Ninuk Hariyani, Ninuk
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Side effects of mercury in dental amalgam Berniyanti, Titiek; Hariyani, Ninuk
Dental Journal (Majalah Kedokteran Gigi) Vol 41, No 1 (2008): (March 2008)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v41.i1.p30-34

Abstract

Dental amalgam is an alloy composed of mixture of approximately equal parts of elemental liquid mercury and an alloy powder. The popularity of amalgam arises from excellent long term performance, ease of use and low cost. Despite the popularity of dental amalgam as restorative material, there have been concerns regarding the potential adverse health and environmental effects arising from exposure to mercury in amalgam. They have long been believed to be of little significance as contributors to the overall body burden of mercury, because the elemental form of mercury is rapidly consumed in the setting reaction of the restoration. In 1997, 80% of dentist in Indonesia still using amalgam as an alternative material, and 60% of them treat the rest of unused amalgam carelessly. In recent years, the possible environmental and health impact caused by certain routines in dental practice has attracted attention among regulators. As part of point source reduction strategies, the discharge of mercury/amalgam-contaminated wastes has been regulated in a number of countries, even though it has been documented that by adopting appropriate mercury hygiene measures, the impact of amalgam use in dentistry is minimal. The purpose of this paper is to examine on studies that relate mercury levels in human to the presence of dental amalgams. It is concluded that even though mercury used in filling is hazardous, if normal occupational recommendations for proper mercury hygiene routines and source of reduction strategies are followed, no occupational health risk can be assumed.
Patient’s expectation on communication performances community of Dental Health Services providers located in urban and rural area Bramantoro, Taufan; Hariyani, Ninuk
Dental Journal (Majalah Kedokteran Gigi) Vol 46, No 1 (2013): (March 2013)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v46.i1.p1-4

Abstract

Background: The quality of dentist’s communication skills is considered as one of important aspects on the quality of dental health services assessment. During the initial interview conducted at Ketabang, Dupak, and Kepadangan community dental health services at Surabaya and Sidoarjo, Indonesia, it appeared that eighty percent of initial respondents were not satisfied with the communication aspect. Community Dental Health Services (CDHS) need to assess the communication performances based on community characteristics in effort to promote the quality and effectiveness of the denta health services. Purpose: The objective of this study was to analyze patient’s expectation values priorities on dentists communication performances in CDHS that located in urban and rural area. Methods: The study was conducted in Ketabang Surabaya, Dupak Surabaya and Kepadangan Sidoarjo CDHSs. The participants were 400 patients above 18 years old. Participants were assessed their expectation value using the communication performances of dental health services questionnaire. Results: Patients in urban CDHS appeared that there were two priority aspects which had high values, namely the clarity of instructions and the dentist’s ability of active listening to the patient, while patients in rural CDHS revealed that the clarity of instructions and dentist-patient relationship were the aspects with high values. Conclusion: Patients in CDHS that located in rural area expect more dentist-patient interpersonal relationship performance than patients in CDHS located in urban area. This finding becomes a valuable information for CDHS to develop communication strategies based on community characteristics.Latar belakang: Kualitas komunikasi dari dokter gigi merupakan salah satu aspek penting dalam penilaian kualitas layanan suatu sarana pelayanan kesehatan. Pada wawancara pendahuluan yang dilaksanakan di puskesmas Ketabang, Dupak dan Kepadangan di Surabaya dan Sidoarjo, Indonesia, diperoleh hasil bahwa delapan puluh persen responden merasa tidak puas dengan aspek komunikasi dari tenaga kesehatan gigi. Penyedia layanan kesehatan gigi perlu untuk menilai penampilan komunikasi dari tenaga kesehatan gigi sesuai dengan karakteristik masyarakat sebagai usaha untuk meningkatkan kualitas dan efektivitas layanan kesehatan gigi. Tujuan: Tujuan penelitian ini adalah untuk menganalisis prioritas harapan pasien terhadap penampilan komunikasi dokter gigi di puskesmas yang berlokasi di daerah perkotaan dan pedesaan. Metode: Penelitian dilakukan di puskesmas Ketabang Surabaya, Dupak Surabaya dan Kepadangan Sidoarjo. Responden berjumlah 400 pasien, berusia diatas 18 tahun. Penilaian harapan pasien akan aspek komunikasi dari tenaga kesehatan akan diukur dengan menggunakan kuesioner kualitas layanan terkait penampilan komunikasi. Hasil: Pasien pada puskesmas di daerah perkotaan menyampaikan bahwa ada dua aspek prioritas yang mereka anggap lebih bernilai, yaitu kejelasan instruksi dokter gigi dan kemampuan dokter gigi untuk mendengarkan mereka secara aktif, sementara pasien di puskesmas pedesaan lebih memberikan nilai prioritas yang tinggi pada aspek kejelasan instruksi dokter dan hubungan kedekatan antara dokter–pasien. Kesimpulan: Pasien pada Puskesmas yang terletak di daerah pedesaan lebih mengharapkan upaya membangun hubungan interpersonal dokter gigi dengan pasien dibandingkan dengan pasien pada puskesmas terletak di daerah perkotaan. Temuan ini merupakan informasi yang berharga bagi penyedia layanan kesehatan gigi untuk membangun strategi komunikasi berdasarkan karakteristik masyarakat sasaran.