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The Impact of Severe Mental Illness (SMI) on Oral Health-Related Quality of Life (OHRQoL): A Mixed-Methods Study in Surabaya, Indonesia Syaifudin Syaifudin; Duru Carissa Neuer; Muhammad Ashraf; Aprilia Sari
Scientia Psychiatrica Vol. 6 No. 1 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i1.184

Abstract

Introduction: Severe Mental Illness (SMI) often leads to neglect of personal care, including oral hygiene, and may be associated with specific oral health challenges. This study aimed to comprehensively assess the impact of SMI on Oral Health-Related Quality of Life (OHRQoL) in a population in Surabaya, Indonesia. Methods: A cross-sectional study was conducted involving 120 participants with SMI (schizophrenia, bipolar disorder, and major depressive disorder with psychotic features) recruited from a tertiary psychiatric hospital and community mental health centers in Surabaya, and 120 age- and sex-matched controls without SMI. OHRQoL was assessed quantitatively using the Indonesian version of the Oral Health Impact Profile-14 (OHIP-14). Semi-structured interviews were conducted with a subset of 30 participants with SMI to explore their experiences and perceptions regarding oral health. Oral examinations were performed on all participants to assess Decayed, Missing, and Filled Teeth (DMFT) index, Community Periodontal Index (CPI), and presence of oral mucosal lesions. Results: Participants with SMI had significantly higher mean OHIP-14 scores (32.5 ± 8.2) compared to controls (14.1 ± 4.5) (p < 0.001), indicating poorer OHRQoL. The DMFT index was also significantly higher in the SMI group (12.8 ± 3.7) compared to controls (6.2 ± 2.1) (p < 0.001), and CPI scores indicated worse periodontal health in the SMI group. Qualitative analysis revealed key themes: barriers to accessing dental care (financial constraints, fear, lack of transportation), challenges with daily oral hygiene practices (forgetfulness, lack of motivation, side effects of medication), and limited awareness of the importance of oral health. Conclusion: Individuals with SMI in Surabaya, Indonesia, experience significantly poorer OHRQoL compared to the general population. This is associated with poorer objective oral health status and multiple, interlinked barriers to care. Integrated mental health and oral health services, tailored interventions to improve oral hygiene practices, and increased awareness campaigns are crucial to address this disparity.
Pengaruh Pencampuran Etilen Glikol dan Propilen Glikol Terhadap Sifat Optik Kawat Nano Perak yang Disintesis Menggunakan Metode Polyol Syaifudin Syaifudin; Junaidi Junaidi; Simon Sembiring; Roniyus Marjunus
Jurnal Teori dan Aplikasi Fisika Vol. 11 No. 1 (2023): Jurnal Teori dan Aplikasi Fisika
Publisher : Department of Physics, Faculty of Mathematics and Natural Sciences, University of Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jtaf.v11i1.338

Abstract

Discrepancy Between Dental Age Estimation and Stated Age in Child Marriage Dispensation Requests: A Multivariate Forensic Odontology Study in Indonesian Religious Courts Syaifudin Syaifudin; Iting Shofwati; Eduardo Michael Perez; Muhammad Faiz
Sriwijaya Journal of Forensic and Medicolegal Vol. 4 No. 1 (2026): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v4i1.255

Abstract

Introduction: Age misrepresentation in child marriage dispensation petitions represents a critical yet underexamined medicolegal challenge in Indonesia, where civil registration deficits disproportionately affect rural communities and create conditions in which biological age and administrative age may diverge substantially. Methods: This retrospective cross-sectional study evaluated the magnitude and determinants of age discrepancy between forensic dental age estimation and stated civil age among 148 petitioners referred for odontological evaluation at Religious Courts in Province X between January 2020 and December 2023. Dental age was estimated from panoramic radiographs using the Demirjian seven-tooth staging method for the mandibular dentition, supplemented by the modified Kötteles classification for third molar root development. Results: Inter-rater agreement between two calibrated forensic odontologists was excellent (ICC=0.91, 95% CI 0.87–0.94). Age overstatement — defined as the stated age exceeding the estimated dental age by more than one year — was identified in 52 cases (35.1%), while concordance was observed in 96 cases (64.9%); no case of understatement was recorded. On multivariate binary logistic regression adjusting for sex, petition reason, and stated age, rural residence (OR=2.14, 95% CI 1.06–4.33, p=0.035) and a court-granted dispensation decision (OR=2.60, 95% CI 1.31–5.16, p=0.008) were independently associated with age overstatement. Conclusion: Forensic odontological evaluation identified clinically significant age discrepancies in over one-third of cases, underscoring the inadequacy of civil documentation as the sole arbiter of age eligibility in marriage dispensation proceedings. Systematic integration of standardised dental age estimation into the judicial framework for dispensation adjudication in Indonesia is recommended.