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"Tujuan: Mendapatkan alat ukur kepuasan pasien terhadap gigi tiruan lengkap yaitu Patient's Denture Assessment PDA versi Indonesia yang valid dan reliabel serta menganalisis hubungan antara kepuasan pasien terhadap gigi tiruan lengkap dengan kemampuan mastikasi, usia, jenis kelamin, tingkat pendidikan, pengalaman serta lama pemakaian gigi tiruan lengkap. Metode: 101 subjek 50 laki-laki dan 51 perempuan berusia 45 tahun keatas, berpartisipasi dalam uji validasi dan reliabilitas kuesioner PDA bahasa Indonesia. Uji statistik Chi-Square dan regresi logistik digunakan untuk menganalisis hubungan antara kepuasan pasien terhadap gigi tiruan lengkap dengan kemampuan mastikasi, usia, jenis kelamin, tingkat pendidikan, pengalaman serta lama pemakaian gigi tiruan lengkap. Hasil: Hasil uji validasi dan reliabilitas kuesioner PDA menunjukkan, Cronbach's Alpha pada skor keseluruhan kuesioner PDA 0,708, uji validitas konvergen menunjukkan korelasi antara kepuasan pasien dan kemampuan mastikasi dengan uji spearman p=0,001 r=0,633. Hubungan bermakna secara statistik ditemukan antara kepuasan pasien terhadap gigi tiruan lengkap dengan kemampuan mastikasi p=0,000. Kesimpulan: Kuesioner PDA-ID dapat digunakan untuk mengetahui kepuasan pasien terhadap perawatan gigi tiruan lengkap. Kemampuan mastikasi dan lama pemakaian gigi tiruan.

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Objectives: The purpose of this study is to develop a valid and reliable Patient's Denture Assessment PDA Questionnaire in Indonesian version and to analyze the relationship between patient's satisfaction to their complete denture with masticatory performances, age, sex, education level, denture experience and the duration of their recent complete denture.

Methods: Total of 101 subjects 50 men, 51 women aged 45 years and older was participated in this study. Univariate, bivariate and multivariate test are done in this study, to do validity and reliability tests and also to analyze relationship between patient's satisfaction towards their complete denture with masticatory performances, age, sex, education level, denture experiences and the duration of current complete denture.

Results: Validation and reliability test shows Cronbach's Alpha in summary score PDA 0,708, convergent validity shows correlation between the masticatory performances with patient's satisfaction p 0,001 r 0,633. Statistically, a significant correlation P."

"Latar belakang: Meningkatnya kebutuhan estetik pasien edentulous terutama untuk mendapatkan hasil warna elemen gigi tiruan yang akurat merupakan suatu tantangan bagi dokter gigi, khususnya prosthodontis. Namun belum ada data mengenai ketiga gigi anterior untuk pemilihan warna gigi yang lebih estetis. Terbatasnya informasi tentang penentuan warna gigi berdasarkan usia, jenis kelamin dan warna kulit menyulitkan untuk memilih warna elemen gigi tiruan pada pasien yang tidak bergigi. Tujuan: Menganalisis perbedaan warna antara ketiga geligi anterior atas dan menganalisis hubungan warna gigi insisif sentral rahang atas dengan kelompok usia, jenis kelamin dan warna kulit. Metode: Cross sectional pada 84 subjek dengan penentuan warna gigi menggunakan spektrofotometer pada gigi insisif sentral, insisif lateral dan kaninus rahang atas. Warna kulit dicocokkan dengan Wardah compact shade guide powder sesuai klasifikasi warna kulit Fitzpatrick. Hasil: Hasil uji Kruskal Wallis menunjukkan terdapat perbedaan warna yang bermakna antara gigi insisif sentral, insisif lateral dan kaninus (p < 0,05). Hasil Uji Chi-Square mendapatkan hasil yang bermakna warna gigi berdasarkan usia (p < 0,05) namun tidak bermakna pada perbedaan jenis kelamin dan warna kulit (p > 0,05). Kesimpulan: Terdapat perbedaan warna antara ketiga geligi anterior atas. Faktor usia mempengaruhi warna gigi namun jenis kelamin dan warna kulit tidak mempengaruhi warna gigi.

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Background: Esthetic demands for fully edentulous patients to get a natural tooth colour of denture treatment has been increasing and become a challenge for dentist, especially prosthodontist There is presently no available data about anterior maxillary tooth shades and limited information in relationship between tooth shades with age, gender and skin tone has made difficulties for edentulous patients on their complete denture.

Objective: To analyze the shade differences of maxillary anterior teeth and also to analyze the relationship between shades of maxillary central incisor with age, gender and skin tone.

Methods: Cross sectional study was performed towards 84 subjects using spectrophotometer on maxillary central incisor, lateral incisor and canine. Wardah compact powder shade guide were used to examine skin type according Fitzpatrick's classification.

Result: Kruskal Wallis test showed there was a significant shades difference between maxillary central incisor, lateral incisor and canine (p<0,05). Chi-Square test showed there was a significancy relationship maxillary central incisors shade with age (p<0,05) but no significancy different in relation with gender and skin tone (p>0,05).

Conclusion: there is a shade differences between maxillary anterior teeth. Age factor has influence of tooth shade determination but there is no relation between tooth shade with gender and skin tone."

"Tujuan: Menganalisis faktor yang paling berpengaruh antara tinggi dan densitasmandibula, usia, jenis kelamin, tingkat pendidikan, lama tidak bergigi dan pengalamanmemakai gigi tiruan sebelumnya dengan kepuasan pasien terhadap hasil perawatan gigitiruan lengkap.Metode: Penelitian potong lintang dilakukan pada 92 subjek (55 laki-laki dan 37perempuan) berusia 45 tahun ke atas yang memakai gigi tiruan lengkap dan dibuat diRSGM FKG Universitas Indonesia. Subjek dipilih melalui consecutive samplingmethod dan diminta mengisi kuesioner PDA-ID 1 bulan pasca insersi gigi tiruanlengkap. 92 radiograf panoramik dari subjek tersebut digunakan untuk mengukurketinggian tulang (di regio anterior serta posterior mandibula) dan densitas mandibulamenggunakan metode Xie dan MCI (Mandibular Cortical Index). Uji intraobserver daninterobserver dilakukan untuk mengetahui konsistensi pengukuran tinggi dan densitastulang mandibula di antara 2 pengamat. Skor PDA-ID digunakan untuk mengukurkepuasan subjektif pada subjek dengan perbedaan kelompok usia, jenis kelamin,tingkat pendidikan, lama tidak bergigi dan pengalaman memakai gigi tiruansebelumnya.Hasil: Hasil uji intraobserver dan interobserver menunjukkan tidak terdapat variasipengukuran antar pengamat untuk tinggi mandibula (p>0,05) serta Kappa Valuedensitas mandibula = 0,78 tergolong baik. Analisis bivariat menunjukkan hubunganbermakna pada tinggi tulang mandibula (p=0,000), tingkat pendidikan (p=0,013) danpengalaman memakai gigi tiruan sebelumnya (p=0,000). Variabel yang dapat diolahkedalam analisis multivariat (p<0,250) yaitu tinggi mandibula (p=0,000), densitasmandibula (p=0,160), tingkat pendidikan (p=0,013), jenis kelamin (p=0,174), lamatidak bergigi (p=0,202) dan pengalaman memakai gigi tiruan sebelumnya (p=0,000).Analisis multivariat menunjukkan faktor yang paling berpengaruh pada kepuasan pasienterhadap hasil perawatan gigi tiruan lengkap yaitu tinggi tulang mandibula di anterior(p=0,000). Pengalaman memakai gigi tiruan sebelumnya merupakan faktor confoundingyang penting (selisih Odds Ratio = 30%).Kesimpulan: Tinggi tulang mandibula di anterior merupakan faktor yang palingberperan dalam kepuasan pasien terhadap hasil perawatan gigi tiruan lengkap.

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Objective: To analyze the most important factor affecting patients satisfactiontowards complete denture treatment with vertical heights and bone density of mandible,age, sex, education level, duration of edentulism, and denture experiences.Method : A-cross sectional study assessed the data of 92 subjects (55 men, 37 women),aged 45 years and older who wore complete denture constructed in Dental TeachingHospital Faculty of Dentistry, Universitas Indonesia. All participants selected throughconsecutive sampling methods were asked to complete the PDA-ID questionnaire at 1-month post complete denture insertion. 92 Panoramic radiograph of the subjects wereused in this study to evaluate the vertical heights (at the anterior and posterior ofmandible) and bone density of mandible using Xie methods and MCI (MandibularCortical Index). Intraobserver and interobserver reliability test for the heightmeasurement and bone density of mandible was assessed between two observer. PDAID score was compared between the patients with different age group, sex, educationlevel, duration of edentulism and previous denture experiences.Result: Intraobserver and interobserver reliability test show there were no significantdifference in vertical height measurement of mandible (p>0,05) and bone density ofmandible (Kappa Value=0,78) between two observer. Statistically, there weresignificant differences in patient satisfaction between different vertical heights ofmandible (p=0,000), education level (p=0,013) and previous denture experiences(p=0,000). Predictive factors could be included in multivariate analysis (p<0,250) werevertical heights of mandible (p=0,000), bone density of mandible (p=0,160), educationlevel (p=0,013), sex (p=0,174), duration of edentulism (p=0,202) and previous dentureexperiences (p=0,000). Multivariate analysis shows patients satisfaction with completedenture treatment was mostly affected by vertical heights of anterior mandible(p=0,000). Meanwhile, the previous denture experiences was contributed as animportant confounding factor (Odd Ratio difference = 30%).Conclusion:.Vertical height of the anterior mandible is a determinant factor affectingpatients satisfaction towards complete denture treatment."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 243-248The information about immediate denture treatment should be given clearly to the patient. The patient needs to understand about the treatment's aspects in order to give acceptance and agreement toward the treatment. This case represents 41 years old woman with protrusive upper and lower anterior teeth which makes the patient feel inconfident toward her performance. The immediate partial denture was prepared with interseptal alveolectomy on upper and lower jaws. The extraction procedure was planned toward 13, 12, 11, 21, 22, 23, and 32 ,31, 41, 42. The patient refused 13 and 23 extraction based on psychological consideration. The operator approached the patient by re-explaining the treatment procedure and its purposed and they came up with a solution that the extraction would be spritted in two phases. This compromies resulted in satisfying final treatment's result. Patient was satisfied by the dentures and her overall performance since the esthetic problem have been solved."

"Latar Belakang: Kemampuan mastikasi telah dipelajari secara luas dalam dekade terakhir. Kemampuan mastikasi dipengaruhi oleh beberapa faktor antara lain usia, jenis kelamin, jumlah gigi dan oklusi, area kontak pada oklusal, kehilangan gigi dan restorasi pada gigi posterior, laju alir saliva, serta penurunan fungsi motorik oral seiring dengan proses penuaan. Rehabilitasi prostodontik dengan gigi tiruan cekat maupun gigi tiruan lepasan berfungsi untuk meningkatkan kemampuan mastikasi pada individu dengan kehilangan gigi sebagian maupun menyeluruh. Tujuan: Menganalisis hubungan antara kemampuan mastikasi dengan usia, jenis kelamin, OHI-S, DMF-T, pemakaian gigi tiruan, dan kondisi gigi tiruan. Metode: 152 subjek 60 laki-laki dan 92 perempuan berusia 17 tahun ke atas rerata SD = 33,4 13,1 tahun berpartisipasi dalam uji kemampuan mastikasi menggunakan color-changeable chewing gum. Uji statistik Chi-Square digunakan untuk menganalisis hubungan antara kemampuan mastikasi dengan usia, jenis kelamin, OHI-S, DMF-T, pemakaian gigi tiruan dan kondisi gigi tiruan. Hasil: Usia p=0,001, kehilangan gigi p=0,001, dan pemakaian gigi tiruan p=0,011 berhubungan dengan kemampuan mastikasi. Namun, jenis kelamin, decay, fililing, OHI-S, dan kondisi gigi tiruan tidak menunjukan hubungan bermakna secara statistik p>0,05. Berdasarkan uji Post Hoc Bonferroni correction didapatkan perbedaan pada kelompok usia ge;46 dengan kemampuan mastikasi buruk p=0,0009, kelompok usia ge;46 dengan kemampuan mastikasi baik p=0,0017, kelompok kehilangan 9-32 gigi dengan kemampuan mastikasi buruk p=0,0027. Kelompok tidak ada kehilangan gigi dengan kemampuan mastikasi buruk memiliki hubungan bermakna baik dilihat dari kehilangan gigi p=0,0019 maupun dari pemakaian gigi tiruan p=0,0027. Kesimpulan: Usia, kehilangan gigi, dan pemakaian gigi tiruan berhubungan dengan kemampuan mastikasi.

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Background: Masticatory performance has been studied extensively in the last decades. Age, gender, the number of teeth in occlusion, occlusal contact area, salivary flow, and neuro physiological deficits influence the masticatory process. The replacement of missing teeth with dental prostheses, either fixed or removable, are often used to achieve an acceptable level of masticatory performance.

Objective: The aim of this study was to analyze the relationship between masticatory performance and age, gender, DMF T score, OHI S, dental prostheses use, and prostheses condition in an adult population.

Method: 152 individuals 60 male and 92 female aged 17 years and older mean SD 33.4 13.1 years were included in the study. Masticatory performance was evaluated using color changeable chewing gum. The X2 test was used to determine the association between masticatory performance and age, gender, DMF T score, OHI S, dental prostheses use and prostheses condition.

Result: Age p 0.001, missing teeth p 0.001, and prostheses use p 0.011 had significant relationship with masticatory performance. However, relation with gender, decay, filling, OHI S, and prostheses condition were not statistically significant p 0,05. Based on the Post Hoc Bonferroni correction test, the differences were found in the age group ge 46 with poor mastication performance p 0.0009, age group ge 46 with good mastication performance p 0.0017, missing 9 32 teeth group with poor mastication performance p 0.0027. No missing teeth group with poor mastication performance had a significant association with missing teeth p 0.0019 and use of prostheses p 0.0027.

Conclusion: Age, missing teeth, and prostheses are strongly associated with masticatory performance. "

"Latar belakang: Gigi tiruan dukungan implan, salah satu perawatan kehilangan gigi terbaik, diterima luas di seluruh dunia. Namun, penggunaannya di Indonesia masih relatif rendah. Studi terkait kesadaran (awareness), pengetahuan (knowledge), dan sikap (attitude) terhadap implan gigi telah banyak dilakukan di negara lain, tetapi belum pernah dilakukan di Indonesia. Tujuan: Mengembangkan kuesioner kesadaran, pengetahuan, dan sikap pasien terhadap implan gigi yang valid dan reliabel. Metode: Penelitian kualitatif melalui studi literatur pada 9 studi, wawancara semi-struktur 8 pakar implan dan 10 subjek kehilangan gigi, focus group discussion, dan uji-coba kuesioner. Penelitian kuantitatif pada 227 subjek untuk pengujian validitas dan reliabilitas kuesioner. Hasil: Kuesioner final 28 item (domain kesadaran, pengetahuan, dan sikap) berhasil dikembangkan dengan validitas isi (content validity) dan validitas muka (face validity) terpenuhi. Analisis faktor dapat dilakukan pada ketiga domain berdasarkan hasil Uji Kaiser-Meyer Olkin (KMO) dan Uji Bartlett (0,680;P<0,05| 0,922;P<0,05| 0,849;P<0,05). Uji validitas konvergen dan uji konsistensi internal Cronbach’s alpha menghasilkan nilai baik pada domain kesadaran (r=0,736; P<0,05; α=0,848), domain pengetahuan (r=0,616; P<0,05; α=0,922), dan domain sikap (r=0,658; P<0,05; α=0,794). Kesimpulan: Kuesioner kesadaran, pengetahuan, dan sikap pasien terhadap perawatan dengan implan gigi teruji valid dan reliabel untuk mengevaluasi kesadaran, pengetahuan, dan sikap pasien terhadap perawatan dengan implan gigi di Indonesia.

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Background: Implant-supported prosthesis, one of the best treatment for tooth loss, are widely accepted worldwide. However, its utilization is still relatively low in Indonesia. Studies related to awareness, knowledge, and attitude towards dental implants have been conducted in many other countries, but there has been no study in Indonesia. Objective: To develop a valid and reliable questionnaire on patient awareness, knowledge and attitudes towards dental implants. Methods: Qualitative study was done through literature review on 9 studies, semi-structured interviews with 8 implant experts and 10 tooth loss subjects, focus group discussion, and pre-testing. Quantitative study on 227 subjects for validity and reliability test. Results: The final questionnaire of 28 items (awareness, knowledge, and attitude domains) was successfully developed with achieved content validity and face validity. Factor analysis can be performed on all three domains based on the results of the Kaiser-Meyer-Olkin Test (KMO) and Bartlett Test (0.680;P<0.05| 0.922;P<0.05| 0.849;P<0.05). The convergent validity and Cronbach's alpha internal consistency were high in awareness domain (r=0.736; P<0.05; α=0.848), knowledge domain (r=0.616; P<0.05; α=0.922), and attitude domain (r=0.658; P<0.05; α=0.794). Conclusion: The questionnaire developed was valid and reliable to evaluate patient awareness, knowledge, and attitudes towards dental implant treatment in Indonesia."