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Manifestasi oral pada ibu hamil berdasarkan perbedaan trimester kehamilanOral manifestations in pregnant women based on trimester differences Larasati Dyah Utami; Wahyu Hidayat; Irna Sufiawati
Padjadjaran Journal of Dental Researchers and Students Vol 4, No 2 (2020): Oktober 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v4i2.25261

Abstract

Pendahuluan: Kehamilan merupakan suatu kondisi yang membawa berbagai macam perubahan pada wanita bahkan pada wanita hamil dengan kondisi fisik yang sehat. Hal tersebut dapat terjadi karena perubahan metabolisme, perubahan respon imun, serta perubahan hormon. Keterkaitan antara faktor-faktor pemicu tersebut, secara tidak langsung dapat menimbulkan berbagai macam manifestasi oral pada ibu hamil, seperti epulis gravidarum, coated tongue, cheilitis exfoliative, geographic tongue, fissured tongue, RAS, atrophic glossitis, dan cheilitis angularis. Tujuan penelitian adalah untuk mengetahui manifestasi oral pada ibu hamil berdasarkan perbedaan trimester kehamilan. Metode: Penelitian ini mengunakan metode deskriptif observatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini ialah seluruh pasien ibu hamil yang datang untuk berobat ke Puskesmas Garuda Bandung. Sampel dalam penelitian ini diambil berdasarkan teknik purposive sampling dan accidental sampling yaitu jumlah sampel yang diambil berdasarkan pasien ibu hamil yang datang untuk berobat ke Puskesmas Garuda Bandung, bersedia untuk dilakukan penelitian, serta memenuhi kriteria inklusi dan ekslusi dengan batas waktu yang telah ditetapkan. Data diperoleh dengan melakukan tanya jawab mengenai kondisi umum, serta pemeriksaan rongga mulut pasien ibu hamil. Hasil: Manifestasi oral yang paling banyak timbul pada ibu hamil adalah coated tongue yaitu terjadi pada 54 orang (78,26%). Coated tongue paling banyak ditemukan pada trimester III kehamilan yaitu sebanyak 31 orang (42,03%) dan exfoliative cheilitis sebanyak 21 orang. Hasil penelitian tidak menemukan adanya cheilitis angularis. Simpulan: Coated tongue menjadi manifestasi orang yang paling banyak ditemukan pada rongga mulut ibu hamil yang merata pada semua trimester.Kata kunci: Kehamilan, manifestasi oral. ABSTRACT Introduction: Pregnancy is a condition that induces various changes in women, even in healthy pregnant women. This condition may occur due to changes in metabolism, immune response, and hormonal system. The relation between these triggers may indirectly lead to various oral manifestations in pregnant women, such as epulis gravidarum, coated tongue, exfoliative cheilitis, geographic tongue, fissured tongue, recurrent aphthous stomatitis (RAS), atrophic glossitis, and angular cheilitis. The purpose of this study was to determine the oral manifestations in pregnant women based on trimester differences. Methods: This research was a descriptive observational with a cross-sectional approach. The population in this study were all pregnant women who came for treatment to the Garuda Community Health Centre, Bandung. The sample in this study was taken based on purposive sampling and accidental sampling techniques, which were pregnant women who came for treatment to the Garuda Community Health Centre, Bandung, willing to participate in the research, and meet the inclusion and exclusion criteria within a predetermined time limit. Data was obtained through questions and answers regarding general conditions, as well as examining the oral cavity of pregnant women. Results: The results of data analysis showed that the most frequent oral manifestations in pregnant women was coated tongue, which was found in 54 respondents (78.26%). The most common oral manifestations found on the first to the third trimester of gestational period was coated tongue, coated tongue most commonly found in the third trimester, which was found in 31 respondents (42.03%) and exfoliative cheilitis in 21 respondents. Angular cheilitis was not found in all respondents. Conclusion: The coated tongue is the most common oral manifestation in pregnant women which is evenly distributed in all trimesters. Keywords: Pregnancy, oral manifestations.
Pengalaman karies dan kesehatan periodontal serta kebutuhan perawatan ibu hamilCaries experience, periodontal health, and oral treatment needs of pregnant women Anne Agustina Suwargiani; Indra Mustika Setia Pribadi; Wahyu Hidayat; Riana Wardani; Tadeus Arufan Jasrin; Cucu Zubaedah
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 30, No 1 (2018): April
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.191 KB) | DOI: 10.24198/jkg.v30i1.16282

Abstract

Pendahuluan: Kesehatan gigi Ibu hamil  sangat perlu dijaga, untuk menghindarkan terjadinya infeksi pada gigi dan gusi. Upaya ini akan menghindarkan dari infeksi yang berisiko yang menyebabkan prematur dan kelahiran berat bayi lahir rendah. Tujuan penelitian untuk mengetahui pengalaman karies dan kesehatan periodontal dan kebutuhan perawatan ibu hamil. Metode: Metode penelitian yang digunakan deskriptif. Populasi penelitian adalah ibu hamil yang datang ke Klinik Cantik Banjaran Bandung. Sampel penelitian yaitu ibu hamil yang bersedia menjadi subjek penelitian dan tidak mempunyai kelainan sistemik. Teknik pengambilan sampel adalah convinience sampling. Variabel penelitian pengalaman karies diukur dengan indeks DMFT, Kebutuhan perawatan karies adalah perhitungan kebutuhan perawatan berdasarkan penilaian persen kebutuhan perawatan dan kebutuhan perawatan periodontal diukur dengan indeks Community Periodontal Index and Treatment Needs (CPITN). Analisis data yang digunakan adalah distribusi frekuensi relatif. Hasil: Indeks DMFT ibu hamil 4,4 termasuk kriteria sangat rendah. Hasil CPITN yaitu periodontal sehat 0%; bleeding on probing (BOP), 43%; kalkulus, 53%; poket 4-5 mm, 3,3%; poket 6 mm, 0%. Kebutuhan perawatan gigi berlubang pada ibu hamil 30,9%. Kebutuhan perawatan jaringan periodontal diperlukan pada semua ibu hamil, berupa perbaikan oral hygiene 43%, perbaikan oral hygiene dan skeling 56%, Simpulan: Pengalaman karies ibu hamil pada kriteria sangat rendah, sedangkan kondisi jaringan periodontal ibu hamil semuanya memerlukan perawatan jaringan periodontal tetapi bukan perawatan periodontal kompleks.Kata kunci: Ibu hamil, indeks DMFT, indeks CPITN. ABSTRACTIntroduction: The oral health of pregnant women needs to be maintained to avoid infection of the teeth and gums. This effort will avoid dangerous infections that can cause premature and low birth weight babies. The purpose of this study was to determine the caries experience, periodontal health, and the oral treatment needs of pregnant women. Methods: The research method was descriptive. The study population was pregnant women who came to the Cantik Clinic of Banjaran, Bandung, whom willing to be the subject of research with no systemic abnormalities. The sampling technique was convenience sampling. The caries experience was measured by DMFT index. Caries treatment needs were the calculation of treatment needs based on the assessment of general and periodontal treatment needs to be measured by the Community Periodontal Index and Treatment Needs (CPITN) index. Data analysis used was the relative frequency distribution. Results: DMFT index of pregnant women was 4.4, included in the very low criteria. CPITN index measurement results were 0% healthy periodontal; 43% bleeding on probing (BOP); 53% calculus; 3.3% pocket of 4-5 mm; and 0% 6 mm pocket. General treatment needs of pregnant women mostly were tooth decay treatment (30.9%). Periodontal treatment needs were needed for all pregnant women, in the form of oral hygiene improvement only (43%), oral hygiene improvement and scaling (56%). Conclusion: The caries experience of pregnant women was very low, while the periodontal conditions require a non-complex periodontal treatment.Keywords: Pregnant women, DMFT Index, CPITN index.
Faktor predisposisi stomatitis aftosa rekuren minor pada pasien rumah sakit gigi dan mulut unpad Predisposing factors of minor recurrent aphthous stomatitis in patients at rumah sakit gigi dan mulut fkg unpad Masfi Afifah; Erna Herawati; Wahyu Hidayat
Padjadjaran Journal of Dental Researchers and Students Vol 6, No 3 (2022): Oktober 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v6i3.33554

Abstract

ABSTRAK Pendahuluan: Stomatitis Aftosa Rekuren (SAR) adalah kelainan pada mukosa mulut yang ditandai dengan keberadaan ulser berulang tanpa tanda-tanda penyakit lainnya. Etiologi SAR sampai saat ini belum diketahui secara pasti, akan tetapi terdapat faktor predisposisi SAR diantaranya genetik, hormonal, stress, dan defisiensi nutrisi. Penelitian ini bertujuan untuk mengetahui faktor-faktor predisposisi SAR minor pada pasien rumah sakit gigi dan mulut (RSGM) Unpad. Metode: Jenis penelitian ini adalah cross sectional dan deskriptif menggunakan teknik survei. Populasi penelitian ini adalah pasien SAR minor di RSGM Unpad dengan metode Purposive Sampling didapatkan subyek riset berjumlah 30 orang pada periode Januari – Februari 2020. Data hasil penelitian diperoleh dari kuesioner faktor predisposisi SAR, PSS-10, dan FFQ. Hasil: Faktor predisposisi pada pasien adalah faktor tunggal dan kombinasi beberapa faktor yaitu stres (10%); stres dan defisiensi nutrisi (36,67%); genetik, stres, dan defisiensi nutrisi (26,67%); hormonal, stres, dan defisiensi nutrisi (10%); genetik, hormonal, stres, dan defisiensi nutrisi (16,66%). Tingkat stres didominasi oleh stres sedang (83,33%). Simpulan: Faktor predisposisi pada pasien SAR minor di RSGM Unpad terdiri dari genetik, hormonal, stres, dan defisiensi nutrisi. Mayoritas pasien memiliki lebih dari satu faktor predisposisi. Kombinasi faktor predisposisi didominasi oleh 2 faktor yaitu stres dan defisiensi nutrisi (vitamin B12, asam folat, dan zat besi).Kata Kunci: stomatitis aftosa rekuren; faktor predisposisi; kuesioner. ABSTRACTIntroduction: Recurrent Aphthous Stomatitis (RAS) is an abnormality in the oral mucosa characterized by the presence of recurrent ulcers without other signs of disease. Etiology of RAS is still unknown, but there are several predisposing factors for RAS including genetic, hormonal, stress, and nutritional deficiencies. This study aims to determine the predisposing factors for Recurrent Aftosa Stomatitis (RAS) in patients who came to dental hospital (RSGM) Unpad. Methods: This research used a descriptive cross-sectional and survey method. The sampling method was purposive sampling of 30 minor RAS patients at RSGM Unpad in the period January - February 2020. All research subjects were given a questionnaire regarding the predisposing factors of RAS, Perceived Stress Scale-10, and Food Frequency Questionnaire. Result: Predisposing factors in patients was a single factor and combination of factors that is stress (10%); stress and nutritional deficiencies (36.67%),; genetic, stress, and nutritional deficiencies (26.67%); hormonal, stress, and nutritional deficiencies (10%); genetic, hormonal, stress, and nutritional deficiencies (16.66%). Stress levels in patients are dominated by moderate stress (83.33%) Conclusion: Predisposing factors in minor RAS patients at RSGM Unpad consist of genetic, hormonal, stress, and nutritional deficiencies. The majority of patients have more than one predisposing factor. The combination of predisposing factors is dominated by two factors which are stress and nutritional deficiencies (vitamin B12, folic acid, and iron).Keywords: recurrent aphthous stomatitis; predisposing factors; questionnaire.