Background: Access to health services is needed around the world, from healthcare providers to doctors. One of the needs in public health is a system that is accessible for everyone, but, unequal distribution of healthcare provider and health workers, especially in dentistry fields is still a main problem in several countries, including Indonesia. The aim of this study is to analyze the spatial distribution of dentists, dental technicians, and dental therapists. Methods: This spatial analysis study was conducted after obtaining secondary data in Indonesia. All data were collected between September 1st, 2020 and October 1st, 2020 from open access sources of de-identified data. The data of dentists per area, dental technicians per area, and dental therapists per area were calculated for analysis. A spatial distribution map was prepared using the Quantum Geographic Information System (QGIS Desktop, version 3.10.6). Results: The results of this study found a ratio of dentists to members of the population in Indonesia of 1:17,105. The average number of dental technicians that work in the public health centers in each province (dental technicians per area) in Indonesia was calculated to be 0.13. The average number of dental therapists that work in the public health centers in each province (dental therapists per area) in Indonesia was calculated to be 0.40. This spatial autocorrelation illustrates that there is a relationship between values of dentists per area and dental therapists per area between provinces in Indonesia, and shows geographic clustering relationships or patterns that are grouped and have similar characteristics in adjacent locations. This spatial autocorrelation did not occur in the value of dental technicians. Conclusions: From this study we can conclude that there is an unequal distribution of dental personnel in Indonesia.

Introduction: Dermatitis herpetiformis or also known as Duhring's Disease or gluten rash is an autoimmune vesicobulose disease, this disease is not related to dermatitis, nor is it caused by the herpes virus, but a specific and recurrent chronic skin condition associated with celiac disease and gluten-sensitive enteropathy. The main predisposing factor is genetics, this is related to Human Leukocyte Antigens (HLAs) DQ2 and DQ8. Dermatitis herpetiformis can affect any age but appears more often for the first time in young adults between the ages of 30 and 40, more often in men than in women, where the lesions in men are common in the mouth and genitalia. Discussion:The main lesions are erythematous papules, plaques, urticaria, or most commonly vesicles, of which large bullae rarely occur. The lesions seen in people with dermatitis herpetiformis may be crusted and may not show the main lesion. On physical examination, excoriation and erosion are common. The distribution of lesions in dermatitis herpetiformis is symmetrical with a frequent predilection of the extensor surfaces of the forearms, elbows, shoulders, knees, buttocks and back. The main therapeutic management of dermatitis herpetiformis is a gluten-free diet. Adherence to a strict gluten-free diet resulted in resolution of symptoms of dermatitis herpetiformis and a positive development of intestinal pathology. Despite implementing a non-strict gluten-free diet, the accumulation of IgA in the dermoepidermal junction in dermatitis herpetiformis patients will slowly disappear and may take several years to completely disappear. Conclusion:The management of patients with dermatitis herpetiformis should be a team consisting of a dermatologist, a gastroenterologist and a nutritionist. Patients require follow-up to monitor long-term medication use and control recurrence of symptoms. Regular visits will facilitate screening and early detection of autoimmune conditions or neoplasms that may be associated with dermatitis herpetiformis and to obtain referral therapy for patients experiencing them.

Background: Dental caries is one of the dental and oral diseases, and it is caused by S. mutans. Almost all humanshave dental caries, and it is a burden disease in Indonesia. The prevalence of dental caries is 79.1% worldwide, and theprevalence of child dental caries in Indonesia was 92.6% in 2018. Purpose: To promote child dental health awareness inchildren through an educational comic. Methods: Educational comics were distributed directly to students of KalijudanElementary School. Tools and materials of the empowerment program: Stationery, Laptop/computer, Application to layoutthe comic. There are 13 teachers and 30 students involved in this program. The students were given pre-test before learnedabout dental health from educational comics. After receiving health education materials from the comics books, they weregiven post-test to measure the increasement of health knowledge. Pre and post test data were analyzed with Paired-T test.Results: The pre-test and post-test results of the empowerment program at Kalijudan 1 elementary school were 12.3 and13.6, respectively. There was a 1.3 point increase. The significance value was 0.000 (p-Value < 0.05). This means thatthere was a significant difference in children’s knowledge levels before and after they read the comic. Conclusion: Theresult showed that children have learned that dental and oral health affects physical activities.

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