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Abstrak :
Saat ini belum banyak informasi tentang persepsi mutu pelayanan kesehatan gigi. Penelitian ini bertujuan : memperoleh gambaran perbedaan pola persepsi pasien tentang mutu pelayanan kesehatan gigi antara pasien Puskesmas Ciputat dan Klinik Syahid di Kecamatan Ciputat Kabupaten Tangerang. Metode penelitian : analitik, dengan pengambilan data secara cross sectional, menggunakan uji statistik Chi-Square, analisis trend, analisis diagram Kartesius Service Quality. Hasil penelitian : Secara statistik dengan uji Chi-Square tidak ada hubungan bermakna antara persepsi pasien tentang mutu pelayanan kesehatan gigi Puskesmas Ciputat dan Klinik Syahid, pembayaran, umur, pendidikan, pendapatan dan kebutuhan pelayanan. Namun ada perbedaan trend yang menarik. Pasien bayar sendiri, di Puskesmas Ciputat cenderung menilai pelayanan Bermutu, di Klinik Syahid Ciputat Kurang Bermutu. Adapun pasien asuransi, di Klinik Syahid cenderung menilai Bermutu. Pada pasien golongan umur yang lebih tua (>35 tahun) cenderung menilai Kurang Bermutu dan pendapatannya tinggi (> Rp.710.000.-). Ada perbedaan trend pada kedua tempat pelayanan: mereka yang menilai Bermutu di Puskesmas lebih banyak yang pendapatan rendah (Rp.710.000.-), sedangkan di Klinik Syahid Ciputat lebih banyak yang pendapatan tinggi. Ada perbedaan trend pasien Scaling di Puskesmas lebih banyak yang menyatakan kurang bermutu. Dari analisa diagram kartesius Dimensi Fisik, Dimensi Keandalan, Dimensi Daya Tanggap, Dimensi Jaminan. Dimensi Empati, dapat dijadikan pedoman untuk perbaikan mutu pelayanan kesehatan gigi di kedua tempat tersebut. Dari diagram kartesius dimensi fisik di kedua tempat ada perbedaan yaitu tenaga kesehatan yang berpakaian rapi, di Puskesmas Ciputat dianggap sudah berlebihan, sementara di Klinik Syahid Ciputat dianggap sebagai prestasi yang perlu dipertahankan. Kemungkinan perbedaan tersebut disebabkan oleh adanya perbedaan tingkat pendidikan tinggi (SMA keatas) dan pendapatan tinggi (>Rp.710.000.) jauh lebih banyak pada Klinik Syahid Ciputat dari pada di Puskesmas Ciputat. Demikian pula adanya perbedaan pada Dimensi lainnya.

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At present, information quality of dental health services has been seen as inadequate. Research aim: to analyze differences in pattern of patients perceptions on service quality perception in Dental Service, between specifically patients of Puskesmas Ciputat and Clinic of Syahid, both in Ciputat Sub district of Tangerang Regency. Research Method: analytical before - after, with intake of data by Cross Sectional, using statistical Chi-Square test, trend analysis and using of Kartesius Service Quality diagram. Result: Statistically, there was no significant difference by Chi-Square between perception of patient about quality of dental health care service in Puskesmas Ciputat and Clinic Syahid, also on payment, age, education, earnings and service requirement. But there are differences in trend on some variables. Patient who pay out of pocket in Puskesmas Ciputat tend to mine critically assess the quality of service, in where as the Clinic Syahid to be Less Satisfying. As for insured patients in the Clinic of Syahid, they tend to assess it as Certifiable. Those older than 35 years age tend to assess it Lesser Certifiable. There is difference in trend at both places, those who assess Certifiable in Puskesmas were larger the higher earning than that of the low earnings; while in the Clinic of Syahid Ciputat the were larger higher earnings. There is also difference in trend, by which patients of Scaling in Puskesmas were mine expressing to be less Certifiable. From the analysis of Kartesius Diagram on Tangibles Dimension, Reliability, Responsiveness, Assurance, and Empathy Dimension, can be concluded various factor in improving dental health care service quality in both at the Puskesmas Ciputat and Clinic Syahid. Tangibles dimension on Puskesmas Ciputat and Clinic Syahid were differed in patient's perception. Possibly, the difference due to the existing of difference for higher education and 6n higher earnings (> Rp.710.000.-) were much more found at the Clinic of Syahid Ciputat than that from Puskesmas Ciputat. Differences also found for other Dimensions.

Abstrak :
Karies gigi merupakan penyakit jaringan keras gigi yang disebabkan oleh beberapa faktor yang saling berhubungan yaitu saliva, mikroorganisme, substrat dan waktu. Penelitian ini bertujuan untuk mengetahui hubungan waktu erupsi gigi sulung dengan karies gigi. Untuk ini telah diambil secara cross sectional sejumlah 410 anak balita umur 6 - 48 bulan, peserta Posyandu di Kecamatan Neglasari Kota Tangerang sebagai subyek penelitian. Hasil penelitian memperlihatkan bahwa 60 % subyek tidak mempunyai karies gigi terutama pada anak dibawah 2 tahun (50 % ) Rata-rata karies (def -t) usia 2 - 3 tahun adalah 3.89 gigi per anak ( SD 3.95 ) dan anak usia 3 - 4 tahun 5.15 gigi per anak (SD 4.03). Pada umumnya gigi tumbuh dalam batas yang normal (40 - 80 %) yaitu berkisar antara Mean ± 1 SD. Gigi yang lambat erupsi Mean + > 1 SD pada rahang bawah sejumlah 0.2 --1,2 % sedangkan pada rahang atas sejumlah 0.2 - 3.2 %. Untuk gigi yang lebih cepat erupsi - > 1 SD . maka pada rahang bawah terdapat 0,2 - 1 % dan rahang atas 0,2 - 1.2 %. Dalam penelitian ini, pada rahang atas maupun rahang bawah. waktu erupsi yang cepat, lambat dan normal berdasarkan uji statistik Anova ternyata tidak menunjukkan hubungan yang bermakna dengan karies gigi ( p > 0,005 ). Hal ini serupa terjadi dengan jenis kelamin dan konsumsi makanan karsinogenik (p > 0,005). Sedangkan uji statistik linier menunjukkan hubungan yang bermakna antara karies dengan umur (p = 0.000. r =0.329 ) dan antara karies gigi dengan plak ( p = 0.002 ).

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Dental caries is a multifactor disease, and preventing dental caries in under five children is very important. The aim of study is to investigate the correlation between time of deciduous teeth eruption and dental caries. For this purpose, a number of 410 children age between 6 - 48 months from Posyandu Kecamatan Neglasari, were taken as subjects of the study. Result of study showed that 60 % of the subjects were free from dental caries, 50 % among them were under 2 years old. The average of dental caries (def-t ) of children aged 2 - 3 years old was 3.89 ( 3,95) and children aged 3 - 4 years old was 5.15 ( SD 4,03 ) . Most teeth of children (40 - 80 %) erupted in a normal time that was in between mean time ± 1 SD. Late teeth eruption (+ > 1 SD) in the lower jaw found only in 0,2 % to I % of the children and for the upper jaw found in 0,2 % to 3,2 % of the children This study also showed the early late or normal teeth either in the upper or in the low jaw, did not have any significant relation with dental caries (p > 0.05) Generic and dietary consumption also had no significant relation with dental caries (p > 0.05 ). In contrary with age of the subjects, which showed a significant relation (p = 0,000, r = 0,329) with dental caries, as also seen in the relation between plaque and dental caries (p =0,002). Conclusion : The also number of early or late teeth eruption found in under fives children re very small although the children were identified as undernourished children . This study could not show a significant relationship between early, late or normal teeth eruption with dental caries (p. 0,005) and this small number of children may play a great influenced. A further study is recommended.

Abstrak :
Latar Belakang: Kader kesehatan dan ibu hamil Indonesia belum cukup menerima pelatihan khusus sehingga kurang pengetahuan tentang penyakit periodontal yang berisiko terhadap kehamilan dan kelahiran bayi.Model pelatihan berbasis teori 9 langkah mencakup tahapan identifikasi masalah hingga evaluasi yang dapat diterapkan pada program pendidikan kesehatan gigi dan mulut di puskesmas. Tujuan: Meningkatkan pengetahuan kader kesehatan tentang penyakit periodontal yang berisiko terhadap kehamilan dan kelahiran bayi. Metode: Kuantitatif pra-eksperimental dengan one group comparison pre test-post test design.Pelatihan 9 langkah diberikan pada 53 kader kesehatan Puskesmas Pulo Gadung Jakarta Timur oleh dokter gigi. 50 ibu hamil diberi pendidikan setelahnya oleh kader kesehatan. Hasil: Terdapat peningkatan pengetahuan kader kesehatan dan ibu hamil(α=0,05;p-value=0,000 dengan uji Wilcoxon). Tidak ada perbedaan bermakna antara flip chart dan kartu puzzle dalam meningkatkan pengetahuan kader(p-value = 0,969 dengan uji t-independent)dan ibu hamil (p=0,359 dengan uji Mann Whitney). Kesimpulan: Model pelatihan berbasis teori 9 langkah efektif meningkatkan pengetahuan kader kesehatan. Flip chart dan kartu puzzle sama efektif meningkatkan pengetahuan kader kesehatan dan ibu hamil. ......Background: Indonesian health cadres and pregnant women have not received enough specific training so there is a lack of knowledge about periodontal disease that are risk for pregnancy and childbirth.The 9 step theory based training model covers the stage of problem identification to evaluation that can be applied to dental and oral health education programs. Purpose: Increasing knowledge of health cadres about periodontal disease that are at risk for pregnancy and childbirth. Methods: Quantitative pre-experimental with one group comparison pre test-post test design.9 step training was given to 53 health cadres by dentist in Puskesmas Pulo Gadung,East Jakarta.50 pregnant women were given education afterwards by health cadres. Results: There is an increase of health cadres and pregnant women knowledge (α=0,05;p-value = 0,000).There is no significant difference between flip chart and puzzle card (health cadres p-value = 0,969 ; pregnant women p-value = 0,359). Conclusion: The 9 step theory based training model effectively increases knowledge of health cadres.Flip chart and puzzle card are equally effective.

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ABSTRAK
Kader posyandu merupakan tenaga alternatif dalam skrining Early Childhood Caries (ECC) dengan indeks PUFA/pufa untuk mendeteksi ECC tidak terawat. Tujuan : menganalisis kemungkinan kader posyandu dapat diberdayakan dalam skrining Early Childhood Caries dengan indeks PUFA/pufa. Metode : uji diagnostik dengan pendekatan Cross-Sectional yang dilakukan pada anak usia 36-71 bulan di posyandu-PAUD Kabupaten Sijunjung Sumatera Barat. Kader posyandu sebagai examiner pufa dipilih sebanyak tujuh orang dan dilatih serta dikalibrasi. Pemeriksaan dilakukan pada 133 anak di enam posyandu-PAUD oleh kader posyandu sebagai indeks dan dokter gigi sebagai reference standard dengan teknik blinding. Hasil : reliabilitas/presisi pemeriksaan pufa kumulatif oleh kader posyandu dengan nilai Kappa 0,88 termasuk tingkat kesesuaian sangat kuat. Nilai sensitivitas dan spesifisitas pufa kumulatif sebesar 96% dan 94% yang merupakan nilai diagnostik sangat baik. Positive predictive values (PPV) dan Negative Predictive Values (NPV) variabel pufa kumulatif adalah 89% dan 98%, keduanya termasuk nilai diagnostik yang sangat baik. Kesimpulan : kader posyandu dapat diberdayakan dalam kegiatan skrining Early Childhood Caries menggunakan indeks PUFA/pufa baik di posyandu maupun di Pos PAUD pada anak usia 36-71 bulan.

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ABSTRACT
Posyandu cadres in Sijunjung West Sumatra is an alternative personnel that can be empowered in the screening of Early Childhood Caries ( ECC ) using index PUFA / pufa to detect Untreated ECC. Objective: to analyze the possibility of posyandu cadres to be empowered in the screening of Early Childhood Caries ( ECC ) using the PUFA / pufa index. Methods : diagnostic test with a cross - sectional approach was conducted in Sijunjung West Sumatra in children aged 36-71 months in posyandu - PAUD. Seven posyandu cadres as pufa examiner were selected and trained also calibrated to use pufa index. Examination of 133 children in six posyandu - PAUD by posyandu cadres as index and dentist as reference standard was performed with blinding technique. Results : the reliability / precision of the cumulative pufa with kappa was 0.88, it is a strong agreement. The sensitivity and spesificity of cumulative pufa were 96% and 94%, they are both very good diagnostic values. Positive Predictive Values ​​( PPV ) and Negative Predictive Values ( NPV ) for the cumulative pufa were 89 % and 98 %, both are very good diagnostic values . Conclusion : posyandu cadres can be empowered in the screening of Early Childhood Caries using PUFA / pufa index either in posyandu or Pos PAUD in children aged 36-71 months.

Abstrak :
[ABSTRAK
Latar Belakang: Cara pemberian makanan pada balita sedikit banyak dipengaruhi oleh tradisi budaya di suatu daerah tertentu. diantaranya adalah tradisi nasi papah atau seringkali juga disebut nasi papak yang masih banyak dilakukan oleh para ibu di beberapa wilayah di Indonesia, diantaranya di kabupaten Lombok Timur, Propinsi Nusa Tenggara Barat. Tradisi nasi papah adalah nasi yang telah dikunyah dan dilumatkan terlebih dahulu sebelum diberikan kepada balita. Dari segi kesehatan terutama kesehatan mulut, hal ini berisiko terhadap terjadinya Early Childhood Caries(ECC). Perilaku tersebut dapat menyebabkan transmisi mikroorganisme S.mutans dari mulut ibu ke mulut anak.Tujuan: Untuk mengetahui kontribusi tradisi nasi papah terhadap risiko terjadinya Early Childhood Caries. Metode :Desain yang digunakan adalah cross sectional dengan jumlah total sampel subyek penelitian sebanyak 186 anak berusia 6 – 60 bulan yang didampingi oleh ibunya, yang bertempat tinggal di Desa Senyiur, Kabupaten Lombok Timur, Nusa Tenggara Barat. Pemeriksaan Intra Oral dilakukan untuk mengukur karies gigi ibu dan anak dengan menggunakan indeks DMFT/deft dan untuk mendapatkan informasi mengenai perilaku dan pengetahuan kesehatan mulut ibu dan anak dilakukan wawancara pada ibu dengan menggunakan kuesioner. Semua data yang terkumpul dianalisa menggunakan uji Chi Square dan uji regresi logistik. Hasil: Risiko perilaku nasi papah terhadap ECC adalah 5,46 (OR 5,46;CI 95% 4,24-36,55, p<0,001) dengan kontribusi terhadap risiko ECC sebesar 41,8%. Kesimpulan: Tradisi nasi papah berkontribusi terhadap risiko terjadinya ECC.

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ABSTRACT
Background:The infant feeding practices usually affected by cultural tradition especially in rural areas in Indonesia. One of that tradition is Nasi Papah or sometimes called Nasi Papak, which one of that were done by mothers at East Lombok regency , West Nusa Tenggara Province. Nasi papah is define as feeding practice between mother to their infant through pre chewed rice by mother before the food given to their child. For oral health, this behaviour is one of risk factors for ECC, where vertical transmission frequently transmitted S.mutans from mother to child through salivary contact. Aim: To analyzing the contribution of nasi papah tradition towards occurence risk of Early Childhood Caries. Materials and Methods: This study using cross sectional design with total sampels are consists of 186 children between 6 – 60 months old accompanied by his/her mother, whose living at Senyiur village,East Lombok regency,West Nusa Tenggara Province. The intra oral examination had been done for valued caries experience through DMFT/deft index and informations about oral health behaviour and mother knowledges related to oral health derived from mothers through questionnare and data analyzed by Chi Square and logistic regression tests.Results:Risk of nasi papah tradition towards ECC has OR 5,46 (CI 95% 4,24-36,55. P<0,001)) and the contribution of this behaviour to ECC was 41,8%. Conclusion: Nasi papah tradition contributes towards the occurence risk of Early Childhood Caries., Background:The infant feeding practices usually affected by cultural tradition especially in rural areas in Indonesia. One of that tradition is Nasi Papah or sometimes called Nasi Papak, which one of that were done by mothers at East Lombok regency , West Nusa Tenggara Province. Nasi papah is define as feeding practice between mother to their infant through pre chewed rice by mother before the food given to their child. For oral health, this behaviour is one of risk factors for ECC, where vertical transmission frequently transmitted S.mutans from mother to child through salivary contact. Aim: To analyzing the contribution of nasi papah tradition towards occurence risk of Early Childhood Caries. Materials and Methods: This study using cross sectional design with total sampels are consists of 186 children between 6 – 60 months old accompanied by his/her mother, whose living at Senyiur village,East Lombok regency,West Nusa Tenggara Province. The intra oral examination had been done for valued caries experience through DMFT/deft index and informations about oral health behaviour and mother knowledges related to oral health derived from mothers through questionnare and data analyzed by Chi Square and logistic regression tests.Results:Risk of nasi papah tradition towards ECC has OR 5,46 (CI 95% 4,24-36,55. P<0,001)) and the contribution of this behaviour to ECC was 41,8%. Conclusion: Nasi papah tradition contributes towards the occurence risk of Early Childhood Caries.]

Abstrak :
Data epidemiologi surveilan harus memiliki nilai validitas dan reliabilitas tinggi. Indek CAST berpotensi sebagai alat penilaian epidemiologi karies gigi. Perawat gigi termasuk tenaga pelaksana upaya kesehatan gigi dalam program skrining. Tujuan: mendapatkan tingkat kesesuaian antara perawat gigi dan dokter gigi dalam menilai kebutuhan perawatan karies gigi anak umur 6-12 tahun menggunakan indek CAST. Uji diagnostik pendekatan crossectional pada 95 anak 6-12 tahun, pemeriksaan klinik, analisis pearson korelasion, ICC dan ROC. Tingkat kesesuaian antar pengamat baik (ICC 0,59-0,97). Sensitivitas dan spesifisitas cukup baik (sensitivitas 70-100%), dan spesifisitas (51-100%). Perawat gigi dapat menjadi salah satu tenaga epidemiologi suveilans dalam penilaian kebutuhan perawatan karies menggunakan indek CAST. ...... Epidemiological surveillance data should have high values in validity and reliability. Index CAST were a potential epidemiology tools for dental caries assessment. Dental nurses are the executive personnel for screening programs in dental health care. To get the compatibility between dentists and dental nurses in assessing care needs of dental caries by using CAST index in children 6-12 years old.Diagnostic test with Cross Sectional approach, samples consists of 95 children between 6-12 years old, clinical examination, and all data analyzed by Pearson correlation, ICC and ROC tests respectively. There are good level of concordance between the observers (ICC 0.59 to 0.97) and the sensitivity and specificity values were good enough (sensitivity 70-100%) and specificity (51- 100%). Dental nurse can be one of the surveillance epidemiologists in the assessment of dental caries care needs by using CAST index.

Abstrak :
[ABSTRAK
Salah satu faktor yang mempengaruhi kualitas hidup adalah kesehatan gigi dan mulut. Keadaan gigi dan mulut anak usia 12 tahun sangat rentan. Tujuannya menganalisis status kesehatan gigi dan mulut dihubungkan dengan kualitas hidup anak menggunakan COHIP-SF versi Indonesia. Penelitian analitik dengan desain cross-sectional, pada 300 anak usia 12 tahun, wawancara dan pemeriksaan. Diketahui rerata DMF-T 2,51, rerata PUFA 0,49 gigi perorang, dan OHI-S 1,70. Terdapat hubungan yang bermakna antara DMF-T dengan COHIP-SF versi Indonesia(rs=-0,1, p=0,017), PUFA(rs=-0,16, p=0,005) dan OHI-S(rs=-0,16, p=0,004) dengan COHIP-SF versi Indonesia. Kesimpulannya semakin baik status kesehatan gigi anak maka kualitas hidup anak akan semakin baik.

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ABSTRACT
One the factors that affect the quality of life is the dental oral health. Especially the condition of teeth and mouth child 12 years of age are particularly vulnerable. Objective:To analyze the dental health status linked to the quality of life of children using COHIP-SF Indonesian version. Methods:The study analytic with cross-sectional design, the 300 children, interview and examination. Results:The mean DMF-T 2.51, PUFA 0.49, OHI-S 1.70. There is a significant association between the DMF-T (rs=-0.1;p=0.017), PUFA(rs=-0.16;p=0.005), OHI-S (rs=- 0,16;p=0.004) with COHIP-SF Indonesian version. Conclusion:The better the dental health status of children, is the quality of life the children will be better., One the factors that affect the quality of life is the dental oral health. Especially the condition of teeth and mouth child 12 years of age are particularly vulnerable. Objective:To analyze the dental health status linked to the quality of life of children using COHIP-SF Indonesian version. Methods:The study analytic with cross-sectional design, the 300 children, interview and examination. Results:The mean DMF-T 2.51, PUFA 0.49, OHI-S 1.70. There is a significant association between the DMF-T (rs=-0.1;p=0.017), PUFA(rs=-0.16;p=0.005), OHI-S (rs=- 0,16;p=0.004) with COHIP-SF Indonesian version. Conclusion:The better the dental health status of children, is the quality of life the children will be better.]

Abstrak :
Tujuan: Diketahuinya perbandingan efektiftas aplikasi silver diamine fluoride dengan propolis fluoride dalam menghambat karies gigi sulung. Metode: 224 anak usia 4-5 tahun dengan karies dentin aktif dialokasikan secara random pada satu diantara 3 kelompok perlakuan untuk pengobatan lesi karies dentin gigi sulung: Kelompok 1- Aplikasi Silver Diamine Fluoride, Kelompok 2- Aplikasi Propolis Fluoride, dan Kelompok 3- Kontrol. Evaluasi pemeriksaan dilakukan setelah 7 hari, 1 bulan dan 3 bulan untuk menilai banyaknya lesi karies yang menjadi terhenti. Hasil: Setelah 3 bulan, 163 (72,8%) anak menyelesaikan penelitian. Persentase karies yang menjadi terhenti adalah 88,68%, 55,78% dan 2,13% untuk Kelompok 1, Kelompok 2 dan Kelompok 3. Kesimpulan: Aplikasi Silver Diamine Fluoride atau Propolis Fluoride efektif menghambat lesi karies gigi sulung. Silver Diamine Fluoride lebih efektif dalam menghambat lesi karies dibanding Propolis Fluoride, tetapi Propolis Fluoride memiliki keunggulan tidak membuat perubahan warna gigi menjadi hitam. ...... Objective: To compare the effectiveness of topical application of silver diamine fluoride (SDF) solution and topical application of propolis fluoride in arresting active dentine caries in primary teeth. Methods: A total of 224 children, aged 3-4 years, were randomly allocated to one of three groups for treatment of carious dentine cavities in their primary teeth: group 1- application of SDF, group 2 ? application of Propolis Fluoride, group 3 ? control. Follow-up examinations were carried out 7 days, 1 month and 3 months to assess whether the treated caries lesions had become arrested. Results: After 3 months follow up, 163 (72,8%) children remained in the study. The caries arrest rates were 88,68%, 55,78% dan 2,13% for group 1, group 2 and group 3. Conclusion: Application of SDF solution or Propolis Fluoride solution can arrest active dentine caries. Topical application of SDF is more effective than Propolis Fluoride in inhibiting caries lesions progression, but Propolis Fluoride has the advantage that the arrested caries lesion will not turn black in colour like SDF.

Abstrak :
Abstrak: Kualitas pelayanan yang baik berhubungan erat terhadap kepuasan pasien dalam perawatan kesehatan, salah satu indikator baiknya kualitas pelayanan kesehatan adalah kepuasan pasien terhadap pelayanan kesehatan yang diberikan oleh dokter gigi. Dimensi SERVQUAL dan domain Donabedian menjadi tolak ukur untuk mengukur kualitas pelayanan serta perbandingan persepsi dan harapan terhadap kepuasan pasien. Kepuasan pasien akan pelayanan kesehatan akan berdampak pada kesehatan dan kesejahteraan masyarakat. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien terhadap pelayanan dan perawatan penyakit gigi dan mulut di Poli Gigi. Jenis penelitian Study Cross Sectional dengan convenience sampling, total sampel 105 responden. Metode penelitian yaitu kuantitatif. Kuesioner Google form atau dokumen sebagai instrument. Analisis univariat dan bivariat menggunakan uji korelasi dengan rata-rata kepuasan pasien adalah 33,27 (± 5,95) dengan peresentasi puas 78,1% dan tidak puas 21,9%. Analisis bivariat karakteristik responden, terdapat hubungan yang signifikan antara umur, marital status, pekerjaan, metode pembayaran dan waktu tunggu dengan kepuasan pasien p<0,05 dan terdapat hubungan yang signifikan dengan korelasi linear sangat kuat antara kualitas pelayanan dilihat dari lima dimensi Servqual dan domain Donabedian dengan tingkat kepuasan pasien di poligigi RS Hermina Manado. Penelitian ini menyatakan bahwa kualitas pelayanan yang baik berhubungan positif terhadap kepuasan pasien dalam melakukan perawatan gigi. Struktur yang baik meningkatkan proses dan hasil yang baik. ......XAbstract: Good service quality is closely related to patient satisfaction in health care, one indicator of good quality health services is patient satisfaction with health services provided by dentists. The SERVQUAL dimension and the Donabedian domain are benchmarks for measuring service quality as well as a comparison of perceptions and expectations of patient satisfaction. Patient satisfaction with health services will have an impact on the health and welfare of society. This study aims to determine the level of patient satisfaction with the service and treatment of dental and oral diseases at the Dental Clinic. This type of research is Cross Sectional Study with convenience sampling, a total sample of 105 respondents. The research method is quantitative. Google form questionnaire or document as an instrument. Univariate and bivariate analysis used a correlation test with an average patient satisfaction of 33.27 (± 5.95) with a satisfied percentage of 78.1% and 21.9% dissatisfied. Bivariate analysis of respondent characteristics, there is a significant relationship between age, marital status, occupation, payment method and waiting time with patient satisfaction p<0.05 and there is a significant relationship with a very strong linear correlation between service quality seen from the five dimensions of Servqual and the domain Donabedian with the level of patient satisfaction in the dental clinic at Hermina Manado Hospital. This study states that good service quality is positively related to patient satisfaction in performing dental treatment. Good structure improves process and good results.

Abstrak :
Latar Belakang: Kesehatan gigi dan mulut merupakan salah satu hal yang perlu diperhatikan pada dengan keterbatasan pendengaran. Untuk meningkatkan kemandirian dalam menjaga kesehatan gigi dan mulut, diperlukan sebuah metode edukasi kesehatan gigi yang efektif. Penelitian bertujuan untuk menguji metode edukasi penayangan video bahasa isyarat dan permainan kartu interaktif terhadap pengetahuan, sikap dan praktik kesehatan gigi dan mulut anak disabilitas rungu. Metode: 40 anak disabilitas rungu pada sebuah sekolah khusus tunarungu dibagi secara acak ke dalam dua kelompok. Kelompok 1 mendapatkan intervensi edukasi penayangan video bahasa isyarat dan kelompok 2 mendapatkan intervensi edukasi permainan kartu interaktif. Pengetahuan, sikap dan praktik kesehatan gigi dan mulut anak disabilitas rungu dinilai dengan kuesioner, dan status kebersihan gigi dan mulut dinilai dengan indeks Oral Hygiene Index-Simplified (OHI-S) sebelum dan sesudah intervensi dilakukan. Hasil: Terdapat hasil signifikan pada peningkatan sikap dan praktik pada kelompok penayangan video, dan hasil signifikan pada peningkatan pengetahuan, sikap, praktik dan penurunan skor OHI-S pada kelompok permainan kartu dalam interval 1 bulan. Kesimpulan: Kedua jenis intervensi dapat digunakan sebagai metode edukasi pada anak disabilitas rungu. Edukasi interaktif lebih signifikan dalam meningkatkan pengetahuan, sikap, praktik kesehatan gigi dan mulut serta menurunkan skor OHI-S. ......Background: Oral health is one thing that needs to be considered in children with hearing impairments. To increase independence in maintaining oral and dental health, an effective dental health education method is needed. The aim of the study was to test education with video and interactive games method on the increase of oral health knowledge, attitudes and practices of children with hearing disabilities. Method: 40 children with hearing disabilities in a special school were randomly divided into two groups. Group 1 received a one-way educational intervention by showing video with sign language and group 2 received an interactive educational intervention by playing cards game. Oral health knowledge, attitudes practices of children with hearing disabilities were assessed by a Knowledge-Attitude-Practice questionnaire, and oral hygiene status was assessed by the Oral Hygiene Index-Simplified (OHI-S) index before and after the intervention was carried out. Results: There were significant results in increasing attitudes and practices in the video group, and significant results in increasing knowledge, attitudes, practices and decreasing OHI-S scores in the interactive card game group after 1 month interval. Conclusion: Both type of interventions can be used as educational methods for children with hearing disabilities. Interactive education is more significant in increasing knowledge, attitudes, dental and oral health practices and decreasing OHI-S scores.