (p = 0,001; r = 0,342), with the experience of dental caries (p = 0,002; r = 0,285), and with periodontal tissue conditions (p = 0,008; r = 0,248). Conclusion: there is a relationship between nutritional diet and blood sugar levels, dental caries, and periodontal tissue conditions in patients with type 2 diabetes mellitus.