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

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The Effectiveness of TURBODENT Educational Media in Improving Toothbrushing Skills in 5-6-Year-Old Children at Raden Paku Kindergarten, Surabaya Azzahra Septiana Nur Annisa; Bambang Hadi Sugito; Ida Chairanna Mahirawatie; Isnanto
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.v4i4.364

Abstract

Toothbrushing skills in preschool children are crucial for dental health. However, children often struggle to apply the correct techniques. A preliminary study conducted on 5-6-year-old children at Raden Paku Kindergarten in Surabaya revealed that most of them had inadequate skills in performing toothbrushing movements. Educational media serve as an effective tool for conveying messages to enhance toothbrushing skills. Efforts to improve these skills can be implemented using the TURBODENT (Try Using Box Dental) media. This study aims to evaluate the effectiveness of the Try Using Box Dental media on the toothbrushing skills of 5-6-year-old children at Raden Paku Kindergarten in Surabaya. This research employs a quasi-experimental method with a pretest-posttest control group design. The study sample consists of 40 children aged 5-6 years, divided into two groups: the intervention group and the control group. Data collection instruments include an observation checklist for toothbrushing skills. Data analysis techniques involve the Wilcoxon test and the Mann-Whitney test. Results: the Wilcoxon test for the intervention group shows a p-value of 0.000, while the control group has a p-value of 1.000. The Mann-Whitney test results in a p-value of 0.000 or < 0.05. The study concludes that the Try Using Box Dental media is effective in enhancing the toothbrushing skills of 5-6-year-old children at Raden Paku Kindergarten in Surabaya.
Enhancing Preschool Children’s ToothbrushingIndependence Through Video TutorialEducation: A Study on Knowledge and Practices Silvia Prasetyowati; Meyvilia Yunardi Saputri; Isnanto
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.v4i4.366

Abstract

Preschool children represent a critical developmental stage in which foundational health behaviors, includingtoothbrushing, begin to form. Although most Indonesian children aged ≥3 years brush their teeth daily, only a small proportiondo so correctly, resulting in persistently high rates of dental and oral health problems. This study addresses the problem oflow toothbrushing knowledge and inadequate brushing practices among preschool children. The aim of this research was toevaluate the effectiveness of video tutorial–based dental health education in enhancing preschool children’s independence,knowledge, and practical skills in toothbrushing. A pre-experimental study with a pre-test–post-test control group design wasconducted among 38 preschool children enrolled in Putra Harapan Kindergarten and Dewi Sartika Kindergarten, Tuban.Participants were divided into an experimental group receiving video tutorial education and a control group receiving verbaleducation only. Data on knowledge and toothbrushing practices were collected using structured observation sheets, andanalyzed using the Wilcoxon signed-rank test and Mann–Whitney U test. The results demonstrated a significant improvementin both knowledge and toothbrushing practices in the experimental group after 21 days of intervention (p < 0.001). In contrast,the control group showed no significant changes in either outcome. Between-group comparisons further indicated that videotutorial education was significantly more effective than verbal instruction in increasing correct toothbrushing knowledge andpractices (p < 0.001). In conclusion, video tutorial media is an effective educational tool for enhancing preschool children’sindependence in toothbrushing. Its engaging visual format improves comprehension and encourages children to imitate properbrushing movements, leading to better oral hygiene behaviors. The findings support the integration of video-based learninginto early childhood dental health programs and future studies with longer follow-up periods are recommended to assesslong-term behavioral retention.
Differences the Effectiveness of Using Conventional Toothbrush and Modified Toothbrush Handle (SIGIGA) in Reducing Debris Index With Children in Down Syndrome Stefani Dwi Adelia Putri Susanto; Isnanto; Bambang Hadi Sugito; Sunomo Hadi
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.v4i4.373

Abstract

Down syndrome children are mentally retarded and most of them have poor oral health and are unable to carry out dental hygiene independently due to cognitive and motor limitations. It was found that 83% of dental hygiene (debris index) was in the moderate category in children with Down syndrome. Efforts to improve dental hygiene can be done by using a modified toothbrush. The aim of the research is to determine the difference in the effectiveness of using a conventional toothbrush and a modified toothbrush with a handle (SIGIGA) in reducing the debris index in children with Down syndrome. This type of research is quasi-experimental. The sample size was 30 respondents from children with Down syndrome who were selected using a total sampling technique. The data collection instrument used was the debris index examination sheet. The data analysis techniques used are the Wilcoxon test and the Mann-Whitney test. The results of the Wilcoxon test to see the difference in plaque scores before and after treatment obtained significant results ρ (0.001) < 0.05 in the conventional toothbrush group and the modified handled toothbrush group. The results of the Mann-Whitney test showed ρ (0.000) < 0.05. This value shows that H0 is rejected, so there is a difference in the effectiveness of using a conventional toothbrush and a modified toothbrush with a handle (SIGIGA) in reducing the debris index in children with Down syndrome. Conclusions from the research : There is a difference in the effectiveness of using a conventional toothbrush and a modified toothbrush with a handle (SIGIGA) in reducing the debris index in children with Down syndrome.
The The Effect of WhatsApp Videos on Pregnant Women's Knowledge About Dental Clinic Visits at Bangkalan, Madura Futu Hatul Ulumia; Isnanto; Imam Sarwo Edi
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.v4i4.374

Abstract

In everyday life, it is very important to maintain health, one of which is regarding dental and oral health. The problem in this research is the influence of Whatsapp videos on pregnant women's knowledge about visits to the dental clinic at the Kwanyar Health Center, Bangkalan Regency, Madura. The aim of the research was to determine the effect of Whatsapp videos on pregnant women's knowledge about visiting the dental clinic at the Kwanyar Health Center, Bangkalan Regency, Madura. The research method is this research approach is a Quantitative approach, the research method used is the Quasi Experimental method with a Pretest-Posttest Control Group Design research design, the research population is pregnant women in the working area of ​​the Kwanyar Health Center, Bangkalan Regency, Madura. The sample was taken in the form of accidental sampling, namely pregnant women who visited the Kwanyar Health Center Dental Clinic, totaling 30 respondents within a period of one week. Data collection uses a questionnaire via Google Forms. Meanwhile, the data analysis technique is in the form of the Wilcoxon Statistical Test. Research results based on the Wilcoxon Statistical Test showed a ρ value (0.01) < 0.05, it can be concluded that there is an influence of the use of WhatsApp videos on pregnant women's knowledge about visits to the Dental Clinic at the Kwanyar Health Center, Bangkalan Regency, Madura.
The Relationship Between Maternal Nutrition During Pregnancy and Primary Tooth Caries in Stunted Toddlers: A Study at Umbulsari Shahila Nailil Muna; Isnanto; Agus Marjianto
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.v4i4.375

Abstract

Particularly during the 5th week of gestation when primary tooth enamel begins forming. Disruptions during this crucial period can lead to suboptimal enamel structure, increasing susceptibility to cavities in toddlers. A study conducted observed dental examinations of 10 stunted toddlers, all of whom exhibited dental caries. This prompted an investigation into whether maternal nutrition during pregnancy correlates with primary tooth caries in stunted toddlers. The research, a retrospective case-control study using purposive sampling of 90 respondents, utilized maternal BMI data and assessed primary tooth caries incidence. Analysis using Spearman's non-parametric correlation test indicated a significant relationship (p=0.001, r=0.351) between maternal nutritional status and primary tooth caries. Findings from the Umbulsari Community Health Center revealed that most mothers had below-normal nutritional status during pregnancy, and stunted toddlers averaged 7.3 dental caries. It was concluded that there was a relationship between maternal nutritional status during pregnancy and primary tooth caries in stunted toddlers at the Umbulsari Community Health Center with a weak correlation coefficient and the direction of correlation between variables was negative or inversely proportional.
The Association Between Maternal Nutritional Status During Pregnancy and Delayed Primary Tooth Eruption in Stunted Toddlers Nabila Rizqi Amalia; Isnanto; Sri Hidayati
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.v4i4.376

Abstract

Nutritional status during pregnancy is important for fetal development. Poor maternal nutritional status can cause delayed eruption of primary teeth in toddlers. This study was conducted because it was found that 6 out of 10 stunted toddlers who underwent dental examinations had delayed tooth eruption. This study aimed to investigate any potential associations between the pregnant women’s nutritional status and the toddler’s teeth who experience delayed eruption. This research is retrospective analytic. The total sample was 78 respondents, taken by purposive sampling method. The first visit of the Maternal and Child Health (KIA) book utilizing the Body Mass Index (BMI) to evaluate nutritional status of expectant mothers. Tooth eruption in toddlers was measured through dental examination. The analysis used was the Spearman correlation test. The findings indicated that most of mothers of toddlers during pregnancy had a nutritional status between 18.5-24.9 kg/m2 or fell into the typical group (52.6%), but from the results of dental eruption examination it was found that most of the stunted toddlers experienced delayed tooth eruption (66.7%). The conclusion of the study is that the pregnant women’s nutritional status is connected to the primary teeth’s eruption in stunted toddlers with ρ = 0.035 (p<0.05). This study has implications for the importance of paying attention to pregnant women’s dietary consumption in an attempt to avoid delayed tooth eruption in stunted toddlers.
The Relationship Between Brushing Teeth and Debris Index in Pregnant Women at The Buduran Health Center, Sidoarjo Regency Bella Hidayatus Syafitri; Imam Sarwo Edi; Isnanto; Ida Chairanna Mahirawatie
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.v4i4.385

Abstract

The average debris index in pregnant women at the Buduran Health Center, Sidoarjo Regency is in the bad category. The high debris index is caused by several factors from the way brushing teeth. During pregnancy, pregnant women are encouraged to always maintain oral hygiene, namely by brushing their teeth regularly and the right way to maintain the health of their personal teeth and mouth, so as to avoid oral diseases that can affect pregnancy. The purpose of this study is to find out relationship between brushing teeth and debris index in pregnant women at the Buduran Health Center, Sidoarjo Regency. This type of research is an analytical research with a cross sectional method with a sample of pregnant women at the Buduran Health Center, Sidoarjo Regency which totals 44 pregnant women. The data collection instruments used are examination sheets to measure the debris index and observation sheets to assess how to brush teeth. The analysis technique uses the Chi-Square test. The results of the research on how to brush the teeth of the pregnant women at the Buduran Health Center, Sidoarjo Regency are the medium category, which is 54.5%. The debris index of pregnant women at the Buduran Health Center, Sidoarjo Regency is included in the moderate category of 56.8%. The results from the study obtained a p value of 0.023 or a P score of significance below α (0.05). There is relationship between brushing teeth and debris index in pregnant women at the Buduran Healt Center, Sidoarjo Regency.
The Influence of The Role of Parents on Dental and Oral Health From The Severity of Dental Caries in Deaf Children Aged 7-14 At SLB N 1 Bantul Evinna Juliana Subroto; Ratih Larasati; Isnanto
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.v4i4.394

Abstract

Deaf children in their limitations really need the role of parents. Parental behavior is very important in the formation of behaviors that support or do not support children in maintaining dental and oral hygiene. Dental caries is a disease of dental tissue that is characterized by tissue damage, starting from the surface of the tooth (recess, fissure, and interproximal area) extending towards the pulp. The problem of high DMF-T scores in deaf children aged 7-14 years at SLB N 1 Bantul. The purpose of the study was to determine the influence of the role of parents on dental and oral health from the severity of dental caries in deaf children aged 7-14 at SLB N 1 Bantul. This type of analytical research research with a cross sectional design. The research target was parents (fathers/mothers) and deaf children aged 7-14 years at SLB N 1 Bantul with a total sampling technique using the purposive sampling method. Data collection instruments, questionnaire sheets and examination sheets. The data analysis technique used is the Spearman-rank test. The results of the study showed that the p value (0.020) < 0.05, it can be concluded that there is an influence of the role of parents on dental and oral health reviewed from the severity of dental caries in deaf children aged 7-14 years at SLB N 1 Bantul with sufficient closeness.
Effectiveness of Mystery Card Media of DentalHealth Knowledge Among Preschool Children inSurabaya Helly Lailiyah Mufarikhah Mufarikhah; Isnanto; Ratih Larasati; Husnul Wafa
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.v5i6.498

Abstract

Dental health problems remain highly prevalent among preschool children, largely due to inadequate knowledge ofproper oral hygiene practices. Preliminary findings at Maryam Islamic Kindergarten, Surabaya, showed that most children exhibitedpoor dental health knowledge and high caries risk, highlighting the need for more engaging and developmentally appropriateeducational media. This study aimed to evaluate the effectiveness of the Mystery Card media, an interactive learning tool integratingprinted cards with technology, in improving dental health knowledge among preschool children. A quasi-experimental pretest–posttest control group design was conducted from December 2024 to March 2025, involving 46 preschool children selected throughsimple random sampling. Participants were divided into intervention and control groups. The intervention group received educationusing Mystery Card media, while the control group received conventional instruction through PowerPoint presentations.Knowledge data were collected using a validated questionnaire and analyzed using the Wilcoxon and Mann-Whitney tests with asignificance level of α = 0.05. The results demonstrated a substantial improvement in the intervention group, where the proportionof children in the “good” knowledge category increased from 0% at pretest to 95.7% at posttest (p = 0.000). The control group showed improvement only to the “adequate” category, with no children reaching the “good” category (p = 0.037). The Mann-Whitney analysis confirmed a significant posttest difference between the two groups (p = 0.000), indicating the superior effectiveness of the Mystery Card media. In conclusion, Mystery Card media significantly enhances dental health knowledge amongpreschool children, outperforming traditional instructional methods. Its interactive features, combining visual and auditory stimuli,create a more engaging learning experience that supports better comprehension and retention. The findings suggest the potential ofMystery Card media as an innovative strategy for early oral health education.
The Relationship Between Parents’ Knowledge of Oral and Dental Health Maintenance and the Oral Hygiene Status of Visually Impaired Students at SMPLB-A and SMALB-A YPAB Surabaya Shelani Krisdayana Safitri; Isnanto; Sri Hidayati
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.505

Abstract

Children with visual impairments are particularly vulnerable to poor oral hygiene due to limitations in visual perception and motor coordination, which hinder their ability to perform effective self-care. As a result, parental involvement plays a critical role in maintaining their oral and dental health. However, limited parental knowledge regarding appropriate oral health practices may contribute to inadequate hygiene outcomes in this population. This study aimed to examine the relationship between parents’ knowledge of oral and dental health maintenance and the oral hygiene status of visually impaired students at SMPLB-A and SMALB-A YPAB Surabaya. A descriptive correlational study with a cross-sectional design was conducted involving 24 visually impaired students and their parents, selected through total sampling. Parental knowledge was assessed using a structured and validated questionnaire covering tooth-brushing techniques, appropriate brushing times, and dental care practices. The oral hygiene status of the students was evaluated clinically using the Simplified Oral Hygiene Index (OHI-S). Data were analyzed using the Spearman rank correlation test to determine the association between parental knowledge and children’s oral hygiene status. The results revealed that the majority of parents had a moderate level of oral health knowledge (58.3%), while only 33.3% demonstrated high knowledge. None of the students achieved a “good” oral hygiene status; 33.3% were categorized as “fair,” and 66.7% as “poor.” The mean OHI-S score was 3.49, exceeding the national target value of ≤1.2. Statistical analysis showed a strong and significant correlation between parental knowledge and oral hygiene status (ρ = 0.848; p < 0.05). In conclusion, higher parental knowledge of oral and dental health maintenance is strongly associated with better oral hygiene outcomes among visually impaired children. These findings highlight the need for targeted oral health education programs for parents to improve preventive care and oral health status in this vulnerable group.
Co-Authors Agus Marjianto Anggita Nicky Shabrina Azzahra Septiana Nur Annisa Bambang Hadi Sugito Bella Hidayatus Syafitri Dyah Harum Kartika Evinna Juliana Subroto Futu Hatul Ulumia Helly Lailiyah Mufarikhah Mufarikhah Husnul Wafa Ida Chairanna Mahirawatie Imam Sarwo Edi Meyvilia Yunardi Saputri Nabila Rizqi Amalia Ratih Larasati Shahila Nailil Muna Shelani Krisdayana Safitri Silvia Prasetyowati Siti Fitria Ulfah Sri Hidayati Stefani Dwi Adelia Putri Susanto Sunomo Hadi zenicxa ratria agustananda