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"Latar Belakang: Kehilangan gigi dapat menyebabkan terganggunya fungsi mastikasi sehingga dapat mempengaruhi status nutrisi pralansia dan lansia. Pemakaian gigi tiruan dapat mengembalikan fungsi gigi yang hilang sehingga diharapkan dapat meningkatkan status nutrisi. Keberhasilan perawatan gigi tiruan selain dipengaruhi oleh penilaian dokter gigi juga dipengaruhi oleh penilaian pasien. Penilaian dari pasien diukur oleh tingkat kepuasaan pasien. Faktor yang mempengaruhi kepuasaan pasien diantaranya adalah fungsi mastikasi yang berpengaruh pada status nutrisi pasien. Tujuan: Menganalisis hubungan kepuasan pemakaian gigi tiruan lepasan menggunakan kuesioner Turker’s patient’s perceptions-ID dengan status nutrisi menggunakan kuesioner Mini Nutritional Assessment- Short Form (MNA-SF) pada pralansia dan lansia. Menganalisis pengaruh faktor usia, jenis kelamin, tingkat pendidikan, jenis gigi tiruan lepasan, klasifikasi Eichner, dan lama pemakaian gigi tiruan lepasan terhadap tingkat kepuasan pemakai gigi tiruan dan status nutrisi. Metode: 88 subjek (27 laki-laki dan 61 perempuan) berusia 45 tahun ke atas berpartisipasi dalam penelitian ini. Dilakukan pencatatan data diri subjek, pemeriksaan rongga mulut, pengukuran berat dan tinggi badan, serta wawancara kuesioner Turker’s patient’s perceptions-ID dan MNA-SF. Hasil penelitian: Tingkat kepuasan pemakai gigi tiruan lepasan memiliki hubungan bermakna dengan status nutrisi pada pralansia dan lansia (p < 0,05). Kepuasan pasien dan status nutrisi memiliki hubungan bermakna dengan usia, tingkat pendidikan, jenis gigi tiruan lepasan dan klasifikasi Eichner. Kesimpulan: Semakin tinggi tingkat kepuasan pasien terhadap gigi tiruan lepasanya maka akan semakin baik tingkat status nutrisinya.

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Background: Tooth loss can cause disruption of mastication and may affect the nutritional status of pre-elderly and elderly. Denture wearing can improve tooth function so it may improve patient’s nutrition. The success of denture treatment is not only influenced by the assessment of the dentist but also influenced by the assessment of the patient. Patient assessment is measured by the level of patient satisfaction. Mastication is one of factors that influence patient satisfaction which can affects patients nutritional status.

Objective: The aim of this study is to analyze the relationship between satisfaction of removable denture using the Turker's patient's perceptions-ID questionnaire and nutritional status using the MNA-SF questionnaire in the elderly, and analyze the influence of age, gender, education level, type of removable denture, Eichner classification, duration of using removable dentures to denture satisfaction level and nutritional status.

Method: 88 subjects (27 male and 61 female) aged 45 years and older were included in the study. Subjects personal data, oral examination, weight and height measurement were obtained, and interview for Turker’s patient’s perceptions-ID and MNA-SF were conducted.

Results: The level of satisfaction of removable denture users had a significant relationship with nutritional status in elderly (p <0.05). Patient satisfaction and nutritional status have a significant relationship with age, level of education, type of removable denture and tooth loss based on Eichner's classification.

Conclusion: The better level of patient satisfaction with their removable dentures, the better their nutritional status is."

"ABSTRAKLatar belakang: Jumlah penduduk lansia yang semakin banyak di Indonesia harus mendapat perhatian khusus, agar tetap sehat, aktif dan produktif sehingga tidak menjadibeban baik keluarga, masyarakat dan negara. Salah satu upaya yang dilakukan adalah memperbaiki nutrisi yang merupakan bagian penting dalam kesehatan lansia. Kehilangan gigi dan pemakaian gigi tiruan merupakan faktor yang berpengaruh terhadap nutrisi lansia disamping faktor lain seperti usia, jenis kelamin, pendidikan,sosioekonomi dan lainnya. Beberapa penelitian tentang hubungan antara kehilangan gigi dan pemakaian gigi tiruan terhadap nutrisi lansia memberikan hasil yang berbedabeda. Tujuan: Menganalisis pengaruh jumlah kehilangan gigi dan lamanya pemakaian gigi tiruan lepasan terhadap asupan dan status nutrisi lansia. Metode: Desainobservational cohort dilakukan untuk mengevaluasi asupan dan status nutrisi pada 26 partisipan dengan kehilangan gigi yang diklasifikasikan berdasarkan indeks Eichner danakan mendapatkan perawatan pembuatan gigi tiruan. Asupan nutrisi dievaluasi menggunakan Food Frequency Questionnaire, status nutrisi dievaluasi menggunakanMini Nutrional Assesment-Short Form dan kekuatan Handgrip (HGS). Evaluasi dilakukan sebelum dan pada 1, 2, 3, 6, 9, dan 12 bulan setelah memakai gigi tiruan. Uji Independent T Test dan Mann Whitney digunakan untuk menganalisis asupan nutrisi. Uji Chi Square digunakan untuk menganalisis status nutrisi. Uji Independent T Testdigunakan untuk menganalisis nilai HGS. Uji statistik Repeated Anova digunakan untuk membandingkan asupan nutrisi dan nilai HGS pada tiap waktu pengukuran. Uji statistik Friedman digunakan untuk membandingkan status nutrisi pada tiap waktu pengukuran. Hasil: Total sampel 26 partisipan di kelompok Eichner B sebanyak 10 orang (38,5%) dan Eichner C sebanyak 16 orang (61,5%). Terdapat perbedaan bermakna (p<0.05) asupan nutrisi antara kelompok Eichner B dan C pada 3, 6, 9, 12 bulan setelahpenggunaan gigi tiruan. Terdapat perbedaan bermakna (p<0.05) asupan nutrisi antara sebelum dengan 1, 2, 3, 6, 9, dan 12 bulan setelah pemakaian gigi tiruan, serta antara 1 bulan dibandingkan dengan 2, 3, 6, dan 9 bulan setelah pemakaian gigi tiruan. Tidak terdapat perbedaan bermakna status nutrisi antar kelompok kehilangan gigi, tetapi terdapat perbedaan bermakna (p<0.05) status nutrisi antara sebelum dengan 1, 2, 3, 6, 9, dan 12 bulan setelah pemakaian gigi tiruan. Terdapat perbedaan bermakna nilai HGS antara kelompok Eichner B dan C pada 6, 9, 12 bulan setelah pemakaian gigi tiruan. Tidak terdapat perbedaan bermakna nilai HGS berdasarkan lama pemakaian gigi tiruan. Kesimpulan: Pemakaian gigi tiruan lepasan dapat meningkatkan asupan dan status nutrisi

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Background: An increasing number of elderly people in Indonesia must get special attention, in order to remain healthy, active and productive so that it does not become a burden to their families, communities and countries. One of the efforts is to improve the nutrition which is an important part for their health. In addition to other factors such as age, sex, education, socioeconomics and others, tooth loss and denture wearing are other factors that can influences their nutrition. Several existing studies on the relationship between tooth loss and wearing denture on elderly nutrition have conflicting results. Objective: To analyze the effect of the amount of tooth loss and the duration of the use of removable denture on the nutritional intake and status of the elderly. Method: 26 participants with tooth loss based on Eichner Index received denture treatment and evaluated in terms of their nutritional intake using observational cohort design. The nutritional intake was evaluated using Food Frequency Questionnaire, the nutritionalstatus was evaluated using Mini Nutrional Assessment-Short Form and strength of handgrip (HGS). The evaluation is done before wearing denture and the evaluationcontinues after 1, 2, 3, 6, 9, and 12 months. Independent T Test and Mann Whitney Test are used to analyze nutritional intake. Chi Square Test is used to analyze nutritional status. Independent T Test is used to analyze handgrip values. Repeated Anova statistical tests were used to compare nutritional intake and handgrip values in every evaluation procedure. Friedman's statistical test was used to compare nutritional status in every evaluation procedure. Result: Total sample is 26 participants with tooth loss in the Eichner B group were 10 people (38.5%) and the Eichner C group were 16 people(61.5%). There was a significant difference (p<0.05) in nutrient intake between Eichner B and C at 3, 6, 9, 12 months after wearing dentures. There was a significant difference (p<0.05) of nutritional intake before compared to 1, 2, 3, 6, 9, and 12 months after wearing dentures, and also between 1 month compared to 2, 3, 6, and 9 months after wearing dentures. There was no significant difference in nutritional status between thegroups of tooth loss, but there was a significant difference (p< 0.05) between the nutritional status before compare to 1, 2, 3, 6, 9, and 12 months after wearing dentures. There was a significant difference (p< 0.05) in handgrip values between Eichner B and C at 6, 9, 12 months after wearing dentures. There was no significant difference in handgrip values between in every evaltion procedure. Conclusion: Wearing removabledentures can improve nutritional intake and nutritional status."

"Candidal leukoplakia pada pasien dengan gigi tiruan lepasan. Infeksi kandida merupakan masalah yang umum terjadi pada pasien dengan gigi tiruan lepasan, dengan bentuk tersering adalah denture stomatitis. Namun, bentuk lain dari infeksi candida juga dapat terjadi pada pasien dengan gigi tiruan lepasan, seperti halnya candidal leukoplakia. Kami melaporkan seorang pasien wanita berusia 61 tahun yang mengeluhkan adanya lesi yang sakit di bawah gigi tiruan rahang bawahnya. Pemeriksaan klinis menunjukkan adanya plak putih yang tidak dapatdiangkat di atas ulkus pada daerah lingual prosesus alveolaris di bawah plat gigi tiruan lepasan rahang bawah dan area eritematous pada palatum durum di balik plat gigi tiruan rahang atas. Pasien diduga mengalami candidal leukoplakia pada rahang bawah dan denture stomatitis pada palatum. Perawatan pasien meliputi suspensi oralmengandung nistatin, larutan klorheksidin, multivitamin, disertai penggantian gigi tiruan dan pendidikan kesehatan mulut. Semua lesi membaik dalam terapi selama 2 bulan. Perawatan infeksi kandida pada pasien dengan gigi tiruan tidak hanya memerlukan terapi medikasi ataupun penggantian gigi tiruan, namun diperlukan juga kepatuhanpasien untuk memperoleh hasil yang maksimal.

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Candida infection is a common problem in patients using removable dentures, with the most frequent type is denture stomatitis. But other type of candidal infection could also happen in these patients, such as candidal leukoplakia. We reported a 61 years old female patient who complained a painful lesion under her lower removable denture. Oral examination revealed white plaque that could not be rubbed over an ulcer on the lingual part of alveolar processes under the lower removable denture plate, and also an erythematous area on palatum durum above the upper full denture. The patient was suspected to have candidal leukoplakia on the lingual part of the mandible and denture stomatitis on the palate area. The treatment consisted of nystatin oral suspension, chlorhexidine solution, multivitamins, along with denture replacement and oral health education. The entire lesion resolved within 2 months therapy. Candidal infection treatment on denture patient needs not only medication or denture replacement, but also patient compliance to achieve maximal result."

"Indonesian Journal of Dentistry 2006: Edisi Khusus KPPIKG XIV: 148-154Removable Partial Denture Management on Post-Menopause Osteoporotic FemaleOsteoporosis a condition of generalized skeletal fragility caused by diminishing bone amount and disturbance in bone microarchitecture with implication that the bone ability to withstand forces is decreased.This condition leads to more bone resorption. Some researches show that this condition also affects jaw bone. Therefore we must take this condition into consideration during prosthodontic treatment. Dental prostheses are made to restore stomatognatic function as well to preserve what was left including residual alveolar bone. The ability ofdental prostheses to preserve residual alveolar bone differs according to type of prostheses. The case presented here proposing the treatment of an osteoporotic old female in Prosthodontic Clinic FKG Ul with removable partial denture. Considerations inselecting the type and design of dental prostheses and attempts to modif, factors that might play a role in bone resorption in connection with patient's physical and psychological status will be discussed. Thorough examination, careful planning and good communication with patient can provide optimum result."