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All Journal Journal of Dentistry Indonesia Makara Journal of Health Research Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Mohd-Dom, Tuti Ningseh
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Dentistry Health Professions Public Health

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Revisiting a Funding Model for University-led Dental Clinics: The Case of Complete Denture Fabrication Ahmad, Rohana; Zul, Nur Amalina; Mohtar, Siti Anisah; Tennant, Marc; Mohd-Dom, Tuti Ningseh
Journal of Dentistry Indonesia Vol. 27, No. 2
Publisher : UI Scholars Hub

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Objectives: University-led dental clinics are rarely seen as core to the national healthcare system. Thus, when publicly funded universities experience a decline in government support, dental clinic services operated by students are confronted by a potentially inadequate operating budget. Prompted by the need for strategic resource allocation, this study seeks to quantify the resources consumed in the construction of complete dentures by undergraduate students in an effort to identify opportunities for cost-cutting measures. Methods: Clinical cases were retrieved from the logbooks of graduating students of Class 2015, and patient records were reviewed to identify and quantify all clinical and laboratory procedures involved in constructing a set of complete dentures. Cost estimation was carried out using the activity-based method on the basis of direct medical costs. Results: A total of 83 patient records were reviewed. The average number of visits required to fabricate a set of complete dentures was 10 (range, 6–20 visits) with an average total cost of MYR2131±538 (€450±114). The number of visits contributed substantially to the total cost, and procedures requiring multiple visits included secondary impression and jaw relation recording. The major cost components were dental equipment (44%), laboratory costs (28%), dental consumables (17%), salaries (7%), and dental instruments (3%). Conclusion: The operating cost for training students in denture fabrication is substantial. Schools should formulate strategies to reduce the number of patient visits by ensuring that students optimize the time spent per visit. A financially sustainable model to fund dental training is necessary to ensure that quality of care is not compromised in university-led clinics.
Development of A Literacy-Appropriate Health Education Package to Create Awareness of Periodontal Disease and Diabetes Mohd-Said, Shahida; Mohanad Zaimi, Nur Liyana; Ruslan, Muhammad Razwan; Bin Mohd Zain, Muhammad Azuan; Mohd-Dom, Tuti Ningseh
Journal of Dentistry Indonesia Vol. 22, No. 3
Publisher : UI Scholars Hub

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Low oral health literacy has been associated with poor awareness and understanding of oral health care needs among diabetes patients. Specifically, the association between diabetes and periodontal disease is not known to them. Objective: To develop a literacy-appropriate health education package to create public awareness on periodontal disease and diabetes. In spite of the rising prevalence of both diseases, many people remain unaware of their early signs and relationship with each other. Methods: We divided the study into three phases: needs assessment, development of the package and evaluation of the package. Phase 1 was conducted via a Focus Group Discussion (FGD) involving periodontitis patients with diabetes recruited from the UKM Dental Faculty patient list. For phase 2, we developed three video clips of 5-minutes duration each, based on the themes that emerged from the FGD. Phase 3 was conducted using a set of self-administered questionnaires distributed to the public and patients. Results: Sixty respondents viewed the videos and at least 95% found them interesting, easily understood, useful and satisfactory. There were however some suggestions for improvement. Conclusion: The health education package developed in this study was literacy-appropriate for the general public and should be made accessible to them.
Self-assessment tool for evaluating periodontal conditions Rani, Haslina; Mohd-Dom, Tuti Ningseh; Mohd-Said, Shahida; Johari, Nur Azwani
Makara Journal of Health Research Vol. 24, No. 3
Publisher : UI Scholars Hub

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Background: The global prevalence of periodontal disease is steadily rising. Early detection through the active screening of potential patients is important because periodontal disease leads to high disease, clinical, and economic burdens. The aim of this study is to develop a simple periodontal assessment tool for the Malay-speaking population; this tool is referred to in this work as MyGusi. Methods: Translation and back-translation of a self-assessment tool containing 10 items related to periodontal health conditions and risk behaviors were conducted by three bilingual translators. Nine periodontists were selected to determine the content validity of the tool. After pre-testing for face validity, MyGusi was distributed to patients attending dental clinics in a public university in Kuala Lumpur. The Basic Periodontal Examination (BPE) of each patient was obtained from their dental records. Results: The scale-content validity index of MyGusi was 0.92, which indicates good validity. Cronbach's alpha was calculated to assess the internal consistency of the tool, and the value obtained (0.72) indicated acceptable reliability. The mean total MyGusi and BPE scores were positively correlated at 0.488 (p < 0.001). Conclusion: MyGusi has good content validity and is positively correlated with BPE, an established periodontal screening tool.
Perceptions of Oral Health-Related Care for Children with Autism Spectrum Disorder: A Scoping Review AlBhaisi, Ismail Nabil; Mohd-Said, Shahida; Lim, Yan Jia; Mohd-Dom, Tuti Ningseh; Zakaria, Ahmad Shuhud Irfani; McGrath, Colman Patrick
Journal of Dentistry Indonesia Vol. 31, No. 1
Publisher : UI Scholars Hub

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Objective: This review aimed to seek insights into the challenges faced by caregivers and children with autism spectrum disorder (ASD) when performing and accessing oral care and their recommendations to overcome the matter. Methods: Six electronic databases were used to search for published English full articles using a standardised strategy and grouped using thematic analysis as findings to the study’s goal. Results: The initial screening found 46 relevant articles, but 21 were deemed eligible. Studies were mostly observational (18 crosssectional surveys and 3 case-controls), retrieving data from online or face-to-face surveys and insurance health info. The perceptions and potential solutions made by parents, teachers, doctors, and individuals with ASD were diverse but mostly consistent in most studies with a focus on issues of oral health as low priority, incompetency in oral health care performance at home, children’s cooperation and involuntary behaviours in dental settings, and constraints in related resources. Conclusion: Carers’ lack of awareness and prioritisation of treatment for children with ASD, challenges in performing oral care at home, concerns over oral health care provided by caregivers in educational institutions and dental clinics, and challenges in accessing more supportive oral health care services were highlighted as barriers to oral care.
Exploring Informal Caregivers’ Perspectives on Oral Care for Stroke Patients Rani, Haslina; Zamzuri, Saidatul Najibah Muhammad; Omar, Ezzah; Mohd-Dom, Tuti Ningseh; Abdul Aziz, Aznida Firzah; Ali, Mohd Fairuz
Kesmas Vol. 19, No. 3
Publisher : UI Scholars Hub

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Stroke often results in physical disability and functional impairment, which may severely limit patients' ability to care for personal hygiene, including oral care. This study aimed to identify the challenges faced by informal caregivers in managing the oral health of stroke patients. This study conducted semi-structured individual interviews with eight home-based caregivers of stroke patients recruited from a community-based clinic facility of a public university in Malaysia. The interviews took 30-45 minutes to complete and were transcribed verbatim. Transcripts were analyzed thematically using a phenomenological approach. Relevant themes that emerged were variations in oral hygiene care, caregivers’ concerns in providing oral care, dental clinic utilization, and caregivers’ perceived educational and training needs. This study highlights the challenges faced by caregivers in managing the oral health of stroke patients. Improving access to dental services for stroke patients and tailoring educational programs to suit the specific learning needs of caregivers, as identified in this study, may result in improved health outcomes for stroke patients.
Co-Authors Abdul Aziz, Aznida Firzah Ahmad, Rohana AlBhaisi, Ismail Nabil Ali, Mohd Fairuz Bin Mohd Zain, Muhammad Azuan Johari, Nur Azwani Lim, Yan Jia McGrath, Colman Patrick Mohanad Zaimi, Nur Liyana Mohd-Said, Shahida Mohtar, Siti Anisah Muhammad Razwan Ruslan, Muhammad Razwan Omar, Ezzah Rani, Haslina Tennant, Marc Zakaria, Ahmad Shuhud Irfani Zamzuri, Saidatul Najibah Muhammad Zul, Nur Amalina