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Journal of Health and Dental Sciences
Published by Universitas Jenderal Achmad Yani
ISSN : 27974464     EISSN : 28073126     DOI : https://doi.org/10.54052
Core Subject : Health,
Dentistry
Journal of Health and Dental Sciences or JHDS is a peer-reviewed and open access journal that focuses on promoting health and dental sciences generated from health and dental basic sciences, clinical, and community or public health and dental researches to integrate research in all aspects of human health (but not limited) to the following topics : Biomedical Sciences Oral Biology Sciences Clinical dentistry Public Health and Dental Sciences
Arjuna Subject : Kedokteran Gigi - Kedokteran Gigi (Lain-Lain)
Articles 170 Documents
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DESCRIPTION OF BARRIERS TO ORAL HEALTH SERVICE ACCESS AMONG ELDERLY IN A SOCIAL INSTITUTION Intan batura Endo Mahata; Sabrina Puti Humaira; Resa Ferdina; Leny Sang Surya
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

Older adults living in social care institutions are at risk of oral and dental health problems due to physical limitations, dependence on the institution for support and limited access to professional dental care. The Sabai Nan Aluih Elderly Social Institution Sicincin, has no routine integration of dental services into institutional health care, which may create barriers to access. This study aimed to describe barriers to dental and oral healthcare based on the five dimensions of access by Penchansky and Thomas: availability, accessibility, accommodation, affordability, and acceptability. A descriptive quantitative cross-sectional study was conducted in November 2025 involving 51 older adults selected through total sampling. Data were collected using structured questionnaires and analyzed using frequency and percentage distributions. The most significant barrier was in the availability dimension, with no dentists in the institution (100%). Accessibility barriers included mobility and transportation difficulties (58.8%) despite 64.7% perceiving healthcare as easy to reach. Accommodation barriers were long waiting times (58.8%), and affordability barriers persisted even with health insurance (54.9%). Acceptability was not a significant barrier, with high comfort and trust in services (≥90%). These findings indicate multidimensional barriers, particularly in availability and accessibility, highlighting the need for integration of dental services in institutional care to improve oral health and quality of life for older adults. DOI : 10.54052/jhds.v6n1.p39-52
RELATIONSHIP OF FACIAL SKELETAL VERTICAL DIMENSION AND PALATAL LENGTH TO MIDPALATAL SUTURE Caitlin Reva Isman; Harryanto Wijaya; Sariyani Pancasari Audry Arifin
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

Malocclusion can significantly impact facial aesthetics, oral function, and quality of life, with cases often involving maxillary constriction treated by rapid palatal expansion (RPE). Treatment success depends on the evaluation of midpalatal suture maturation that is often done through CBCT, whose routine use is limited by concerns related to radiation exposure, cost, and accessibility. This study aims to evaluate the relationship between facial skeletal vertical dimension and palatal length with midpalatal suture maturation as potential noninvasive clinical indicators. An analytical observational study with a cross-sectional design was conducted using cephalography and CBCT images from 47 subjects aged 8–19 years. The facial skeletal vertical dimension was determined using the SN–MP parameter, palatal length was measured by linear cephalometric analysis, and midpalatal suture maturation was assessed using the Angelieri method. Fisher’s exact test and t-test were used for statistical analysis. The results showed no significant relationship between facial skeletal vertical dimension (p=0.197) or palatal length (p=0.477) and midpalatal suture maturation. In conclusion, facial skeletal vertical dimension and palatal length does not have a significant relationship with midpalatal suture maturation and should not be used as predictive clinical parameters. DOI : 10.54052/jhds.v6n1.p11-24
FORMULATION AND EVALUATION OF LEMONGRASS (Cymbopogon citratus) ESSENTIAL OIL MOUTH SPRAY FOR THE MANAGEMENT OF GINGIVITIS Kornialia; Annisa Maika Fadhilah; Yenita Alamsyah; Widya Puspita Sari
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

Gingivitis is a common oral health problem throughout the world. It is an inflammatory disease of the gingival tissues caused mainly by the accumulation of dental plaque. Conventional management often involves synthetic antiseptics such as chlorhexidine; however, prolonged use may cause adverse effects such as tooth staining, taste alteration, and mucosal irritation, highlighting the need for safer, natural-based alternatives. Lemongrass (Cymbopogon citratus) essential oil possesses antibacterial and anti-inflammatory properties, making it a promising ingredient for oral care formulations. This study aimed to formulate and evaluate a mouth spray containing lemongrass essential oil and assess its physical characteristics, stability, and sensory acceptance. The experimental laboratory study used a descriptive approach with two formulations containing 0.25% and 0.5% lemongrass essential oil. Evaluation parameters included organoleptic properties, pH, viscosity, hedonic test, and stability testing during four weeks of storage at room temperature (25 ± 2°C). The results showed that both formulations produced clear, homogeneous liquid preparations. The 0.25% formulation demonstrated a clearer appearance, milder aroma, and fresher taste compared to the 0.5% formulation. The pH values ranged from 5.97 to 6.17, which were within the acceptable range for intraoral use. Viscosity values were 0.983 cPs and 0.993  , respectively, indicating good spray ability. The hedonic test showed a higher preference for panelists in 0.25% formulation. The four-week stability test showed no significant changes in organoleptic properties, pH, or viscosity, indicating that both formulations were physically stable, the 0.25% formulation being better accepted overall. DOI : 10.54052/jhds.v6n1.p79-100
LEVELS OF KNOWLEDGE AND ATTITUDES TOWARD PERIODONTAL DISEASE AMONG PARENTS OF DENTAL STUDENTS Mardha Ade Pritia; Megawati Prajarini; Ulia Dwi Ulma; Tsuraya Bilqis
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

Periodontal disease is a chronic condition with a high global burden that affects both oral and systemic quality of life. Epidemiological trends indicate a rising incidence and a strong association with systemic conditions such as diabetes mellitus and cardiovascular disease, positioning it as a significant public health concern with both clinical and preventive urgency. Preventive efforts are largely influenced by the level of public knowledge, attitudes, and behaviors toward periodontal health; however, a gap in the literature persists regarding family-level knowledge and attitudes, particularly among populations with close proximity to dental education institutions. Therefore, this study aims to analyze the level of knowledge and attitudes toward periodontal health among parents of dental students and to identify factors contributing to periodontal literacy. This study employs a quantitative approach with a cross-sectional design, in which data are collected using a structured questionnaire assessing knowledge, attitudes, and sociodemographic characteristics. Descriptive statistical analysis is applied to evaluate data distribution and examine relationships between variables. The expected outcomes include the provision of baseline data on periodontal literacy within family groups that have indirect access to academic information, as well as strategic recommendations for family-based educational interventions. Furthermore, the findings are anticipated to contribute to academic advancement through national or international scientific publications and to support the development of periodontal health promotion programs at both institutional and community levels. DOI : 10.54052/jhds.v6n1.p101-110
RECURRENT APHTHOUS STOMATITIS ASSOCIATED WITH PSYCHOLOGICAL FACTORS: A CASE REPORT Afrizal Maulana; Nur Ariska Nugrahani
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

Recurrent aphthous stomatitis (RAS) is a common oral mucosal disorder characterized by recurrent painful ulcerations that may interfere with mastication, speech, and overall quality of life. The etiology remains unclear and is believed to be multifactorial, involving genetic predisposition, immune dysregulation, nutritional factors, microbiological influences, and psychological stress. This case report describes a female patient presenting with recurrent painful oral ulcers persisting for approximately one week, localized on the left buccal mucosa and right gingiva. The patient reported episodic gastroesophageal reflux, irregular sleep patterns, and high stress levels related to occupational demands, along with a history of childhood trauma. Clinical examination revealed well-defined ulcers with erythematous margins and yellowish bases, measuring approximately 5–7 mm in diameter. Hematological analysis was within normal limits, excluding systemic or hematologic disorders. A clinical diagnosis of recurrent aphthous stomatitis was established based on recurrence pattern, lesion characteristics, and absence of systemic involvement. Management included topical triamcinolone acetonide 0.1%, systemic methylprednisolone, and behavioral counseling focusing on oral hygiene, nutrition, and stress regulation. After one week of treatment, clinical improvement was observed, with complete ulcer resolution and minimal residual erythema. This case highlights the potential contribution of psychological stress and unresolved emotional trauma as aggravating factors in RAS and emphasizes the importance of a multidisciplinary approach, including pharmacological intervention, lifestyle modification, and psychological support in managing recurrent oral ulcers. DOI : 10.54052/jhds.v6n1.p1-10
10% Apis cerana HONEY MOUTH RINSING: ITS EFFECT ON SALIVARY pH OF MECHANICAL ENGINEERING STUDENTS Haikal Bahresyi; Muslimah; Ani Megawati; Ayuda Nur Sukmawati
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

Salivary pH plays an essential role in maintaining oral health.  Stable salivary pH levels can be obtained through a mouthwash that buffers salivary pH. Side effects of conventional mouthwash can affect the oral cavity. The most common side effect reported was teeth staining. Honey has several therapeutic properties, including antibacterial and buffering capacities. This study aimed to measure changes in salivary pH before and after gargling with 10% honey solution from Apis cerana bees. This study was conducted on students of mechanical engineering. The participants were divided into three groups: a treatment group, a positive control group (chlorhexidine 0.1%) and a negative control group (distilled water).   pH level of each group was measured before and after rinsing. Data were analyzed using the Wilcoxon  . Before the pretest, participants brushed their teeth and rinsed with a sugar solution for one minute to acidify and standardize salivary pH. Saliva was then collected using the spitting method. There were no significant differences in the treatment group (p value = 0.881) and the negative control group (p value =0.084). However, there was a significant difference in the positive control group (p-value = 0.002). The pH level of the treatment group showed no significant difference because the average pH of saliva before gargling with honey solution was still within the normal pH range (6.5-7.5). The acidic pH value of honey does not necessarily cause the pH of saliva to become acidic. This happens because the buffering ability of honey helps maintain the stability of saliva pH, so that it can inhibit the growth of acid-producing bacteria. DOI : 10.54052/jhds.v6n1.p53-64
PAINLESS EXTRACTION IN CLEFT LIP AND PALATE PATIENTS USING COMPUTER-CONTROLLED LOCAL ANESTHETIC DELIVERY (CCLAD) FOR MAXILLARY NERVE BLOCKS Maria Andisa Mayangsari; Inne Suherna Sasmita; Hilmanda
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

Dental treatment in pediatric patients with cleft lip and palate (CLP) presents unique challenges due to anatomical variations, altered innervation, scar tissue formation, and increased tissue sensitivity in the cleft area. Achieving effective and comfortable local anesthesia is essential, particularly when performing procedures adjacent to the cleft. A 5-year-old male patient diagnosed with unilateral left cleft lip and palate presented with pulp necrosis of tooth 62 due to deep caries. The tooth was located directly adjacent to the palatal cleft. The patient was categorized as high caries risk and demonstrated positive behavior (Frankl 3). Extraction of tooth 62 was indicated to eliminate focal infection. Local anesthesia was administered using a CCLAD system (The Wand®). Anesthetic management included topical anesthesia, Anterior Middle Superior Alveolar (AMSA) nerve block, Palatal Approach–Anterior Superior Alveolar (P-ASA) nerve block, and supplemental local infiltration with slow anesthetic deposition. Clinical signs confirmed adequate anesthesia prior to extraction. The procedure was completed successfully without intraoperative or postoperative complications. Follow-up examination revealed satisfactory healing. Careful consideration of anatomical and neurovascular variations in CLP patients is essential for successful anesthetic management. The use of CCLAD, combined with appropriate nerve block techniques and controlled anesthetic delivery, can enhance patient comfort and procedural effectiveness in pediatric cleft patients undergoing tooth extraction. DOI : 10.54052/jhds.v6n1.p65-78
COMPREHENSIVE ENDODONTIC MANAGEMENT OF AN ELLIS CLASS IV FRACTURE WITH ASYMPTOMATIC APICAL PERIODONTITIS Arnila Ayu Prahesti Istikhomah; Salma Mei Asti; Christina Mahardika
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

Traumatic dental injuries to anterior teeth frequently result in pulpal necrosis and periapical pathology. Root canal treatment (RCT) is required for complicated crown fractures with pulpal exposure in order to eliminate intracanal infection and promote periapical healing. Proper diagnosis and a multidisciplinary treatment approach are required to restore both function and appearance, especially in the anterior region. This case report describes the comprehensive management of an Ellis Class IV fracture in a 47-year-old female patient who had asymptomatic apical periodontitis. A clinical examination revealed extensive crown structure loss in the maxillary left central incisor, as well as a fracture that penetrated the pulp chamber. Pulp vitality testing revealed no response from the tooth. Radiographic examination revealed widening of the periodontal ligament space, indicating apical inflammation. A multi-visit RCT protocol was implemented. Chemomechanical preparation of the root canal system was followed by the administration of calcium hydroxide as an intracanal medicament to improve disinfection. After adequate canal debridement, a hermetic seal was created by obturating with gutta-percha and an endomethasone-based sealant. Post-endodontic rehabilitation involved placement of a fiber-reinforced composite post to improve retention and distribute occlusal forces, followed by composite core build-up. The definitive restoration was achieved with a porcelain-fused-to-metal crown to restore function and esthetics. Clinical follow-up demonstrated absence of symptoms, negative percussion response, and satisfactory functional stability, indicating successful treatment outcome and favorable short-term prognosis. DOI : 10.54052/jhds.v6n1.p111-126
OPERCULECTOMY; MINIMALY INVASIVE PROCEDURE TO TREAT OPERCULITIS/ PERICORONITIS IN IMPACTED THIRD MOLARS Ramadhita Paramananda Prayudha; Sharah Shafira P.U
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

A significant proportion of third molars are impacted, with a prevalence ranging from 16.7% to 68.6% within the population. This condition often leads to inflammation of the occlusal surface, known as pericoronitis, which manifests as pain, swelling, and tenderness. In the this case, a 23-year-old woman presented with swelling and pain in the lower right molar region. Clinical examination revealed a Class I, Level A, vertical impaction with disto-occlusal pericoronitis of tooth 48. The proposed treatment plan included an operculectomy, a minimally invasive surgical procedure aimed at removing the operculum tissue from the tooth 48. Postoperative intraoral examination revealed pink gingiva, absence of swelling, and no bleeding upon probing, indicating the absence of postoperative complications. The patient reported no pain, and there was no recurrence of pericoronitis in the tooth 48. These findings suggest that operculectomy is a minimally invasive treatment option for managing symptoms associated with pericoronitis DOI : 10.54052/jhds.v6n1.p25-38
MANAGEMENT OF SUPRA-ERUPTED TEETH IN A PARTIALLY EDENTULOUS PATIENT Irham M. Adinugraha; Putri Dwi Lestari
Journal of Health and Dental Sciences Vol. 6 No. 1 (2026): Journal of Health and Dental Sciences
Publisher : Fakultas Kedokteran Gigi Unjani

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Abstract

A long period of tooth loss without prosthetic replacement results in significant changes in the oral environment, such as drifting, tipping, and supra-eruption of opposing teeth. Supra-eruption of unopposed teeth reduces the interocclusal space required for denture fabrication, complicating prosthodontic rehabilitation. This case report describes the prosthodontic management of a partially edentulous patient presenting with supra-erupted teeth and reduced interocclusal space using heat-cured acrylic resin removable partial dentures. A 59-year-old female patient presented with missing teeth 15, 14, 24, 25, 37, 36, 46, and 47 due to caries. Clinical and radiographic examination revealed supra-eruption of opposing teeth and reduced interocclusal space. The patient was treated with maxillary and mandibular removable partial dentures fabricated from heat-cured acrylic resin. Shade selection, occlusal bite registration, and denture processing were performed according to standard prosthodontic protocols. Untreated edentulous spaces result in progressive alveolar ridge resorption and supra-eruption of unopposed teeth, which reduces available interocclusal space. The minimum interocclusal space required for removable partial dentures is approximately 8–12 mm; inadequate space compromises denture strength and function. In this case, acrylic resin dentures were successfully fabricated despite limited interocclusal space. Alternative treatment modalities, including orthodontic intrusion and segmental osteotomy, are available for severely compromised cases. Removable partial dentures remain a viable, non-invasive treatment option for partially edentulous patients with moderate supra-eruption and reduced interocclusal space. Early prosthetic intervention is essential to prevent further occlusal complications and maintain oral function. DOI : 10.54052/jhds.v6n1.p127-138

Page 17 of 17 | Total Record : 170

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