TITLEThe influence of dental braille education (DBE) to oral hygiene of blind childrenABSTRACTBlind children has poor oral hygiene. Such condition due to tooth brushing is not monitored, other factors such as brushing technique, motor skills and mentoring assistance are still negligible. Besides the lack of visualization to understand and master the techniques of oral hygiene practices. This study aimed to analyze the influence of Braille Dental Education (DBE) against Oral Hygiene in blind children.Pre-experimental research design with the group pre-posttest design, further examination Plaque Index before the intervention. Intervention is given on a sample in the form of DBE and then evaluated at day 21. The outputs or outcomes in this study of assessment of the degree oral hygiene using the Plaque Index and DBE-shaped booklet. The research sample using purposive sampling method. Data analysis using descriptive statistics in the form of tables (boxplot or diagram), then the bivariate analysis using the non-parametric Wilcoxon to determine changes in oral hygiene on the results of the pretest to posttest results. Analysis of the data in this study using a computer program to test the hypothesis based on a significance level of 0.05 with 95% confidence level.The results of the analysis of the difference in oral hygiene change from pretest to posttest showed no significant changes, indicated by Z = -3.126 and p = 0.002 (p 0.005). It can be concluded that the hypothesis that there was an effect on oral hygiene DBE in blind children is acceptable because it is essentially a state intelligence of blind children is not different from normal children, and therefore requires an approach and good communication in handling it. Key words : Dental Braille Education (DBE), Oral Hygiene, Children with Visual Impairment

Background: Riskesdas in 2018, showing the high prevalence of dental caries in Indonesia sufferers are school children and adolescents. The percentage of dental caries in the 12-year age group by 29.8%, the 15-year age group by 31.1%, saw a tendency to increase the percentage of dental caries with age. The type of food consumed by children also contributes in the process of dental caries, children tend to like the type of sweet foods such as sweets, chocolate, ice cream, doughnuts, soft drinks, and still lack knowledge in maintaining dental health, especially in brushing teeth will accelerate the occurrence of dental caries. Research Objective: Analyze the relationship of diet and habits of brushing teeth with dental caries of children aged 6-12 years in the Dental and Oral Health Room UPTD Puskesmas Sukalaksana Kota Tasikmalaya. Research method: this study is a non-experimental study that is with a cross sectional research design, to find out the dynamics of two (2) research variables, namely free variables and bound variables, Data collection techniques are carried out at the same time (point time approach). Research results: Relationship of diet and habits of brushing teeth with dental caries of children aged 6-12 years in the Dental and Oral Health Room UPTD Puskesmas Sukalaksana Kota Tasikmalaya. Gamma correlation test obtained p-value 0.031 <0.05 so that Ho is rejected and the influence of diet with dental caries (def-t), the habit of brushing teeth with dental caries (def-t) obtained p-value 0.021 <0.05 so that Ho is rejected then it can be said there is a relationship of brushing teeth with dental caries (def-t). Conclusion: There is a relationship between diet and habits of brushing teeth with dental caries of children aged 6-12 years in the Dental and Oral Health Room of UPTD Sukalaksana Health Center in Tasikmalaya City.

Public Health Center Halmahera is one of the health centers in the city of Semarang which runs UKGS phase II program in 14 elementary school (SD) and stage III at 1 SD. UKGS in Halmahera PHC activities include counseling, mass and networking toothbrush oral health carried out only once a year, which in turn have an impact on not achieving a targeted program UKGS Ministry of Health. The government is targeting oral health conditions in 2014 as the prevalence of caries-free in one molar (M1) by 50%, the extension executed onece each quaertermester 80% SD and activities jointly undertaken toothbrush every day at school in 50% SD. Based on these data, there is a gap between the state of oral health of elementary school students in the area of PHC Halmahera Semarang against government targets.The purpose of writing this case report to analyze the problems in the health center program UKGS Halmahera.This case report was compiled using the observational method through observation of data, task analysis with the observation of the work performed by dental health workers related to UKGS activities, interviews to gather information on the implementation of the program to UKGS activities manager’s in Puskesmas Halmahera Semarang.The activity results obtained in UKGS priority issues that have not been optimized in accordance with the guidelines UKGS 2012, due to lack of dental care, especially dental nurse who is spearheading the implementing UKGS.This is in accordance with the Regulation of the Minister of Health No. 58 of 2012 that the dental nurse is authorized to conduct promotive and preventive activities including conducting UKGS.There is no UKGS operational funds from Semarang City Health Office, so that the activity is difficult to do, UKGS monitoring and evaluation activities cannot be conducted, lack of parents participants’s role and children’s motivation in dental and follow-through oral health care.The report in this case conclude that UKGS activity is unsuccessful in Halmahera Semarang Public health center affected by the lack of dental health workers, there are no UKGS operational funds, the absence of monitoring and evaluation, and the lack of participation and motivation of parents toward advanced dental care. Keywords: Dental and Oral Health Care, UKGS, Public Health Center

BACKGROUND: Loss of teeth can disrupt daily activities such as chewing disorders, causing emotional problems, and loss of self-confidence. Tooth loss in the elderly is usually caused by dental caries and periodontal disease which are influenced by several other factors. AIM: This study aims to obtain a mathematical equation for predicting tooth loss in the elderly based on dental caries, tooth mobility, and periodontal pockets which have been shown to have an effect. MATERIALS AND METHODS: This research is a survey research with a cross-sectional design. The research subjects were 210 elderly people from Karikil Village, Mangkubumi District, Tasikmalaya City, sampling using the purposive sampling technique affected tooth loss, while the effects were dental caries, tooth mobility, and periodontal pockets. Tooth loss, dental caries, mobility of teeth, and periodontal pockets were measured using the fill-in format from the World Health Organization. Data analysis used the Chi-square correlation test and multiple logistic regression. RESULTS: The results of the Chi-square test analysis showed that the variables of dental caries and tooth mobility had a very significant effect on tooth mobility (p = 0.000 and 0.007). The pocket periodontal variable did not show a significant relationship to tooth mobility (p = 0.947). The results of the multiple logistic regression analysis of dental caries and tooth mobility together contributed 12.2% (R2 = 0.122) to tooth mobility in the elderly. Dental caries gave the greatest contribution to tooth loss, namely, 87.6%. CONCLUSION: Dental caries gives the greatest contribution compared to tooth mobility and periodontal pockets to the occurrence of tooth loss in the elderly. In the elderly, the higher the level of dental caries and tooth mobility, the higher the risk of tooth loss.

This community service activity is aimed at all Indonesian people by emphasizing promotion and reducing the impact of systemic diseases that manifest in the oral cavity with early diagnosis, prevention and effective management of systemic diseases. Health development with special attention to vulnerable groups, including mothers, babies, pre-school children, and school children, the elderly, and poor families. The health service program carried out by the government can be carried out at the community Health centers, in the implementation of the activities the community Health centers always conducts activities at the integrated service post. Integrated service post is one form of community-based health effort which is managed from, by, for and with the community, in order to empower the community and provide convenience to the community in obtaining basic health services. Lecturers of the Dental Nursing Department carry out the Tri Dharma of Higher Education, including organizing community service through Dental and Oral Health Services. The 2018 community serviceprogram is aimed at mothers of visitors to the RW XII Anyelir integrated service post, Kahuripan village, Tawang district, Tasikmalaya city, the objectives of the program are to increase integrated service post cadre knowledge about dental and oral health and to change family behavior. Besides being able to change health behavior, it is expected that the community service program can improve community knowledge by providing dental and oral health cadre training. The method used is by conducting counseling programs on dental and oral health and providing training on simple dental and oral examination (caries examination). The activity was held at integrated service post RW XII Kahuripan Village, Tawang District, where the activities were carried out by 3 dental health workers who were assisted by cadres in the local area.