JDHT Journal of Dental Hygiene and Therapy

PERIODONTAL STATUS IN PATIENTS WITH DIABETES MELLITUS AND HYPERTENSION: A CASE REPORT

Citra Nur Shabrina Putri Winda — 2025-04-26

Introduction: Periodontal disease includes all diseases that affect the periodontium, namely the gingiva, periodontal ligament, cementum, and alveolar bone. Environmental factors and genetic factors influence the severity of the occurrence of periodontal disease. Case report: A 58 year old female patient came to RSGM UMY with complaints of pain in the upper right tooth. The patient has a history of Diabetes Mellitus. The patient regularly consumes drugs in the form of metformin, amlodihypnoe, fonylin, and lansoprazole. Examination of the teeth showed carious lesions, non-carious lesions, residual roots, and edentulus. The patient's Oral Hygiene was 6.3 (poor). Discussion: Type 2 DM affects the initiation and development of periodontitis by causing a hyperinflammatory response while repairing damaged bone and producing a continued end product. Amlodipine belongs to a class of anti-hypertensive calcium channel blockers which can cause gingival enlargement due to abnormal fibroblasts. Conclusion: Diabetes Mellitus is a predisposing factor for periodontitis to become more severe and has a two-way relationship related to blood sugar conditions and periodontal conditions. In addition, anti-hypertensive drugs also have a role in the occurrence of oral manifestations

STUNTING AND CHILDREN'S ORAL HEALTH: AN ANALYSIS OF THE INFLUENCE OF MATERNAL KNOWLEDGE AND ATTITUDES ON DENTAL CARIES AND PLAQUE INDEX

Erni Mardiati — 2025-04-26

Mother’s behavior greatly influences children's dental health. Mothers with good knowledge and attitudes tend to maintain their children's oral hygiene, thus reducing the risk of caries and plaque. Conversely, less attentive behavior can lead to dental caries and plaque buildup, which affects appetite and nutritional intake, ultimately contributing to stunting. The purpose of this study is to examine stunting in relation to mothers’ knowledge and attitudes toward the incidence of dental caries and plaque index scores in the sub-districts of Cilincing, Semper Barat, and Penjaringan, North Jakarta, in 2024. This research employed an analytical survey design with a cross-sectional approach. The sample consisted of 76 stunted children aged 3–5 years, selected through total sampling, as children in this age group were considered more cooperative for research purposes. Data analysis was conducted using univariate analysis (frequency distribution tables) and bivariate analysis with the Spearman Rank test. The results showed that stunting among children aged 3–5 years in North Jakarta was most prevalent in Semper Barat. Most stunted children also suffered from dental caries and had plaque index scores in the poor to very poor categories. The study further revealed a significant relationship between mothers’ knowledge and attitudes with the incidence of dental caries and plaque index scores among stunted children. Mothers with better knowledge and attitudes were more likely to have children with healthier dental conditions. In contrast, mothers with poor knowledge and attitudes had children at greater risk of caries and plaque. These findings indicate that maternal behavior plays an important role in maintaining children's oral health and can be a supporting factor in stunting prevention efforts.

ASSISTANCE OF PARENTS IN BRUSHING THEIR TEETH TO IMPROVE THE DENTAL HYGIENE STATUS OF ELEMENTARY SCHOOL CHILDREN

Agung Widyagdo — 2025-04-26

Background: Brushing teeth is one of the efforts to maintain the health of teeth and mouth in children. Brushing teeth is the process of cleaning teeth and mouth from food residues and debris, which aims to prevent disease. The role of parents is very important because parents are the closest people to children, especially in maintaining dental and oral health. Parents must know how to take care of children's teeth and guide children to brush their teeth properly and correctly. Objective: To analyze the effect of parental assistance in brushing teeth on the hygiene of teeth and mouth of Grade I Students of SDN 1 Gobras Tamansari, Tasikmalaya City. Method: quasi-experimental design with one group pre-test and post-test design. The research instrument used is the PHPM examination sheet. The sampling technique used a total sampling technique of 100 samples, namely 50 Class I students and 50 students' parents. Results: PHPM on the criteria of good pretest as many as 19 students while posttest 3 people, the criteria for very good pretest as many as 9 students while the posttest 47 people, p value value 0.000. Conclusion: Parental mentoring effectively affects students' dental and oral hygiene

ANALYSIS OF SATISFACTION TOWARDS THE APPLICATION OF DENTAL HEALTH INFORMATION SYSTEM

I Ketut Harapan — 2025-04-26

Dental and oral health has become one of the important parameters of general health. The latest data from the Indonesia Health Survey in 2023 shows that dental oral health problems affect 56.9%, while those who come to health facilities to be treated are only 11.2%. Therefore, there is an imbalance in the number of them, and some patients are not getting the treatment. This study aims to digitalize health management to cover the promotive, preventive, and curative aspects of dental health through an application named My Dental Hygiene Care and test the eligibility of the application by respondent satisfaction. The methodology used was a total sampling of dental hygienists in Manado City who carry out individual dental and oral health care for as many as 30 respondents. The application was built with promotive preventive aspects through educational materials related to dental health and curative in the form of disease diagnoses, medical records, and treatment for the patient. The satisfaction method used PIECES, which analyzed the application by its Performance, Information, Economy, Control, Efficiency, and Service. The results show that the respondent's satisfaction is 4.58, showing that the dental hygienists are satisfied with My Dental Hygiene Care. In conclusion, the digitalization of health management at My Dental Hygiene Care is eligible

MALNUTRITION STATUS (STUNTING) WITH ERUPTIONS AND INCIDENCE OF DENTAL CARIES IN TODDLERS AGED 24 - 60 MONTHS

Anang Anang — 2025-04-26

Background: The prevalence of stunting based on Basic Health Research (Riskesdas) data in toddlers in Indonesia is still very high, namely 37.2% in 2013 and 30.8% in 2018. The prevalence of stunting in West Java based on Riskesdas 2018 data is 31.1%. Based on the results of a survey from the monthly report on the nutritional status of toddlers at the Tamansari Health Center in August 2022, data was obtained that of 604 toddlers surveyed in 4 villages, there were 100 cases of stunting as many as 100 toddlers who suffered from malnutrition. Stunting conditions can cause children's development to be disrupted, including development in the oral cavity. Stunted children are more susceptible to dental caries. Objective: to analyze the relationship between malnutrition status (stunting) to eruption and dental caries in toddlers aged 24 - 60 months at the Tamansari Health Center, Tasikmalaya City. Methods: This study used a type of quantitative research with an analytical survey design. Data analysis uses the person correlatin statistical test. The respondents were 50 children under five years old aged 24 – 60 months with stunting status. Results: the p value of height with tooth eruption was 0.003 and the p value of height with dental caries was 0.003, meaning that there was a significant relationship between height and tooth eruption and dental caries. Conclusion: there is a relationship between malnutrition status (stunting) and eruptions and the incidence of dental caries in toddlers aged 24-60 months at the Tamansari Health Center, Tasikmalaya City

EFFECTIVENESS OF DENTAL HEALTH VIDEOS FOR PREGNANT WOMEN IN IMPROVING KNOWLEDGE TO PREVENT STUNTING

Irwan Supriyanto — 2025-04-26

Background: Stunting causes developmental problems in children, especially toddlers (under two years old), resulting in cognitive and motor developmental disorders that will affect the child's ability to receive lessons and long-term effects will affect work productivity as adults. A mother's nutritional knowledge affects the nutritional status of toddlers, 48.2% of toddlers born to mothers with poor knowledge have poor nutritional status, mothers with poor stunting knowledge have a 3.27 times greater risk of stunting than mothers with good knowledge. Dental and oral health promotion is a process of providing information that aims to produce good dental and oral health and improve the standard of living, the media commonly used in health promotion, namely audio-visual, is a good media to use, because it involves the senses of hearing and sight. The aim of implementing dental and oral health videos is to increase the knowledge of pregnant women in preventing stunting. This research method is Quasi-Experimental with a quantitative design approach, namely pre-test and post-test control group design, purposive sampling technique, with a sample size of 80 students, data analysis using the Mann-Whitney test. The results of the Mann-Whitney Test analysis obtained a ?-value = 0.000 (? <0.05), meaning that there was a significant difference in knowledge between the intervention group and the control group. The conclusion is that dental health videos are effective in increasing the knowledge of pregnant women in preventing stunting.

EDUCATION WITH A REINFORCEMENT METHOD FOR IMPROVING TOOTH BRUSHING SKILLS WITH A DENTAL AND ORAL HYGIENE INDEX

Cici Idela — 2025-04-26

Primary school students are susceptible to dental caries. Poor dental hygiene maintenance will further influence the dental hygiene index. An attempt to maintain dental hygiene is through removing plaque by tooth brushing. However, few understand how to do it correctly. A method of dental education is necessary to send a message about dental and oral hygiene. This research aims to see the dental and oral hygiene index before and after performing tooth brushing education by reinforcement, consisting of a lecture and a demonstration of a jaw model. The type of study used was quasi-experimental with a pretest and posttest research design. The sampling was applied with 50 students in grades IV and V at SDN 19 Muaro, Sijunjung District, with 25 students for each control and intervention group. Both groups were given a lecture on tooth brushing at pre-test, and only the intervention group was given a demonstration of a jaw model in the post-test. The data analysis employed the Independent T-test. The results show differences in dental and oral hygiene between the pre-test and post-test. In the control group, there is an average increase of 44% good criteria, and in the intervention group, it is greater at 52%. Even so, the dental and oral hygiene between the control and intervention group is not significantly different, with a p-value of 0.731> 0.05. This study concludes that education with the reinforcement method, including a lecture and demonstration of a jaw model, is more effective than only using the lecture method.

THE EFFECT OF CHEWING FREE SUGAR GUM (XYLITOL) ON PLAQUE REDUCTION IN CHILDREN WITH INTELLECTUAL DISABILITIES

Nailatuz Zahra — 2025-04-26

Dental plaque is a collection of soft deposits of microorganisms, the main cause of caries. Children with special needs has bad habits of maintaining dental health, dental and oral health problems are often caused by sugar that is fertilized in the mouth so that plaque buildup occurs, xylitol gum is self-cleansing so that it can be used as an effort to control plaque. The purpose of the study was to determine the effect of chewing free sugar gum (xylitol) on the reduction of plaque in children with disabilities in the State of Aceh Province. Method The Quasi Experimental research method with a Pre-Posttest non-equivalent control group design was carried out on 30 children with mild disabilities who were divided into 2 groups, namely the intervention group with the treatment of chewing xylitol gum and the control group with the treatment of chewing non-xylitol chewing gum. Research results using the Paired T-Test showed that P= 0.000 and P=0.002 means p<0.05. conclusion is that there is an Effect of Chewing Free Sugar (Xylitol) Gum on Reducing Plaque in Handicapped Children in the State of Aceh Province. Suggestion for teachers and parents can provide counseling to visually impaired children to brush their teeth at least 2 times a day and the benefits of chewing xylitol gum for dental and oral health

PROMOTING PRESCHOOL ORAL HEALTH IN SAFE COMMUNITIES: INNOVATIONS BRIDGING BRAIN DEVELOPMENT AND STROKE PREVENTION

Ayu Mardian — 2025-04-26

Preschool oral health is a critical component in supporting optimal growth and development, including physical, cognitive, and emotional aspects. However, the prevalence of oral health problems such as dental caries and periodontal disease remains high, particularly in communities with limited access to healthcare services. Research indicates that the explicit relationship between oral health, brain development, and stroke prevention has not been thoroughly explored. This study employs a narrative review method to analyze literature on preschool oral health, community-based innovations, and the Safe Community approach in chronic disease prevention. The findings reveal that good oral health supports brain development by improving nutritional intake and reducing systemic inflammation. The Safe Community approach, through multi-sectoral collaboration, community empowerment, and technological innovation, has proven effective in promoting preschool oral health. Moreover, oral health promotion contributes to stroke prevention by mitigating chronic inflammation associated with cardiovascular diseases. This review underscores the importance of integrating oral health programs into Safe Community-based policies and highlights the need for investment in technological innovation. The implications of this study include the development of community-based and technological interventions to improve preschool oral health, indirectly supporting brain health and preventing long-term chronic diseases

PERMANENT TOOTH EXTRACTION AND USE OF DENTURES

Hari Wibowo — 2025-04-26

Background: Tooth extraction is the act of removing the tooth and its roots from sockets. The consequences of tooth extraction are the disruption of masticatory function, speech and aesthetics. One of the anticipatory steps to prevent discomfort due to tooth loss is the use of dentures. InfoDATIN data in 2019 showed that cases of permanent tooth extraction due to dental caries in Indonesia account for 19%, with 4.5% of denture users. Objective: to determine the relationship between permanent tooth extraction and patient interest in denture use. Methods: Analytical survey research using a cross-sectional design. The study population of patients at the Dental Clinic who have undergone permanent tooth extraction. The study sample was 36 respondents, who were taken with a purposive sampling technique. Data analysis using Kendall's tau-b. Results: Kendall's tau-b test showed that the variable of permanent tooth extraction with patient interest in using dentures has a significant relationship. Respondents who performed tooth extraction with high criteria (more than one tooth) had a considerable interest in using a denture with a percentage of 80.6%. Conclusion: The more teeth extracted, the higher the patient's interest in using a denture

DESIGN OF A WEBSITE-BASED DENTAL HEALTH REFERRAL APPLICATION FOR POSYANDU CADRES

Hilmiy Ila Robbihi Robbihi — 2025-04-26

Health development aims to increase awareness, motivation and ability of all people to live healthily. Dental and oral health referrals are carried out if abnormalities are found in the teeth and mouth. When a simple examination is held at the posyandu, the cadre can send/refer the patient to the nearest BPG so that treatment can be carried out on the teeth and mouth. This study aims to create and develop a Design Model for a Website-Based Dental and Oral Health Referral Application for Cadres at Integrated Health Posts (Posyandu). The research method uses R & D with this research step starting with looking for potential and problems related to the research topic. After that, data regarding the contents of the Website-Based Dental and Oral Health Reference application was collected through Focus Group Discussions with experts and users. Based on the results of the FGD and literature review, the application was then designed. This application design is then validated by experts, and revisions are made according to the input received. The revised application was then tested on 30 respondents. Final design revisions were carried out before making the prototype. The results of this research are according to expert validation using the interclass correlation test, namely with a p-value of 0.000 and the results of cadre validation using the interclass correlation test, namely with 0.000 to validate the suitability of the media in the dental reference application. So it can be concluded that the dental referral application is suitable for use as a referral for dental health services for cadres.

ORGONALEPTIC TEST OF ROSELLA MOUTHWASH WITH GREEN TEA IN PERIODONTITIS CASES

Yodong Yodong — 2025-04-26

Dental and mouth health play an important role for body health, unfortunately Periodontal diseases such as periodontitis and gingivitis have a high prevalence whether in national also global scope, including Indonesia. A study in Central Java showed 44.75 % of participants experienced periodontitis with severe prevalence reaching 20 %. This condition affects the quality of life, as found in PKK group in Semarang where majority people whom experienced periodontitis also have poor quality of life. Mouthwash mixture made by rosella and green tea is known to be effective for inhibiting the growth of microorganism causing dental plaque. This study aims in evaluating the level of panelists’ acceptance of the mouthwash formula containing rosella tea and green tea. This study is employed a cross-sectional design survey method and involving 75 study samples as selected by purposive sampling. The result showed that mouthwash formula (the mixture of rosella tea and green tea) was known to be effective in inhibiting the growth of microorganism causing dental plaque. Formula 4, which is a mixture of rosella tea and green tea received the best acceptance level with the highest percentage found in taste, color and acidity. However, the result of the hedonic test showed that formula 4 still at the neutral limit (with an average of acceptance score was less than 3.5). Therefore, further development is needed to make this formula can be well accepted for long-term use

KNOWLEDGE OF THE USE OF JARAK SAP IN REDUCING TOOTHACHE IN THE COMMUNITY OF TANTUHA VILLAGE, ACEH BESAR DISTRICT

Wahyudi Ismail — 2025-04-26

Pain is a symptom of physical and spiritual disturbance. There are two treatment options, namely traditional and modern medicine. According to data, the prevalence of caries in Indonesia is 88.8%. Different toothache conditions create knowledge about toothache and create a culture attached to the treatment process. Castor bean sap is a medicinal plant that can reduce toothache. Castor sap has an analgesic effect similar to paracetamol for toothache and can also reduce toothache. To determine the relationship between knowledge of the use of castor sap and reducing toothache in the community in Tantuha village, Simpang Tiga District, Aceh Besar Regency. This research is analytical. Conducted in Tantuha village, Aceh Besar from 14 to 15 June 2024. The research population was all 75 people aged 45-64 years. The sample in the research used purposive sampling technique, namely a sample of 39 people. The instrument used was a questionnaire sheet using an interview. Data analysis used the chi square statistical test. Results: research shows that knowledge of the use of jatropha gum is in the good category, indicating that there are efforts to reduce toothache for 19 respondents (70.4%). Meanwhile, poor knowledge in the none category reduced toothache by 10 respondents (83.3%), with a value of p=0.002. Based on the results of statistical tests, it shows that there is a significant relationship between knowledge of using castor sap and reducing toothache. Suggestion: it is hoped that the people of Tantuha village will not use jatropha sap excessively, and use castor sap only as a temporary aid to reduce toothache

THE EFFECT OF QR CODE USE ON DENTAL AND ORAL HEALTH KNOWLEDGE PREGNANT WOMEN

Yanto Sugianto — 2025-04-26

Background: The first pillar of health transformation is the transformation of primary services, which in its implementation focuses on strengthening promotive and preventive activities (Kemenkes RI, 2022). Pregnant women are one of the groups in society that need special attention regarding health. A lack of knowledge about maintaining oral and dental health during pregnancy results in pregnant women not receiving dental care. One of the ways to improve knowledge is through counseling using QR Codes. Objective: To determine the effect of counseling using QR Codes on dental and oral health knowledge among pregnant women. Method: This is a quasi-experimental design study with a one group pre-test and post-test design. The sampling technique used was total sampling with 36 pregnant women. The research instrument was a questionnaire to measure the dental and oral health knowledge of pregnant women. Data analysis was performed using the Wilcoxon test. Results: Before the counseling using QR Codes, of the 36 pregnant women, 36,1% had good knowledge, 44,4% had average knowledge, and 19,5% had poor knowledge. After receiving counseling using QR Codes, 91,7% had good knowledge, and 8,3% had average knowledge. The Wilcoxon test yielded a P-value of 0,001 < 0,05, indicating that there was a significant difference between the results before and after the dental and oral health counseling using QR Codes. Conclusion: Counseling using QR Codes has an effect on increasing dental and oral health knowledge of pregnant women.

THE USE OF ANIMATED VIDEOS IN IMPROVING CHILDREN'S KNOWLEDGE IN TEETH BRUSHING

Risma Risma — 2025-04-26

Animated videos that are currently widely used in everyday life can provide great benefits for the field of dental and oral health related to how to brush teeth properly. Based on interview data with 10 fifth grade students, it is known that 7 students do not know how to brush their teeth properly, how long to brush their teeth, and the time to brush their teeth. The purpose of the study was to determine the effect of using animated videos in increasing knowledge in how to brush teeth of fifth grade students of SDN 1 Nibong, North Aceh Regency. The type of research used Quasi Experiment using pre-post test with One group Design. Data collection by interview, questionnaire and intervention. The sample in this study amounted to 43 students. Data analysis used Statistic Paired T-Test. The results showed an increase in the value of students' knowledge before being given dental health education with animated videos in the less good category, namely 28 (65.1%) and students' knowledge after being given dental health education with animated videos was in the good category, namely 43 (100%). The conclusion is that there is an influence before and after being given dental health education with animated videos on knowledge of how to brush teeth with a P value of 0.000 <0.005. It is recommended that students improve their understanding of dental and oral health related to brushing techniques that are in accordance with health standards.

THE EFFECT OF DENTAL HEALTH COUNSELING USING QUARTET CARD MEDIA ON STUDENT KNOWLEDGE LEVELS

Applonia Leu Obi — 2025-04-26

Background: One strategy to improve the dental health of elementary school students is to maintain dental hygiene. Students are taught about health promotion, which requires interesting and useful learning materials. Children's understanding of information is very important, especially in dental health education. Dental health education can be more easily understood with the help of quartet card media games. Quartet card media consists of several picture cards with various captions. Quartet card media consists of several picture cards with different captions. This study aims to determine dental health counseling through quartet card game media on the level of knowledge of school children. This research design is quassi experiment with pre-test and post-test design. The population was 75 students of class IV and V with Random Sampling technique. Instruments using questionnaires and quartet card games. using univariate and bivariate analysis, univariate analysis is carried out for each variable from the results of this study only produces the distribution and percentage of each variable. Bivariate analysis was carried out on two variables that were thought to be related. As well as to see the difference between pre test and post test then analyzed. The results of the pre-test research were good criteria (67%) moderate criteria (33%) and the post-test knowledge level was in the good category (83%), moderate only (17%), and the average value was 82.28 before and 86.67 after counseling. This is evident, the standard deviation value before and after counseling is 13.676 and 12.435, the mean difference value is 1.24, and the p value is 0.001, which shows that dental health counseling using quartet card media has a positive impact on increasing the knowledge of grade IV and V students at SD Inpres Naimata. After receiving counseling on dental health, students' knowledge increased significantly