Articles
Pengaruh Ekstrak Kulit Jeruk Nipis (Citrus Aurantifolia Swingle) Konsentrasi 10% Terhadap Aktivitas Enzim Glukosiltransferase Streptococcus mutans
U, Zenia Adindaputri;
Purwanti, Nunuk;
Wahyudi, Ivan Arie
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013)
Publisher : Majalah Kedokteran Gigi Indonesia
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Streptococcus mutans merupakan bakteri yang berperan sebagai agen utama penyebab karies gigi, yang memiliki enzim glukosiltransferase (GTF). Enzim GTF akan mengubah sukrosa menjadi fruktosa dan glukan. Salah satu herbal tradisional yang dapat berperan sebagai antibakteri adalah kulit jeruk nipis (Citrus aurantifolia Swingle) yang mengandung polifenol terutama flavonoid. Tujuan penelitian ini untuk mengetahui pengaruh ekstrak kulit jeruk nipis (Citrus aurantifolia Swingle) konsentrasi 10% terhadap aktivitas enzim GTF Streptococcus mutans. Penelitian ini menggunakan ekstrak kulit jeruk nipis konsentrasi 10% sebagai perlakuan, chlorhexidine gluconate 0,12% sebagai kontrol positif, serta akuades steril sebagai kontrol negatif. Metode penelitian ini terdiri dari tiga tahap yaitu penyiapan ekstrak kulit jeruk nipis konsentrasi 10%, penyiapan enzim GTF dari supernatan Streptococcus mutans, dan pengujian aktivitas enzim GTF melalui analisis konsentrasi fruktosa dengan menggunakan High Performance Liquid Chromatography (HPLC). Pembacaan luas area fruktosa dilakukan berdasarkan waktu retensi. Satu unit aktivitas enzim GTF di definisikan sebagai 1 µmol fruktosa/ml dari enzim/jam. Selanjutnya data yang diperoleh dianalisis secara statistik dengan one way ANOVA.Hasil perhitungan aktivitas enzim GTF dengan one way ANOVA menunjukkan perbedaan yang signifikan antara kelompok perlakuan dengan kelompok kontrol negatif (p<0,05), dan tidak terdapat perbedaan yang signifikan dengan kontrol positif. Kesimpulan dari penelitian ini adalah ekstrak kulit jeruk nipis konsentrasi 10% dapat menghambat aktivitas enzim glukosiltransferase Streptococcus mutans. ABSTRACT, The Influence of 10% Concentrate of Citrus Aurantifolia Swingle on The Activities of Streptococcus Mutans Glucocyl Transferase Enzyme. Streptococcus mutans is a bacteria which has glucosyl transferase (GTF) enzyme and acts as the main agent that causes dental caries. GTF enzyme will convert sucrose into fructose and glucan. Lime peel (Citrus aurantifolia Swingle) is one of the traditional herbs which has flavonoid as an antibacterial agent. The purpose of this research is to investigate the effect of 10% concentration of lime peel extract (Citrus aurantifolia Swingle) to the activity of GTF enzyme Streptococcus mutans.This research used 10% concentration of  lime peel extract as the treatment, 0.12% chlorhexidine gluconate as a positive control, and distillate water as anegative control. The method of this research consists of three steps; preparing the lime peel extract concentration of 10%, preparing the GTF enzyme from the supernatant of Streptococcus mutans, and testing GTF enzyme activity by analyzing the fructose concentration using High Performance Liquid Chromatography (HPLC). Perusal of the fructose area was based on the retention time of fructose. One unit of GTF enzyme activity is defined as the 1 μmol fructose / ml of enzyme / hour.  The obtained data then were analyzed by one way ANOVA. The result showed a significant difference between treatment group with the negative control (p <0.05), and there are no significant difference with the positive control. This research concludes that 10% lime peel extract can inhibit the GTF enzyme activity of Streptococcus mutans.
Infiltrasi Neutrofil pada Tikus dengan Periodontitis setelah Pemberian Ekstrak Etanolik Kulit Manggis
Prasetya, Rendra Chriestedy;
Purwanti, Nunuk;
Haniastuti, Tetiana
Majalah Kedokteran Gigi Indonesia Vol 21, No 1 (2014)
Publisher : Majalah Kedokteran Gigi Indonesia
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Periodontitis adalah inflamasi kronis yang disebabkan oleh bakteri periodontopatogen. Pada periodontitis terjadi peningkatan infiltrasi neutrofil yang berfungsi untuk memfagositosis bakteri yang menginfiltrasi jaringan gingiva. Kulit manggis mempunyai bahan aktif yaitu xanton yang mempunyai efek antiinflamasi dengan jalan menghambat sintesis PGE2 sehingga akan menurunkan infiltrasi sel inflamasi. Penelitian ini bertujuan untuk mengetahui infiltrasi sel neutrofil pada periodontitis setelah pemberian ekstrak etanolik kulit manggis. Tikus wistar jantan sebanyak empat puluh delapan ekor diinduksi periodontitis dengan ligasi pada daerah subgingiva gigi anterior rahang bawah selama 7 hari. Setelah hari ke-7, ligasi dilepas selanjutnya tikus dibagi menjadi 4 kelompok perlakuan yaitu ekstrak kulit manggis 30 mg/kg BB dan 60 mg/kg BB, ibuprofen dan saline. Tikus dikorbankan pada hari ke-1, 3, 5 dan 7 setelah perlakuan. Jaringan pada bagian anterior rahang bawah ditanam dalam paraffin dan dilakukan pemotongan serial kemudian diwarnai dengan hematoxylin eosin. Jumlah neutrofil dihitung di bawah mikroskop dengan perbesaran 400x. Data jumlah neutrofil dianalisa dengan Two Way Anova. Hasil Two Way Anova menunjukkan perbedaan yang bermakna rerata sel neutrofil antar kelompok perlakuan (p<0,05) mengindikasikan pemberian ekstrak etanolik kulit manggis berpengaruh terhadap jumlah sel neutrofil. Dapat disimpulkan bahwa pemberian ekstrak etanolik kulit manggis mampu menurunkan infiltrasi sel neutrofil pada tikus yang diinduksi periodontitis. ABSTRACT: Neutrophil infiltration in rats with periodontitis after the granting of Ethanolic Extract Skin Mangosteen. Periodontitis is a chronic inflammatory disease caused by periodontopathic bacteria. When periodontitis occurs are followed by neutrophil infiltration. Mangosteen rind contains xanthone, an anti-inflammatory substance which inhibits the synthesis of PGE2 and therefore reduces inflammatory cells infiltration. This research aimed to study neutrophil cells infiltration in experimental-induced periodontitis rats after mangosteen rind ethanolic extract administration. Forty-eight male wistar rats were induced the periodontitis by putting silk ligature subgingivally around the neck of the anterior lower teeth for seven days. After the ligation had been taken out, the rats were divided into four groups and treated orally with mangosteen rind extract 60 mg/kg BB, 30 mg/kg BB, ibuprofen, and saline. The rats were sacrificed on the 1st, 3rd, 4th, seventh day after the treatment. Their anterior lower jaws were processed for paraffin embedded tissue, cut serially and stained with hematoxylin-eosin. The neutrophil cells were observed and counted under the microscope (400x). The data were analyzed using Anova. Anova result showed a significant difference among group (p<0,05) indicating that mangosteen rind ethanolic extract affected the number of neutrophils. In conclusion, mangosteen rind ethanolic extract reduced the number of neutrophil infiltration in periodontitis rats.
Dealing with the high-risk potential of COVID-19 cross-infection in dental practice
Yulianto, Heribertus Dedy Kusuma;
Purwanti, Nunuk;
Utami, Trianna Wahyu;
Dewi, Anne Handrini;
Listyarifah, Dyah;
Ruspita, Intan;
Nur, Asikin;
Susilowati, Heni
Majalah Kedokteran Gigi Indonesia Vol 6, No 1 (2020): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.56588
The World Health Organization reported that the SARS-CoV-2 virus has infected more than 5 million people around the world. Dental care providers and health care professionals need to be aware of the high-risk potential of crossinfection since the routes of virus transmission commonly happen through droplets and aerosols. This review aimed at collecting essential knowledge about the COVID-19 needed by dental practitioners. The review focused on the oral involvement in COVID-19, the role of oral transmission as the high-risk potential of cross-infection and recommended strategies to minimize the risk of cross-infection in dental practice. We searched all the published clinical features from PubMed, Google Scholar, Scopus and hand searched library online databases, from January 2015 until May 2020. Keywords used were “COVID-19â€, “Dentistryâ€, “Dental protectionâ€, “Cross-contaminationâ€, “Aerosol and non aerosolâ€, and â€Povidone-iodine†with their combinations. We identified 52 articles to review after the initial selection with inclusion and exclusion criteria. Results showed use of topical applications of povidine-iodine and viricidal mouthwash could significantly reduce the high-risk of cross-infection from dentistry patients who are asymptomatic with COVID-19 infection. Further safeguards include suspending all non-emergency procedures temporarily and closely screening patients for symptoms which may be suspected to be COVID-19 infection.
The Effect of Diabetes Mellitus on the Thickness of Gingival Junctional Epithelium (Study in the Experiment of Caspase-3)
Abdelaziz Eljawadi;
Totok Utoro;
Nunuk Purwanti
The Indonesian Journal of Dental Research Vol 1, No 1 (2012)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada
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DOI: 10.22146/theindjdentres.65708
Diabetes mellitus (DM) is a metabolic disorder manifested by abnormally high levels of blood glucose, resulting in hyperglycemia that affects the oral cavity, leading to periodontitis. The junctional epithelium (JE) is the epithelial component of the dento-gingival unit that is in contact with the toothsurface. Apoptosis and proliferation of JE are essential to maintenance JE thickness. Apoptosis is programmed cell death that can be triggered by various signals and is characterized by well-defined morphologic changes and biochemical features. Caspase-3 is involved in the underlying mechanisms of apoptosis, and the activation of caspase-3 is considered to be the final step in many apoptosis pathways. Purpose of this study was to investigate the effect of DM on the expression of caspase-3 and the thickness of JE. Sixteen male Sprague-Dawley rats were used and divided equally into two groups: the diabetic group that injected intraperitoneal by streptozotocin (STZ) and negative control group. Measurements of blood glucose levels were analyzed before and at 2, 4 weeks after STZ injection. In addition, JE thickness and expression of caspase-3 were examined after 2 and 4 weeks. JE was stained by hematoxylin-eosin (H&E) staining for thickness measurement and the immunohistochemistry by using the anti-caspase-3 antibody for caspase-3 expression measurement and examined under light microscope. The results of the present study showed that a decrease of JE thickness and increase of caspase-3 expression were obtained while increasing the diabetic duration. Two ways Anova and Least Significant Difference (LSD) tests indicated a significant difference of JE thickness and caspase-3 expression between all groups except in diabetic group after 2 and 4 weeks. Also, caspase-3 expression in diabetic group after 2 and 4 weeks (P > 0.05) were not significantly different. It can be concluded that diabetes mellitus (DM) affected on the thickness and caspase-3 expression of JE. Furthermore, the results suggest that high expression of caspase-3 was associated with the diabetes-induced apoptotic cell-death resulting in reduction of JE thickness.
Pengaruh Ekstrak Kulit Jeruk Nipis (Citrus Aurantifolia Swingle) Konsentrasi 10% Terhadap Aktivitas Enzim Glukosiltransferase Streptococcus mutans
Zenia Adindaputri U;
Nunuk Purwanti;
Ivan Arie Wahyudi
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.6803
Streptococcus mutans merupakan bakteri yang berperan sebagai agen utama penyebab karies gigi, yang memiliki enzim glukosiltransferase (GTF). Enzim GTF akan mengubah sukrosa menjadi fruktosa dan glukan. Salah satu herbal tradisional yang dapat berperan sebagai antibakteri adalah kulit jeruk nipis (Citrus aurantifolia Swingle) yang mengandung polifenol terutama flavonoid. Tujuan penelitian ini untuk mengetahui pengaruh ekstrak kulit jeruk nipis (Citrus aurantifolia Swingle) konsentrasi 10% terhadap aktivitas enzim GTF Streptococcus mutans. Penelitian ini menggunakan ekstrak kulit jeruk nipis konsentrasi 10% sebagai perlakuan, chlorhexidine gluconate 0,12% sebagai kontrol positif, serta akuades steril sebagai kontrol negatif. Metode penelitian ini terdiri dari tiga tahap yaitu penyiapan ekstrak kulit jeruk nipis konsentrasi 10%, penyiapan enzim GTF dari supernatan Streptococcus mutans, dan pengujian aktivitas enzim GTF melalui analisis konsentrasi fruktosa dengan menggunakan High Performance Liquid Chromatography (HPLC). Pembacaan luas area fruktosa dilakukan berdasarkan waktu retensi. Satu unit aktivitas enzim GTF di definisikan sebagai 1 µmol fruktosa/ml dari enzim/jam. Selanjutnya data yang diperoleh dianalisis secara statistik dengan one way ANOVA.Hasil perhitungan aktivitas enzim GTF dengan one way ANOVA menunjukkan perbedaan yang signifikan antara kelompok perlakuan dengan kelompok kontrol negatif (p<0,05), dan tidak terdapat perbedaan yang signifikan dengan kontrol positif. Kesimpulan dari penelitian ini adalah ekstrak kulit jeruk nipis konsentrasi 10% dapat menghambat aktivitas enzim glukosiltransferase Streptococcus mutans. The Influence of 10% Concentrate of Citrus Aurantifolia Swingle on The Activities of Streptococcus Mutans Glucocyl Transferase Enzyme. Streptococcus mutans is a bacteria which has glucosyl transferase (GTF) enzyme and acts as the main agent that causes dental caries. GTF enzyme will convert sucrose into fructose and glucan. Lime peel (Citrus aurantifolia Swingle) is one of the traditional herbs which has flavonoid as an antibacterial agent. The purpose of this research is to investigate the effect of 10% concentration of lime peel extract (Citrus aurantifolia Swingle) to the activity of GTF enzyme Streptococcus mutans.This research used 10% concentration of lime peel extract as the treatment, 0.12% chlorhexidine gluconate as a positive control, and distillate water as anegative control. The method of this research consists of three steps; preparing the lime peel extract concentration of 10%, preparing the GTF enzyme from the supernatant of Streptococcus mutans, and testing GTF enzyme activity by analyzing the fructose concentration using High Performance Liquid Chromatography (HPLC). Perusal of the fructose area was based on the retention time of fructose. One unit of GTF enzyme activity is defined as the 1 μmol fructose / ml of enzyme / hour. The obtained data then were analyzed by one way ANOVA. The result showed a significant difference between treatment group with the negative control (p <0.05), and there are no significant difference with the positive control. This research concludes that 10% lime peel extract can inhibit the GTF enzyme activity of Streptococcus mutans.
Infiltrasi Neutrofil pada Tikus dengan Periodontitis setelah Pemberian Ekstrak Etanolik Kulit Manggis
Rendra Chriestedy Prasetya;
Nunuk Purwanti;
Tetiana Haniastuti
Majalah Kedokteran Gigi Indonesia Vol 21, No 1 (2014): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.8520
Periodontitis adalah inflamasi kronis yang disebabkan oleh bakteri periodontopatogen. Pada periodontitis terjadi peningkatan infiltrasi neutrofil yang berfungsi untuk memfagositosis bakteri yang menginfiltrasi jaringan gingiva. Kulit manggis mempunyai bahan aktif yaitu xanton yang mempunyai efek antiinflamasi dengan jalan menghambat sintesis PGE2 sehingga akan menurunkan infiltrasi sel inflamasi. Penelitian ini bertujuan untuk mengetahui infiltrasi sel neutrofil pada periodontitis setelah pemberian ekstrak etanolik kulit manggis. Tikus wistar jantan sebanyak empat puluh delapan ekor diinduksi periodontitis dengan ligasi pada daerah subgingiva gigi anterior rahang bawah selama 7 hari. Setelah hari ke-7, ligasi dilepas selanjutnya tikus dibagi menjadi 4 kelompok perlakuan yaitu ekstrak kulit manggis 30 mg/kg BB dan 60 mg/kg BB, ibuprofen dan saline. Tikus dikorbankan pada hari ke-1, 3, 5 dan 7 setelah perlakuan. Jaringan pada bagian anterior rahang bawah ditanam dalam paraffin dan dilakukan pemotongan serial kemudian diwarnai dengan hematoxylin eosin. Jumlah neutrofil dihitung di bawah mikroskop dengan perbesaran 400x. Data jumlah neutrofil dianalisa dengan Two Way Anova. Hasil Two Way Anova menunjukkan perbedaan yang bermakna rerata sel neutrofil antar kelompok perlakuan (p<0,05) mengindikasikan pemberian ekstrak etanolik kulit manggis berpengaruh terhadap jumlah sel neutrofil. Dapat disimpulkan bahwa pemberian ekstrak etanolik kulit manggis mampu menurunkan infiltrasi sel neutrofil pada tikus yang diinduksi periodontitis.Neutrophil infiltration in rats with periodontitis after the granting of Ethanolic Extract Skin Mangosteen. Periodontitis is a chronic inflammatory disease caused by periodontopathic bacteria. When periodontitis occurs are followed by neutrophil infiltration. Mangosteen rind contains xanthone, an anti-inflammatory substance which inhibits the synthesis of PGE2 and therefore reduces inflammatory cells infiltration. This research aimed to study neutrophil cells infiltration in experimental-induced periodontitis rats after mangosteen rind ethanolic extract administration. Forty-eight male wistar rats were induced the periodontitis by putting silk ligature subgingivally around the neck of the anterior lower teeth for seven days. After the ligation had been taken out, the rats were divided into four groups and treated orally with mangosteen rind extract 60 mg/kg BB, 30 mg/kg BB, ibuprofen, and saline. The rats were sacrificed on the 1st, 3rd, 4th, seventh day after the treatment. Their anterior lower jaws were processed for paraffin embedded tissue, cut serially and stained with hematoxylin-eosin. The neutrophil cells were observed and counted under the microscope (400x). The data were analyzed using Anova. Anova result showed a significant difference among group (p<0,05) indicating that mangosteen rind ethanolic extract affected the number of neutrophils. In conclusion, mangosteen rind ethanolic extract reduced the number of neutrophil infiltration in periodontitis rats.
Effect of freeze-drying process of collagen-activated platelet-rich plasma on transforming growth factor-β1 level
Kwartarini Murdiastuti;
Fitri Yuniawati;
Dahlia Herawati;
Nunuk Purwanti;
Dyah Ayu Mira Oktarina
Majalah Kedokteran Gigi Indonesia Vol 5, No 2 (2019): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.40197
Periodontal tissue damage requires regenerative material to repair the damage. Platelet-rich plasma (PRP) is known as a regenerative material from blood which contains high level of growth factor that plays a role in wound healing and tissue remodeling. However PRP has a weakness, i.e. it is too watery so it is easily dissolved in the oral cavity, and should be used immediately after preparation. Therefore PRP storage method is needed to increase the benefits of PRP. The addition of collagen to PRP serves as a scaffold as well as an activator that stimulates the release of growth factors. One method of storing PRP is by freeze-drying process. The purpose of this study was to analyze the effect of freeze-drying process of collagen-activated PRP (PRP+C) on transforming growth factor-β1 (TGF-β1) levels. Transforming growth factor-β1 is a cytokine content in PRP, that plays a role in bone remodeling and is an important stimulator for osteoblast formation, causing chemotaxis, osteoblast proliferation and differentiation. In this study, PRP was produced from peripheral blood probandus. Platelet-rich plasma was then activated with collagen (PRP+C), and divided into two groups: freeze-dried PRP collagen (FD PRP+C); and non freeze-dried PRP+collagen (PRP+C). Transforming growth factor-β1 levels were measured using the ELISA method, followed by independent t-test. The TGF-B1 level of FD PRP+C group was significantly higher than PRP+C group (p<0.05). From this study it can be concluded that freeze-dried collagen-activated PRP has an effect to increase TGF-β1 level.
Oral health-related quality of life in type 2 diabetic patients of Yogyakarta General Hospital
Dewi Agustina;
Nunuk Purwanti;
Lisdrianto Hanindriyo;
Fimma Naritasari
Majalah Kedokteran Gigi Indonesia Vol 7, No 1 (2021): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.43693
Yogyakarta is a province in Indonesia with the highest prevalence (2.4%) of Diabetes Mellitus (DM). Around 90% of diabetic patients suffer from type 2 DM. Oral manifestations of DM may disturb oral functions which in turn influence oral health - related quality of life (OHRQo)L. This study aimed to evaluate the OHRQoL of type 2 DM outpatients in Yogyakarta General Hospital. The study subjects comprised 50 male outpatients and 32 female outpatients with type 2 DM (40-81 years old). Geriatric Oral Health Assessment Index (GOHAI) and Xerostomia Inventory were used to assess OHRQoL and xerostomia status, respectively. Intraoral examinations comprising periodontal tissue, oral hygiene (OH), coated tongue, and present teeth were performed. There were 49 (59.76%) subjects with low and 33 (40.24%) subjects with high score of GOHAI; 78 (95.12%) with and 4 (4.88%) without periodontal tissue defect; 79 (96.34%) with poor and 3 (3.66%) good OH; 17 (20.73%) with coated tongue >50% and 65 (79.27%) with coated tongue ≤50%; 34 (41.46%) with present teeth <20 and 48 (58.54%) with present teeth ≥20; and 39 (47.56%) with xerostomia and 43 (52.44%) with normal status. Only ‘present teeth’ had a significant contribution to the proportion of GOHAI status in type 2 DM patients in this study (p=0.032). Type 2 DM patients with ≥20 teeth had a more significant proportion of high GOHAI status compared to those with <20 teeth. The majority of type 2 DM outpatients of Yogyakarta General Hospital had poor OHRQoL as reflection of their oral condition that is partly contributed by patients with present teeth <20.
Dealing with the high-risk potential of COVID-19 cross-infection in dental practice
Heribertus Dedy Kusuma Yulianto;
Nunuk Purwanti;
Trianna Wahyu Utami;
Anne Handrini Dewi;
Dyah Listyarifah;
Intan Ruspita;
Asikin Nur;
Heni Susilowati
Majalah Kedokteran Gigi Indonesia Vol 6, No 1 (2020): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada
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DOI: 10.22146/majkedgiind.56588
The World Health Organization reported that the SARS-CoV-2 virus has infected more than 5 million people around the world. Dental care providers and health care professionals need to be aware of the high-risk potential of crossinfection since the routes of virus transmission commonly happen through droplets and aerosols. This review aimed at collecting essential knowledge about the COVID-19 needed by dental practitioners. The review focused on the oral involvement in COVID-19, the role of oral transmission as the high-risk potential of cross-infection and recommended strategies to minimize the risk of cross-infection in dental practice. We searched all the published clinical features from PubMed, Google Scholar, Scopus and hand searched library online databases, from January 2015 until May 2020. Keywords used were “COVID-19”, “Dentistry”, “Dental protection”, “Cross-contamination”, “Aerosol and non aerosol”, and ”Povidone-iodine” with their combinations. We identified 52 articles to review after the initial selection with inclusion and exclusion criteria. Results showed use of topical applications of povidine-iodine and viricidal mouthwash could significantly reduce the high-risk of cross-infection from dentistry patients who are asymptomatic with COVID-19 infection. Further safeguards include suspending all non-emergency procedures temporarily and closely screening patients for symptoms which may be suspected to be COVID-19 infection.
Pemberdayaan Masyarakat Desa Panjangrejo Bantul Yogyakarta sebagai Upaya Mewujudkan Desa Sehat Gigi dan Mulut 2030
Pramudya Aditama;
Leny Pratiwi Ariesandy;
Fimma Naritasari;
Nunuk Purwanti
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 3, No 2 (2018): Maret
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada
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DOI: 10.22146/jpkm.26935
Oral health problem in Indonesian has increased. Yogyakarta is the fourth province with the highest number oral health problem and the third province with the highest Effective Medical Demands (EMD) for oral health in Indonesia. This fact indicates that it needs the attention of many parties to solve this problem, especially in Yogyakarta. Through community empowerment, community will be able to independently maintain their oral health and can be expected to be one of a solution to overcome the existing problems.The establishment of Oral Health Cadre (KADEGI) is a form of community empowerment strategy in terms of human resource development. Community empowerment, using the Participatory Learning and Action (PLA) method, is very effective to help the KADEGI mastered several skills such as (a) able to do dental health education, (b) able to do early detection of oral disease and (c) able to refer oral health cases to the nearest public health services (puskesmas).The results of KADEGI's work in data collecting of oral health problem in Desa Panjangrejo showed that from 1.198 respondents who were examined, 64% of respondents had tooth cavities and 49% had debris and calculus. These data indicate that Desa Panjangrejo’s resident are still need special attention in oral health problem by various parties.