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Trends in Outpatient Dental and Oral Visits at Selemadeg Timur I Public Health Center Pratama, I Wayan Agus Wirya; Dewi, I Gusti Agung Ayu Chandra Iswari; Idaryati, Ni Putu; Pramesti, I Gusti Ayu Ratih
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 2 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i2.12198

Abstract

Introduction: Oral and dental health problems in Indonesia continue to increase, yet the utilization rate of health services, especially in remote, frontier, and outermost (3T) regions, remains relatively low. Community Health Centers (Puskesmas) play a crucial role in providing promotive, preventive, curative, and rehabilitative services, supported by electronic medical record systems to facilitate the analysis of patient visit patterns and morbidity. This study aims to evaluate the pattern of patient visits to the dental and oral health unit at UPTD Puskesmas Selemadeg Timur I, Megati Village, as a basis for improving the quality and effectiveness of health services. Materials and Methods: This study is descriptive quantitative research conducted at UPTD Puskesmas Selemadeg Timur I in April 2025. Data were collected from the medical records of 1,253 patients from January to December 2024 using a total sampling method. The observed variables included visit classification, payment mechanisms, gender, and 5 dominant cases based on gender. The results were analyzed and presented in tables and charts to illustrate the distribution and trends of dominant cases. Results and Discussion: There were 1,253 visits over one year, with the majority being follow-up patients (73.42%), covered by JKN (91.37%), and female patients (61.77%). The peak of visits occurred in December, influenced by the academic calendar and health promotion activities. The most common diagnosis was pulpitis (K04.0) at 43.66%, disturbances of tooth eruption (K00.6) at 22.27%, gingivitis and periodontal diseases (K05.0) at 22.11%, pulp necrosis (K04.1) at 5.91%, and periapical abscess without sinus (K04.7) at 2.39%. Conclusion: The visits were predominantly follow-up cases, involving JKN participants and female patients, with pulpitis (K04.0) being the most frequent diagnosis. The high utilization of JKN highlights the vital role of community health centers in ensuring equitable access and quality of dental healthcare services in their respective service areas.
Overview of Dental Caries and Treatment Needs in Early Childhood Rahina, Yudha; Dewi, I Gusti Agung Ayu Chandra Iswari; Palgunadi, I Nyoman Panji Triadnya; Idaryati, Ni Putu; Pratama, I Wayan Agus Wirya; Pramesti, I Gusti Ayu Ratih; Lily, Gusti Ayu Yohanna
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 3 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i3.11144

Abstract

Introduction: The prevalence of dental caries in children remains high in Indonesia. Primary teeth are particularly vulnerable to caries, yet parental awareness of children's oral health is often insufficient. As a result, children with caries often do not receive proper treatment. It is unfortunate when caries occur  at an early age. This study aims  to describe the occurrence of dental caries and the need for dental treatment in early childhood. Material and Methods: This study utilized a descriptive-analytic method with a cross-sectional approach, which involved  52 children, aged 3 to 5 years. Dental caries were assessed using the def-t index, while treatment needs were evaluated with the Required Treatment Index (RTI). The data collected were analyzed descriptively and further examined using the Mann-Whitney and Spearman's rank correlation test. Results and Discussions: The prevalence of dental caries in children was 57.69%, with an average def-t score of 2.62. Caries were most commonly found in the upper jaw, particularly affecting the primary first incisors, followed by the primary molars. The treatment needs index (RTI) was 99.26%, indicating that most carious teeth were left untreated, requiring dental treatment. There was no significant caries difference between boys and girls (p > 0.05). However, a significant correlation was found between age and caries frequency (p < 0.05). Conclusion: The average caries rate in primary teeth falls within the low category. However, nearly all affected teeth require treatment. Among children aged 3 to 5 years, caries prevalence tends to increase with age, and no difference between boys and girls.
An Analysis of Factors Contributing to Low Interest in Denture Use Among the Elderly in Denpasar City: A Hanlon Theory Approach Idaryati, Ni Putu; Dewi, I Gusti Agung Ayu Chandra Iswari; Lily, Gusti Ayu Yohanna; Palgunadi, I Nyoman Panji Triadnya; Yudha Rahina; Agung, I Gusti Ayu Ari; Pratama, I Wayan Agus Wirya; Pramesti, I Gusti Ayu Ratih
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 3 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i3.12132

Abstract

Introduction: The increasing life expectancy in Indonesia, including  Denpasar City, has led to a growing elderly population. Older adults are vulnerable to various health problems, including tooth loss. This condition can impair chewing function, affect facial aesthetics, and ultimately reduce the quality of life. Dentures are a commonly used solution; however, their use among the elderly remains low. Therefore, it is important to explore the factors influencing the interest in using dentures. Material and Methods: This study was a qualitative research including a descriptive exploratory approach. Data were collected through in-depth interviews with 20 older adults from five community units (banjar) in Denpasar City, selected purposively. Data were analyzed thematically using the Hanlon method, which considers the magnitude of the problem,  seriousness of the impact,  effectiveness of the solution, and feasibility of implementation, to assess and prioritize the factors contributing to the low interest in denture use. Results and Discussions: Six main themes were identified as influencing the low interest in denture use: passive acceptance of tooth loss as a natural part of aging, limited access due to lack of transportation or assistance, (3) low knowledge about the benefits of dentures, discomfort during use, perception of high costs, and ignorance of the Indonesian health insurance coverage. Conclusion: The low interest in denture use among older adults is influenced by psychosocial, structural, and educational factors. Educational interventions, provision of mobile health services, and culturally sensitive, community-based approaches are needed to improve denture utilization among older adults.