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Abstrak :
[ABSTRAK
Latar Belakang: Osteoporosis laki-laki adalah penyakit degeneratif yang penting diperhatikan oleh dokter gigi dalam memberikan pelayanan kesehatan gigi dan mulut, karena osteoporosis pada bagian tubuh yang lain juga bedampak pada tulang rahang. Osteoporosis pada tulang rahang dapat mengakibatkan kegagalan dalam pembuatan gigi tiruan, pemasangan implan dan perawatan penyakit periodontal. Untuk mengatasi kegagalan perawatan perlu pemeriksaan kadar testosteron dan pemeriksaan densitas tulang. Pemeriksaan kadar testosteron dan pemeriksaan densitas tulang mahal dan hanya ada di kota-kota besar di Indonesia, karena itu perlu dibuat indeks untuk memprediksi penurunan kadar testosteron darah dan indeks untuk memprediksi penurunan densitas tulang mandibula lansia laki-laki. Tujuan: mengetahui faktor risiko yang berperan pada penurunan kadar testosteron dan faktor risiko yang berperan pada penurunan densitas tulang mandibula lansia laki-laki dan untuk membuat indeks prediksi penurunan kadar testosteron dan indeks densitas tulang mandibula. Metode: uji diagnostik dan uji kasus kontrol pada lansia laki-laki usia > 60 tahun dengan wawancara pengisian kuesioner, pemeriksaa klinis dan radiografi. Hasil: Faktor-faktor Risiko yang berperan pada penurunan kadar testosteron dan penurunan densitas tulang mandibula serta indeks untuk menentukan penurunan kadar testosteron dan indeks untuk menentukan penurunan densitas tulang mandibula lansia laki-laki. Dihasilkan software dan indeks sebagai alat bantu prediksi.

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ABSTRACT
Background: Osteoporosis in men is a degenerative disease which is an important subject to be apprehended by dentists in order to provide an optimal dental and oral health service because osteoporosis can also affect the mandible. Examination of testosterone level and bone density in Indonesia is relatively expensive and can only be accessed in big cities. This highlights the importance of establishing both an index to determine the decrease of total blood testosterone level and index to determine the decrease of mandibular bone density in elderly patients. Objective: to know risk factors that contributes to the decrease of testosterone level and the decrease of mandibular bone density in elderly men; to make a prediction model for the decreasing level of testosterone and mandibular bone density. Methods: diagnostic test and case control study in elderly men above 60 years old by way interviews to fill questionnares, clinical and radiographic examination. Results: Risk factors that contribute to the decrease of testosterone level and index to determine the decrease of mandibular bone density in elderly men. A software and index are produced as prediction tools;Background: Osteoporosis in men is a degenerative disease which is an important subject to be apprehended by dentists in order to provide an optimal dental and oral health service because osteoporosis can also affect the mandible. Examination of testosterone level and bone density in Indonesia is relatively expensive and can only be accessed in big cities. This highlights the importance of establishing both an index to determine the decrease of total blood testosterone level and index to determine the decrease of mandibular bone density in elderly patients. Objective: to know risk factors that contributes to the decrease of testosterone level and the decrease of mandibular bone density in elderly men; to make a prediction model for the decreasing level of testosterone and mandibular bone density. Methods: diagnostic test and case control study in elderly men above 60 years old by way interviews to fill questionnares, clinical and radiographic examination. Results: Risk factors that contribute to the decrease of testosterone level and index to determine the decrease of mandibular bone density in elderly men. A software and index are produced as prediction tools;Background: Osteoporosis in men is a degenerative disease which is an important subject to be apprehended by dentists in order to provide an optimal dental and oral health service because osteoporosis can also affect the mandible. Examination of testosterone level and bone density in Indonesia is relatively expensive and can only be accessed in big cities. This highlights the importance of establishing both an index to determine the decrease of total blood testosterone level and index to determine the decrease of mandibular bone density in elderly patients. Objective: to know risk factors that contributes to the decrease of testosterone level and the decrease of mandibular bone density in elderly men; to make a prediction model for the decreasing level of testosterone and mandibular bone density. Methods: diagnostic test and case control study in elderly men above 60 years old by way interviews to fill questionnares, clinical and radiographic examination. Results: Risk factors that contribute to the decrease of testosterone level and index to determine the decrease of mandibular bone density in elderly men. A software and index are produced as prediction tools;Background: Osteoporosis in men is a degenerative disease which is an important subject to be apprehended by dentists in order to provide an optimal dental and oral health service because osteoporosis can also affect the mandible. Examination of testosterone level and bone density in Indonesia is relatively expensive and can only be accessed in big cities. This highlights the importance of establishing both an index to determine the decrease of total blood testosterone level and index to determine the decrease of mandibular bone density in elderly patients. Objective: to know risk factors that contributes to the decrease of testosterone level and the decrease of mandibular bone density in elderly men; to make a prediction model for the decreasing level of testosterone and mandibular bone density. Methods: diagnostic test and case control study in elderly men above 60 years old by way interviews to fill questionnares, clinical and radiographic examination. Results: Risk factors that contribute to the decrease of testosterone level and index to determine the decrease of mandibular bone density in elderly men. A software and index are produced as prediction tools;Background: Osteoporosis in men is a degenerative disease which is an important subject to be apprehended by dentists in order to provide an optimal dental and oral health service because osteoporosis can also affect the mandible. Examination of testosterone level and bone density in Indonesia is relatively expensive and can only be accessed in big cities. This highlights the importance of establishing both an index to determine the decrease of total blood testosterone level and index to determine the decrease of mandibular bone density in elderly patients. Objective: to know risk factors that contributes to the decrease of testosterone level and the decrease of mandibular bone density in elderly men; to make a prediction model for the decreasing level of testosterone and mandibular bone density. Methods: diagnostic test and case control study in elderly men above 60 years old by way interviews to fill questionnares, clinical and radiographic examination. Results: Risk factors that contribute to the decrease of testosterone level and index to determine the decrease of mandibular bone density in elderly men. A software and index are produced as prediction tools, Background: Osteoporosis in men is a degenerative disease which is an important subject to be apprehended by dentists in order to provide an optimal dental and oral health service because osteoporosis can also affect the mandible. Examination of testosterone level and bone density in Indonesia is relatively expensive and can only be accessed in big cities. This highlights the importance of establishing both an index to determine the decrease of total blood testosterone level and index to determine the decrease of mandibular bone density in elderly patients. Objective: to know risk factors that contributes to the decrease of testosterone level and the decrease of mandibular bone density in elderly men; to make a prediction model for the decreasing level of testosterone and mandibular bone density. Methods: diagnostic test and case control study in elderly men above 60 years old by way interviews to fill questionnares, clinical and radiographic examination. Results: Risk factors that contribute to the decrease of testosterone level and index to determine the decrease of mandibular bone density in elderly men. A software and index are produced as prediction tools]

Abstrak :
Meningkatnya populasi lansia di dunia termasuk Indonesia merupakan dampak dari kemajuan ilmu pengetahuan dan teknologi bidang kesehatan dan sosial ekonomi. Keadaan ini mengakibatkan bertambahnya berbagai penyakit lanjut usia termasuk gigi dan mulut. Berbagai faktor risiko yang muncul seiring proses penuaan mengakibatkan hilangnya gigi geligi. Akan tetapi faktor risiko yang paling berperan dengan kehilangan gigi di Indonesia masih belum diketahui. Tujuan penelitian ini memperoleh indeks prediksi kehilangan gigi berdasarkan faktor-faktor risiko. Penelitian ini menggunakan desain kasus kontrol pada 208 lansia berusia >60 tahun, 82 subjek kasus dengan kehilangan gigi >12 dan 126 kontrol dengan kehilangan gigi < 12. Mayoritas subjek adalah perempuan 82,7%; usia >65 tahun 53,9%; pendidikan menengah 51,9%, kebersihan mulut sedang 51,2%, pendarahan gusi ringan 44,4%; penghasilan rendah 94,7%; periodontal indeks berat 61,2%; tekanan darah tinggi 79,8%; fungsi kognitif normal 74,5%; dugaan diabetes melitus 22,6%; perilaku baik 52,4%; kepadatan tulang normal 81,6%, kehilangan perlekatan gingiva baik 62,9%, aktivitas sehari-hari normal 90,4%. Model akhir yang didapat adalah dugaan diabetes melitus, perilaku, dugaan demensia, kehilangan perlekatan sedang dan buruk memiliki hubungan dengan kehilangan gigi pada lansia. Penelitian ini menghasilkan suatu indeks prediksi kehilangan gigi dengan faktor risiko yang paling berperan terhadap kehilangan gigi pada lansia. ...... The expanding population of elders in Indonesia and worldwide influenced by the advances in science and technology, especially the health and socio-economic progress. The aging process results in susceptibility to infection of the oral cavity resulting in loss of teeth. The aim of this study was to develop and test a model of tooth loss prediction index based on risk factors. A case-control study was conducted among 208 elders aged above 60 years old, 82 subjects who had lost more than 12 teeth were participated as case group while 126 subjects who had lost 12 or less teeth were participated as control group. At examination, 53.9% of participants were aged above 65 years old, with 82.7% females, 51.9% were middle educated, 51.2% have moderate oral hygiene level, 44.4% have mild level of gingival bleeding, 94.7% have low income, 61.2% have severe periodontal index, 79.8% having hypertention, 74.5% having normal cognitive function, 22.6% diabetes melitus, 52.4% having good oral health behavior, 81.6% with normal bone density, 62.9% good level of gingival attachment loss, 90.4% having normal daily activity. Logistic regression analyses demonstrated that diabetes melitus, oral health behavior, cognitive function, moderate and severe level of gingival attachment loss were associated with tooth lost. The study produced a tooth loss prediction index based on risk factors most responsible for tooth loss in elderly.