Anton Rahardjo
Department Of Preventive And Public Health Dentistry, Faculty Of Dentistry, Universitas Indonesia, Depok, Indonesia

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Penggunaan smartphone photography pada mobile teledentistry untuk pemeriksaan karies pada survey epidemiologi: systematic review Adilah, Bunga Hasna; Rahardjo, Anton; Bahar, Armasastra
Padjadjaran Journal of Dental Researchers and Students Vol 7, No 2 (2023): Juni 2023
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v7i2.47453

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ABSTRAKPendahuluan: Pemeriksaan klinis secara langsung telah menjadi gold standard untuk skrining karies; namun, karena keterbatasannya, teledentistry mulai dikembangkan sebagai metode alternatif untuk pemeriksaan karies jarak jauh. Mobile teledentistry merupakan salah satu pengembangan dari telemedicine yang memanfaatkan teknologi smartphone photography karena mudah digunakan, relatif murah, dan dapat dibawa kemana saja. Tujuan ulasan sistematis ini adalah melihat bagaimana penggunaan smartphone photography pada mobile teledentistry sebagai alat alternatif untuk pemeriksaan karies pada survei epidemiologi, serta apakah smartphone photography pada mobile teledentistry merupakan alat yang akurat dan reliable untuk pemeriksaan karies pada survey epidemiologi. Metode: Pengumpulan data dalam penulisan ulasan sistematis sesuai dengan pedoman PRISMA statement. Penjaringan artikel dari berbagai literatur yang diterbitkan 10 tahun terakhir, yang dicari melalui database PubMed, ProQuest, dan Science Direct. Pemilihan artikel disesuaikan dengan formula PICOS. Uji kelayakan dan kualitas studi artikel penelitian yang diinklusikan dilakukan menggunakan kriteria CEBM untuk penelitian Diagnostic Accuracy. Hasil: Terjaring 6 artikel penelitian dari total 242 artikel yang didapatkan terkait dengan smartphone photography pada mobile teledentistry untuk pemeriksaan karies pada skrining gigi dan mulut. Penelitian menunjukkan tingkat sensitivitas, spesifisitas, dan akurasi yang tinggi (>80%) serta reliabilitas yang cukup baik (Kappa>0,81). Pemeriksaan karies dengan metode smartphone photography memiliki kelemahan diantaranya variasi kualitas foto intra oral dan ketidakmampuan foto untuk mendeteksi karies pada lokasi tertentu. Simpulan: Smartphone photography pada mobile teledentistry merupakan alat yang sensitif dan dapat diandalkan sebagai alternatif untuk pemeriksaan karies pada survei epidemiologi. Beberapa faktor, seperti teknik pengambilan foto, kualitas pencahayaan dan kemampuan operator perlu diperhatikan karena dapat mempengaruhi hasil pemeriksaan karies.KATA KUNCI: Smartphone photography, mobile teledentistry, pemeriksaan karies, skriningThe use of smartphone photography on mobile teledentistry for caries examination in epidemiological surveys: a systematic reviewABSTRACTIntroduction: Direct clinical examination has been the gold standard for screening dental caries; however, due to its various limitations, teledentistry has been developed as an alternative screening method for a remote dental caries examination. Mobile teledentistry is one of the telemedicine developments that employ smartphone photography technology because it is user-friendly, reasonably affordable, and portable. The purpose of this systematic review is to see how smartphone photography on mobile teledentistry is used as an alternative tool for caries examination in epidemiological surveys, and whether smartphone photography on mobile teledentistry is an accurate and reliable tool for dental caries examination in an epidemiological survey. Methods: Data collection was according to the PRISMA statement guidelines. Articles were screened from various literature published in the last 10 years, which were searched through the PubMed, ProQuest, and Science Direct databases. The selection of articles was adjusted according to the PICOS formula. The feasibility and quality tests of the included research articles were carried out using the CEBM criteria for Diagnostic Accuracy research. Results: There were six research publications out of 242 search results that were related to smartphone photography in mobile teledentistry for caries examination in dental screening. The studies showed high levels of sensitivity, specificity and accuracy (>80%) as well as fairly good reliability (Kappa>0.81). Caries examination using smartphone photography method has weaknesses, such as variations in the quality of intra-oral photos and the inability of photos to detect caries in certain locations. Conclusion: Smartphone photography on mobile teledentistry is a sensitive and reliable tool as an alternative for caries examination in epidemiological surveys. However, several factors such as the photography technique, the quality of light and the camera operator’s skills need to be taken into consideration because they can affect the results of caries examination.KEY WORDS: Smartphone photography, mobile teledentistry, caries examination, caries screening
Determinan Status Periodontal Pada Remaja Di Indonesia: Analisis Data Riskesdas Tahun 2018 Putri Sri Wahyuni; Anton Rahardjo; Herry Novrinda
Cakradonya Dental Journal Vol 16, No 1 (2024): Februari 2024
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v16i1.32134

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Riset Kesehatan Dasar (Riskesdas) 2018 ditemukan prevalensi penyakit periodontal di Indonesia sebesar 74,1%. Penyakit periodontal merupakan penyakit inflamasi yang disebabkan oleh biofilm bakteri pada permukaaan gigi serta salah satu penyebab utama kehilangan gigi akibat kerusakan jaringan periodontal yang bersifat permanen. Penyakit periodontal dibagi menjadi dua yaitu gingivitis dan periodontis. World Health Organization (WHO) Basic Oral Health Survey pemeriksaan dini penyakit periodontal masa remaja terjadi pada usia 15-19 tahun. Tujuan dari penelitian ini untuk mengindetifikasi faktor-faktor terkait status periodontal pada remaja di Indonesia. Penelitian cross-sectional menggunakan data sekunder dari Riskesdas 2018 pada usia remaja 15-19 tahun mengenai variabel karakteristik sosiodemografi, faktor perilaku kesehatan gigi, faktor pelayanan kesehatan gigi, dan faktor penyakit sistemik. Sampel peneltian adalah 3089 remaja Indonesia. Prevalensi status periodontal pada usia remaja 15-19 tahun berkisar antara 91,3% sampai dengan 94,7%. Hasil analisis didapatkan bahwa terdapat hubungan yang signifikan antara sosioekonomi terhadap status periodontal (OR=1,546;95%CI 1.141-2.161). Faktor yang berpengaruh terhadap status periodontal pada remaja adalah mengkonsumsi minuman beralkohol dan sosioekonomi. Hal ini berimplikasi pada program pencegahan penyakit periodontal, perlu difokuskan terhadap inklusi sosial dan adanya perluasan akses pelayanan kesehatan gigi lebih baik untuk remaja yang mempunyai penyakit gigi dan mulut antara lain penyakit karies gigi dan penyakit periodontal.
Effectiveness of smartphone application in teledentistry for enhancing parental knowledge, attitude, and practice (kap) associated with children’s oral health: a systematic review Anugrah, Pani Matin; Olivia, Marceline; Badruddin, Iwany Amaliah; Adiatman, Melissa; Rahardjo, Anton; Bahar, Armasastra; Darwita, Risqa Rina
Padjadjaran Journal of Dentistry Vol 36, No 3 (2024): November 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no3.56266

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Introduction:  Oral health is essential for children's mental and physical well-being. Caries is one of the most common oral diseases worldwide, especially in children. One of the contributing factors to this disease is parental engagement. Parents play a crucial role in children’s oral health, especially their Knowledge, Attitude, and Practice (KAP). Teledentistry is one of the innovative ways to improve parental KAP due to technological advancements in leveraging the number of smartphones and the internet. Teledentistry could help parents/caregivers obtain education, consultation, diagnosis, and treatment planning about oral health via remote connection without going to dental offices. This engagement of parents/caregivers through teledentistry could build good oral health in children. This review aims to assess the effectiveness of smartphone applications for teledentistry in parental KAP related to children's oral health. Methods: This review followed PRISMA guidelines. We searched the articles in five databases (PubMed, EBSCOhost via Medline, Embase, ProQuest, and Scopus) using specific keywords and a PICO framework from January 2018 to December 2023. Two reviewers independently selected the articles based on inclusion and exclusion criteria. The selected articles were extracted and assessed for risk of bias using MMAT tool. Results: Of the 1529 articles initially identified, 14 met the inclusion criteria. All smartphone application reviewed were designed for parents/caregivers and integrated with teledentistry; however, only two applications incorporated with artificial intelligence. All application showed good assessment through application tests using SUS (3 articles), JN’s principles (1 article), Net Promotor Score (1 article), MARS (1 article), TAM (1 articles), and sensitivity and specificity tests (2 articles). Parental/caregiver engagement was assessed through their Knowledge, Attitude, and Practice (KAP). This has impacted the children’s oral health by improving both the plaque and gingival index. Conclusion: Smartphone applications for teledentistry effectively increase the engagement and KAP of the parents/caregivers, significantly improving the oral health status of the children.
Visual strategies for managing dental fear and anxiety (DFA) among individuals with hearing impairment: a systematic review Olivia, Marceline; Anugerah, Pani Matin; Badruddin, Iwany Amalliah; Bahar, Armasastra; Werdiningsih, Monika; Rahardjo, Anton; Ramadhani, Atik
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): April 2025 (Supplements 1)
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59208

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Introduction: Dental fear and anxiety (DFA) pose significant challenges in treating patients, including individuals with hearing impairments. Visual aids have been reported to be helpful in modifying hearing-impaired people’s behavior. This study aimed to assess the effectiveness of visual strategies in reducing DFA among people with hearing impairments. Method: A literature search was conducted across five research databases, PubMed, ProQuest, EBSCOhost via Medline, Cochrane, and Scopus, within a restricted publication timeframe. The inclusion criteria were as follows: studies published between 1st January 2013 and 31st July 2024, English language, and primary data studies. We used the PICOS concept, with the population referring to people with hearing impairment and the intervention referring to only a visual strategy to manage DFA. Screening involved eliminating studies that did not meet the eligibility criteria, and the quality of the paper was appraised via validated instruments appropriate for study design, including RoB-2 and ROBINS-I. Data extraction was accomplished by identifying important information such as author, year, study design, key findings and conclusions. Thematic content analysis was performed via Atlas.ti software. Results: The search identified 133 studies, and a total of six studies were included after the screening process. There were three main themes regarding visual strategies aimed at managing dental anxiety: visual aids (2D and 3D books, VR eyewear, videos with or without eyewear), sign language, and customized educational demonstrations. Good patient-f communication and the application of visual strategies significantly reduce DFA. The strategies were shown to be effective; however, the heterogeneity in the included studies precluded a meaningful meta-analysis. The quality assessment results revealed that only one study had a low risk of bias. Conclusion: Visual strategy play crucial role in managing DFA in hearing-impaired individuals. Further research, particularly involving different age groups and rigorously designed long-term trials is recommended.
Impact of Short-Duration Video Intervention to Improve Knowledge of Dental Malocclusion Among High School Students: Lessons from A Time-Constrained Study Bahar, Armasastra; Amalia, Fitria Rizqy; Darwita, Risqa Rina; Ramadhani, Atik; Badruddin, Iwany Amalliah; Rahardjo, Anton
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 2 (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.v21i2.11451

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Introduction: This study aimed to evaluate the effectiveness of a video-based educational intervention for improving knowledge of dental malocclusion among students at SMAN 39, Jakarta, and to examine the associations between knowledge levels and sociodemographic factors. Materials and Methods: A quasi-experimental design involving 159 students was employed. Data were collected via structured pre-test      and post-test      questionnaires assessing students’ knowledge of dental malocclusion. Statistical analyses included the Wilcoxon signed-rank test, Mann–Whitney U test, and Spearman correlation coefficient to examine associations between variables. Results and Discussion: All 159 participants completed both the pre-test and post-test. A statistically significant improvement in knowledge was observed following the intervention (p = 0.001). While sex, age, and socioeconomic status were not significantly associated with baseline knowledge, the post-intervention results indicated that female students, older age groups, and students from higher-income households demonstrated significantly greater knowledge retention (p-value < 0.05). Conclusion: Video-based interventions effectively enhanced student’s knowledge of dental malocclusion; however, the extent of improvement varied across sociodemographic groups. These findings suggest that sex, age, and socioeconomic status may influence educational outcomes. Future oral health education initiatives should consider these factors to increase the effectiveness and inclusivity of digital learning interventions.
Prediction Model of Pre, Peri-, and Postnatal Factors for Early Childhood Caries in Stunted Children of Juwiring, Central Java, Indonesia Badruddin, Iwany Amaliah; Putri, Lintang Andarini; Rahardjo, Anton; Ramadhani, Atik; Darwita, Risqa Rina
Journal of Indonesian Dental Association Vol 8 No 2 (2025): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v8i2.1434

Abstract

Introduction: The life course approach highlights how early life, beginning with fetal growth, influences future disease risk. Oral health studies in Indonesia using this approach are still limited. This study examined the relationship between ECC status and retrospective data on stunted children under three and their mothers’ pregnancy history at Juwiring District Community Health Center. Objective: This study aims to examine the influence of pre, peri-, and postnatal factors on ECC occurrence in stunted children in Juwiring Regency, Central Java. Methods: Secondary data of pre, peri-, and postnatal information from 265 stunted children were obtained from the medical records. Oral examination was assisted by local dentists from the health center. Multiple logistic regression analysis was performed to construct a prediction model and determine the factors with the greatest influence on dental caries in stunted children in Juwiring District. Results: The prevalence of dental caries was 69.1% in 246 subjects. The variables in the final prediction model for factors related to ECC were the mother's perception of her child's dental problems, the mother's education level, the mother’s knowledge of dental caries, and the child’s stunting status. The most influential factor was the mother's perception of her child's dental problem, with the highest odds ratio (OR) of 5.1 (1.83–14.23). Conclusion: This study revealed that prenatal factors related mothers’ education level and postnatal factors related to mothers’ perceived dental problems, poor knowledge of dental caries and children’s stunting status were included in the ECC prediction model for the stunted children of Juwiring District.