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All Journal Padjadjaran Journal of Dentistry Jurnal Abdimas Kartika Wijayakusuma Co-Creation : Jurnal Ilmiah Ekonomi Manajemen Akuntansi dan Bisnis Jurnal Abdi Kesehatan dan Kedokteran
Andi Supriatna, Andi
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Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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The effectiveness of nanotechnology toothbrush bristles in maintaining oral hygiene of children aged 9–12 years: a quasi-experimental Parihala, Juan Dion; Fadilah, Rina Putri Noer; Endrowahyudi, Hartanto; Supriatna, Andi; Khairunnisa, Zahra
Padjadjaran Journal of Dentistry Vol 38, No 1 (2026): March 2026
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol38no1.68522

Abstract

Introduction: Dental caries remains a common oral health problem among school-aged children and is associated with oral hygiene practices and plaque control. In Indonesia, its high prevalence highlights the need for effective preventive strategies. Conventional toothbrushes rely mainly on mechanical plaque removal, which may be limited in children due to variations in brushing technique. Recent developments have introduced nanotechnology in toothbrush bristles, where nanosilver is incorporated into the bristle material and has been reported to exhibit antibacterial and anti-biofilm properties that may support plaque control during brushing. However, evidence of its effectiveness in children remains limited. This study aimed to analyze the effectiveness of nanotechnology toothbrush bristles in maintaining oral hygiene among children aged 9–12 years. Methods: This study employed a quasi-experimental design with a control group pre-test and post-test approach. A total of 62 children aged 9–12 years were included: the experimental group using nanosilver-bristled toothbrushes (n=31) and the control group using conventional toothbrushes (n=31). All participants received the same toothbrushing instruction at baseline. Oral hygiene was assessed using the Patient Hygiene Performance (PHP) index on selected index teeth representing anterior and posterior sextants, measured at baseline and after a 21-day intervention. As the data were not normally distributed, the Wilcoxon signed-rank test and Mann–Whitney U test were used. Results: Baseline PHP scores were comparable between groups (p>0.05). After the intervention, the mean PHP score in the experimental group decreased from 3.87 ± 1.074 to 1.51 ± 1.040 (61.0% reduction; p<0.05). In the control group, the mean PHP score decreased from 3.38 ± 0.734 to 2.88 ± 0.799 (14.8% reduction; p<0.05). The reduction in PHP scores was significantly greater in the experimental group (p<0.05). Conclusion: Toothbrushes with nanosilver bristles were more effective than conventional toothbrushes in improving oral hygiene among children aged 9–12 years.
Effect of apatite cement on osteoblast cell numbers in alveolar sockets after tooth extraction in rabbits: an experimental study Supriatna, Andi; Noer Fadilah, Rina Putri; Dewi, Zwista Yulia; Yuniar, Nindya; Fitri, Dinda Kurnia
Padjadjaran Journal of Dentistry Vol 38, No 2 (2026): July 2026
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol38no2.70901

Abstract

Introduction: Tooth extraction damages soft and hard tissues, followed by alveolar bone resorption, which can interfere with the healing process and prosthetic rehabilitation. One effort to minimize alveolar bone resorption is the use of graft materials such as apatite cement, which is biocompatible and osteoconductive. This study aimed to analyze the effect of apatite cement on osteoblast cell numbers during alveolar socket healing following tooth extraction in rabbits. Methods: This study used a true experimental design with a post-test-only control group design. The study objects were biological materials placed in the alveolar sockets of New Zealand White rabbits, which were divided into a control group, a tooth extraction group without apatite cement administration, and a tooth extraction group with apatite cement administration. Histological observations were conducted on days 3, 7, and 14, representing the inflammatory, proliferative, and early remodeling phases of rabbit socket healing, respectively.  The data were analyzed statistically using normality and homogeneity tests, followed by the one-way ANOVA statistical test. Results: The mean osteoblast cell counts in the apatite cement group were significantly higher than those in the control group on days 3, 7, and 14. The highest osteoblast count was observed on day 14, with mean values of 28.93 ± 3.57 cells/field in the apatite cement group compared with 0.80 ± 0.35 cells/field in the control group (p < 0.05). One-way ANOVA demonstrated significant differences among the experimental groups. Conclusion: Apatite cement administration increased osteoblast cell numbers in the alveolar socket after tooth extraction in rabbits, suggesting its potential to promote early osteogenic activity during the initial stages of socket healing.
Effectiveness of an augmented reality-based HI Bogi application in improving toothbrushing skills among elementary school children: a quasi-experimental study Fadilah, Rina Putri Noer; Fauzi, Anggi; Andisa, Maria; Supriatna, Andi; Sonjaya, Donni
Padjadjaran Journal of Dentistry Vol 38, No 2 (2026): July 2026
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol38no2.70558

Abstract

Introduction: Oral health is an essential component of overall quality of life; however, the prevalence of dental caries in Indonesia remains high, particularly among elementary school children, partly due to inadequate toothbrushing skills. Various digital educational innovations, including mobile health applications and augmented reality (AR)-based interventions, have demonstrated positive effects on oral health education and behavioral change. Nevertheless, evidence regarding the effectiveness of the HI Bogi AR-based application, especially in improving children’s toothbrushing skills, remains limited. Therefore, this study aimed to analyze the effectiveness of the augmented reality-based HI Bogi application in improving toothbrushing skills among elementary school children using a quasi-experimental design. Methods: This study employed a quasi-experimental design with a one-group pre- and post-test design. A total of 170 elementary school students aged 9–12 years from Cimahi City were recruited using simple random sampling. The intervention involved the use of the HI Bogi AR-based application for 21 days. The research instrument was an observational questionnaire comprising 13 indicators of toothbrushing skills. Data were analyzed using a paired t-test for normally distributed data and the Wilcoxon signed-rank test for non-normal data. Results: Toothbrushing skills improved significantly following the intervention (Wilcoxon signed-rank test: Z = −15.192, p < 0.001). The mean toothbrushing skill score increased from 4.40 ± 3.77 at baseline to 12.62 ± 0.71 after the intervention, representing an average improvement of 8.22 points. These findings indicate that the HI Bogi AR application substantially improved children’s toothbrushing skills. Conclusion: The HI Bogi application integrated with augmented reality (AR) proved effective in improving proper toothbrushing skills among children aged 9–12 years in Cimahi City. This innovation has the potential to serve as an alternative, promotive, and preventive oral health education tool to support school-based oral health programs.
Co-Authors Adriansyah, Muhammad Aksa Andisa, Maria Ari Prayogo Pribadi Azkya Patria Nawawi, Azkya Patria Endrowahyudi, Hartanto Fauzi, Anggi Fitri, Dinda Kurnia Herryawan Herryawan, Herryawan Isnaeni, Rheni Safira Khairunnisa, Zahra Noer Fadilah, Rina Putri Parihala, Juan Dion Ratih Widyasari, Ratih Rina Putri Noer Fadilah, Rina Putri Noer Rina Putri Noer Fadillah, Rina Putri Noer Rivmawati, Lestary Sonjaya, Donni Sri Sarwendah, Sri Yuniar, Nindya Zwista Yulia Dewi, Zwista Yulia