Jakarta is the capital city of Indonesia which is surrounded by its satellite cities Bogor, Depok, Tangerang, Bekasi. Nonetheless, scarce information are available of the current oral health of children. Objective: The study aims to describe caries and gingival status among 5 and 12 years old children in Jabodetabek. Jabodetabek is an abbreviation of Jakarta, the capital city of Indonesia, and the satellite cities in its surrounding (Bogor, Depok, Tangerang, Bekasi). Methods: The survey was done in 2014 and had already got ethical approval. Design of this study was crosssectional. Subjects were 5-year-old and 12-year-old Indonesian children living in Jabodetabek, selected using cluster sampling method. One trained examiner performed the clinical examination. Caries experience was measured using DMFT index, severity of decayed teeth was assessed using PUFA index, gingival status and oral hygiene were measured by Loe and Sillness modified index. Results: A total of 390 5-year-old and 458 12-year-old children with balanced proportion between girls and boys participated in the survey. The prevalence of caries experience among the 5-yearold children and 12-year-old children were 90% and 84% respectively. The mean DMFT and DT scores among the 5-year-old children and 12-year-old children were 7.5±5.5 and 6.8±4.8; 3.2±2.2 and 2.9±2.1 respectively. Pulp involvement were apparent in 45% and 23% of caries in 5 and 12-year-old children respectively. Most children, 45% 5-year-old children and 92% 12-year-old children had substantial amount of plaque. Moreover, 68% 12-year-old children had gingivitis. Conclusion: Dental caries were prevalent among 5 and 12-year-old Indonesian children in Jakarta and its satellite cities. The oral health condition of most of the children were poor.
Oral health related quality of life (OHRQoL) in children is affected by several factors inter alia characteristics of children and environmental factors including parental health behavior. This study aimed to assess the relationship between parental health behavior and OHRQoL among preschoolers. This was an observational study using cross sectional design. This study was conducted through interviews with 177 parents of preschoolers (5-6 years old) in Semarang using a questionnaire on parental behavior related to oral health that had been tested for validity and reliability and the Early Childhood Oral Impact Scale (ECOHIS) questionnaire. The Spearman correlation test analysis was used to assess the relationship between variables. The results showed that there were no significant differences in the relationship between knowledge and action aspects with all ECOHIS score domains. However, there was a significant relationship between aspects of parental attitudes and the subdomain of self-image and social interaction, in particular avoiding speaking (p<0.05). In conclusion, there is no significant difference in the relationship between parental behavior and OHRQoL among preschoolers. However, parental attitudes potentially affect self-image and social interaction of the preschoolers.Keywords: OHRQoL; quality of life; ECOHIS; preschoolers Abstrak: Kualitas hidup terkait kesehatan gigi dan mulut/oral health related quality of life (OHRQoL) pada anak-anak dipengaruhi oleh beberapa faktor, yaitu kondisi karakteristik anak dan faktor lingkungan, termasuk perilaku kesehatan orang tua. Penelitian ini bertujuan untuk mengetahui hubungan perilaku kesehatan orang tua dengan kualitas hidup terkait kesehatan gigi dan mulut anak-anak usia prasekolah di Semarang. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Penelitian ini dilakukan melalui wawancara dengan 177 orang tua yang mempunyai anak usia prasekolah (5-6 tahun) di Semarang dengan menggunakan kuesioner perilaku orang tua terkait kesehatan gigi dan mulut yang telah diuji validitas dan reliabilitas, serta kuesioner Early Childhood Oral Impact Scale (ECOHIS). Analisis uji korelasi Spearman digunakan untuk menilai hubungan antar variabel. Hasil penelitian menunjukkan bahwa tidak didapatkan perbedaan bermakna pada hubungan aspek pengetahuan dan tindakan dengan semua domain skor ECOHIS. Namun, terdapat hubungan bermakna antara aspek sikap orang tua dengan subdomain citra diri dan interaksi sosial yaitu menghindari berbicara (p<0.05). Simpulan penelitian ini ialah tidak terdapat perbedaan bermakna pada hubungan perilaku orang tua dengan kualitas hidup terkait gigi dan mulut pada anak. Namun, komponen sikap orang tua berhubungan dengan sub domain citra diri dan interaksi sosial.Kata kunci: OHRQoL; kualitas hidup; ECOHIS; anak usia prasekolah
Oral health may affect the occurence of dental caries. Dental caries is a demineralization process in email, dentin, and cementum caused by metabolic activity of microorganisms. According to Bloom concept (1974), there were four main factors affecting oral health, as follows: environment, behaviour (knowledge and attitude), health facility, and heredity. This study was aimed to evaluate the correlation between knowledge, attitude, and behaviour of oral health and dental caries status among students of SMPN 1 Selogiri (junior high school), Wonogiri. This was an observational and analytical study with a cross sectional design. There were 123 students as subjects in this study. Prior to participation, subjects were asked to fill in the questionairre and sign on the informed consent. Dental examination was carried out by using oral sonde and oral glass. The Spearman test obtained a p-value of 0.001 for the correlation between knowledge, attitude, and behaviour of oral health and dental caries status. In conclusion, there was a significant relationship between knowledge, attitude, and behaviour of oral health and dental caries status among students of SMP 1 Selogiri, Wonogiri.Keywords: knowledge, attitude, behaviour, cariesAbstrak: Kesehatan atau kebersihan rongga mulut dapat memengaruhi terjadinya karies gigi. Karies adalah suatu proses demineralisasi pada email, dentin, dan sementum yang disebabkan oleh aktivitas metabolik suatu mikroorganisme. Terdapat empat faktor utama yang memengaruhi kesehatan gigi menurut konsep Bloom tahun 1974 yaitu: lingkungan, perilaku (pengetahuan dan sikap), pelayanan kesehatan, dan keturunan (hereditas). Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan, sikap dan perilaku kesehatan gigi mulut terhadap status karies siswa SMPN 1 Selogiri Kabupaten Wonogiri. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Sebanyak 123 siswa menjadi subjek penelitian. Sebelum berpartisipasi dalam penelitian, subjek diminta untuk mengisi kuesioner serta informed consent. Peneliti melakukan pemeriksaan karies gigi pada subjek dengan menggunakan sonde dan kaca mulut. Hasil uji Spearman mendapatkan nilai p=0,001 untuk hubungan antara pengetahuan, sikap, dan perilaku kesehatan gigi mulut terhadap status karies. Simpulan penelitian ini ialah terdapat hubungan bermakna antara pengetahuan, sikap, dan perilaku kesehatan gigi mulut terhadap status karies siswa SMP Negeri 1 Selogiri Kabupaten Wonogiri.Kata kunci: pengetahuan, sikap, perilaku, karies
Type 2 diabetes mellitus (T2DM) is associated with many complications, one of them is oral health problem. Its risk increases in individual with poor oral hygiene. Oral health problem can impair daily life functions such as biting or chewing, speaking, and social interaction. However, research evidences investigating oral hygiene and quality of life related to oral health are still contradictory, therefore, further studies are still required. This study was aimed to evaluate the difference in oral hygine index and quality of life (QoL) related to oral health index between T2DM and non DM patients. This was an observational study with a cross sectional design. Samples consisted of 21 T2DM patients and non DM patients at the Internal Medicine Outpatient Clinic of RSND hospital. Oral hygiene examination (OHI-S) was performed on all patients. Moreover, all patients had to fill the questionnaire which evaluated their QoL related to their oral health conditions (OHIP-14). Data were analyzed by using unpaired T-test and Mann-Whitney test. The results showed that the means of OHIS index were 3.17 in T2DM group and 1.43 in non DM group (p<0.001). Meanwhile the means of OHIP-14 index were 7.14 in T2DM group and 2.24 in non DM group (p<0.001). In conclusion, T2DM patients significantly have worse oral hygiene index and QoL related to oral health index than non DM patients.Keywords: type 2 diabetes mellitus (T2DM), oral hygiene, quality of life related to oral health Abstrak: Diabetes melitus tipe 2 (DMT2) terkait dengan berbagai komplikasi, salah satunya masalah kesehatan rongga mulut yang risikonya semakin meningkat pada individu dengan kebersihan mulut yang buruk. Masalah kesehatan rongga mulut dapat membatasi fungsi sehari-hari seperti menggigit/mengunyah, berbicara, dan interaksi sosial. Namun, temuan beberapa penelitian mengenai kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut pada pasien DMT2 masih menunjukkan hasil yang bertentangan, sehingga diperlukan penelitian lebih lanjut. Penelitian ini bertujuan untuk mengetahui perbedaan indeks kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut pada pasien DMT2 dan non DM. Jenis penelitian ialah observasional dengan desain potong lintang. Sampel penelitian terdiri dari 21 pasien DMT2 dan 21 pasien non DM di Instalasi Rawat Jalan Penyakit Dalam RSND. Seluruh pasien menjalani pemeriksaan kebersihan mulut (OHI-S) dan juga diminta untuk mengisi kuesioner yang menilai kualitas hidup terkait kesehatan rongga mulut pasien (OHIP-14). Uji statistik menggunakan uji t tidak berpasangan. Hasil penelitian mendapatkan nilai rerata OHIS ialah 3,17 pada kelompok DMT2 dan 1,43 pada kelompok non DM (p<0,001). Nilai rerata OHIP-14 ialah 7,14 pada kelompok DMT2 dan 2,24 pada kelompok non DM (p<0,001). Simpulan penelitian ini ialah pasien DMT2 memiliki skor indeks kebersihan mulut dan kualitas hidup terkait kesehatan rongga mulut yang lebih buruk secara bermakna dibandingkan pasien non DM.Kata kunci: diabetes melitus tipe 2 (DMT2), kebersihan mulut, kualitas hidup terkait kesehatan rongga mulut
Epidemiological studies have shown that several factors, such as age, gender, tooth loss, socioeconomic status, cultural background, psychological stress of dental visit, and smoking can influence OHRQoL. Oral health is strongly age dependent, therefore OHRQoL differences are predicted to exist in the elderly group according to WHO. This condition is especially true for Rembang Regency due to the high population of the elderly and the shared ignorance on oral health given an overemphasis on other priorities, which will have an impact on their quality of life. The objective of this study is to know the OHRQOL difference in the elderly group in Rembang Regency with cross-sectional design. The research subjects were selected by inclusion and exclusion criteria with online informed consent. The questionnaire related to age and GOHAI was distributed and filled out online. Data were processed and analyzed using the Kruskall Wallis followed by Mann-Whitney post-hoc analysis and multiple linear regression test. A total of 222 respondents were involved (n= 222) consisting of 102 male and 120 female. The majority level of their OHRQoL were moderate (65.3%). The most affected dimension was physical function since it limits the type or amount of food intake (30.4%). The Kruskall-Wallis test showed significant OHRQoL differences in middle-age, elderly, old, and very old groups (p<0.05). The OHRQoL difference between middle-age and old and middle-age and very old obtained a significant result in the Mann-Whitney post hoc test with p value <0.05. Multiplelinear regression test showed a significant effect of age on OHRQoL with tooth loss as a confounding variable. Thus, Oral Health Related Quality of Life (OHRQoL) of the elderly group is significantly different.
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