Rosihan Adhani, Rosihan
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PENGARUH KUALITAS PELAYANAN KESEHATAN GIGI DAN MULUT TERHADAP KEPUASAN PASIEN BPJS DI LAYANAN PRIMER BANJARMASIN

Dentino Vol 2, No 1 (2017)
Publisher : FKG Unlam

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ABSTRACK Background: The patient satisfaction is an important thing that should be reached by every health facillty. As a spearhead of health service in National HealthF Insurance (JKN) era, public health center and dental practice were told to given a health service that coRuld be completed the patient satisfaction. BPJS health program is one of the effort to equalization of health standard for a whole Indonesian folk. It needed a good cooperation between the service provider and receiver to reaching the maximum of patient satisfaction. Purpose: To know the effect of oral health service quality to BPJS patient satisfaction in Banjarmasin primary service. Method: It used an observational analytic study with cross sectional design and the sample amounted to 400 patient consecutive sampling method. Analizing data were using product moment pearson correlation, simple linear regression and multiple linear regression. Result : The research showed that oral health service quality consisting of tangible, realiability, responsiveness, assurance and emphaty dimension had significant effect for patient (p<0,05). Conclusion : There’s a significant effect of oral health service quality to BPJS patient satisfaction in Banjarmasin primary service. Responsiveness dimension had dominant and very intense each order to patient satisfaction. A better service quality will increasing the patient satisfaction. The patient more satisfied in receiving a service can motivated them for revisit and reused the health service. Keywords: service quality, patient satisfaction, BPJS health

HUBUNGAN TINGKAT KEPARAHAN KARIES DENGAN STATUS GIZI KURANG DAN GIZI BAIK Tinjauan pada Anak Balita di TK Kecamatan Kertak Hanyar Kabupaten Banjar

Dentino Vol 1, No 1 (2016)
Publisher : FKG Unlam

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ABSTRACTBackground: Caries is tooth hard tissue disease marked with email and dentint progressive destruction caused by plaque and microbial metabolism activity. This is caused by email and dentint demineralisation that involve cariogenic food consumption. Good or optimal nutritional status achieved when body get sufficient nutrition, this can be used efficient. Low nutritional status occurred when body doesn’t get one or more essential nutrient. Purpose: The purpose of this reaseach was to understand the relationship between caries with good nutritional status and low nutritional status of children under 5 years old at TK Kertak Hanyar, Banjar District. Methods: This was an analytic study with cross sectional survey method using 60 sample consist of 30 sample of children with nutritional status under the average def-t score index 8,1 dan 30 children with good nutritional status with def-t score index 3,6. Result: Based on this research, there was a relationship between low nutritional status with caries degree on children at TK Kertak Hanyar, Banjar District, with the value of p = 0,000 in Chi-Square test. Conclusion: In conclusion, there was a correlation between low nutritional status dan rate of caries. ABSTRAKLatar Belakang: Karies adalah penyakit jaringan keras gigi yang ditandai rusaknya email dan dentin yang progresif disebabkan oleh keaktifan metabolisme plak dan bakteri. Hal ini  disebabkan oleh demineralisasi email dan dentin yang hubungannya dengan konsumsi makanan kariogenik. Status gizi baik atau status gizi optimal terjadi bila tubuh memperoleh cukup zat-zat gizi yang digunakan secara efisien. Status gizi kurang terjadi bila tubuh mengalami kekurangan satu atau lebih zat-zat gizi esensial.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan tingkat keparahan karies pada balita dengan status gizi kurang dan gizi baik di TK Kecamatan Kertak Hanyar Kabupaten Banjar. Metode: Rancangan penelitian yang digunakan adalah rancangan penelitian analitik dengan pendekatan metode survei cross sectional dengan menggunakan 60 sampel  yang terdiri dari 30 sampel merupakan  anak dengan status gizi kurang dengan indeks skor rata-rata def-t 8,1 dan 30 anak dengan status gizi baik dengan indeks skor def-t 3,6. Hasil: Berdasarkan penelitian yang dilakukan dapat diambil kesimpulan terdapat hubungan antara status gizi kurang dengan tingkat keparahan karies pada anak balita di TK Kecamatan Kertak Hanyar, Kabupaten Banjar.dengan nilai p = 0,000 menggunakan uji Chi-Square. Kesimpulan: Kesimpulan penelitian adalah terdapat hubungan antara status gizi kurang dengan tingkat karies.

EFEKTIVITAS PENYULUHAN METODE BERMAIN DAN METODE CERAMAH TERHADAP PENURUNAN INDEKS PLAK GIGI Tinjauan pada Pelajar SDN Atu-atu Pelaihari Kabupaten Tanah Laut Tahun 2014

Dentino Vol 1, No 1 (2016)
Publisher : FKG Unlam

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ABSTRACT Background: As many as 36,1% of South Kalimantan resident experience dental health problem, the second highest rate in Indonesia. This indication that dental health promoting is not running optimally. So, it is necessary efforts to improve dental and oral health education to the community with media education. Lecturing is the most commonly used method of dental health education. Play is a method of dental health education interactive. This method is considered suitable for children because they are likely to be more attracted to playing. Purpose: To find out the comparison of effectiveness of counseling methods of play and a lecture on reducing plaque index at student of SDN Atu-atu Pelaihari in Tanah Laut District. Method: It was a quasiexperimental with pre and post-test group design and used random sampling with 60 people sample and consisted of two treatment groups. Group 1 was given the treatment to counseling with a method of playing and group 2 lecturing method. Result: An average of plaque index before and after counseling after playing method reduced by 1.34 and lecture method reduced by 0.63. Paired T test analysis result showed the value of p= 0.000 (p<0.05) between before and after the treatment groups. Unpaired T Test analysis result showed the value of p = 0.000 (p<0.05) between the treatment groups.Conclusion: There were differences in the effectiveness of counseling methods of play and the lecture method, which play a more effective counseling methods to reduced plaque index.ABSTRAK Latar belakang: Penduduk Kalimantan Selatan mengalami masalah penyakit gigi dan mulut sebanyak 36,1 %, tertinggi kedua di Indonesia. Ini menunjukkan bahwa upaya promotif kesehatan gigi kurang optimal.Oleh karena itu diperlukan upaya peningkatan pendidikan kesehatan gigi dan mulut yaitu dengan penyuluhan. Ceramah merupakan penyuluhan kesehatan gigi dan mulut yang sering digunakan. Bermain adalah metode penyyuluhan kesehatan gigi dan mulut interaktif. Metode ini cocok untuk anak-anak, karena anak dalam periode ini masih senang bermain. Tujuan: Mengetahui perbandingan efektivitas penyuluhan metode bermain dan metode ceramah terhadap penurunan indeks plak gigi pada pelajar SDN Atu-atu Pelaihari Kabupaten Tanah Laut. Metode: Penelitian ini merupakan quasi eksperimental dengan kelompok pre dan post-test yang menggunakan teknik sampel secara acak dengan jumlah sampel 60 orang dan terdiri dari 2 kelompok perlakuan. Kelompok 1 diberikan perlakuan penyuluhan dengan metode bermain dan kelompok 2 metode ceramah. Hasil: Rata-rata indeks plak sebelum dan sesudah penyuluhan metode bermain mengalami penurunan sebesar 1,34 dan metode ceramah mengalami penurunan 0,63. Hasil analisis uji T berpasangan menunjukkan nilai p = 0,000 (p<0,05). Pada uji T tidak berpasangan menunjukkan nilai p = 0,000 (p<0,05) antar kelompok perlakuan.Kesimpulan: terdapat perbedaan efektivitas penyuluhan metode bermain dan metode ceramah, yaitu penyuluhan metode bermain lebih efektif menurunkan indeks plak. 

PENGARUH PELATIHAN TERHADAP PENGETAHUAN SIKAP DAN KETIDAKRASIONALAN PENGOBATAN DIARE NON SPESIFIK SESUAI MTBS PADA BALITA

Jurnal Berkala Kesehatan Vol 1, No 2 (2016): JURNAL BERKALA KESEHATAN
Publisher : Lambung Mangkurat

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Abstract

Penggunaan antibiotik  pada diare non spesifik merupakan salah satu indikator penggunan obat yang tidak rasional, ini dampak berkurangnya pada mutu dan pengelolaan pelayanan obat pada pasien, pemborosan pembiayaan, adanya efek samping serta resistensi. Survei awal yang dilakukan oleh peneliti dari delapan puskesmas di Kabupaten Balangan dengan melakukan analisa resep kasus diare pada non spesifik pada balita dari sebanyak 131 kasus sebanyak 104 pemberian obat tidak rasional. Tujuan penelitian menganalisis pengaruh pelatihan terhadap pengetahuan, sikap dan pengobatan diare non spesifik sesuai MTBS pada balita di Puskesmas Kabupaten Balangan. Metode yang digunakan Static group comparison. Populasi dokter, perawat dan bidan yang bertugas di ruang pemeriksaan dan ruang MTBS  yang bekerja di Puskesmas Kabupaten Balangan berjumlah 212 orang. Sampel penelitian terdiri dari sampel eksperimen berjumlah 45 orang dan sampel pembanding berjumlah 45 orang, teknik sampling purposive sampling. Instrumen penelitian menggunakan kuesioner dan catatan pengobatan. Hasil penelitian menggunakan uji chi-square dengan α = 0,05 dan Odds Ratio (OR). Hasil Penelitian Uji chi-square menunjukkan adanya hubungan pelatihan dengan pengetahuan (p=0,000), pelatihan dengan sikap (p=0,011) dan pelatihan dengan ketidakrasionalan pengobatan diare (p=001). Nilai OR menunjukan bahwa pengetahuan merupakan variabel yang dipengaruhi pelatihan, yakni OR=162,000. KesimpulanTerdapat hubungan positif antara pelatihan dengan pengetahuan, sikap dan ketidakrasionalan pengobatan diare pada balita.

COMPARISON OF PLAQUE INDEX IN PATIENTS WITH CANCER WHO ARE UNDERGOING CHEMOTHERAPY BASED ON THE FREQUENCY

Dentino Vol 2, No 2 (2017)
Publisher : FKG Unlam

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Background: One of the main cancer treatments is chemotherapy – a systemic treatment of cancer.Chemotherapy can kill cancer cells quickly, however it can also kill the healthy cells in human body. The morechemotherapy is done, the more cancer cells are damaged, and so are the healthy cells. One of the healthy cellsthat will be affected is oral cavity cells which can cause side effects, like xerostomia. Chemotherapy drugs aretoxic and it can lead to destructive effects on salivary glands. Xerostomia can cause the reduced function ofsaliva as self-cleansing, thus it can be one factor to facilitate the forming of plaque. Purpose: The objective ofthis research is to identify the difference of plaque index score on cancer patients who are undergoingchemotherapy based on the frequency in RSUD Ulin Banjarmasin. Method: This research uses expost factomethod with cross sectional approach. The samples of this research are 80 patients with cancer who areundergoing chemotherapy. Result: The data is tested by using nonparametric Kruskal Wallis test with p<0.05(p=0.001) shows that there is a meaningful difference of plaque index score within each group. Conclusion:According to the research that has been conducted, it can be concluded that there is a meaningful difference ofplaque index score in patients with cancer who are undergoing chemotherapy based on their frequency.

HUBUNGAN KEBIASAAN MEROKOK DENGAN PEMBENTUKAN STAIN (NODA GIGI) PADA PASIEN DI POLI GIGI RSUD RATU ZALECHA MARTAPURA

Dentino Vol 1, No 1 (2016)
Publisher : FKG Unlam

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ABSTRACT Background: Stain (teeth stain) is pigmented deposit on teeth surface. Stain is an esthetic problem for some people. Stain affected by some factors, one of them is smoking. Purpose: The purpose of this research is to identify the relation between smoking habit (smoking duration, cigarettes type, and cigarettes smoked per day) with formation of stain. Methods: Type of this research was observational analytic with cross sectional design. The method used was interview about smoking duration, cigarettes type, number of cigarettes smoked per day and clinical examination to look the presence of stain in teeth surface on 30 male smokers patients in dental clinic RSUD Ratu Zalecha Martapura. Results: The results presented 23 respondents (76,7%) from 30 respondents had stain formation. There was no relation between smoking duration with stain formation where p value on statistic test of kolmogorov-smirnov was 0,992 (>0,05). There was no relation between cigarettes type with stain formation where p value on statistic test of fisher was 0,071 (p>0,05). There was no relation between number of cigarettes smoked per day with stain formation where p value on statistics test of kolmogorov-smirnov was 0,652 (p>0,05). ABSTRAK Latar Belakang: Stain (noda gigi) adalah deposit berpigmen pada permukaan gigi. Stain merupakan masalah estetik bagi sebagian orang. Stain dipengaruhi oleh banyak faktor, salah satunya adalah merokok. Tujuan: Tujuan penelitian adalah mengetahui hubungan antara kebiasaan merokok (lama merokok, jenis rokok, dan rokok yang dihisap per hari) dengan pembentukan stain. Metode: Jenis penelitian ini menggunakan rancangan analitik observasional dengan desain cross sectional. Metode yang dilakukan adalah wawancara mengenai lama merokok, jenis rokok, dan jumlah rokok yang hisap per hari serta pemeriksaan klinis untuk melihat ada atau tidak pembentukan stain di permukaan gigi pada 30 pasien laki-laki perokok di poli gigi RSUD Ratu Zalecha Martapura. Hasil: Hasil penelitian yang diperoleh yaitu terdapat 23 responden (76,7%) yang memiliki pembentukan stain dari 30 responden. Tidak terdapat hubungan antara lama merokok dengan pembentukan stain, dimana nilai p pada uji statistik dengan mengunakan kolmogorov-smirnov adalah 0,992 (p>0,05). Tidak terdapat hubungan antara jenis rokok dengan pembentukan stain, dimana nilai p pada uji statstik dengan mengunakan fisher adalah 0,071 (p>0,05). Tidak terdapat hubungan antara jumlah rokok yang dihisap per hari dengan pembentukan stain, dimana nilai p pada uji statstik dengan mengunakan kolmogorovsmirnov adalah 0,653 (p>0,05).

RELATION BETWEEN TOBACCO-CHEWING HABITAND CARIES INDEX IN ELDERLY WOMEN Observation on Desa Juking Pajang Kecamatan Murung Kabupaten Murung Raya Provinsi Kalimantan Tengah

Dentino Vol 2, No 2 (2017)
Publisher : FKG Unlam

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Background: Tobacco-chewing is one of the oldest ways to consume tobacco leaves. Tobacco is a herbal plant (Solanaceae) containing nicotine that can cause dental caries. Purpose: The purpose of this study was to identify the relation between caries index in tobacco-chewing and non-tobacco-chewing elderly women in Desa Juking Pajang, Kecamatan Murung, Kabupaten Murung Raya, Provinsi Kalimantan Tengah. Methods: This was an analytical study using cross sectional approach. The samples were 60 elderly women, which consisted of 30 tobacco-chewing samples and 30 non-tobacco-chewing samples. Results: Data were analyzed using Mann-Whitney test, and the results showed p as 0,000 (p<0,05), which meant there was a significant relation. The results also revealed that the caries indexes of tobacco-chewing and non-tobacco-chewing elderly women were 16,2 (very high), and 2,43 (low) respectively. Conclusion: There was a significant relation between tobacco-chewing habit and caries index in elderly women in Desa Juking Pajang, Kecamatan Murung, Kabupaten Murung Raya, Provinsi Kalimantan Tengah.

HUBUNGAN PERILAKU IBU TENTANG PEMELIHARAAN KESEHATAN GIGI DAN MULUT TERHADAP STATUS KARIES GIGI ANAK Tinjauan Berdasarkan Pengetahuan, Tingkat Pendidikan, dan Status Sosial di TK ABA 1 Banjarmasin Kajian di Puskesmas Kota Banjarmasin Bulan September-Oktober 2014

Dentino Vol 2, No 1 (2017)
Publisher : FKG Unlam

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ABSTRACTBackground: Oral health disease places the first rank among the most ten diseases in Indonesia. The main oral health problem of children is dental caries. Mother is the closest figure of pre-school children who becomes a role model for her children. The purpose of this research determined the correlation between knowledge, education, and social status of mothers and the dental caries status of students in TK ABA 1 Banjarmasin. Methods: This research used analytical survey method with cross sectional approach. There were 46 samples selected in this research by using purposive sampling method based on certain inclusion criteria. Instrument used in this research was questionnaire to measure mothers’ knowledge, education level, and social status. Students’ dental caries status was measured base on def-t index. Result: In this research, the researcher correlated the knowledge, education level, social status of the mothers and the students’ dental caries status index by using SPSS and Spearman test. The result revealed the correlation is negative. It shows the higher knowledge, education level, and social status of the mother, the lower were def-t index of the students. The correlational strength was < 0.8 (strong) and p value was < 0.05 which means significant correlation. Conclusion: There is a significant correlation between knowledge, education level, social status of mothers and the students’ dental caries status.Keywords: Mother knowledge, mother education level, mother economy status, kindergarten students

HUBUNGAN TINGKAT PENGETAHUAN, KETERSEDIAAN FASILITAS, DAN DORONGAN PETUGAS KESEHATAN TERHADAP TINDAKAN MASYARAKAT UNTUK MENAMBAL GIGI

Dentino Vol 1, No 1 (2016)
Publisher : FKG Unlam

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ABSTRACT Background: Caries which receives no immediate treatment by filling will lead to more severe damage on teeth; the cavity will expand and eventually reach pulp. As prevention, filling is used as standard attempt to restore oral cavity normal function. Individual behavior to seek for dental treatment (filling) is affected by three factors: knowledge, facilities availability, and health services staffs’ motivation. Purpose: The purpose of this study is to assess the association of knowledge level, facilities availability and health services staffs’ motivation with public’s behavior to have their teeth filled in Puskesmas Pemurus Dalam, Puskesmas Karang Mekar, Puskesmas Banjar Indah, Puskesmas Sungai Jingah, and Puskesmas S. Parman. Methods: This study was analytic survey using cross-sectional approach. Samples were chosen by consecutive sampling amounting to 100 patients. Data was obtained by handing out questionnaires to patients. Result: Data was analyzed using chi square test which presented the value of X2=5,351; p=0,023 for knowledge level, X2=2,693; p=0,101 for facilities availability, and X2=0,676; p=0,174 for health services staff’s motivation of teeth filling. Conclusion: In conclusion, there was a significant association between knowledge level with teeth filling behavior and there was none between facilities availability and health services staff’s motivation with teeth filling behavior. ABSTRAK Latar Belakang: Karies gigi yang tidak segera dilakukan perawatan dengan tambalan akan berlanjut menghancurkan gigi, lubang gigi akan membesar dan karies akan sampai pulpa. Sebagai upaya penanggulangan karies agar tidak meluas adalah melakukan penambalan pada gigi untuk mengembalikan fungsi rongga mulut. Terbentuknya perilaku individu untuk mencari pengobatan gigi (tambal gigi) dipengaruhi oleh tiga faktor yaitu pengetahuan, ketersediaan fasilitas, dan dorongan petugas kesehatan. Tujuan: Tujuanpenelitian ini adalah mengetahui hubungan dari tingkat pengetahuan, ketersediaan fasilitas, dan dorongan petugas kesehatan terhadap tindakan masyarakat untuk menambal gigi di Puskesmas Pemurus Dalam, Puskesmas Karang Mekar, Puskesmas Banjar Indah, Puskesmas Sungai Jingah, dan Puskesmas S. Parman. Metode: Penelitian ini merupakan penelitian survei analitik dengan pendekatan cross-sectional. Sampel diambil dengan metode consecutive sampling sebanyak 100 orang pasien. Pengambilan data diperoleh dengan memberikan kuesioner kepada pasien. Hasil: Data dianalisis menggunakan uji chi square dan di peroleh nilai X2=5,351; p=0,023 untuk hubungan tingkat pengetahuan, nilai X2=2,693; p=0,101 untuk hubungan ketersediaan fasilitas, dan nilai X2=0,676; p=0,174 untuk hubungan dorongan petugas kesehatan terhadap tindakan menambal gigi. Kesimpulan: Kesimpulannya terdapat hubungan bermakna antara tingkat pengetahuan terhadap tindakan menambal gigi dan tidak ada hubungan bermakna antara ketersediaan fasilitas dan dorongan petugas kesehatan terhadap tindakan menambal gigi.

DIFFERENCES BETWEEN MALE AND FEMALE DENTAL ARCH FORM Study in Banjarnese Students of Dentistry Program Medical Faculty of Lambung Mangkurat University (Research Report)

Dentino Vol 2, No 1 (2017)
Publisher : FKG Unlam

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ABSTRACTBackground: Acrylic resin as denture base material has been mostly used. Cleanliness of denture base can be maintained by submerging the denture base into 0,2% chlorhexidine gluconate. Uncleaned denture base can cause Denture Stomatitis.There are the flora accumulation like Candida albicans. Small white gingerhas activity towards Candida albicans. Small white ginger has antifungal role because of its phenol compound. Purpose: This study aims to know the Minimum Inhibitory Concentration value (MIC) of ethanol extract concentration of small white ginger towards Candida albicans growth in submerge of heat cured removable acrylic denture. Method: This experimental study was using post test only with control group design. Acrylic resin was submerged into 30%, 35%, 40%, 45%, 50%, 60%, 70%, 80%, 90%, 100% tratment extract, and as the control group, there are 0,2% chlorhexidine gluconate and 70% ethanol. The data analyzed usedOne Way Anova test and Bonferroni Post Hoc test with 95% confidence level.Result: The result of the study shows thatMIC value of 40%, 45%, 50%, 60%, 70%, 80% 90% and 100% from treatment extract consecutivly are 13.07%; 18.36%; 23.67%; 28.87%; 36.84%; 42.10%; 49.98%; 52.61%. Conclusion: The conclusion of this study is treatment extract can reduce the amount of Candida albicans and 100% treatment extract has better antifungal effect compared to lesser concentrations and 0,2% chlorhexidine gluconate.Keywords: dental arch form, mandibular, gender, Banjarnese