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"Latar Belakang: Kehilangan gigi dapat menyebabkan terganggunya fungsi mastikasi sehingga dapat mempengaruhi status nutrisi pralansia dan lansia. Pemakaian gigi tiruan dapat mengembalikan fungsi gigi yang hilang sehingga diharapkan dapat meningkatkan status nutrisi. Keberhasilan perawatan gigi tiruan selain dipengaruhi oleh penilaian dokter gigi juga dipengaruhi oleh penilaian pasien. Penilaian dari pasien diukur oleh tingkat kepuasaan pasien. Faktor yang mempengaruhi kepuasaan pasien diantaranya adalah fungsi mastikasi yang berpengaruh pada status nutrisi pasien. Tujuan: Menganalisis hubungan kepuasan pemakaian gigi tiruan lepasan menggunakan kuesioner Turker’s patient’s perceptions-ID dengan status nutrisi menggunakan kuesioner Mini Nutritional Assessment- Short Form (MNA-SF) pada pralansia dan lansia. Menganalisis pengaruh faktor usia, jenis kelamin, tingkat pendidikan, jenis gigi tiruan lepasan, klasifikasi Eichner, dan lama pemakaian gigi tiruan lepasan terhadap tingkat kepuasan pemakai gigi tiruan dan status nutrisi. Metode: 88 subjek (27 laki-laki dan 61 perempuan) berusia 45 tahun ke atas berpartisipasi dalam penelitian ini. Dilakukan pencatatan data diri subjek, pemeriksaan rongga mulut, pengukuran berat dan tinggi badan, serta wawancara kuesioner Turker’s patient’s perceptions-ID dan MNA-SF. Hasil penelitian: Tingkat kepuasan pemakai gigi tiruan lepasan memiliki hubungan bermakna dengan status nutrisi pada pralansia dan lansia (p < 0,05). Kepuasan pasien dan status nutrisi memiliki hubungan bermakna dengan usia, tingkat pendidikan, jenis gigi tiruan lepasan dan klasifikasi Eichner. Kesimpulan: Semakin tinggi tingkat kepuasan pasien terhadap gigi tiruan lepasanya maka akan semakin baik tingkat status nutrisinya.

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Background: Tooth loss can cause disruption of mastication and may affect the nutritional status of pre-elderly and elderly. Denture wearing can improve tooth function so it may improve patient’s nutrition. The success of denture treatment is not only influenced by the assessment of the dentist but also influenced by the assessment of the patient. Patient assessment is measured by the level of patient satisfaction. Mastication is one of factors that influence patient satisfaction which can affects patients nutritional status.

Objective: The aim of this study is to analyze the relationship between satisfaction of removable denture using the Turker's patient's perceptions-ID questionnaire and nutritional status using the MNA-SF questionnaire in the elderly, and analyze the influence of age, gender, education level, type of removable denture, Eichner classification, duration of using removable dentures to denture satisfaction level and nutritional status.

Method: 88 subjects (27 male and 61 female) aged 45 years and older were included in the study. Subjects personal data, oral examination, weight and height measurement were obtained, and interview for Turker’s patient’s perceptions-ID and MNA-SF were conducted.

Results: The level of satisfaction of removable denture users had a significant relationship with nutritional status in elderly (p <0.05). Patient satisfaction and nutritional status have a significant relationship with age, level of education, type of removable denture and tooth loss based on Eichner's classification.

Conclusion: The better level of patient satisfaction with their removable dentures, the better their nutritional status is."

"Candidal leukoplakia pada pasien dengan gigi tiruan lepasan. Infeksi kandida merupakan masalah yang umum terjadi pada pasien dengan gigi tiruan lepasan, dengan bentuk tersering adalah denture stomatitis. Namun, bentuk lain dari infeksi candida juga dapat terjadi pada pasien dengan gigi tiruan lepasan, seperti halnya candidal leukoplakia. Kami melaporkan seorang pasien wanita berusia 61 tahun yang mengeluhkan adanya lesi yang sakit di bawah gigi tiruan rahang bawahnya. Pemeriksaan klinis menunjukkan adanya plak putih yang tidak dapatdiangkat di atas ulkus pada daerah lingual prosesus alveolaris di bawah plat gigi tiruan lepasan rahang bawah dan area eritematous pada palatum durum di balik plat gigi tiruan rahang atas. Pasien diduga mengalami candidal leukoplakia pada rahang bawah dan denture stomatitis pada palatum. Perawatan pasien meliputi suspensi oralmengandung nistatin, larutan klorheksidin, multivitamin, disertai penggantian gigi tiruan dan pendidikan kesehatan mulut. Semua lesi membaik dalam terapi selama 2 bulan. Perawatan infeksi kandida pada pasien dengan gigi tiruan tidak hanya memerlukan terapi medikasi ataupun penggantian gigi tiruan, namun diperlukan juga kepatuhanpasien untuk memperoleh hasil yang maksimal.

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Candida infection is a common problem in patients using removable dentures, with the most frequent type is denture stomatitis. But other type of candidal infection could also happen in these patients, such as candidal leukoplakia. We reported a 61 years old female patient who complained a painful lesion under her lower removable denture. Oral examination revealed white plaque that could not be rubbed over an ulcer on the lingual part of alveolar processes under the lower removable denture plate, and also an erythematous area on palatum durum above the upper full denture. The patient was suspected to have candidal leukoplakia on the lingual part of the mandible and denture stomatitis on the palate area. The treatment consisted of nystatin oral suspension, chlorhexidine solution, multivitamins, along with denture replacement and oral health education. The entire lesion resolved within 2 months therapy. Candidal infection treatment on denture patient needs not only medication or denture replacement, but also patient compliance to achieve maximal result."

"Indonesian Journal of Dentistry 2006: Edisi Khusus KPPIKG XIV: 148-154Removable Partial Denture Management on Post-Menopause Osteoporotic FemaleOsteoporosis a condition of generalized skeletal fragility caused by diminishing bone amount and disturbance in bone microarchitecture with implication that the bone ability to withstand forces is decreased.This condition leads to more bone resorption. Some researches show that this condition also affects jaw bone. Therefore we must take this condition into consideration during prosthodontic treatment. Dental prostheses are made to restore stomatognatic function as well to preserve what was left including residual alveolar bone. The ability ofdental prostheses to preserve residual alveolar bone differs according to type of prostheses. The case presented here proposing the treatment of an osteoporotic old female in Prosthodontic Clinic FKG Ul with removable partial denture. Considerations inselecting the type and design of dental prostheses and attempts to modif, factors that might play a role in bone resorption in connection with patient's physical and psychological status will be discussed. Thorough examination, careful planning and good communication with patient can provide optimum result."

"Latar Belakang: Tingginya angka pemakaian gigi tiruan sebagian lepasan, kemungkinan terus berlanjut hingga di masa yang akan datang. Hal tersebut terjadi karena akan lebih banyak populasi lansia dengan kondisi partially edentulous. Perawatan gigi tiruan sebagian lepasan pada responden dalam penelitian ini, dilakukan di Klinik Integrasi RSGM FKG UI oleh mahasiswa Program Profesi dan di Klinik Spesialis Prostodonsia oleh mahasiswa PPDGS Prostodonsia. Salah satu aspek keberhasilan perawatan gigi tiruan dapat dinilai dari tingkat kepuasan pasien. Salah satu kuesioner yang digunakan untuk self-assessment oleh pasien adalah kuesioner Patient’s Denture Assessment versi Bahasa Indonesia (PDA-ID) yang telah divalidasi untuk menilai kepuasan pasien terhadap perawatan gigi tiruan lengkap. Pada penelitian ini, kuesioner PDA-ID dimodifikasi untuk mengevaluasi kepuasan pasien terhadap perawatan gigi tiruan sebagian lepasan. Tujuan: Untuk mengevaluasi tingkat kepuasan pasien terhadap perawatan gigi tiruan sebagian lepasan di Klinik Integrasi dan Klinik Spesialis Prostodonsia RSGM FKG UI, yang dinilai menggunakan kuesioner PDA-ID yang dimodifikasi, serta menganalisis pengaruh faktor sosio-demografi (usia, jenis kelamin, dan tingkat pendidikan) terhadap kepuasan pasien. Metode: Studi cross-sectional pada 52 responden (15 laki-laki, 37 perempuan), berusia 20 – 75 tahun, yang melakukan perawatan gigi tiruan sebagian lepasan di Klinik Integrasi dan Klinik Spesialis Prostodonsia RSGM FKG UI. Uji validitas kuesioner PDA-ID yang dimodifikasi dengan product moment Pearson dan uji reliabilitas dengan Cronbach’s alpha. Uji analitik bivariat dengan uji Fisher exact untuk menganalisis pengaruh usia dan jenis kelamin terhadap kepuasan pasien, dan uji Kruskal-Wallis untuk menganalisis pengaruh tingkat pendidikan terhadap kepuasan pasien. Hasil: Hasil uji validitas menunjukkan nilai korelasi Pearson seluruh item instrumen lebih dari r-tabel (r>0,2732) dan p<0,05. Hasil uji reliabilitas Cronbach’s alpha untuk skor keseluruhan kuesioner PDA-ID yang dimodifikasi adalah 0,927. Sebagian besar pasien (N=51, 98,1%) puas dan 1 orang (1,9%) pasien tidak puas terhadap perawatan gigi tiruan sebagian lepasannya yang dinilai menggunakan kuesioner PDA-ID yang dimodifikasi. Kemudian berdasarkan hasil uji analitik bivariat, tidak ditemukan perbedaan bermakna secara statistik antara usia (p=0,250), jenis kelamin (p=0,288), dan tingkat pendidikan (p=0,583) yang berbeda terhadap kepuasan pasien.. Kesimpulan: Kuesioner PDA-ID yang dimodifikasi dapat digunakan untuk menilai kepuasan pasien terhadap perawatan gigi tiruan sebagian lepasan. Hasil penelitian ini menunjukkan bahwa 98,1% pasien puas terhadap perawatan gigi tiruan sebagian lepasan di Klinik Integrasi dan Klinik Spesialis RSGM FKG UI. Tidak terdapat pengaruh usia, jenis kelamin, dan tingkat pendidikan terhadap kepuasan pasien.

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Background: Patient wearing removable partial dentures has been high in the past and is expected to continue in the future. This happens as an aging population who retains more teeth will present with more partially edentulous conditions. Removable partial denture wore by respondents in this study was fabricated in The Dental Teaching Hospital Faculty of Dentistry, Universitas Indonesia, by a prosthodontic resident and undergraduate student who had been supervised by a prosthodontist. One aspect of clinical success of denture treatment can be assessed in terms of patient satisfaction. One of questionnaires used for patient self-assessment is the validated Indonesian version of patient’s denture assessment (PDA-ID) for complete denture treatment. In this study, PDA-ID had been modified to evaluate patient satisfaction with removable partial denture. Objectives: To evaluate patient’s satisfaction with removable partial dentures (RPD) treatment in The Dental Teaching Hospital Faculty of Dentistry, Universitas Indonesia, using a modified PDA-ID questionnaire, and to analyze impact of socio-demography (age, sex, and level of education) to patient satisfaction. Methods: A cross-sectional study, that consisted of 52 respondents (15 male, 37 female), aged 20 – 75 years old, who wore removable partial denture that were fabricated in The Dental Teaching Hospital Faculty of Dentistry, Universitas Indonesia. The validity testing was conducted with Pearson’s product moment and reliability testing was conducted with Cronbach’s alpha for modified PDA-ID questionnaire. The bivariate test through Fisher exact test was used for statistical analysis to analyze impact of age and sex to patient satisfaction, and Kruskal-Wallis test to analyze impact of educational level to patient satisfaction. Results: Statistical analyses results showed that instrument was valid, with Pearson’s product moment r > 0,2732, p<0,05 and instrument was reliable, with Cronbach’s alpha in summary score modified PDA-ID=0,927. Most of the patients (N=51, 98,1%) were satisfied and 1 patient (1,9%) was dissatisfied with their removable partial denture treatment. Statistically, bivariat test results showed that there were no significant differences in patient satisfaction between different age groups (p=0,590), between sexes (p=0,431), and level of education (p=0,615). Conclusion: Modified PDA-ID questionnaire can be used to assess patient satisfaction towards their removable partial denture treatment. The results of this study showed that 98,1% patients were satisfied with their removable partial denture treatment in The Dental Teaching Hospital Faculty of Dentistry, Universitas Indonesia. Age, sex, and level of education were not associated with patient satisfaction with removable partial denture treatment"