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Visual strategies for managing dental fear and anxiety (DFA) among individuals with hearing impairment: a systematic review Olivia, Marceline; Anugerah, Pani Matin; Badruddin, Iwany Amalliah; Bahar, Armasastra; Werdiningsih, Monika; Rahardjo, Anton; Ramadhani, Atik
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): April 2025 (Supplements 1)
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.59208

Abstract

Introduction: Dental fear and anxiety (DFA) pose significant challenges in treating patients, including individuals with hearing impairments. Visual aids have been reported to be helpful in modifying hearing-impaired people’s behavior. This study aimed to assess the effectiveness of visual strategies in reducing DFA among people with hearing impairments. Method: A literature search was conducted across five research databases, PubMed, ProQuest, EBSCOhost via Medline, Cochrane, and Scopus, within a restricted publication timeframe. The inclusion criteria were as follows: studies published between 1st January 2013 and 31st July 2024, English language, and primary data studies. We used the PICOS concept, with the population referring to people with hearing impairment and the intervention referring to only a visual strategy to manage DFA. Screening involved eliminating studies that did not meet the eligibility criteria, and the quality of the paper was appraised via validated instruments appropriate for study design, including RoB-2 and ROBINS-I. Data extraction was accomplished by identifying important information such as author, year, study design, key findings and conclusions. Thematic content analysis was performed via Atlas.ti software. Results: The search identified 133 studies, and a total of six studies were included after the screening process. There were three main themes regarding visual strategies aimed at managing dental anxiety: visual aids (2D and 3D books, VR eyewear, videos with or without eyewear), sign language, and customized educational demonstrations. Good patient-f communication and the application of visual strategies significantly reduce DFA. The strategies were shown to be effective; however, the heterogeneity in the included studies precluded a meaningful meta-analysis. The quality assessment results revealed that only one study had a low risk of bias. Conclusion: Visual strategy play crucial role in managing DFA in hearing-impaired individuals. Further research, particularly involving different age groups and rigorously designed long-term trials is recommended.
Impact of Short-Duration Video Intervention to Improve Knowledge of Dental Malocclusion Among High School Students: Lessons from A Time-Constrained Study Bahar, Armasastra; Amalia, Fitria Rizqy; Darwita, Risqa Rina; Ramadhani, Atik; Badruddin, Iwany Amalliah; Rahardjo, Anton
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.v21i2.11451

Abstract

Introduction: This study aimed to evaluate the effectiveness of a video-based educational intervention for improving knowledge of dental malocclusion among students at SMAN 39, Jakarta, and to examine the associations between knowledge levels and sociodemographic factors. Materials and Methods: A quasi-experimental design involving 159 students was employed. Data were collected via structured pre-test      and post-test      questionnaires assessing students’ knowledge of dental malocclusion. Statistical analyses included the Wilcoxon signed-rank test, Mann–Whitney U test, and Spearman correlation coefficient to examine associations between variables. Results and Discussion: All 159 participants completed both the pre-test and post-test. A statistically significant improvement in knowledge was observed following the intervention (p = 0.001). While sex, age, and socioeconomic status were not significantly associated with baseline knowledge, the post-intervention results indicated that female students, older age groups, and students from higher-income households demonstrated significantly greater knowledge retention (p-value < 0.05). Conclusion: Video-based interventions effectively enhanced student’s knowledge of dental malocclusion; however, the extent of improvement varied across sociodemographic groups. These findings suggest that sex, age, and socioeconomic status may influence educational outcomes. Future oral health education initiatives should consider these factors to increase the effectiveness and inclusivity of digital learning interventions.
Prediction Model of Pre, Peri-, and Postnatal Factors for Early Childhood Caries in Stunted Children of Juwiring, Central Java, Indonesia Badruddin, Iwany Amaliah; Putri, Lintang Andarini; Rahardjo, Anton; Ramadhani, Atik; Darwita, Risqa Rina
Journal of Indonesian Dental Association Vol 8 No 2 (2025): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v8i2.1434

Abstract

Introduction: The life course approach highlights how early life, beginning with fetal growth, influences future disease risk. Oral health studies in Indonesia using this approach are still limited. This study examined the relationship between ECC status and retrospective data on stunted children under three and their mothers’ pregnancy history at Juwiring District Community Health Center. Objective: This study aims to examine the influence of pre, peri-, and postnatal factors on ECC occurrence in stunted children in Juwiring Regency, Central Java. Methods: Secondary data of pre, peri-, and postnatal information from 265 stunted children were obtained from the medical records. Oral examination was assisted by local dentists from the health center. Multiple logistic regression analysis was performed to construct a prediction model and determine the factors with the greatest influence on dental caries in stunted children in Juwiring District. Results: The prevalence of dental caries was 69.1% in 246 subjects. The variables in the final prediction model for factors related to ECC were the mother's perception of her child's dental problems, the mother's education level, the mother’s knowledge of dental caries, and the child’s stunting status. The most influential factor was the mother's perception of her child's dental problem, with the highest odds ratio (OR) of 5.1 (1.83–14.23). Conclusion: This study revealed that prenatal factors related mothers’ education level and postnatal factors related to mothers’ perceived dental problems, poor knowledge of dental caries and children’s stunting status were included in the ECC prediction model for the stunted children of Juwiring District.
Hubungan Stunting dan Kejadian Karies Gigi pada Anak Stunting di Kabupaten Klaten Jawa Tengah-Indonesia Badruddin, Iwany Amalliah; Andarini, Lintang; Adiatman, Melissa; Bahar, Armasastra; Ramadhani, Atik; Darwita, Risqa Rina
Jurnal Ilmiah dan Teknologi Kedokteran Gigi (JITEKGI) Vol 21, No 2 (2025): November 2025
Publisher : Fakultas Kedokteran Gigi Universitas Prof. Dr. Moestopo (Beragama)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32509/jitekgi.v21i2.5868

Abstract

Latar Belakang: Stunting adalah malnutrisi kronis pada anak yang masih menjadi tantangan kesehatan masyarakat. Stunting tidak hanya dapat menyebabkan gangguan pertumbuhan fisik dan kognitif, namun juga lebih rentan mengalami karies gigi. Penelitian ini bertujuan mengetahui hubungan antara stunting dan kejadian karies gigi pada anak stunting usia 0-3 tahun di kabupaten Klaten, Jawa Tengah. Bahan dan Metode: Penelitian ini menggunakan desain potong lintang dengan data primer dari program JUWITA 1000 HARTA oleh Puskesmas Juwiring. Sebanyak 264 anak yang mengalami stunting menjadi subjek dengan teknik purposive sampling. Status karies gigi diperiksa menggunakan kamera intraoral. Analisis bivariat dilakukan dengan menggunakan uji chi-square. Hasil dan Pembahasan: Dari 248 anak yang memenuhi kriteria, proporsi karies gigi 75% pada anak dengan kondisi sangat pendek (severely stunted), dan 53,9% pada pendek (stunted). Hubungan antara status stunting dan kejadian karies gigi adalah signifikan (p 0,01) dengan OR= 1,39 (95% CI; 1,11–1,74). Selain itu, faktor-faktor status ekonomi keluarga, tingkat pendidikan orang tua, dan pola makan anak juga menunjukkan hubungan yang signifikan terhadap kejadian karies gigi (p 0,05). Kesimpulan: Terdapat hubungan antara stunting dengan kejadian karies pada anak penderita stunting usia 0-3 tahun di Kabupaten Klaten, Jawa Tengah. Diperlukan program pencegahan stunting untuk mencegah terjadinya kejadian karies gigi pada anak secara tidak langsung.