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EMPOWERMENT AND INCREASING SELF-AWARENESS OF XEROSTOMIA AS AN ORAL COMPLICATION OF HEAD AND NECK CANCER THERAPY IN CANCER PATIENTS AT THE INDONESIAN CANCER FOUNDATION, EAST JAVA CHAPTER COORDINATOR Ayuningtyas, Nurina F.; M., Fatma Yasmin; F., Nisa’a Tassya; T., Irene Anastasia; Viany, Adhistya; Widowati, Kharinna; P., Sri Dewanthy; B., Reiska Kumala
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 9 No. 3 (2025): SEPTEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v9i3.2947

This community service project aimed to increase the knowledge and awareness of cancer survivors, particularly those with head and neck cancer, regarding oral complications, especially dry mouth or xerostomia, which often result from radiation and chemotherapy. Data indicates that the prevalence of xerostomia is very high in patients undergoing radiation treatment. To address this issue, the project implemented the Self Oral Screening (SOS) method, a self-screening program that includes filling out questionnaires and examining the oral cavity. The activity also trained participants to create a mouthwash using baking soda. The educational session was conducted at the Indonesian Cancer Foundation in Surabaya, attended by 14 cancer patients and their companions. Evaluation was carried out using a pre-test and post-test to measure the increase in participants' knowledge before and after the education. The average pre-test score was 70.0, while the average post-test score increased to 83.57, showing a significant increase in the participants' knowledge level. However, the evaluation data is still being processed for further publication. Overall, this activity successfully improved participants' knowledge, which is expected to enhance their quality of life through better self-care.

SCHOOL HEALTH PROGRAM AS AN EDUCATIONAL FACILITY IN INCREASING KNOWLEDGE ABOUT DENTAL AND ORAL HEALTH AT BUNGA BANGSA ELEMENTARY SCHOOL Elizabeth Pranoto, Amelia; Fauziah, Yessy Andriani; Rahardjo, Pambudi; Agustia, Lita; Budi Teguh, Paulus; Santoso, Budi; Sularsih, Sularsih; Prananingrum, Widyasri; Ayu R, Dyah; Tsurayya, Nur; Widowati, Kharinna; Hadinata, Yongki
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 7 No. 3 (2023): SEPTEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v7i3.1700

Dental and oral health in Indonesia is still a health problem that requires attention. To address dental and oral health problems in Indonesia, particularly in school-age and adult groups, it is necessary to carry out promotive-preventive activities by inviting local universities and business entities that focus on dental and oral health. The most common dental and oral diseases are caries and periodontal disease. One of the strategies of the Ministry of Health of the Republic of Indonesia in reducing the number of dental caries sufferers is by declaring the "Carry Free Indonesia 2030" program. The lack of knowledge and awareness of the Indonesian population regarding dental hygiene and the difficulty of reaching information due to the geographical conditions in several regions in Indonesia which make it impossible to hamper the distribution of education. The Training of Trainer Program targets teachers and parents for 21 days of morning and evening toothbrushes, teaching children and adults about the benefits of good oral hygiene and showing them how to brush their teeth twice a day with fluoride toothpaste. This program aims to provide comprehensive, applicable and sustainable education and knowledge about dental and oral health to school-age children in Indonesia.

COMMUNITY EMPOWERMENT IN EFFORTS TO IMPROVE DENTAL AND ORAL HEALTH THROUGH TRAINING OF TRAINER ACTIVITIES IN “ANAK BANGSA ELEMENTARY SCHOOL” SURABAYA Widowati, Kharinna; Indarti, Caecilia; Sari, Rima Parwati; Prananingrum, Widyasri; Hollanda, Ghita Hadi; Emilda, Yulie; Parasihni, Kristanti; Karsini, Isidora; Elidasari, Monica; Agustia, Lita; Santoso, Budi; Lestari, IGAM Oka; Rizka, Yoifah; Hadinata, Yongki; Rochyani, Linda
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 8 No. 1 (2024): MARET
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v8i1.2221

One way to develop health is community empowerment in the field of dental and oral health. Based on the 2018 Basic Health Research, it was reported that the prevalence of dental and oral problems in Indonesia is still very high. As many as 93% of school-aged children experience dental and oral problems. This is due to a lack of knowledge and lack of awareness of the Indonesian population regarding dental hygiene. In a series of activities for the 2023 National Dental Health Month, dental and oral health education programs are carried out in schools/School Health Programs. Method: The method is carried out using a cadre training program / Training of Trainers through zoom meetings for teachers and parents of students by providing dental and oral health material. Next, ask them to provide assistance with morning and evening toothbrushing activities for 21 days, teaching children about the benefits of good oral hygiene and showing them how to brush their teeth twice a day. It is preceded by a pretest and at the end of the delivery of the material a post test is given. The results of the evaluation of understanding of the material presented show that there is a significant difference in the pre-test and post-test of prospective cadres, which means that the cadres understand the material well. The new habit of brushing teeth has been quite successful from the uploaded photo documentation and students have recorded well for 21 days. This shows a change in behavior in maintaining dental and oral health.

Effect of hyperbaric oxygen treatment on liver hepatocyte damage in oral candidiasis immunosuppressed rats Pargaputri, Agni Febrina; Andriani, Dwi; Hartono, Mardiyanto Riski; Widowati, Kharinna
Odonto : Dental Journal Vol 9, No 2 (2022): December 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Background: Liver is an organ that performs a role in metabolism and detoxification of chemical substances. The use of immunosuppressive drugs excessively not only become predisposing factor for oral candidiasis, but also can cause damage and affect liverâ€™s function. Hyperbaric oxygen treatment was known to preserve hepatocytes and prevent liver damage. This study was aimed to investigate the effect of hyperbaric oxygen treatment on liver hepatocyte damage in oral candidiasis immunosuppressed rats.Method: We divided fifteen Wistar rats randomly into three groups: G1 (healthy rats), G2 (immunosuppressed rats with oral candidiasis), and G3 (immunosuppressed rats with oral candidiasis given hyperbaric oxygen). The immunosuppressed condition was made by giving dexamethasone and tetracycline orally for 14 days. Induction of Candida albicans 0.1 cc was conducted on the fourth day. Hyperbaric oxygen treatment was given for five days continuously. The histopathological changes in the liver were measured by counting the amount of normal hepatocytes, pycnotic, karyolysis, karyorrhexis, and score of necrosis area using light microscope with 400x magnification.Result: The amount of pycnotic, karyolysis, and karyorrhexis hepatocytes increased in G2 and decreased significantly in G3, likewise the score of necrosis area. The statistical test using oneway Anova and LSD test showed significant differences (p<0,05) in pycnotic, karyolysis, and karyorrhexis hepatocytes between G1, G2, and G3.Conclusion: The hyperbaric oxygen treatment effect on liver hepatocyte damage in oral candidiasis immunosuppressed rats.

Effect of hyperbaric oxygen treatment on liver hepatocyte damage in oral candidiasis immunosuppressed rats Pargaputri, Agni Febrina; Andriani, Dwi; Hartono, Mardiyanto Riski; Widowati, Kharinna
Odonto : Dental Journal Vol 9, No 2 (2022): December 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.2.319-326

Background: Liver is an organ that performs a role in metabolism and detoxification of chemical substances. The use of immunosuppressive drugs excessively not only become predisposing factor for oral candidiasis, but also can cause damage and affect liverâ€™s function. Hyperbaric oxygen treatment was known to preserve hepatocytes and prevent liver damage. This study was aimed to investigate the effect of hyperbaric oxygen treatment on liver hepatocyte damage in oral candidiasis immunosuppressed rats.Method: We divided fifteen Wistar rats randomly into three groups: G1 (healthy rats), G2 (immunosuppressed rats with oral candidiasis), and G3 (immunosuppressed rats with oral candidiasis given hyperbaric oxygen). The immunosuppressed condition was made by giving dexamethasone and tetracycline orally for 14 days. Induction of Candida albicans 0.1 cc was conducted on the fourth day. Hyperbaric oxygen treatment was given for five days continuously. The histopathological changes in the liver were measured by counting the amount of normal hepatocytes, pycnotic, karyolysis, karyorrhexis, and score of necrosis area using light microscope with 400x magnification.Result: The amount of pycnotic, karyolysis, and karyorrhexis hepatocytes increased in G2 and decreased significantly in G3, likewise the score of necrosis area. The statistical test using oneway Anova and LSD test showed significant differences (p<0,05) in pycnotic, karyolysis, and karyorrhexis hepatocytes between G1, G2, and G3.Conclusion: The hyperbaric oxygen treatment effect on liver hepatocyte damage in oral candidiasis immunosuppressed rats.

Oral Health Care Management in Atypical Oral and Cutaneous Bullous Pemphigoid Widowati, Kharinna; Dewanthy P, Sri; Lukisari, Cane; Nafi’ah; Setianingtyas, Dwi; Rahman, Kurnia Hayati; Libriansyah; Riyanto, Eko; Damaiyanti, Dian W; Ayuningtyas, Nurina F.
Denta Journal Kedokteran Gigi Vol 20 No 1 (2026): February
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i1.4

Background: Bullous Pemphigoid (BP) is the most common subepidermal bullous autoimmune disease, typically presenting as tense bullae. Atypical presentations of bullous pemphigoid often mimic TEN or impetigo, creating diagnostic ambiguity. Effective management of these cases requires integrated strategies to address systemic health factors and extensive oral mucosal involvement. Objective: This report highlights the Oral Health Care Management of atypical oral and cutaneous manifestations of Bullous Pemphigoid. Case: A 58-year-old woman with a history of Diabetes Mellitus and heart disease was referred with extensive bullae, erosions, and "honey-like" crusts involving over 30% of her body surface area. Her condition worsened despite two weeks of treatment with acyclovir, which was administered for suspected herpes. The presentation was highly suggestive of TEN and impetigo. Case Management: Management of the oral and perioral lesions focused on infection prevention and pain relief. Debridement was performed using sterile gauze soaked in normal saline and 0.2% chlorhexidine. This was followed by the application of Aloevera extract gel/spray. Comprehensive systemic therapy, including corticosteroids and immunosuppressants, was coordinated by a multidisciplinary team to control the autoimmune disease and its comorbidities. Conclusion: The presence of comorbidities, such as diabetes, further complicates systemic management and heightens the risk of secondary infections, requiring meticulous wound care. A multidisciplinary diagnostic algorithm, supported by supplementary examinations, is crucial for differentiating atypical BP from TEN and impetigo infection. Adequate management of associated oral and perioral manifestations is an integral component of comprehensive patient care.

Chlorine Dioxide as an Adjunctive Oral Rinse for Burning Mouth Syndrome: A Case Series Rahman, Kurnia Hayati; Lukisari, Cane; Nafiah, Nafiah; Setianingtyas, Dwi; Priambodo, Nur Tsurayya; Widowati, Kharinna; Bhawal, Ujjal K.
Denta Journal Kedokteran Gigi Vol 20 No 2 (2026): August
Publisher : Fakultas Kedokteran Gigi Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/denta.v20i2.4

Background: Burning Mouth Syndrome (BMS) is a chronic orofacial pain disorder characterized by a persistent burning sensation of the oral mucosa in the absence of clinically observable lesions. BMS is classified into primary (idiopathic), often associated with neuropathic or psychogenic factors, and secondary forms linked to identifiable local or systemic conditions. Objective: This report describes a case of BMS with overlapping etiologies and evaluates the role of chlorine dioxide as a supportive agent in symptom management. Case: A patient with type 2 diabetes mellitus presented with a persistent burning sensation in the oral cavity without any clinical abnormalities. The condition was diagnosed as a combination of primary BMS with a psychogenic component and secondary BMS associated with diabetic neuropathy. Case Management: Management focused on symptomatic relief and improving oral mucosal comfort. Chlorine dioxide was administered as supportive therapy to enhance oral hydration and provide a soothing effect on the mucosa. The patient reported improvement in burning symptoms following its use. Discussion: BMS is a multifactorial condition requiring comprehensive evaluation of neuropathic, systemic, and psychological factors. In this case, the coexistence of psychogenic components and diabetic neuropathy highlights the complexity of diagnosis and management. Supportive therapy using chlorine dioxide may contribute to symptom alleviation through its hydrating and soothing properties, although its mechanism and efficacy remain insufficiently established. Therefore, a multidisciplinary approach is essential for the effective management of BMS, and further studies are needed to validate the clinical benefits of chlorine dioxide in BMS management.

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