I Gusti Ayu Ratih Pramesti
Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Mahasaraswati Denpasar, Indonesia

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An Analysis of Factors Contributing to Low Interest in Denture Use Among the Elderly in Denpasar City: A Hanlon Theory Approach Ni Putu Idaryati; I Gusti Agung Ayu Chandra Iswari Dewi; Gusti Ayu Yohanna Lily; I Nyoman Panji Triadnya Palgunadi; Yudha Rahina; I Gusti Ayu Ari Agung; I Wayan Agus Wirya Pratama; I Gusti Ayu Ratih Pramesti
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 3 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i3.12132

Abstract

Introduction: The increasing life expectancy in Indonesia, including  Denpasar City, has led to a growing elderly population. Older adults are vulnerable to various health problems, including tooth loss. This condition can impair chewing function, affect facial aesthetics, and ultimately reduce the quality of life. Dentures are a commonly used solution; however, their use among the elderly remains low. Therefore, it is important to explore the factors influencing the interest in using dentures. Material and Methods: This study was a qualitative research including a descriptive exploratory approach. Data were collected through in-depth interviews with 20 older adults from five community units (banjar) in Denpasar City, selected purposively. Data were analyzed thematically using the Hanlon method, which considers the magnitude of the problem,  seriousness of the impact,  effectiveness of the solution, and feasibility of implementation, to assess and prioritize the factors contributing to the low interest in denture use. Results and Discussions: Six main themes were identified as influencing the low interest in denture use: passive acceptance of tooth loss as a natural part of aging, limited access due to lack of transportation or assistance, (3) low knowledge about the benefits of dentures, discomfort during use, perception of high costs, and ignorance of the Indonesian health insurance coverage. Conclusion: The low interest in denture use among older adults is influenced by psychosocial, structural, and educational factors. Educational interventions, provision of mobile health services, and culturally sensitive, community-based approaches are needed to improve denture utilization among older adults.
Changes in Oral Health Knowledge Baseline DMFT Status Among Pregnant Women at a Primary Healthcare Center I Gusti Agung Ayu Chandra Iswari Dewi; Gusti Ayu Yohanna Lily; I Gusti Ayu Ratih Pramesti; I Wayan Agus Wirya Pratama; I Gede Irvan Pratama
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 22 No. 2 (2026): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v22i2.13725

Abstract

Introduction: Oral health education may improve maternal knowledge, while baseline oral health status reflects existing treatment needs. This study evaluated changes in oral health knowledge following oral health education according to educational level and described baseline Decayed, Missing, and Filled Teeth (DMFT) status among pregnant women. Materials and Methods: A pre-experimental one-group pretest-posttest study was conducted among 15 pregnant women attending Puskesmas IV South Denpasar, Bali, Indonesia, in November 2025. Oral health knowledge was assessed using a researcher-developed 15-item multiple-choice questionnaire administered before and immediately after the intervention. The Shapiro–Wilk test was used to assess normality, and differences between pretest and posttest knowledge scores were analyzed using the Wilcoxon signed-rank test. Effect size was calculated using r = Z/√N. Results and Discussion: The median knowledge score increased from 73.3 before the intervention to 80.0 after oral health education. The improvement was statistically significant (Z = −2.81; p = 0.005) with a large effect size (r = 0.73). Participants with higher educational attainment achieved higher posttest knowledge scores. The mean DMFT score was 4.4 ± 1.7, with untreated decayed teeth representing the predominant component. Conclusion: Oral health education significantly improved pregnant women's oral health knowledge. However, untreated dental caries remained prevalent, highlighting the importance of integrating oral health education with routine oral screening and preventive dental care within antenatal healthcare services. Results: The median knowledge score increased from 73.3 before the intervention to 80.0 after oral health education. The improvement was statistically significant (Z = −2.81; p = 0.005) with a large effect size (r = 0.73). Participants with higher educational attainment achieved higher posttest knowledge scores. The mean DMFT score was 4.4 ± 1.7, with untreated decayed teeth representing the predominant component. Conclusion: Oral health education significantly improved pregnant women's oral health knowledge. However, untreated dental caries remained prevalent, highlighting the importance of integrating oral health education with routine oral screening and preventive dental care within antenatal healthcare services