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"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."

"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."

"The need for women to use a dental prosthesis increases with age. Low estrogen level is characteristic in post menopausal women. In this case, it often related with reduction of density and mandibular alveolar bone height. This study aimed to investigate the differences in density and mandibular alveolar bone height in post-menopausal women wearing complete dentures with tissue conditioner. The clinical observations were conducted on seven persons who had received a new set of complete denture in the Prosthodontic Department of the Dental Hospital of the Dental Faculty in Jember University. Balanced occlusion was used in all dentures, fabricated according to the principles used in the department. Panoramic radiographs had been made for all subjects as the baseline, and two, four, and six months later using dentures with tissue conditioner. The data was analyzed by using one-way analysis of variance at the 0.05 level. The conclusion was that there is no significant difference in density and mandibular alveolar bone height of complete denture wearers with tissue conditioner in post-menopausal women."

"ABSTRAK Gangguan fonetik atau pengucapan yang tidak jelas sering ditemukan pada pasien setelah pemasangan gigi tiruan lengkap rahang atas. Gangguan yang terjadi dapat diperiksa menggunakan palatogram pengucapan konsonan linguo-palatal. Salah satu cara yang dapat membantu adaptasi fonetik adalah pembuatan rugae palatina pada basis GTL RA. Rugae palatina berfungsi sebagai panduan peletakan lidah pada palatum anterior untuk menghasilkan artikulasi yang tepat bunyi konsonan linguo-palatal khususnya huruf lsquo;t rsquo; dan lsquo;d rsquo;. Tujuan penelitian ini untuk mengevaluasi pembuataan rugae palatina pada basis GTL RA yang dapat mempengaruhi adaptasi fonetik. Responden terdiri dari 20 pemakai GTL RA yang dibagi menjadi 10 GTL RA dengan rugae palatina dan 10 GTL RA tanpa rugae palatina. Dilakukan pemeriksaan dengan palatogram pengucapan huruf lsquo;t rsquo; dan lsquo;d rsquo;, serta dievaluasi kemiripannya dengan baku emas palatogram bahasa Indonesia. Penelitian ini menggunakan metode cross over dan faktor-faktor yang diperhatikan dalam hubungannya dengan rugae adalah lama pemakaian, usia, dan jenis kelamin. Hasil penelitian ini adalah pembuatan rugae palatina pada basis GTL RA membutuhkan waktu 1 minggu untuk mendapatkan adaptasi fonetiknya. Nilai rerata saat pengucapan huruf lsquo;t rsquo; dan lsquo;d rsquo; yang baik adalah 60,15 dan 69,65 dengan simpang baku 3,31 dan 3,79. Kesimpulan dari penelitian ini adalah GTL RA dengan rugae mempercepat adaptasi fonetik.

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ABSTRACT

Phonetic disturbances or unclear pronounciation were often found in patients after insertion of maxillary complete denture. These disturbances could be assessed using palatogram of Indonesian linguo palatal consonant. One of the methods to improve phonetic adaptation was creation of palatine rugae on maxillary complete denture base. Palatine rugae functioned as tongue placement guidance on anterior palate to produce correct articulation of linguo palatal consonant sound, especially the letter lsquo t rsquo and lsquo d rsquo . The purpose of this study was to evaluate palatine rugae creation on maxillary complete denture bases that could affect phonetic adaptation. Respondents were 20 maxillary complete denture wearers, composed of 10 maxillary complete dentures with palatine rugae and 10 maxillary complete dentures without palatine rugae. Assessment was done using palatogram lsquo t rsquo and lsquo d rsquo pronounciation, and the similarity with Indonesian palatogram gold standard were evaluated. This study used cross over method and the factors considered in the relation with rugae were duration of usage, age, and sex. The result of this study was that it took 1 week to achieve phonetic adaptation of maxillary complete denture with palatine rugae. Mean scores in good lsquo t rsquo and lsquo d rsquo pronounciation were 60.15 and 69.65 with standard deviation 3.31 and 3.79. Conclusion of this study is maxillary complete denture with rugae palatine shortens phonetic adaptation. "