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Abstrak :
Kesehatan gigi dan mulut di Indonesia hingga saat ini masih merupakan permasalahan yang belum kunjung usai. Sebanyak 57,6% penduduk Indonesia yang memiliki masalah kesehatan gigi dan mulutnya, baru terdapat 10,2% penduduk yang memperoleh perawatan dari tenaga medis gigi. Tesis ini bertujuan untuk membuktikan bahwa kepemilkan jaminan kesehatan meningkatkan pemanfaatan pelayanan kesehatan gigi dan mulut ke tenaga medis gigi di Indonesia tahun 2018. Penelitian ini menggunakan data Riskesdas terintegrasi Susesnas tahun 2018 dengan desain studi potong lintang. Permodelan menggunakan instrumental variabel digunakan karena adanya endogenitas pada variabel kepemilikan jaminan kesehatan. Hasil penelitian turut membandingkan besaran pengaruh antara kepemilikan jaminan kesehatan JKN dan Non-JKN. ......Dental and oral health in Indonesia is still an unsolved problem. As many as 57.6% of the Indonesian population who have dental and oral health problems, only 10.2% of the population receive treatment from dental medical workers. This thesis aims to prove that health insurance ownership increases the utilization of dental and oral health services to dental medical workers in Indonesia in 2018. This study uses integrated data from Riskesdas and Susesnas 2018 with a cross sectional study design. For modeling, instrumental variables is used because of the endogeneity of the health insurance ownership variable. The results of the study also compare the magnitude of the effect between the JKN and Non-JKN health insurance ownership.

Abstrak :
Written by distinguished experts in the fields of oral medicine, periodontology, epidemiology, and microbiology, The Oral-Systemic Health Connection: A Guide to Patient Care gathers the latest scientific information on the associations between the oral environment and overall health. With careful analysis, the authors weigh the latest evidence about the relationships between oral infections and systemic diseases and conditions such as diabetes, cancer, osteoporosis, heart disease, pulmonary disease, inflammation, obesity, and complications of pregnancy. Other chapters focus on cutting-edge research into areas such as infectious disease screening, bioinformatics, targeted cancer therapies, and salivary diagnostics. This book will help readers to better understand current and future evidence on the associations between oral health and general health and enable readers to examine with a critical eye the claims made by scientists working on this subject. More importantly, readers will be able to apply this information clinically to guide treatment decisions and recommend preventive strategies, for the benefit of their patients.

Abstrak :
Latar Belakang: Salah satu kandungan teh hijau yang paling bermanfaat adalah polifenol. Polifenol dikatakan mampu mencegah pembentukan plak gigi dengan menghambat aktivitas enzim glukosiltransferase bakteri dan membunuh bakteri penyebab plak gigi. Plak gigi merupakan salah satu faktor yang dapat mempengaruhi kesehatan rongga mulut. Plak gigi tidak dapat dihilangkan hanya dengan berkumur. Tujuan: Mengetahui dan membandingkan pengaruh efektivitas berkumur dengan larutan teh hijau seduh konsentrasi 100% dan 25% dalam menghambat pembentukan plak gigi pada beberapa bagian permukaan gigi. Metoda: Subyek penelitian berjumlah 39 orang mahasiswa FKG UI angkatan 2005-2008 yang memenuhi kriteria inklusi dan bersedia menandatangani informed consent penelitian. Masing-masing subyek kemudian diperiksa indeks plak giginya setelah sebelumnya subyek diberi perlakuan berkumur dengan larutan teh hijau seduh 100% atau 50%, kemudian makan nasi goreng dengan porsi yang sama, dilanjutkan dengan tidak makan selama lima jam. Di antara setiap perlakuan diberlakukan periode wash out selama + satu minggu. Indeks plak gigi diukur dengan menggunakan Indeks Plak Löe and Sillness yang dimodifikasi. Data hasil penelitian dievaluasi dengan uji statistik Friedman (p<0,05) dilanjutkan dengan uji post hoc Wilcoxon (p<0,05). Hasil: Terjadi perbedaan bermakna pada skor plak gigi antara perlakuan berkumur dengan air putih dan dengan larutan teh hijau konsentrasi 100% di permukaan distobukal/distolabial, bukal/labial, mesiobukal/mesiolabial, palatal/lingual, dan mesiopalatal/mesiolingual; serta antara perlakuan berkumur dengan air putih dan dengan larutan teh hijau konsentrasi 25% di permukaan palatal/lingual, dan mesiopalatal/mesiolingual (p<0,05). Kesimpulan: Berkumur dengan larutan teh hijau seduh konsentrasi 100% ataupun 25% dapat membantu menghambat pembentukan plak gigi dengan keefektifan yang lebih tinggi pada konsentrasi 100%, sehingga berkumur teh hijau seduh dapat digunakan sebagai salah satu cara mengontrol plak gigi.

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Background: One of the most important content of green tea is polyphenol. Polyphenol is said to be able to inhibit dental plaque formation by inhibiting the bacteria?s glucosyltransferase enzyme and killing dental plaque bacteria. Dental plaque is one of factors influencing oral health. Dental plaque can not be removed by rinsing only. Objective: To know and compare the effectiveness between rinsing with 100% and 25% steeped green tea solution concentrations in clinically inhibiting dental plaque formation on some dental surfaces. Method: The research subjects are 39 FKG UI students year 2005-2008 who fulfill the inclusion criterias and are willing to sign the research informed consent. Dental plaque index of every subject is checked after rinsing with 100% or 25% steeped green tea solution concentration treatment and eating fried rice in the same portion and then not eating for five hours. Between each treatment, wash out period of approximately one week is applied. Dental plaque index is measured with modified Löe and Sillness Plaque Index. Research data results are evaluated with Friedman statistic test (p<0,05) and continued with Wilcoxon post hoc test (p<0,05). Results: There is significant differences in dental plaque scores between rinsing with water and 100% steeped green tea solution concentration treatment on distobuccal/distolabial, buccal/labial, esiobuccal/mesiolabial, palatal/lingual, and mesiopalatal/mesiolingual surfaces; and between rinsing with water and 25% steeped green tea solution concentration treatment on palatal/lingual and mesiopalatal/mesiolingual surfaces (p<0,05). Conclusion: Rinsing with 100% or 25% steeped green tea solution concentration is able to help inhibiting dental plaque formation, 100% concentration has higher effectiveness; so rinsing with steeped green tea solution can be used as a way for controlling dental plaque.

Abstrak :
Asuhan Keperawatan Kerusakan Gigi Melalui Tindakan Oral Hygiene Menggunakan Larutan Garam dan Sodium Bicarbonate Di Panti Sosial Tresna WerdhaPeningkatan jumlah penduduk di perkotaan memicu timbulnya masalah kesehatan terutama pada kelompok rentan yang salah satunya adalah populasi lansia. Masalah kesehatan yang sering terabaikan pada lansia adalah masalah kesehatan gigi dan mulut. Tujuan studi kasus ini adalah untuk menganalisis hasil praktik klinik pada lansia dengan masalah kerusakan gigi melalui intervensi oral hygiene menggunakan larutan air garam dan sodium bicarbonate. Praktik klinik dilakukan di PSTW Budi Mulia 1 Cipayung selama tujuh minggu terhadap tiga orang lansia dengan melakukan intervensi oral hygiene dengan menggunakan sendok teh garam dan sendok teh sodium bicarbonate yang dilarutkan dalam 250 ml air hangat dan dilakukan minimal dua kali sehari. Hasil akhir pengukuran status oral health pada lansia menggunakan Oral Health Assessment Tool OHAT menunjukkan adanya peningkatan status kesehatan mulut, seperti tidak adanya sisa makanan, plak, mukosa lembab, lidah bersih dan berwarna merah muda serta nyeri yang berkurang. Selain itu, didapatkan peningkatan nafsu makan dan status mental terutama pada komponen mengingat. Diharapkan adanya peran serta dari perawat dan care giver untuk membantu lansia melakukan oral hygiene dan mencuci mulut dengan larutan garam dan sodium bicarbonate minimal dua kali sehari guna meningkatkan status kesehatan mulut dan kualitas hidup lansia.

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Nursing care of Elderly with Impaired Dentition Through The Action of Oral Hygiene Using A Solution of Salt Water and Sodium Bicarbonate at Elderly Social InstitutionDensity of population in urban areas triggered the onset of health problems especially on vulnerable groups, one of which is the elderly population. Health problems that are often neglected in the elderly is the oral health problems. The purpose of this case study is to analyze the results of the clinical practices on the elderly with the problem of impaired dentition through the intervention of oral hygiene by using a solution of salt water and sodium bicarbonate. Clinical practice was performed at Elderly Social Institution Budi Mulia 1 Cipayung for seven weeks against three elderly people intervene with oral hygiene and wash the mouth using a teaspoon salt and teaspoon of sodium bicarbonate that dissolved in 250 ml of warm water and conducted a minimum of twice a day. The final results of the measurements of oral health status in the elderly using Oral Health Assessment Tool OHAT showed an increase in oral health status. In addition, there was an increase in appetite and mental status, especially in the recall component. It is expected that the participation of nurses and care giver to help elderly perform oral hygiene and washing the mouth with salt and sodium bicarbonate solution at three times a week to improve the oral health status and quality of life of the elderly.