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Siti Fitria Ulfah
Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
Electrical & Electronics Engineering Health Professions Nursing Public Health

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The Effectiveness of Pop Up Book and Hand Puppets Media on Toothbrushing Skills of Slow Learner Students Silvia Prasetyowati; Afidatul Mukhlishoh Edi; Siti Fitria Ulfah; Isnanto Isnanto
International Journal of Advanced Health Science and Technology Vol. 3 No. 3 (2023): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i3.247

Abstract

Slow learner children are a group of children with an IQ of 70-90 who experience difficulties in adapting, responding to stimuli, and thinking. The impact of these barriers is the inability to perform self-care such as taking care of yourself and brushing your teeth properly. There are 14% of slow learner children in Indonesia and 80.64% of them have poor oral hygiene caused by improper brushing. One effort that can be done is to conduct counseling about brushing teeth using appropriate media, namely pop-up book media and hand puppets. The problem in this research is that the slow learner students' brushing skills are still in the bad category. This study aims to determine the effectiveness of pop-up book media and hand puppets on the teeth-brushing skills of slow-learner students. This type of research is a Quasy Experiment with a pretest-posttest design, with a population of 20 slow-learner students. The data collection instrument used was an observation sheet. The data analysis technique uses the Wilcoxon test and the Mann-Whitney test. The results showed that there were differences in the effectiveness of pop-up book media and hand puppets on the teeth brushing skills of slow learners grades 3-5 in the inclusion class of SDN Mojo III and SDN Airlangga I Surabaya City after 21 days of observation.
Analysis of the Association between Stunting and Saliva Potential of Hydrogen (pH) in Preschool Children Dian Fitri Ana Dewi; Silvia Prasetyowati; Siti Fitria Ulfah; Anshad Ansari
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.322

Abstract

Stunting can affect dental health due to changes in saliva content. Saliva that cannot work optimally will increase the risk of dental caries. The problem in this research is the high level of caries in preschool children at the DWP V Jatirejo Kindergarten. This study aims to determine the association between stunting and the potential of hydrogen (pH) in the saliva of preschool children at DWP V Jatirejo Kindergarten, Lekok District, Pasuruan Regency. The study design was an analytic observational with a cross-sectional approach, the sample in this study was 40 students who were determined using the Slovin formula with a proportional stratified random sampling technique. The stunting variable data collection method was measuring of Height/Age using microtoise and the saliva pH variable was measured using pH meters, and the data analysis techniques used the chi-squared test. Results: There is an association between stunting and the saliva pH in preschool children at DWP V Jatirejo Kindergarten. The Height/Age measurement results to determine the stunting status of respondents were found to be dominated by short height (stunted), and the saliva pH category of respondents was dominated by the acidic category.
Family Support in Maintaining Dental and Oral Health with Dental Caries in Patients Suffering from Diabetes Mellitus Type 2 Izzatun Nuriy Taufik; Siti Fitria Ulfah; Bambang Hadi Sugito; Imam Sarwo Edi
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.333

Abstract

Diabetes mellitus causes manifestations in the oral cavity which are usually called oral diabetes which include dental caries, dry mouth, gums that bleed easily (gingivitis), tartar, alveolar bone resorption, and periodontitis. Dental caries is the most common complication in people with diabetes mellitus type 2 with a high prevalence rate of up to 55%. It was found that on average patients suffering from diabetes mellitus type 2 at the Pakong Community Health Center, Pamekasan Regency experienced dental caries of 4.6, which is included in the high category. The problem of dental caries in patients suffering from diabetes mellitus type 2 is still high, and family support in efforts to maintain dental and oral health is still lacking. The aim of this research is to determine the relationship between family support in maintaining oral health and dental caries in patients suffering from diabetes mellitus type 2. This type of research is a cross-sectional correlation analytical research by means of examination and filling out questionnaires. The respondents in this study were 56 patients suffering from diabetes mellitus type 2 using the Slovin formula and using a purposive sampling technique. The data analysis technique uses the chi-square test. This research shows that there is a significant relationship between family support in maintaining oral health and dental caries in patients suffering from diabetes mellitus type 2 at the Pakong health center, Pamekasan district.
Relationship between Toothbrushing Skills and Dental Caries in Class III – V Students of SDN 3 Ngasinan Ponorogo in 2024 Krisyasinta Riyanandia Dewi Pramesti; Ida Chairanna Mahirawatie; Siti Fitria Ulfah; Silvia Prasetyowati
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.360

Abstract

Dental caries is still often experienced by many people, including children. Elementary school age children aged 6-12 years are classified as vulnerable to dental caries. The problem of this research is the high rate of dental caries in students in grades III to V at SDN 3 Ngasinan Ponorogo, where almost all students have dental caries. The aim of the research was to determine the relationship between tooth brushing skills and dental caries in students in grades III to V at SDN 3 Ngasinan Ponorogo. This type of research is analytical research with a cross sectional method, with a sample of 32 students in class III to V at SDN 3 Ngasinan Ponorogo. The data collection instruments used were observation sheets and stopwatches to measure students toothbrushing skills as well as examination sheets to identify dental caries. The analysis technique uses the chi-square test. The results of research on the toothbrushing skills of students in grades III to V at SDN 3 Ngasinan Ponorogo were included in the low-skill category at 68.8%. Dental caries for students in grades III to V at SDN 3 Ngasinan Ponorogo was in the high category at 43.8%. There is a significant relationship between tooth brushing skills and dental caries in students in grades III to V at SDN 3 Ngasinan Ponorogo. Conclusion : The level of tooth brushing skills, both in terms of how to brush teeth and the duration of time for brushing teeth, will influence the level of dental caries in students.
The Relationship Between Tooth Brushing Methods and Gum Bleeding Among the Elderly at Posyandu Lansia in Surabaya Dinda Alifiani Kunawi; Sunomo Hadi; Siti Fitria Ulfah
International Journal of Advanced Health Science and Technology Vol. 4 No. 4 (2024): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i4.380

Abstract

The elderly experience a decline in immune function, making them susceptible to dental and oral diseases, one of which is gum bleeding. Improper tooth brushing techniques can cause gum bleeding because brushing in the wrong direction can make the gums bleed easily and leave food residues uncleaned. Problem: The high percentage of gum bleeding during tooth brushing in the elderly at the Posyandu Lansia Kampung Mustika Baru Ngagel Surabaya in 2024. On average, the elderly have poor tooth brushing techniques. Objective: To analyze the relationship between tooth brushing methods and gum bleeding in the elderly at the Posyandu Lansia Kampung Mustika Baru Ngagel Surabaya in 2024. Research Method: This research is an analytical cross-sectional study. Sampling was done using purposive sampling with a sample of 36 elderly individuals. The data collection instruments used were observation sheets to measure tooth brushing methods and examination sheets to identify gum bleeding. The analysis technique used was the Chi-square test. Research Results: On average, the elderly's tooth brushing methods, after observation, were categorized as poor. There is a significant relationship between tooth brushing methods and gum bleeding in the elderly at the Posyandu Lansia Kampung Mustika Baru Ngagel Surabaya, with an asymp.sig (α) value of 0.000 (p < 0.05). Conclusion: The better the elderly brush their teeth, the less likely they are to experience gum bleeding, thereby reducing the risk of gum bleeding
The Effectiveness of Using BRAILLPOPAL Media and MOSIPEDALY Media in Improving Toothbrushing Skill in The Visually Impaired Elis Selvi Ryan Susanti; Silvia Prasetyowati; Siti Fitria Ulfah
International Journal of Advanced Health Science and Technology Vol. 4 No. 5 (2024): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i5.392

Abstract

Health has a major impact on the quality of life of children, one of which is with children with disabilities such as blind children, which is a term for individuals who experience impairment in their vision, whether it is total blind (total blindness) or low vision (there is still some vision left). The visually impaired are slower to detect early symptoms of poor oral health. The use of BRAILLPOPAL (Braille Pop Up Dental) and MOSIPEDALY (Modified Panthom Dental Study) media is an effort to improve tooth brushing skills in the blind. Poor oral hygiene in blind students of SLB N 1 Bantul. To know the effectiveness of BRAILLPOPAL and MOSIPEDALY media in improving tooth brushing skills in the blind at SLB N 1 Bantul. Type of research Quasi Experiment with Pre-test and Post-test Design research design using total sampling with research subjects as many as 30 students.  The study showed that there was a significant increase in tooth brushing skills in the blind after being given counseling with BRAILLPOPAL media and MOSIPEDALY media. The use of BRAILLPOPAL media is more effective than MOSIPEDALY media in improving tooth brushing skills in the blind at SLB N 1 Bantul with an average increase of 18.80. Conclusion: Education using BRAILLPOPAL media and MOSIPEDALY media shows that there is an effectiveness in improving tooth brushing skills in blind students of SLB N 1 Bantu
Motivation for Maintaining Oral Health and Its Association with Gingivitis among Pregnant Women at Berbek Public Health Center Luthfi Zainur Rohmah; Bambang Hadi Sugito; Siti Fitria Ulfah; Imam Sarwo Edi
International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i6.509

Abstract

Gingivitis is one of the most common oral health problems encountered during pregnancy, largely influenced by hormonal changes that heighten gingival vascularization and inflammatory responses. Preliminary findings from the Berbek Public Health Center, Nganjuk, indicated a high prevalence of gingivitis among pregnant women, reflecting inadequate oral hygiene practices and limited awareness. This situation underscores the need to understand behavioral determinants, particularly motivation, that may influence oral health status during pregnancy. Therefore, this study aimed to analyze the association between pregnant women’s motivation to maintain oral health and the occurrence of gingivitis in the working area of Berbek Public Health Center in 2025. A descriptive-analytic study with a cross-sectional design was conducted involving 30 pregnant women selected through purposive sampling. Motivation levels were assessed using a validated Likert-scale questionnaire, while gingival status was examined using the Loe and Silness Gingival Index. Data were analyzed using Spearman’s correlation test to determine the relationship between motivation and gingival condition. The results revealed that 56.7% of respondents had moderate motivation and 43.3% had strong motivation for maintaining oral hygiene. Gingivitis assessment showed that 60% of participants exhibited mild gingivitis, while 40% had moderate gingivitis. Spearman’s test demonstrated a strong and statistically significant correlation between motivation and gingivitis (ρ = 0.714; p = 0.001), indicating that higher motivation was associated with better gingival health. In conclusion, motivation plays a crucial role in shaping oral health behaviors during pregnancy and is significantly related to the incidence of gingivitis. Strengthening maternal motivation through targeted health education and integrated maternal–dental health programs is essential to reduce gingivitis risk and support optimal pregnancy outcomes.
Effectiveness of Mokegi (Dental Health Monopoly) in Improving Knowledge of Dental Caries Among Preschool Children in Tulungagung zenicxa ratria agustananda; Isnanto; Siti Fitria Ulfah
International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i6.513

Abstract

Dental caries remains one of the most prevalent oral health problems among preschool children, largely driven by inadequate knowledge and poor oral hygiene habits. Preliminary assessments at TK B Dharma Wanita Talang II Tulungagung revealed that 42% of students possessed insufficient knowledge regarding dental caries, highlighting the need for engaging and developmentally appropriate educational interventions. This study aimed to evaluate the effectiveness of the Dental Health Monopoly (MOKEGI) game in improving preschool children’s knowledge of dental caries. A quasi-experimental pretest–posttest design with a control group was employed, involving 46 preschool children who were divided equally into intervention and control groups. Knowledge levels were measured using a validated and reliable questionnaire, and data were analyzed using the Wilcoxon signed-rank test and Mann–Whitney U test. The findings demonstrated substantial improvement in knowledge within the intervention group after exposure to the MOKEGI game, with all children (100%) achieving a “good” knowledge category post-intervention. In contrast, the control group showed only moderate improvement, with 56.5% reaching the “sufficient” category and none attaining the “good” category. Statistical results confirmed significant differences within the intervention group (p < 0.001) and between the intervention and control groups (p < 0.001). These outcomes indicate that MOKEGI is highly effective as an interactive, game-based educational tool for improving preschool children’s understanding of dental caries. In conclusion, the MOKEGI game provides an engaging and effective medium for enhancing oral health knowledge among young children and holds potential for integration into early childhood health education programs. Future research should assess long-term knowledge retention, behavioral changes, and applicability across diverse school settings.
The Use of TikTok Media on the Knowledge of Dental and Oral Hygiene among Students of SMAN 1 Porong Nur Fauziyah; Imam Sarwo Edi; Siti Fitria Ulfah; Silvia Prasetyowati
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.576

Abstract

Oral and dental hygiene remains a significant public health concern among adolescents, largely due to inadequate knowledge and limited exposure to effective health education. Preliminary findings at SMAN 1 Porong indicated that 50% of students exhibited poor plaque indices, reflecting insufficient awareness of proper oral hygiene practices. This study aimed to evaluate the effectiveness of TikTok-based educational media in improving students’ knowledge of oral and dental hygiene. A quasi-experimental design with a one-group pretest–posttest approach was employed. A total of 52 tenth-grade students were selected using simple random sampling. Data were collected through a structured questionnaire distributed via Google Forms before and after the intervention. The educational intervention consisted of delivering oral health content through TikTok media. Data analysis was conducted using the Wilcoxon Signed-Rank Test to assess differences in knowledge scores before and after the intervention. The results demonstrated a substantial improvement in students’ knowledge following the intervention. Prior to education, 96% of respondents were categorized as having low knowledge, whereas after the intervention, 88% achieved a good knowledge level. Statistical analysis revealed a significant difference between pretest and posttest scores (p = 0.000; p < 0.05), indicating the effectiveness of TikTok as an educational medium. In conclusion, TikTok-based health education significantly enhances adolescents’ knowledge of oral and dental hygiene. The findings suggest that integrating social media platforms into health promotion strategies can serve as an innovative and engaging approach to improve health literacy among students. Future research is recommended to explore the long-term impact of such interventions and to compare the effectiveness of different digital media platforms.
Co-Authors Afidatul Mukhlishoh Edi Anshad Ansari Bambang Hadi Sugito Dian Fitri Ana Dewi Dinda Alifiani Kunawi Elis Selvi Ryan Susanti Ida Chairanna Mahirawatie Imam Sarwo Edi Isnanto Isnanto Isnanto Izzatun Nuriy Taufik Krisyasinta Riyanandia Dewi Pramesti Luthfi Zainur Rohmah Nur Fauziyah Silvia Prasetyowati Sunomo Hadi zenicxa ratria agustananda