Journal of Health and Dental Sciences

DENTAL CARIES IN CHILDREN AGED 6-12 YEARS USING THE "HI BOGI" APPLICATION IN CIMAHI ELEMENTARY SCHOOL IN 2021

Rina Putri Noer Fadilah, Henri Hartman, Ramadhani Putra Kusaeri — Tue, 30 Jan 2024 00:00:00 +0000

Caries are a dental and oral problem that most often occurs in elementary school-age children. The emergence of the COVID-19 pandemic has caused most dental examinations and treatments to be postponed, and only emergency dental procedures can be performed with teledentistry, one of which is the HI BOGI application has to prevent, educate or detect early dental and oral problems. This study aims to find out the description of caries in children aged 6-12 years using the "HI BOGI" application at Cimahi City Elementary School in 2021. The research subjects were 315 children obtained by cluster random sampling method. This research is descriptive and observational. According to WHO, the indicators and standards for measuring the severity of dental caries are the DMF-T index for assessing permanent teeth and the DMF-T index for primary teeth. The DMF-T/dmf-t (Decay Missing Filled Teeth) index is a value that indicates the severity of tooth decay due to caries. The results showed that from the DMF-T/dmf-t examination on 315 children, the results of the DMF-T and DMF-T index status results were the average value of the DMF-T index of 0.746 including the very low criteria and the average value of the dmf-t index was obtained of 1.39 is included in the low criteria. Based on the area of Cimahi City District, the DMF-T index in the North District (0.327) and Central (0.482) is very low. South District (1.582) is included as low, and for DMF index status in North (2) and Central District (1.254) including low and South District (0.835) is included as very low. In conclusion, the caries status of children aged 6-12 years at SD Kota Cimahi in 2021 is in the low-status category for primary teeth and very low for permanent teeth.

DOI : 10.54052/jhds.v3n3.p227-238

DESCRIPTION OF CHILDREN'S THUMB SUCKING HABIT IN KINDERGARTEN CIMAHI TENGAH INDONESIA

Widya Irsyad, Rhabiah EL Fitriyah, Ifa Muzdalifah — Tue, 30 Jan 2024 00:00:00 +0000

Thumb sucking is one of the most common oral habits in children. Thumb sucking could cause interference with thecclusion and jaw malformations which could lead to permanent teeth eruption if the problem persists. Thumb sucking habit causes contractions on the buccal and lips. Thumb sucking habit is a habit that is done more frequently compared to other oral habits, especially in the first year after birth. Based on that, research was done to find a thumb-sucking habits scheme for children aged 4-5 years in kindergarten in Central Cimahi District. This research is a descriptive study with a cluster random sampling method. The data were analyzed descriptively in a total sample of 236 parents of children aged 4-5 years in kindergarten in Central Cimahi District. The results showed 14 children (5.93%) had a thumb-sucking habit, eight children (57.14%) 4-year-old, six children (42.86%) were aged five years, seven boys (50%) and seven girls (50%), 2 mm overjet was found in ten children (71.43%), duration of sucking <1 hour/day by seven children (50%), and the sucking condition while playing as many as six children (42.86%). The conclusion of the study is the incidence of the thumb-sucking habit in Cimahi District kindergarten is low; the majority of 4-year-old end the same, duration thumb-sucking habit <1 hour/day, with a distance of 2 mm and overjet is done during when they are playing around.

DOI : 10.54052/jhds.v3n3.p239-248

DENTAL AGE ESTIMATION FROM TOOTH DEVELOPMENT: A LITERATURE REVIEW

Tue, 30 Jan 2024 00:00:00 +0000

Age estimation is among several standard methods for identifying unknown individuals in disasters, accidents, crime victims, and identity forgery. Age estimation can be done through observation of the growth and development of dentition. Similar to fingerprints, teeth are unique and specific for each individual. This article discusses the methods of age estimation based on observation of dentition's growth and development process. Demirjian, Gustafson, Kvaal, Gleiser and Hunt, Schour and Massler, and Cameriere are the most commonly used age estimation methods. Each method has its challenges and limitations. Therefore, applying more than one method or conducting a repetition of measurement and calculation could improve the accuracy of the estimation. However, the influence of factors like heredity, ethnicity, and genetic tendencies in a particular population should also be considered.

DOI : 10.54052/jhds.v3n3.p249-262

MANAGEMENT OF REMOVABLE DENTURES WITH FEW REMAINING TEETH

Isti Arifianti, Alyaa Nabiila Suharto — Tue, 30 Jan 2024 00:00:00 +0000

Tooth loss is the most common cause of decreased masticatory function. Losing teeth can also affect the oral cavity and general health, affecting a person's overall quality of life. Various things can cause tooth loss. The most common cause of tooth loss is poor oral health, especially caries and periodontal disease. Dentures can be made for patients who have lost all their teeth or have some remaining teeth. Retaining the remaining natural teeth can inhibit the alveolar bone resorption process and maintain bone height, thereby increasing the retention and stability of the denture. A 60-year-old female patient complained that many teeth were missing due to upper and lower jaw extraction, making it uncomfortable when eating and talking. The upper jaw has teeth 11, 21, 22, and 23 remaining, and the lower jaw still has 43 remain. The patient will have a removable denture with teeth 11, 23, and 43 as supporting teeth. The presence of a tooth can prevent alveolar bone resorption, especially if there is an occlusion load directly on the alveolar bone in edentulous cases. Natural teeth as supports can slow alveolar bone resorption and maintain retention and stabilization of dentures.

DOI : 10.54052/jhds.v3n3.p263-272

DENTIGEROUS CYST IN CHILDREN: A RARE CASE REPORT

Florence Meliawaty — Tue, 30 Jan 2024 00:00:00 +0000

Dentigerous cysts are growths of the jaw's epithelial lining that develop from the dental follicle of unerupted teeth. These cysts are usually found during routine radiography exams, associated with immature teeth. Dentigerous cysts typically don't cause symptoms unless they get big enough to swell. Third, molars and maxillary canines are frequently associated with most dentigerous cysts. A diagnosis is made based on histopathological, radiological, and clinical findings. We describe an instance of a dentigerous cyst that was connected to two immature mandibular premolar teeth. This rare case report discusses the treatment of a dentigerous cyst in the lower premolar region of the left mandible. Under local anesthesia, the patient had surgical treatment that included the removal of two primary teeth and enucleation of the cyst. The evaluation revealed that one week after surgery, the recovery was complete.

DOI : 10.54052/jhds.v3n3.p273-280

DESCRIPTION OF TOOTH-BRUSHING BEHAVIOR BEFORE AND AFTER COUNSELING WITH ROLLING TECHNIQUE IN SDN MELONG ASIH CIMAHI

Sri Sarwendah, Eq Reza, Intan Renita, Nabila Wira — Tue, 30 Jan 2024 00:00:00 +0000

Correct and routine brushing behavior is very influential on oral cavity health. The knowledge possessed by the individual will determine his health behavior so that someone with good knowledge will know the right attitude and behavior when exposed to disease. Brushing your teeth properly and regularly is very influential on the health of the oral cavity, so there needs to be counseling on how to brush your teeth properly and correctly. This study aimed to determine the picture of brushing behavior before and after counseling with Rolling Technique in Grade 3 Students of SDN Melong Asih 5. This study used an analytical descriptive study design by conducting counseling followed by dental and oral hygiene examination with the Oral Hygiene Index Simplified (OHI-S) index method. Based on the results obtained, it can be concluded that the OHI-S index in grade 3 students of SD Melong Asih 5 has decreased after counseling with poster media and dental pantum props that showed promising results; the rolling technique is quite effective in reducing the OHI-S index in SD Melong Asih 5 Cimahi students.

DOI : 10.54052/jhds.v3n3.p281-290

PARENTS' PERCEPTION OF HABITS AND KNOWLEDGE LEVEL OF ORAL HEALTH IN CHILDREN WITH SPECIAL NEEDS

Novita Sukma, Badi Soerachman — Tue, 30 Jan 2024 00:00:00 +0000

Children with special needs are defined as physical, mental, social, and emotional limitations that significantly influence growth and development. The restrictions affect oral health, so the parents' role is significant in improving oral health. This study aims to determine the perception of habits and the level of parents' knowledge regarding dental and oral health maintenance in children with special needs. The research used was a cross-sectional method using a questionnaire. The research sample consisted of parents of students from (Sekolah Luar Biasa (SLB) Citereup Cimahi, with a total sample of up to 91 children aged 6 - 18 years. Characteristics of students include mentally retarded, physically disabled, visual impairment, hearing impairment, autism and types with other disorders. The results showed that parents' perceptions of maintaining oral health are poor because some parents are still ignorant of the discipline of maintaining dental hygiene; on the contrary, more than 55 % of the level of knowledge was exemplary. The research results concluded that parents have good knowledge about oral health, but many parents still neglect to maintain oral health.

DOI : 10.54052/jhds.v3n3.p291-302

DENTIST’S ROLE IN COLLABORATIVE MANAGEMENT OF TETANUS PATIENT

Nurfitri Amaliah, Indriasti Indah Wardhany — Tue, 30 Jan 2024 00:00:00 +0000

Tetanus was a life-threatening infection causing muscle contractions. The need for qualified collaborative management was crucial due to the potential for poor prognosis and complications. Dentists can contribute significantly to the treatment, as the mouth can be one of the entry points for tetanus-causing bacteria. A 45-year-old male tetanus inpatient was referred from the Intensive Care Unit to the Oral Medicine Unit at Universitas Indonesia Hospital to evaluate the possible source of oral focus infection. A boil was on his back, suspected to be the main port of entry for tetanus bacteria. The definitive diagnosis was Tetanus of moderate to severe severity (Philips score 24, Dakar score 1, Ablett score 2). Extra oral examination shows lip inflammation. An intra-oral examination cannot be done optimally despite his trismus. The oral foci of infection found were chronic gingivitis and pulp necrosis on 47 48, in addition to the diagnosis of cheilitis simplex. Since the comprehensive management of the foci of infection could only be done in an outpatient setting, the nurse was instructed to clean the intra-oral using sterile gauze moistened with NaCl 0.9% solution to improve the patient's oral hygiene (OH). Comprehensive management includes periodically visiting to maintain OH, administering muscle relaxants, antibiotics, and analgesics, and administering Tetanus toxoid vaccination. The patient was recovered. Management of tetanus cases needs a multidisciplinary approach. Dentists are pivotal in identifying oral infection sources and ensuring its management. A dentist's role in the collaborative management of tetanus patients might significantly contribute to the patient's prognosis.

DOI : 10.54052/jhds.v3n3.p303-316

ORAL LICHEN PLANUS IN DRUG-RESISTANT PULMONARY TUBERCULOSIS PATIENT: A RARE CASE

Rani Handayani, Siska Erya Rahim, Virginia Nuriah Hikmawati, Hesti Setiastuti — Tue, 30 Jan 2024 00:00:00 +0000

Drug-resistant pulmonary tuberculosis (DR-TB) is a hurdle in controlling pulmonary tuberculosis. The mucocutaneous tissues, including the oral mucosa, can be impacted by DR-TB medication, although infrequent. Highlighting Oral Lichen Planus (OLP) as a rare oral finding of drug side effects in DR-TB patients. Two male patients in DR-TB Clinic RSUD Tangerang City were referred to the Oral Medicine Clinic for complaints in the oral cavity. Treatment for DR-TB was given to the patient in months 8 and 11. The microscopic examination and sputum culture were negative when consulted. The patient denied any oral cavity complaints before being diagnosed with DR-TB. The intraoral clinical examination showed erosive lesions with a white keratinized plaque on the lips, buccal mucosa, labial mucosa, and tongue consistent with OLP. Pharmacological management involved using corticosteroids for mouthwash and lip ointment with responsive results. Scheduled oral hygiene was also planned to eliminate focus infection in the oral cavity. OLP is a chronic inflammation of the oral mucosa mediated by immunological mechanisms and triggered by various agents. Drugs are one of the known triggers of OLP lesions. The findings of side effects in the oral mucosa tissue are believed to be a result of the DR-TB regimen of these two patients. Long-term drug use triggers the development of OLP in patients with DR-TB. OLP is an oral mucosa finding of drug side effects that is rarely reported in DR-TB patients.

DOI : 10.54052/jhds.v3n3.p317-332

A STUDY TO COMPARE EFFICACY OF DISINFECTANTS AGAINST STAPHYLOCOCCUS AUREUS IN UNIVERSITI SAINS ISLAM MALAYSIA

Tue, 30 Jan 2024 00:00:00 +0000

Different levels of active ingredients in disinfectants can be classified into three levels of disinfectants. Low-level and low-to-intermediate level disinfectants are commonly used in clinical contact surfaces, while high-level disinfectants are used on submerged inanimate objects that are heat sensitive. This study aimed to compare the disinfection efficacy of different disinfectants used in USIM Dental Polyclinic on rough and smooth surfaces against Staphylococcus aureusisolated from USIM Dental Polyclinic. 19 operators were enrolled to get 19 environmentalsamples from the glove-dominant hand after non-surgical extraction in the Oral Surgery Clinic. Staphylococcus aureus wasidentified, and an antibiotic susceptibility test was done to determine the methicillin-resistant Staphylococcus aureus(MRSA) strain. Two different levels of disinfectants for the disinfection of dental chairs were tested on rough and smooth surfaces that were contaminated experimentally by Staphylococcus aureus. The number of colonies without and after disinfection was counted, and the reduction percentagewas calculated and analyzed.Staphylococcus aureuswas detected in 68.42% (n=13) of the samples. 5.26% (n=1) of the samples were Staphylococcus sp. 26.32% (n=5) had no bacterial growth. No methicillin-resistant Staphylococcus aureusstrain was identified. There was no statistically significant difference (p>0.05) between the efficacy of the three disinfectants from two different levels used in USIM Dental Polyclinic on rough and smooth surfaces against Staphylococcus aureus. Theefficacy of different levels of disinfectants used in USIM Dental Polyclinic was comparable to each other on rough and smooth surfaces against Staphylococcus aureus

DOI : 10.54052/jhds.v3n3.p333-344