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"[ABSTRAKLatarbelakang: Perubahan akibat menua yang terjadi pada gigi dan jaringan sekitarnya dapat mempengaruh ikualitas hidup seseorang. Penelitian ini dilakukan untuk menganalisis hubungan antara status kesehatan gigi mulu tdengan kualitas hidup lansia menggunakan alat ukur Oral Health Assessment Tool (OHAT) dan Geriatric Oral Health Assessment Index (GOHAI). Di Indonesia, masih banyak daerah yang tidak terjangkau dokter gigi, sehingga diperlukan alat ukur yang dapat digunakan oleh tenaga kesehatan selain dokter gigi dan kader. Tujuan: Uji kesepakatan antar rater, validasi dan reliabilitas OHAT dan GOHAI, menganalisis hubungan kesehatan gigi mulut dan kualitas hidup serta mengetahui faktor yang paling berpengaruh terhadap kesehatan gigi mulut dan kualitas hidup lansia. Metode: Potong Lintang. Pencatatan data sosiodemografis dan pemeriksaan intraoral. Wawancara untuk pengisian kuesioner kualitas hidup lansia. Hasil: Penilaian antar rater dengan uji Kappa menunjukkan konsistensi yang cukup baik. Alat ukur kualitas hidup valid dan reliabel. Padauji chi-square, tidak terdapat hubungan antara status kesehatan gigi mulut dankualitas hidup. Kesehatan gigi mulut berhubungan bermaknadengan jenis kelamin (p=0.026) dan pendidikan (p=0.015). Kualitas hidup berhubungan bermakna dengan tingkat ekonomi (p=0.01). Kesimpulan: Alat ukur Oral Health Assessment Tool dan Geriatric Oral Health Assessment Index dapat digunakan di Indonesia. Tidak ada hubungan antara status kesehatan gigi mulut dan kualitas hidup lansia di Indonesia. Jenis kelamin merupakan faktor yang paling mempengaruhi kualitas hidup lansia.

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ABSTRACTBackground: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders.;Background: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders.;Background: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders.;Background: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders., Background: Alterations on oral tissue due to aging may affect one's quality of life (QoL). This study is to analyze the association between oral health status and QoL of the elders, using Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI). In Indonesia, many region are inaccessible by dentist, ergo an assessment tool that could be exercised by health care professionals other than dentist and caregiver is required. Objective: To analyze the inter-rater agreement, to validate the reliability of OHAT & GOHAI, to analyze the association between oral health status and QoL of the elders, and to explore the key factor. Methodology: Cross-sectional. Sociodemographic data were obtained, intraoral examination and interview for QoL questionnaire were conducted. Result: Kappa test result showed a substantial aggrement and QoL assessment tool was reported to be valid and reliable. Chi-square test result indicated that there was no significant relation between oral health status and QOL. However, significant relation was found between oral health status and sex (p = 0.026) and education (p = 0.015). Significant relation was also found between QoL and economy status (p = 0.01). Conclusion: OHAT and GOHAI were applicable in Indonesia. There were no association between oral health status and QOL of the elders in Indonesia. Sex is the key factor in determining QoL of the elders.]"

"Latar belakang: Penelitian ini bertujuan untuk mengetahui hubungan status kesehatan gigi dan mulut dengan kualitas hidup lansia. Metode Total 93 subjek dinilai status kesehatan gigi dan mulutnya menggunakan indeks DMFT dan status periodontal standart WHO, sedangkan kemampuan mastikasi menggunakan skor color changing chewing gum. Tingkat kualitas hidup dinilai menggunakan kuesioner GOHAI versi Bahasa Indonesia dan kuesioner WHO. Hasil: Nilai mean kuesioner WHO adalah 24,3. Kesulitan menggigit dan mengunyah makanan memiliki hubungan bermakna dengan jumlah gigi asli r=0,3; r=0,3 dan kemampuan mastikasi r=-0,4; r=-0,3. DT memiliki hubungan bermakna dengan kesulitan melakukan aktivitas sehari-hari r=0,2. Nilai mean GOHAI adalah 51,5. Kemampuan mastikasi memiliki hubungan bermakna dengan limitasi fungsi r=0,3, aspek psikologis r=0,2, dan pengaruh terhadap kehidupan sehari-hari r=0,3. Rasa sakit dan ketidaknyamanan memiliki hubungan bermakna dengan DT r=0,3 dan BOP r=-0,3. Kesimpulan: Terdapat hubungan antara status kesehatan gigi dan mulut terhadap kualitas hidup lansia.

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Background: This study aims to examine the relationship between oral health status and quality of life of independent living elderly. Methods Total of 93 subjects oral health status was recorded using DMFT index and WHO standarts periodontal index, and masticatory performance was recorded using color changing chewing gum. Quality of life was recorded using GOHAI and WHO questionnaire.

Results: Mean scores WHO questionnaire is 24,3. Significant relationship exist between difficulty in biting and chewing food with natural teeth r 0,3 r 0,3 and masticatory performance r 0,4 r 0,3. DT was positively correlate with difficulties doing usual activities r 0,2. Mean scores GOHAI Indonesian version is 51,5. Masticatory performance was positively correlate with functional limitation r 0,3, pshycology aspects r 0,2, and effect on daily performance r 0,3. Significant relationship exists between pain and discomfort with DT r 0,3 and BOP r 0,3.

Conclusion: There is significant relationship between oral health and quality of life."

"Latar belakang: Penelitian ini bertujuan untuk mengetahui hubungan tingkat oral health literacy (OHL)terhadap status klinis dan perilaku kesehatan gigi dan mulut serta denga faktor sosiodemografis pada lansia independen. Metode: Desain penelitian yang digunakan adalah cross-sectional dengan total 195 subjek lansia di Kota Depok berusia 60 tahun ke atas dengan pengisian data sosiodemografis, kuesioner dengan metode wawancara mengenai tingkat oral health literacy menggunakan HeLD-29, dan kuesioner perilaku menjaga kesehatan gigi dan mulut. Status klinis dinilai melalui pemeriksaan klinis menggunakan indeks DMF-T, status periodontal menggunakan CPI-modified, status pemakaian gigi tiruan, status kebersihan mulut menggunakan indeks OHI-S, serta penilaian kemampuan mastikasi secara subjektif. Hasil: Rerataskor oral health literacy pada penelitian ini adalah 3,45±0,67. Nilai Cronbachs alpha = 0.945. Validitas diskriminan memiliki hubungan signifikan dengan kemampuan mastikasi (p<0,01) dan validitas konvergen memiliki hubungan signifikan dengan gigi hilang, skor DMF-T, dan kemampuan mastikasi (p<0,01), serta gigi yang direstorasi (p<0,05). Terdapat hubungan bermakna antara beberapa domain HeLD-29 dengan status klinis kesehatan gigi dan mulut. Perbedaan bermakna secara statistik juga terdapat pada jumlah gigi yang hilang, gigi yang direstorasi, dan poket periodontal antara kelompok dengan oral health literacy rendah dengan kelompok dengan oral health literacy tinggi (p<0,05). Didapatkan pula perbedaan rerata skor oral health literacy yang bermakna pada variabel usia dan tingkat pendidikan, serta adanya hubungan signifikan antara nilai DMF-T dengan frekuensi kunjungan ke dokter gigi dan antara perdarahan gingiva dengan status merokok. Kesimpulan: Terdapat hubungan antara tingkat oral health literacy dengan status klinis kesehatan gigi dan mulut serta dengan faktor sosiodemografis yaitu usia dan tingkat pendidikan pada lansia independen. Terdapat hubungan antara status klinis dengan perilaku kesehatan gigi dan mulut.

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Background: The aim of this study is to evaluate the association between oral health literacy(OHL), oral healthstatus, and oral health behavior of independent elderly.

Methods: Cross-sectional study involved 195 independent living elderly in Depok aged 60 and above. The subjects completed a self-administered questionnaire collectin information about socio-demographics, Health Literacy in Dentistry (HeLD-29) questionnaire to assessed oral health literacy, and oral health behavior questionnaire by interviewing subjects. Oral health status was recorded by clinical oral examination using DMF-T index, CPI-modified, denture status, OHI-S, and the masticatory performance wasassessed subjectively.

Results: Oral health literacy mean score in this study is 3,45±0,67. The Cronbachs alpha = 0.945. The discriminant validity were confirmed by HeLD scores being significantly associated with mastication ability(p<0.01). The convergent validity were confirmed by HeLD score being significantly associated with amount of tooth loss, DMF-T score, and mastication ability (p<0,01) also with amount of filled teeth (p<0,05). There were correlations between some HeLD-29 domain with oral health status. There were significant differences of amount of tooth loss (M-T), amount of filled teeth (F-T), and amount of deep pocket between the group with low oral health literacy and the group with high oral health literacy (p<0,05). Statistical differences were also found between oral health literacy mean score amongst age and education level group. There were also correlations between DMF-T score and dental visits and between amount of bleeding on probing and smoking status of the subjects.

Conclusion: Oral health literacy was associated with oral health status and the socio-demographics such as age and education level there is a relationship between oral health status and oral health behavior in independent elderly."

"Pendahuluan: Kesehatan gigi dan mulut yang baik pada lansia dapat memberikan dampak yang positif dan negatif pada kesehatan tubuh lansia. Hal tersebut dapat dipicu dari diri lansia dan faktor pelayanan kesehatan gigi. Para lansia, baik yang memiliki keterbatasan fisik maupun tidak, cenderung kurang baik dalam menjaga kebersihan gigi dan mulutnya sehingga perawatannya bergantung pada orang lain, terutama bagi lansia yang tinggal di panti. Pramurukti memegang peran yang besar dalam perawatan lansia, termasuk perawatan kesehatan gigi dan mulut. Maka dari itu, Chalmers (2003) mengembangkan alat yang bisa digunakan oleh pramurukti untuk mengukur status kesehatan gigi dan mulut, yaitu Oral Health Assessment Tool (OHAT). Namun, belum ada penelitian di Indonesia mengenai penggunaan OHAT oleh pramurukti dan perbandingan tingkat konsistensinya dengan dokter gigi. Oleh sebab itu, perlu dilakukan penelitian kembali guna mendapatkan perbandingan hasil penilaian antar dokter gigi dan pramurukti saat menggunakan OHAT. Tujuan: Mengetahui tingkat konsistensi pada hasil dari penilaian status kesehatan gigi dan mulut lansia yang diukur menggunakan OHAT oleh pramurukti dan dokter gigi pada panti lansia di Jakarta. Metode: Studi cross-sectional dengan data primer berupa pemeriksaan langsung. Hasil: Dari 70 lansia yang dilakukan pemeriksaan klinis, didapatkan hasil analisis dengan uji kappa agreement, yaitu, dilaporkan bahwa dokter gigi dan pramurukti memiliki persepsi yang berbeda-beda, dengan tingkat konsistensi terendah pada kategori gusi dan jaringan lunak mulut lainnya yang memiliki konsistensi yang buruk/positive disagreement, serta nilai konsistensi tertinggi pada kategori sakit gigi yang memiliki konsistensi yang mendekati sempurna. Pada kategori lidah dan air liur/ludah mendapat tingkat konsistensi sedang, sedangkan kategori bibir dan kebersihan mulut mendapatkan tingkat konsistensi cukup. Pada kategori gigi asli mendapatkan tingkat konsistensi sedikit buruk. Sementara itu, kategori gigi palsu memiliki hasil penilaian yang konstan. Kesimpulan: Bervariasinya tingkat konsistensi tersebut dapat dipengaruhi dari kondisi lansia dan pramurukti itu sendiri. Walaupun demikian, OHAT ini merupakan alat yang dapat digunakan oleh pramurukti dalam mengecek kondisi gigi dan mulut lansia sehari-hari.

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Introduction: Good oral and dental health in the elderly can have both positive and negative impacts on the health of the elderly’s body. This can be triggered by the internal factors in the elderly themselves and from the dental health service factors. Older people, whether they have physical limitations or not, they tend to be poor at maintaining oral hygiene and so they depend on other people for their oral care, especially older people who live in institutions. Caregiver plays a crucial role in providing health care to older people, including dental and oral health care. Therefore, Chalmers (2003) developed a tool that can be used by caregivers to measure dental and oral health status, namely the Oral Health Assessment Tool (OHAT). However, there has been no research that conducted in Indonesia regarding the use of OHAT by caregivers and the comparation of the level of consistency with dentists. Therefore, a research is required to obtain a comparison of results between dentists and caregivers when using OHAT. Objectives: This study aims to determine the level of consistency in the results of assessing the dental and oral health status of the elderly using OHAT by caregivers and dentists at elderly homes in Jakarta. Methods: A cross-sectional study was conducted using primary data through clinical examination. Results: Out of 70 elderly who underwent a clinical examination, the results of the analysis using the kappa agreement test were obtained, it was reported that dentists and caregivers had different perceptions, with the lowest level of consistency in the category of gums and other oral soft tissue which had poor/positive disagreement, as well as the highest consistency score in the toothache category which has a consistency that is close to perfect. The tongue and saliva categories received a moderate level of consistency, while the lips and oral hygiene categories received a sufficient level of consistency. In the natural teeth category, the level of consistency is slightly worse. Meanwhile, the denture category has constant assessment results. Conclusion: The varying levels of consistency can be influenced by the condition of the elderly and the caregivers themselves. However, OHAT is a tool that can be used by caregivers to check the condition of the mouth of the elderly on a daily basis."

"Latar Belakang : Penurunan kapasitas fisik dan peningkatan risiko penyakit terjadi seiring pertambahan usia. Kesehatan rongga mulut saling berhubungan dengan kesehatan umum. Selain itu, adanya ketidakmerataan dokter gigi menjadi alasan dibutuhkannya kerjasama antara dokter gigi dan tenaga kesehatan selain dokter gigi, seperti mahasiswa bidang kesehatan. Penelitian ini, dilakukan untuk menganalisis penilaian kesehatan gigi dan mulut lansia oleh mahasiswa bidang kesehatan dibandingkan dengan dokter gigi menggunakan Oral Health Assessment Tool (OHAT). Tujuan : Untuk mengetahui reliabilitas OHAT versi Bahasa Indonesia yang dilakukan oleh mahasiswa bidang kesehatan dan dokter gigi. Metode : Penelitian deskriptif analitik potong lintang pada 57 lansia Panti Werdha Budi Mulia 03 dengan pencatatan data sosiodemografis dan pemeriksaan intraoral menggunakan kuesioner oleh mahasiswa bidang kesehatan dan dokter gigi. Hasil Penelitian : Terdapat perbedaan bermakna terhadap rerata total OHAT versi Bahasa Indonesia. Reliabilitas antar pemeriksa terhadap total skor OHAT adalah sedang. Reliabilitas kesepakatan antar pemeriksa terhadap penilaian 8 kategori OHAT versi Bahasa Indonesia buruk hingga kuat. Kesimpulan : Diperlukan pelatihan kepada mahasiswa bidang kesehatan yang memadai terkait penilaian rongga mulut lansia menggunakan OHAT versi Bahasa Indonesia untuk meningkatkan reliabilitas antar pemeriksa.

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Background: Decreased physical capacity and increased risk of disease occur with increasing age. Oral health is interconnected with general health. Apart from that, the unequal distribution of dentists is the reason for the need for collaboration between dentists and health workers other than dentists, such as health students. This research was conducted to analyze the assessment of the dental and oral health of the elderly by health students compared to dentists using the Oral Health Assessment Tool (OHAT). Objective: To determine the reliability of the Indonesian version of OHAT carried out by health and dentist students. Method: Cross-sectional analytical descriptive research on 57 elderly people at Budi Mulia 03 Nursing Home by recording sociodemographic data and intraoral examination using questionnaires by health students and dentists. Research Results: There is a significant difference in the total mean of the Indonesian version of OHAT. Inter-examiner reliability of the total OHAT score was moderate. The reliability of agreement between examiners regarding the assessment of the 8 OHAT categories in the Indonesian version was poor to substantial agreement. Conclusion: Adequate training is needed for health students regarding the assessment of the oral cavity of the elderly using the Indonesian version of the OHAT to increase inter-examiner reliability."

"Osteoporosis tulang mandibula dapat diukur menggunakan indeks penurunan densitas tulang mandibula dimana dapat digunakan dokter gigi dalam membuat rencana perawatan sehingga kegagalan akibat faktor osteoporosis dapat dicegah terutama dalam perawatan prostodonsia. Tujuan penelitian ini adalah untuk menganalisis hubungan osteoporosis tulang rahang dan kualitas hidup dari aspek kesehatan gigi dan mulut lansia penelitian dilakukan dengan metode potong lintang. Penelitian dilakukan dengan pencatatan data sosio demografis, pemeriksaan intraoral, wawancara utuk pengisian kuesioner indeks densitas tulang mandibula dan kuesioner kualitas hidup lansia. Hasil uji chi-square, tidak terdapat hubungan antara osteoporosis tulang rahang dan kualitas hidup dari aspek kesehatan gigi dan mulut lansia.

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Osteoporosis in mandibular bone can be measured by mandibular bone density index which is tool for early detection of osteoporosis in mandibular bone that can be used by dentists in planning a treatment so that failure caused by osteoporosis can be prevented especially in prosthodontics treatment. The objective of this studies is to analyze the relationship between and oral health related quality of life in elderly patient with cross sectional studies. Sociodemographic data were obtained, intraoral examination and interview for mandibular bone density index and oral health relatred quality of life questionnaire were conducted. Chi square results indicated that there was no significant relation between mandibular bone osteoporosis and oral health related quality of life in elderly patient. "

"Latar belakang: Keadaan mulut yang buruk berdampak pada kualitas hidup lansia. Studi sebelumnya telah mendapatkan alat ukur kualitas hidup namun subjek yang digunakan adalah pasien geriatri. Oleh karena itu diperlukan alat ukur yang baru yang dapat digunakan pada lansia yang sehat. Tujuan: Mendapatkan alat ukur kualitas hidup lansia yang baru ditinjau dari aspek kesehatan gigi dan mulut, menganalisis hubungan antara kualitas hidup dengan kesehatan gigi dan mulut dan mengetahui faktor yang paling mempengaruhi kualitas hidup lansia. Metode: Cross-sectional pada 101 lansia. Pencatatan data sosiodemografis dan pemeriksaan intraoral. Wawancara untuk pengisian kuesioner kualitas hidup lansia dengan alat ukur yang telah divalidasi. Hasil: Uji validitas dan reliabilitas menunjukkan hasil yang baik. Hasil uji chisquare untuk variabel sosiodemografik, OHI-S berhubungan bermakna dengan penghasilan (p=0.01) dan pendidikan (p=0.004) dan DMF-T berhubungan bermakna dengan usia (p=0.04). Faktor risiko yang masuk ke dalam model multivariat adalah variabel usia (p<0.250), variabel penghasilan (p=0.006), variabel skor OHI-S (p=0.001) dan variabel skor DMF-T (p=0.004). Faktor yang paling berkontribusi pada kualitas hidup adalah skor DMF-T (p=0,006; OR=3,328), diikuti skor OHI-S (p=0,009; OR= 3,289), dan tingkat ekonomi (p=0,005; OR=3,318). Kesimpulan: Diperoleh alat ukur kualitas hidup yang valid dan reliabel. Faktor yang mempengaruhi kualitas hidup lansia antara lain DMF-T, OHI-S dan tingkat ekonomi.

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Background: Poor oral health can impact elderly's quality of life. Previous study has already create a new Oral Health related Quality of Life but the index was mainly use for geriatric patients, therefore the new OHRQoL index was needed for healthy elderly.

Objective: to get a new oral health related quality of life (OHRQoL) index for elderly, to analyze the correlation between eldery quality of life and their oral health conditions and to determine factors that contribute the most in their quality of life.

Methods: Cross-sectional study was performed towards 101 elderly. Their demographic data was collected, intra oral examination was performed. OHRQoL status was measured using a new index that combines several index and already tested its validity and reliability in a personal interview.

Result: the new OHRQoL index had a good validity and reliability.Chi-square test showed, OHI-S score was strongly associated with income (p=0.01) and education (p=0.004) and DMF-T score was strongly associated with age (p=0.04). OHI-S (p=0.001), age (p<0.025), income (p=0.006) and DMF-T score (p=0.004) are risk factors that were incorporated into multivariate model. From the final multivariate model, DMF-T score (p=0,006; OR=3,328), contributed most to OHRQoL, followed by OHI-S score (p=0,009; OR= 3,289), and income (p=0,005; OR=3,318).

Conclusion: The new OHRQoL index is valid and realiable to measure the elderly OHRQoL. DMF-T score is the factor that contribute the most in elderly OHRQoL followed with OHI-S score and income. "

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Latar belakang:ECC merupakan masalah kesehatan gigi dan mulut dengan prevalensi dan keparahan yang tinggi, termasuk di Indonesia. Kondisi ini dapat berdampak ke kualitas hidup anak. Adanya berbagai faktor yang mempengaruhi ECC antara lain praktik kebersihan gigi dan mulut serta konsumsi makanan kariogenik. Usia 5 tahun merupakan waktu akhir periode gigi sulung sebelum akhirnya digantikan oleh gigi permanen. Tujuan:Mengetahui hubungan praktik kesehatan gigi dan mulut serta status karies gigi sulung terhadap kualitas hidup anak usia 5 tahun. Metode:Studi Cross-sectionalpada 266 anak berusia 5 tahun pada bulan Agustus-Oktober 2019 yang terpilih dengan metode multistage cluster random sampling dari TK di Jakarta Timuryang memenuhi kriteria inklusi anak berusia 60-71 bulan, kooperatif, dan orangtua bersedia mengisi informed consent. Seluruh orangtua subjek diminta untuk melengkapi kuesioner yang bersisi pertanyaan terkait karakteristik sosiodemografik, praktik kesehatan gigi dan mulut, serta kualitas hidup anak persepsi orang tua (SOHO-5p). Pada anak, dilakukan pemeriksaan status karies gigi sulung berupa indeks dmft dan pufa serta diwawancara terkait kualitas hidup anak persepsi sendiri (SOHO-5c). Digunakan uji beda Contuinity Correction, Pearson Chi Square, Mann Whitney, dan Kruskall Wallis serta Uji korelasi spearman untuk analisis statistik. Hasil: prevalensi ECC pada 266 anak adalah 88,7% dan pufa >0 sebanyak 35%. Terdapat hubungan yang bermakna antara praktik kebersihan gigi dan mulut terhadap indeks dmft (r=0,19;p=0,01) dan skor SOHO-5p (r=0,27;p<0,001) serta praktik konsumsi makanan kariogenik terhadap indeks dmft (r=0,14;p<0,01), dan SOHO-5p (r=0,27;p=0,013). Status karies gigi sulung memiliki hubungan yang bermakna dengan SOHO-5 (p<0,001). Seluruh variabel SOHO-5p memiliki hubungan yang bermakna dengan indeks dmft dan indeks pufa (p<0,05) kecuali menghindari tersenyum karena penampilan terhadap indeks pufa. Tetapi, hanya skor total SOHO-5c, variabel kesulitan makan, dan kesulitan tidur yang memiliki hubungan yang bermakna terhadap indeks dmft dan indeks pufa (p<0,001). Secara umum, tidak terdapat perbedaan bermakna antara SOHO-5p dan SOHO-5c kecuali pada variabel kesulitan tidur (p=0,001), menghindari tersenyum karena rasa sakit (p=0,002), dan menghindari tersenyum karena penampilan (p=0,042) Kesimpulan:Terdapat hubungan yang bermakna antara status karies gigi sulung dan SOHO-5 tetapi hanya SOHO-5p yang memiliki hubungan bermakna dengan praktik kesehatan gigi dan mulut.. Tidak terdapat perbedaan persepsi yang bermakna antara SOHO-5p dan SOHO-5c sehingga orangtua dapat dijadikan penilai proksi dari kualitas hidup anak, tetapi kedua persepsi tetap diperlukan untuk menghindari informasi yang hilang. 

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Background:ECC is a dental health problem with high prevalence and severity, including in Indonesia. This condition will affect child’s Oral-Health Related Quality of Life (OHRQoL). Factors that cause ECC are multifactorial, one of which is oral hygiene practice and comsumption of cariogenic meals. 5 years old is the late period of primary dentition before it’ll changed to permanent dentition Objective: To analyze relationship between oral health practice and early childhood caries with 5 years old children’s quality of life in Jakarta Timur. Method: Cross-sectional study in 266 5 years old children during August-October 2019 that chosen with multistage cluster random sampling from preschools in Jakarta Timur that fulfilled inclusion criteria child aged 60-71 month, cooperate, and parents had signed informed consent. All parents completed questionnaire about sociodemographic characteristic, oral health practice, and parent perception of child quality of life (SOHO-5p). Children were examined with dmft and pufa index and also interviewed about their perception of self quality of life (SOHO-5c). Result: Prevalence of ECC for 266 children is 88,7% with 35% have pufa index >0. There’s a significant relationship between oral hygiene practice with dmft index (r=0,19;p=0,001) and SOHO-5p(r=0,27;p<0,001) so does cariogenic meals consumption with dmft index (r=0,14;p<0,001) and SOHO-5p (r=0,27;p=0,013). ECC has significant relationship with SOHO-5 (p<0,05). All variables in SOHO-5p has significant relationship with dmft dan pufa index(p<0,05) except avoid smiling because of appearance towards pufa index. But, only total score of SOHO-5c,‘difficult eat’ and ‘difficult sleep’ variables have significant relationship with dmft and pufa index (p<0,001). In general, there’s no statistically difference between mother-child perception in SOHO-5p and SOHO-5c except in ‘difficult sleep’ (p=0,001), ‘avoid smiling because of pain’ (p=0,002) and ‘avoid smiling because of appearance’(p=0,042). Conclusion:There’s significant relationship between ECC and SOHO-5 but only the parental version has significant relationship with oral health practice. There’s no significant difference between SOHO-5p and SOHO-5c thus parents could be the proxy rater for their child but both perception still needed to avoid missing information.

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"Latar Belakang: Komponen terbesar pada indeks DMFT ialah kehilangan gigi dan terjadi paling banyak pada kelompok lansia. Kehilangan gigi dapat mempengaruhi kemampuan dalam mengunyah makanan sehingga berdampak pada kurangnya asupan nutrisi. Metode: Metode potong lintang yang dilakukan di 4 Puskesmas di wilayah Jakarta Pusat, Jakarta Selatan dan Jakarta Timur. Jumlah subjek lansia ialah sebanyak 93 subjek dan didapatkan melalui teknik convenience sampling. Pada subjek dilakukan pemeriksaan intraoral, pengukuran antropometri BMI dan diwawancara menggunakan kuesioner Mini Nutritional Assessment MNA. Hasil: Ditemukan bahwa 53,8 subjek masih memiliki jumlah gigi sebanyak 20 buah atau lebih. Sebanyak 55,9 subjek memiliki risiko terhadap malnutrisi. Hasil uji korelasi menunjukkan bahwa tidak terdapat hubungan yang bermakna antara jumlah gigi yang tersisa, gigi karies, gigi hilang, gigi yang ditambal dan kemampuan mastikasi p > 0,05 dengan status nutrisi. Kesimpulan: Tidak terdapat hubungan antara status kesehatan gigi dan mulut dan kemampuan mastikasi terhadap status nutrisi pada lansia.

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Background: The biggest component in DMFT index is tooth loss, and mostly occur in elderly. Tooth loss can affect the ability in chewing food then it may affect the lack of nutrition intake.

Methods: The cross sectional study was performed in 4 community health center in Central Jakarta, South Jakarta and East Jakarta. It was involving 93 elderly age ge 60. The sampling method was convenience sampling. Subjects were submitted to intraoral examination, anthropometric measurement BMI and as well as interview using Mini Nutritional Assessment MNA.

Results: 53,8 subjects have 20 or more sum of natural teeth. 55,9 subjects have risk at malnutrition. The results of correlation test showed that sum of natural teeth, decay teeth, missing teeth, filling teeth, and masticatory performance p 0,05 were not significantly correlated with nutritional status BMI and MNA.

Conclusion: There is no relationship between oral health status and masticatory performance with nutritional status in elderly."