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The DMF-T Index and Its Association with Preeclampsia in Pregnant Women at the Wonoayu Health Center Dayanti, Marisa Elvi; Cholifah, Siti; Ashari, Tontowi
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1530

Background: Preeclampsia is a pregnancy-specific condition marked by hypertension and proteinuria after 20 weeks of gestation, posing risks to both mother and fetus. Poor oral health, indicated by a high DMF-T (Decayed, Missing, and Filled Teeth) index, may contribute to adverse pregnancy outcomes. Objective: To analyze the relationship between the DMF-T index and preeclampsia incidence in pregnant women. Methods: A cross-sectional study was conducted on 81 pregnant women selected through simple random sampling from a population of 417 who received antenatal care at Wonoayu Health Center in 2023. Data from dental and maternity records were analyzed using chi-square tests (a < 0.05). Results: Among respondents, 4 preeclampsia cases were found in the good DMF-T category and 13 in the poor DMF-T category. Statistical analysis showed a significant relationship between DMF-T index and preeclampsia (p = 0.000). Conclusion: Poor dental health, as reflected by a high DMF-T index, is significantly associated with preeclampsia in pregnant women. Strengthening oral health care and further research on its role in pregnancy outcomes are recommended.

The Relationship of Gravida, Gestational Age, and Education with Gingivitis and Periodontitis in Pregnant Women with Malocclusion Muntadir, Lila; Rinata, Evi; Ashari, Tontowi; Setyawardana, Eka; Puspitasari, Dini Ayu; Tsabita, Nabila Fatya
Cakradonya Dental Journal Vol 17, No 2 (2025): Agustus 2025
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v17i2.47872

Hormonal changes, number of pregnancies (gravida), gestational age, education level, and the presence of malocclusionespecially if accompanied by the use of bracescan increase the risk of gingivitis and periodontitis in pregnant women. This study aims to analyze the relationship between gravida, gestational age, and education level on the incidence of gingivitis in pregnant women with malocclusion. The study involved 51 pregnant women who met the inclusion criteria and provided consent by signing an informed consent form. Interviews and oral screenings were conducted, and the data were analyzed using the Chi-squared test. The results of this study found that the number of pregnancies (gravida) had a significant relationship with the incidence of gingivitis (p = 0.024) and dental caries (p = 0.029). Gestational age showed a significant relationship with the incidence of periodontitis (p = 0.003) and dental caries (p = 0.020). Meanwhile, educational level did not show a significant relationship with gingivitis or periodontitis, but was significantly associated with dental caries (p = 0.050). It is concluded that there is a significant relationship between gravida, gestational and education level with dental caries in pregnant women with malocclusion. Gestational age is significantly associated with periodontitis, and gravida is significantly associated with gingivitis.

Management of Mouth Preparation in Patients with Congenital Heart Disease: Subaortic Ventricular Septal Defect accompanied by Atrial Septal Defect under General Anesthesia: Penatalaksanan Mouth Preparation Pada Pasien dengan Kelainan Jantung Bawaan Ventricular Septal Defect Subaortic disertai Atrial Septal Defect dengan Anestesi Umum Andini, Rizqi Aulia Kusuma; Daniati, Reni Puspa; Dayanti, Marisa Elvi; Ashari, Tontowi
Indonesian Journal of Innovation Studies Vol. 26 No. 4 (2025): October
Publisher : Universitas Muhammadiyah Sidoarjo

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General Background: Congenital heart disease (CHD) is a common structural or functional abnormality of the heart and great vessels that increases the risk of infective endocarditis, especially in pediatric patients. Specific Background: Children with complex defects such as subaortic Ventricular Septal Defect (VSD) accompanied by Atrial Septal Defect (ASD) and pulmonary hypertension are particularly vulnerable to oral infections that can lead to systemic complications. Knowledge Gap: Despite the recognized link between oral health and CHD, comprehensive protocols for dental “mouth preparation” under general anesthesia to minimize bacteremia and endocarditis risk before cardiac surgery remain limited. Aims: This case report describes a multidisciplinary approach to full-mouth preparation in a 4.5-year-old boy with VSD subaortic, ASD, and severe pulmonary hypertension, focusing on infection elimination, anesthesia management, and prophylactic strategies. Results: Treatment included restorations with Glass Ionomer Cement for reversible pulpitis, multiple extractions of necrotic teeth under general anesthesia, preoperative laboratory and radiological screening, American Society of Anesthesiologists assessment, and antibiotic prophylaxis with intravenous ampicillin followed by oral amoxicillin. Postoperative recovery was uneventful, with stable vital signs and satisfactory wound healing after one week. Novelty: This report highlights the integrated collaboration of pediatric dentistry, cardiology, and anesthesiology to ensure airway control, hemodynamic stability, and asepsis during extensive dental procedures in high-risk CHD patients. Implications: The findings underscore the importance of rigorous preoperative dental management and continuous preventive care—including parental education, low-sugar diet counseling, and regular dental visits—to reduce long-term risks of caries recurrence and infective endocarditis in children with congenital heart defects. Highlights: Comprehensive dental preparation prevents infective endocarditis risk. Multidisciplinary approach ensures safe anesthesia and hemodynamic stability. Ongoing preventive care reduces caries recurrence and systemic infection. Keywords: congenital heart disease, ventricular septal defect, atrial septal defect, dental management, general anesthesia

Education on periodontitis prevention in pregnant women with and without orthodontic brackets [Edukasi pencegahan periodontitis pada ibu hamil pengguna bracket ortodonti dan non-bracket] Muntadir, Lila; Rinata, Evi; Ashari, Tontowi; Setyawardana, Eka; Puspitasari, Dini Ayu; Tsabita, Nabila Fatya
Buletin Pengabdian Bulletin of Community Services Vol 5, No 3 (2025): Bull. Community. Serv.
Publisher : The Institute for Research and Community Services (LPPM) Universitas Syiah Kuala (USK)

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The risk of periodontitis is greater in pregnant women with malocclusion, especially if they use fixed orthodontic appliances (brackets) because it is difficult to maintain oral hygiene. Untreated periodontal infection can trigger systemic inflammation and the production of pro-inflammatory cytokines, which have an impact on uterine contractions and fetal growth, and increase the risk of premature birth and low birth weight (LBW). The purpose of this community services is to carry out preventive educational efforts on the risk of periodontitis in pregnant women with malocclusion at the Sedati Health Center, both those undergoing orthodontic treatment and those not. This community services method is through interactive education, clinical examinations and facial profile photos, oral cavity to 51 pregnant women with malocclusion who undergo routine examinations at the Sedati Health Center. Interactive education by providing question and answer sheets, clinical examinations including gingival sulcus, gingival recession, periodontal exudate, tartar, tooth mobility and taking photos of the face and oral cavity profile. Result, all pregnant women do not understand periodontitis and its risks, pregnant women who use brackets have a higher percentage of pus/periodontal exudate indicators (10%) and loose teeth (30%) compared to those who do not use brackets. Pregnant women without brackets show a higher prevalence of gingival recession (19.5%) and tartar (97.6%). Conclusion, preventive education is needed comprehensively for pregnant women with malocclusion, both those who use brackets and those who do not, in order to reduce the risk of periodontitis which can have an impact on pregnancy complications.

Education on periodontitis prevention in pregnant women with and without orthodontic brackets [Edukasi pencegahan periodontitis pada ibu hamil pengguna bracket ortodonti dan non-bracket] Lila Muntadir; Evi Rinata; Tontowi Ashari; Eka Setyawardana; Dini Ayu Puspitasari; Nabila Fatya Tsabita
Buletin Pengabdian Bulletin of Community Services Vol. 5 No. 3 (2025): Bull. Community. Serv.
Publisher : LPPM Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/bulpen.v5i3.608

The risk of periodontitis is greater in pregnant women with malocclusion, especially if they use fixed orthodontic appliances (brackets) because it is difficult to maintain oral hygiene. Untreated periodontal infection can trigger systemic inflammation and the production of pro-inflammatory cytokines, which have an impact on uterine contractions and fetal growth, and increase the risk of premature birth and low birth weight (LBW). The purpose of this community services is to carry out preventive educational efforts on the risk of periodontitis in pregnant women with malocclusion at the Sedati Health Center, both those undergoing orthodontic treatment and those not. This community services method is through interactive education, clinical examinations and facial profile photos, oral cavity to 51 pregnant women with malocclusion who undergo routine examinations at the Sedati Health Center. Interactive education by providing question and answer sheets, clinical examinations including gingival sulcus, gingival recession, periodontal exudate, tartar, tooth mobility and taking photos of the face and oral cavity profile. Result, all pregnant women do not understand periodontitis and its risks, pregnant women who use brackets have a higher percentage of pus/periodontal exudate indicators (10%) and loose teeth (30%) compared to those who do not use brackets. Pregnant women without brackets show a higher prevalence of gingival recession (19.5%) and tartar (97.6%). Conclusion, preventive education is needed comprehensively for pregnant women with malocclusion, both those who use brackets and those who do not, in order to reduce the risk of periodontitis which can have an impact on pregnancy complications.

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