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Game-Based Educational Media: Comparison of Puzzles and Qugisaki in Improving Dental Health Knowledge Ulliana, Ulliana; Setyawati, Baby Prabowo; Jannah, Miftahul; Barka, Amani A
Ahmar Metastasis Health Journal Vol. 4 No. 4 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i4.406

Abstract

Dental health issues need to be a global concern, almost half of the world's population suffers from dental and oral diseases. The DMF-T Index for primary school age children in Indonesia shows a decline from 7.1% to 5.4% in 2018 to 2023.  But the severity falls into the high to very high category. Dental health education from an early age is very important to form habits that continue into adulthood. The use of game-based learning media such as puzzles and qugisaki can be one of the interesting and interactive educational alternatives. This study aims to find out the difference in the level of knowledge of grade IV students before and after being given dental health education using the media of puzzle games and qugisaki (Quartet Gigi Masa Kini). The research method is an experimental method with a pre-test and post-test design. The sampling technique used in this study is a total sampling of 64 students. The measurement was carried out by comparing the knowledge scores of pretest and post-test students after treatment using nonparametric statistical tests. The results showed that a significant increase in knowledge was obtained after being educated with puzzle and qugisaki media, with a p-value of 0.000 (<0.01). The average score of students' knowledge increased from 17.50 to 18.34 in puzzle media and 16.81 to 17.72 in qugisaki media. The analysis of the Man-Whitney test shows that there is a significant difference between the two media with a p-value of 0.049 (<0.05). Puzzle media has been proven to be more effective in increasing students' knowledge than qugisaki media and can be used as a dental health education tool. This research is expected to be developed into educational media such as augmented reality (AR) or educational game-based applications.
Effect of Sodium Bicarbonate Solution Mouth Rinse on Salivary Immunoglobulin A (IgA) Levels Mahmiyah, Erma; Susatyo, Jojok Heru; Ningsih, Neny Setiawaty; Ayatullah, M. Ibraar; Barka, Amani A
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1150

Abstract

Background: Gargling with baking soda stimulates parasympathetic nerves in the brainstem's salivatory nuclei, enhancing saliva flow through taste and tactile stimulation. Objective: This study aims to analyzes the effects of sodium bicarbonate mouth rinses on salivary immunoglobulin A (IgA) levels, flow rate, volume, pH, and viscosity. Methods: A Pre and Post-Control Group Design was employed, involving 42 respondents divided into three groups: a control group using 0.1% povidone iodine, a first treatment group using 1% baking soda, and a second treatment group using 2% baking soda. Participants gargled twice daily for 14 days. Results: Results show that a 1% sodium bicarbonate solution significantly reduced salivary IgA levels, flow rate, and volume while increasing pH and viscosity, suggesting a decrease in immune response and potential anti-inflammatory effects. The 2% sodium bicarbonate solution significantly affected flow rate and volume, whereas the 0.1% povidone iodine solution influenced pH and volume. These findings highlight the effectiveness of sodium bicarbonate as an oral rinse for modulating salivary composition and immune activity. Conclusion: In conclusion, a 1% sodium bicarbonate solution demonstrated the most comprehensive effects, reducing IgA levels and altering saliva properties in ways that may benefit oral health by mitigating inflammation. The 2% solution primarily affected saliva production, while povidone iodine impacted pH and volume. This study suggests that sodium bicarbonate mouth rinses, particularly at 1%, could serve as an effective strategy for regulating oral immune responses and maintaining oral health. Keywords: Sodium Bicarbonate;  Immunoglobulin A;  pH; Salivary; Viscosity