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Association Between Payment Scheme, Insurance Participation, and Economic Status with Orthodontic Appliance Preference in West Jakarta Hanarni Kubelinda; Joko Kusnoto; Lia Hapsari Andayani; Budi Kusnoto
Journal of Indonesian Dental Association Vol. 9 No. 1 (2026): April
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v9i1.1519

Abstract

Introduction: The primary goals of orthodontic treatment are to improve mastication function and tooth alignment. The choice of orthodontic appliance type can be influenced by various factors such as treatment payment plans and economic status. Objective: To determine the association between payment scheme, insurance participation, and economic status with orthodontic appliance preference among undergraduate students in West Jakarta. Methods: This cross-sectional study involved 158 undergraduate students in West Jakarta, taken by purposive sampling. Data collection was conducted using a questionnaire in September 2025. The questionnaire was distributed via Google Forms and consisted of eighteen questions. The Fisher's Exact test was used to examine the association between payment scheme, insurance participation, and economic status with orthodontic appliance preference. Results: Fixed orthodontic appliances were chosen by the majority of respondents (88%), with orthodontic specialists fitting the appliances (61.4%). Non-installment payment was the most popular payment method (85.4%), with 65.2% of respondents spending IDR 10,000,000 or more on treatment costs. The majority of respondents did not use insurance for orthodontic treatment (91.8%). There was a significant association between the father's income with orthodontic appliance preference (p= 0.018). Conclusion: Orthodontic appliance preference is associated with father's income. However, orthodontic appliance preference is not associated with payment schemes, insurance participation, parental education, parental occupation, or the mother's income. Collaboration between insurance companies and healthcare providers is needed to develop subsidy program towards orthodontic treatment.
Efficacy of Probiotics, Cetylpyridinium Chloride, and Enzymes Toothpaste Formulations Against Periodontal Pathogens in Fixed Orthodontic Patients: A Review Michelle; Joko Kusnoto; Harryanto Wijaya
Sriwijaya Journal of Dentistry Vol. 6 No. 2 (2025): Sriwijaya Journal of Dentistry
Publisher : Dentistry Study Program, Faculty of Medicine Universitas Sriwijaya 

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/yvwn2814

Abstract

Introduction: Fixed orthodontic appliances complicate oral hygiene and promote biofilm accumulation, increasing the risk of periodontal disease. Toothpaste formulations with antimicrobial properties such as Lactobacillus paracasei probiotics, cetylpyridinium chloride (CPC), and amyloglucosidase–glucose oxidase enzymes are commonly used to manage oral biofilm and control pathogenic bacteria. However, the extent of their effectiveness against periodontal pathogens in orthodontic patients remains unclear. Purpose: This review aims to map and summarize the current evidence on the efficacy of various toothpaste formulations in reducing periodontal pathogens among patients undergoing fixed orthodontic treatment. Methods: A comprehensive search of electronic databases (e.g., PubMed, Scopus, Google Scholar) was conducted to identify relevant studies published from 2015 to 2025. Data were extracted and synthesized narratively, focusing on types of formulations, study outcomes, and microbial targets. Results: Formulations containing antimicrobial agents such as probiotics, enzymes, and cetylpyridinium chloride showed variable effects on specific periodontal pathogens, including Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans. Each mechanism antimicrobial, probiotic, and enzymatic addresses different aspects of biofilm regulation. Conclusion: Toothpastes containing L. paracasei probiotics, CPC, and amyloglucosidase–glucose oxidase enzymes offer complementary ways to control periodontal pathogens in orthodontic patients. Combining these mechanisms may enhance biofilm control and microbial balance, though further research is needed to confirm their long-term benefits.
The Effect of Probiotic on Oral Health in Children : A Systematic Literature Review Alyah Heriandi; Joko Kusnoto; Armelia Sari Widyarman
Sriwijaya Journal of Dentistry Vol. 7 No. 1 (2026): Sriwijaya Journal of Dentistry
Publisher : Dentistry Study Program, Faculty of Medicine Universitas Sriwijaya 

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjd.v7i1.97

Abstract

Introduction: Oral health problems, particularly dental caries, continue to be a significant global health challenge for children. Caries leads to pain, infection, impaired nutrition, and affects overall well-being. Probiotics, live microorganisms with potential health benefits, have emerged as a preventive measure in pediatric dentistry, particularly in managing oral microbiota. Purpose: This review evaluates the impact of probiotics on oral health in children, focusing on caries prevention, microbiota composition, plaque, gingival health, and salivary parameters. Methods: A systematic literature review was conducted, analyzing randomized controlled trials, clinical trials, and quasi-experimental studies published between 2010 and 2025. Data was synthesized qualitatively to identify trends and outcomes across various probiotic interventions.  Results: Studies generally show that probiotics reduce cariogenic bacteria like Streptococcus mutans, improve plaque control, and enhance gingival health. However, long-term benefits for caries prevention remain inconsistent. The effectiveness of probiotics varies by strain, dosage, and delivery method. Conclusion: Probiotics hold promise as adjunctive agents in pediatric oral health care but are not a substitute for traditional oral hygiene practices. Further research, particularly long-term studies with standardized protocols, is essential to establish clear guidelines for their use in preventing caries in children.