Background: Oral infections can be a potential source of infection resulting in a variety of systemic diseases, especially in intubated patients in an Intensive Care Unit (ICU). Endotracheal tube (ETT) of the intubated patient’s mouth can be an entry point and place of bacteria colonization that causes ventilator-associated pneumonia which is one of the causes of the patient’s death in ICU. Nurses as caregivers have an important role in providing oral care intervention to maintain oral health and prevent the infection.Objective: This study aimed to analyze the effect of oral care intervention on oral health status of intubated patients in the ICU. Methods: This was a pre-experimental study with one group pre-test post-test design. A consecutive sampling was used to select 18 intubated patients in the ICU of Al Islam hospital in Bandung. Oral health status was evaluated by Beck Oral Assessment Scale (BOAS). Descriptive analysis was used for the univariate analysis and t-test was used for bivariate analysis.         Results: The results showed that oral health scores before and after intervention were 11.94 and 13.28 (p=.004). The BOAS subscales had a significant worsening of the lips, gingiva, oral mucosa and saliva (p<.05), while there was an improvement in teeth subscale after oral care intervention (p<.001).Conclusion: The results suggested that the oral health status of intubated patients had worsened, despite routinely oral care intervention using chlorhexidine gluconate. Mucosa care may become an essential part of the oral care intervention for intubated patients. Therefore, additional topical agent is needed to maintain the moisture of the mucosal membrane, so that the oral health status of intubated patients will be better.

Bleaching is the tooth whitening by applying chemical materials oxidizing the organic tooth pigmentation and creating smaller and lighter molecules. Commonly used in the tooth bleaching is hydrogen peroxide. Strawberry and apple contain hydrogen peroxide and ellagic acid which will bond with an unsaturated bond of the tooth pigmentation. The purpose of this research was to finding out and measuring the tooth whitening level and effectivity between the strawberry and apple juice. The type of this research was a true experimental (in-vitro), using 30 samples of maxillary premolars with cutted radicular until the CEJ. Samples were divided into 3 groups (immersed in strawberry juice; apple juice; and mineral water); with three times daily immersion in one week. The tooth colour level was measured using a spectrophotometer. Data were analyzed using the one-way ANOVA and LSD test. The results showed significant differences among all groups. Normality test showed the variance between homogenous groups, with the p-value of 0.198 (p ≥ 0.05). The one-way ANOVA test results showed a significance value (0.000), indicated a significant degree of the tooth whitening level between all groups. The LSD test results showed that the tooth whitening level in group I (immersed in strawberry juice) was significantly different to group II (immersed in apple juice) and group III (immersed in mineral water), with a significance value of 0.01 and 0.00 ( p ≤ 0.05). The tooth whitening level in group II was significantly different from group III, with a significance value of 0.03 (p ≤ 0.05). There were differences in the tooth whitening level between immersion in strawberry juice, apple juice, and mineral water, with the most effective tooth whitening level found in the strawberry juice immersion.

Oral health status among children has been proven of possessing strong relationship with general health status which is curently well documented. Oral health status illustrating periodontal tissues health might be affected by general health status actually associated with some diseases. This statement assumes that periodontal health is influenced by the diseases such as infection, chronic and degenerative diseases impairing general health status. Aim. The aim of this study was to examine oral health status and general health status among elementary students with age of 6-8 years old . Method. This study was descriptive with cross sectional method by selecting 44 students from several elementary school in Bandung City. Oral health status was established through determining oral hygiene index-simplified (OHI-S) and general health status was determined by using body mass index (BMI) through measuring body weight and height. The data gained was presented into tables. Result. The research results show that 70,45% respondents are male exhibiting the BMI mean of 13,22 with OHI-S mean of 1,12 meanwhile the female respondents is that 29,55% are having BMI mean of 12,67 and OHI-S mean is 1,58. Conclusion. Based on the data obtained, it can be concludes that the elementary students participated in this study either male and female are catagorized of having mild general health status showed by low BMI with mild oral health status indicated by moderate OHI-S

Dental caries is still the main problem in dental and oral health. Caries is caused by several factors working simultaneously. The main principle of management caries is by prioritizing preventive action and avoiding invasive action. Beetle leaves are medicamentous plant which are widely cultivated and very beneficial for Indonesian people. Its active content enable beetle leaves to be used as antimicrobial, antiseptic, antifungal, antioxidant, and disinfectant. The government of Indonesia and WHO greatly support the utilization of natural resources as medical cure. Currently we can find a lot of toothpaste and mouthwash products which use beetle leaves as additional ingredient. Various researches have proved that the use of beetle leaves extract as mouthwash, toothpaste and chewing beetle leaves may decrease plaque score. Chavicol and chavibetol content enable beetle leaves to function as very good antimicrobial. Beetle leaves also contain charvacrol, eugenol, methyl eugenol, cadinene, and seskuiterpene, which can function as antiseptic. Beetle leaves may effect salivary function and secretion and also impede the forming of dental caries.

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