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"Latar belakang: Penelitian ini bertujuan untuk mengetahui hubungan status kesehatan gigi dan mulut dengan kualitas hidup lansia. Metode Total 93 subjek dinilai status kesehatan gigi dan mulutnya menggunakan indeks DMFT dan status periodontal standart WHO, sedangkan kemampuan mastikasi menggunakan skor color changing chewing gum. Tingkat kualitas hidup dinilai menggunakan kuesioner GOHAI versi Bahasa Indonesia dan kuesioner WHO. Hasil: Nilai mean kuesioner WHO adalah 24,3. Kesulitan menggigit dan mengunyah makanan memiliki hubungan bermakna dengan jumlah gigi asli r=0,3; r=0,3 dan kemampuan mastikasi r=-0,4; r=-0,3. DT memiliki hubungan bermakna dengan kesulitan melakukan aktivitas sehari-hari r=0,2. Nilai mean GOHAI adalah 51,5. Kemampuan mastikasi memiliki hubungan bermakna dengan limitasi fungsi r=0,3, aspek psikologis r=0,2, dan pengaruh terhadap kehidupan sehari-hari r=0,3. Rasa sakit dan ketidaknyamanan memiliki hubungan bermakna dengan DT r=0,3 dan BOP r=-0,3. Kesimpulan: Terdapat hubungan antara status kesehatan gigi dan mulut terhadap kualitas hidup lansia. ......Background: This study aims to examine the relationship between oral health status and quality of life of independent living elderly. Methods Total of 93 subjects oral health status was recorded using DMFT index and WHO standarts periodontal index, and masticatory performance was recorded using color changing chewing gum. Quality of life was recorded using GOHAI and WHO questionnaire. Results: Mean scores WHO questionnaire is 24,3. Significant relationship exist between difficulty in biting and chewing food with natural teeth r 0,3 r 0,3 and masticatory performance r 0,4 r 0,3. DT was positively correlate with difficulties doing usual activities r 0,2. Mean scores GOHAI Indonesian version is 51,5. Masticatory performance was positively correlate with functional limitation r 0,3, pshycology aspects r 0,2, and effect on daily performance r 0,3. Significant relationship exists between pain and discomfort with DT r 0,3 and BOP r 0,3. Conclusion: There is significant relationship between oral health and quality of life."

"Pendahuluan: Kesehatan gigi dan mulut yang baik pada lansia dapat memberikan dampak yang positif dan negatif pada kesehatan tubuh lansia. Hal tersebut dapat dipicu dari diri lansia dan faktor pelayanan kesehatan gigi. Para lansia, baik yang memiliki keterbatasan fisik maupun tidak, cenderung kurang baik dalam menjaga kebersihan gigi dan mulutnya sehingga perawatannya bergantung pada orang lain, terutama bagi lansia yang tinggal di panti. Pramurukti memegang peran yang besar dalam perawatan lansia, termasuk perawatan kesehatan gigi dan mulut. Maka dari itu, Chalmers (2003) mengembangkan alat yang bisa digunakan oleh pramurukti untuk mengukur status kesehatan gigi dan mulut, yaitu Oral Health Assessment Tool (OHAT). Namun, belum ada penelitian di Indonesia mengenai penggunaan OHAT oleh pramurukti dan perbandingan tingkat konsistensinya dengan dokter gigi. Oleh sebab itu, perlu dilakukan penelitian kembali guna mendapatkan perbandingan hasil penilaian antar dokter gigi dan pramurukti saat menggunakan OHAT. Tujuan: Mengetahui tingkat konsistensi pada hasil dari penilaian status kesehatan gigi dan mulut lansia yang diukur menggunakan OHAT oleh pramurukti dan dokter gigi pada panti lansia di Jakarta. Metode: Studi cross-sectional dengan data primer berupa pemeriksaan langsung. Hasil: Dari 70 lansia yang dilakukan pemeriksaan klinis, didapatkan hasil analisis dengan uji kappa agreement, yaitu, dilaporkan bahwa dokter gigi dan pramurukti memiliki persepsi yang berbeda-beda, dengan tingkat konsistensi terendah pada kategori gusi dan jaringan lunak mulut lainnya yang memiliki konsistensi yang buruk/positive disagreement, serta nilai konsistensi tertinggi pada kategori sakit gigi yang memiliki konsistensi yang mendekati sempurna. Pada kategori lidah dan air liur/ludah mendapat tingkat konsistensi sedang, sedangkan kategori bibir dan kebersihan mulut mendapatkan tingkat konsistensi cukup. Pada kategori gigi asli mendapatkan tingkat konsistensi sedikit buruk. Sementara itu, kategori gigi palsu memiliki hasil penilaian yang konstan. Kesimpulan: Bervariasinya tingkat konsistensi tersebut dapat dipengaruhi dari kondisi lansia dan pramurukti itu sendiri. Walaupun demikian, OHAT ini merupakan alat yang dapat digunakan oleh pramurukti dalam mengecek kondisi gigi dan mulut lansia sehari-hari.......Introduction: Good oral and dental health in the elderly can have both positive and negative impacts on the health of the elderly’s body. This can be triggered by the internal factors in the elderly themselves and from the dental health service factors. Older people, whether they have physical limitations or not, they tend to be poor at maintaining oral hygiene and so they depend on other people for their oral care, especially older people who live in institutions. Caregiver plays a crucial role in providing health care to older people, including dental and oral health care. Therefore, Chalmers (2003) developed a tool that can be used by caregivers to measure dental and oral health status, namely the Oral Health Assessment Tool (OHAT). However, there has been no research that conducted in Indonesia regarding the use of OHAT by caregivers and the comparation of the level of consistency with dentists. Therefore, a research is required to obtain a comparison of results between dentists and caregivers when using OHAT. Objectives: This study aims to determine the level of consistency in the results of assessing the dental and oral health status of the elderly using OHAT by caregivers and dentists at elderly homes in Jakarta. Methods: A cross-sectional study was conducted using primary data through clinical examination. Results: Out of 70 elderly who underwent a clinical examination, the results of the analysis using the kappa agreement test were obtained, it was reported that dentists and caregivers had different perceptions, with the lowest level of consistency in the category of gums and other oral soft tissue which had poor/positive disagreement, as well as the highest consistency score in the toothache category which has a consistency that is close to perfect. The tongue and saliva categories received a moderate level of consistency, while the lips and oral hygiene categories received a sufficient level of consistency. In the natural teeth category, the level of consistency is slightly worse. Meanwhile, the denture category has constant assessment results. Conclusion: The varying levels of consistency can be influenced by the condition of the elderly and the caregivers themselves. However, OHAT is a tool that can be used by caregivers to check the condition of the mouth of the elderly on a daily basis."

"ABSTRAKLatar Belakang: Lansia mengalami proses penuaan yang melibatkan perubahan pola penyakit, salah satunya penyakit gigi mulut. Masalah utama yang dimiliki lansia adalah kehilangan gigi yang membutuhkan perawatan prostodonsia. Kebutuhan perawatan mendahului perencanaan perawatan prostodonsia. Kebutuhan sendiri dibagi menjadi kebutuhan objektif dan kebutuhan subjektif atau kebutuhan yang dirasakan pasien itu sendiri. Terdapat beberapa hal yang mempengaruhi kebutuhan seseorang, salah satunya adalah tingkat pengetahuan seseorang akan kesehatan gigi dan mulut. Tujuan: Menganalisis hubungan tingkat pengetahuan kesehatan gigi mulut dengan kebutuhan perawatan prostodonsia secara objektif dan subjektif pada lansia, menganalisis pengaruh faktor sosiodemografi (jenis kelamin, tingkat pendidikan, dan status ekonomi) terhadap tingkat pengetahuan kesehatan gigi mulut dan kebutuhan perawatan prostodonsia. Metode: Penelitian ini dilakukan dengan desain cross sectional pada 100 pasien Puskesmas Kecamatan Kramat Jati berusia 60 tahun ke atas. Dilakukan pencatatan diri subjek, wawancara pengisian kuesioner tingkat pengetahuan kesehatan gigi mulut pada lansia, kebutuhan subjektif (need) gigi tiruan, dan pemeriksaan klinis intraoral (kebutuhan objektif). Hasil penelitian: Tingkat pengetahuan kesehatan gigi mulut memiliki perbedaan bermakna (p < 0,05) dengan kebutuhan objektif gigi tiruan pada rahang atas dan kebutuhan subjektif (need) gigi tiruan, tetapi tidak terdapat perbedaan bermakna tingkat pengetahuan kesehatan gigi mulut dengan kebutuhan objektif gigi tiruan pada rahang bawah. Terdapat perbedaan bermakna jenis kelamin dan tingkat pendidikan dengan kebutuhan subjektif (need) gigi tiruan, tetapi tidak ada perbedaan bermakna antara status ekonomi dengan kebutuhan subjektif (need) gigi tiruan. Tidak terdapat perbedaan bermakna antara faktor sosiodemografi dengan tingkat pengetahuan kesehatan gigi mulut dan kebutuhan objektif pada kedua rahang. Kesimpulan: Terdapat pengaruh tingkat pengetahuan kesehatan gigi mulut pada lansia dengan kebutuhan objektif gigi tiruan pada rahang atas dan kebutuhan subjektif (need) gigi tiruan.

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ABSTRACTBackground: The elderly undergoes aging process that involves changes in the profile of disease, one of them is oral disease. The main problem experienced by the elderly is loss of teeth that needs prosthodontic treatment. Treatment need precedes the treatment plan of prosthodontic treatment. Treatment need is divided into two, that is objective and subjective need or perceived need. There are few things influencing one's need, one of them to be oral health knowledge. Objectives: To analyze the relationship between oral health knowledge towards prosthodontic treatment need in elderly both objectively and subjectively, to analyze sociodemographic factors (gender, educational level, and economic status) towards oral health knowledge and prosthodontic treatment need. Methods: Cross-sectional study was conducted on 100 patients of Puskesmas Kramat Jati aged 60 years and over. Subjects data and oral examination were obtained, and interview for oral health knowledge and subjective prosthodontic need were conducted. Results: There was significant difference (p < 0,05) between oral health knowledge towards objective prosthodontic treatment need on the upper jaw and subjective prosthodontic treatment need, but there was difference between oral health knowledge towards towards objective prosthodontic treatment need on the lower jaw. There was significant difference gender and educational level towards subjective prosthodontic treatment need, but there was no significant difference between economic status towards subjective prosthodontic treatment need. There was no significant difference between sociodemographic factors towards oral health knowledge and objective prosthodontic treatment need on both jaws. Conclusion: This study shows a relationship between oral health knowledge and objective prosthodontic treatment need on the upper jaw and subjective prosthodontic treatment need."

"Latar belakang: Masalah kesehatan gigi dan mulut seperti karies gigi dan penyakit periodontal merupakan penyebab terbesar kehilangan gigi pada pasien lanjut usia (lansia). Kehilangan gigi pada lansia dapat menyebabkan kesulitan untuk mengunyah dan menggigit makanan sehingga fungsi mastikasi terganggu dan mengakibatkan pemilihan makanan tertentu. Tujuan: Menganalisis hubungan antara kehilangan gigi dan faktor sosiodemografi (usia, jenis kelamin, tingkat pendidikan dan status ekonomi) dengan kemampuan mastikasi pada lansia secara subjektif, serta menganalisis hubungan antara kehilangan gigi pada lansia dengan jumlah pemilihan jenis makanan, cara pengolahan makanan dan potongan/ukuran bahan makanan. Metode: Penelitian ini dilakukan dengan desain cross sectional pada 100 pasien Puskesmas Kecamatan Kramat Jati, Jakarta Timur yang berusia 60 tahun ke atas. Dilakukan pemeriksaan kondisi kehilangan gigi berdasarkan indeks Eichner, serta wawancara kuesioner kemampuan mastikasi (Hanin) dan kuesioner pemilihan jenis makanan (Oey Kam Nio). Hasil Penelitian: Kehilangan gigi memiliki hubungan bermakna dengan kemampuan mastikasi pada lansia (p=0.001), jumlah pemilihan jenis makanan, cara pengolahan makanan (mentah dan goreng), dan potongan/ukuran bahan makanan (sedang). Usia, tingkat pendidikan dan status ekonomi memiliki hubungan bermakna dengan kemampuan mastikasi. Kesimpulan: Terdapat hubungan antara kehilangan gigi, usia, tingkat pendidikan, dan status ekonomi dengan kemampuan mastikasi pada lansia. ......Dental and oral health problems such as dental caries and periodontal disease which are the biggest causes of tooth loss in elderly. Tooth loss in elderly can cause difficulty in chewing and biting food so disruption of mastication function and selection of certain food. Objectives: o analyze relationship between tooth loss and sociodemographic factors (age, sex, education level and economic status) with subjective masticatory ability in elderly, analyze relationship between tooth loss in elderly and number of food choice, food processing method and food material size. Methods: Cross sectional study was conducted on 100 patients of Kramat Jati Sub-district Health Center, East Jakarta aged 60 years and over. Examination of tooth loss condition based on Eichner index and interview masticatory ability questionnaire (Hanin) and selection of food types questionnaire (Oey Kam Nio). Results: Tooth loss has a significant relationship with masticatory ability in elderly (p=0.001), number of food choice, food processing method (raw and fried), and size of food (medium). Age, education level and economic status have a significant relationship with masticatory ability. Conclusion: There is a relationship between tooth loss, age, sex, education level and economic status with masticatory ability in elderly. "

"Kebersihan mulut bagi lansia merupakan tindakan keperawatan mandiri yang dimiliki pengaruh penting terhadap status kesehatan lansia. Penerapan kebersihan mulut sering bukan prioritas dalam tindakan keperawatan. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan, sikap, dan praktik perawat tentang oral hygiene pada orang tua di ruang rawat inap. Metode penelitian yang digunakan adalah kuantitatif dengan desain penelitian deskriptif. Penelitian ini dilakukan di ruang rawat inap RSUPN Cipto Mangunkusumo dengan melibatkan 75 perawat. Instrumen penelitian yang digunakan adalah kuesioner administrasi mandiri. Hasil penelitian ini menggambarkan tingkat pengetahuan perawat 27 (36%) baik, 48 (64%) cukup dan tidak.Ada perawat yang memiliki pengetahuan kurang, 42 (56%) bersikap buruk dan 33 (44%) baik, dan praktik perawat 51 (68%) buruk dan 24 (32%) baik. Hasil penelitian juga menunjukkan pengaruh pendidikan dan pengalaman kerja pada level pengetahuan, sikap, dan praktik perawat. Upaya menambah ilmu dan praktik perawat mengenai kebersihan mulut perlu ditingkatkan melalui pelatihan, seminar, dan lokakarya.......Oral hygiene for the elderly is an independent nursing action that has an important influence on the health status of the elderly. The application of oral hygiene is often not a priority in nursing actions. This study aims to describe the knowledge, attitudes, and practices of nurses about oral hygiene in parents in the inpatient room. The research method used is quantitative with a descriptive research design. This research was conducted in the inpatient room of RSUPN Cipto Mangunkusumo involving 75 nurses. The research instrument used was an independent administration questionnaire. The results of this study illustrate that the level of knowledge of nurses is 27 (36%) good, 48 (64%) sufficient and not There are nurses who have less knowledge, 42 (56%) have bad attitude and 33 (44%) are good, and the practice of nurses 51 (68%) is bad and 24 (32%) is good. The results also showed the effect of education and work experience on the level of knowledge, attitudes and practices of nurses. Efforts to increase the knowledge and practice of nurses regarding oral hygiene need to be improved through training, seminars, and workshops."

"Osteoporosis tulang mandibula dapat diukur menggunakan indeks penurunan densitas tulang mandibula dimana dapat digunakan dokter gigi dalam membuat rencana perawatan sehingga kegagalan akibat faktor osteoporosis dapat dicegah terutama dalam perawatan prostodonsia. Tujuan penelitian ini adalah untuk menganalisis hubungan osteoporosis tulang rahang dan kualitas hidup dari aspek kesehatan gigi dan mulut lansia penelitian dilakukan dengan metode potong lintang. Penelitian dilakukan dengan pencatatan data sosio demografis, pemeriksaan intraoral, wawancara utuk pengisian kuesioner indeks densitas tulang mandibula dan kuesioner kualitas hidup lansia. Hasil uji chi-square, tidak terdapat hubungan antara osteoporosis tulang rahang dan kualitas hidup dari aspek kesehatan gigi dan mulut lansia. ......Osteoporosis in mandibular bone can be measured by mandibular bone density index which is tool for early detection of osteoporosis in mandibular bone that can be used by dentists in planning a treatment so that failure caused by osteoporosis can be prevented especially in prosthodontics treatment. The objective of this studies is to analyze the relationship between and oral health related quality of life in elderly patient with cross sectional studies. Sociodemographic data were obtained, intraoral examination and interview for mandibular bone density index and oral health relatred quality of life questionnaire were conducted. Chi square results indicated that there was no significant relation between mandibular bone osteoporosis and oral health related quality of life in elderly patient. "

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ABSTRACTGeriatric Dentistry: Caring for Our Aging Population" provides general practitioners, dental students, and auxiliary members of the dental team with a comprehensive, practical guide to oral healthcare for the aging population. Beginning with fundamental chapters on the psychological, environmental, and social aspects of aging, the book approaches patient care from a holistic point of view. Subsequent chapters show the importance of this information in a practical context by discussing how it affects office environment, decision?-making and treatment planning, and the management and treatment of common geriatric oral conditions. Case studies and study questions are used to illustrate application of educational presentations to practice settings. Contributed by leaders in the field, "Geriatric Dentistry" will strengthen readers' understanding and clinical acumen in addressing this special population. "