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"[ABSTRAKLatar Belakang: Cara pemberian makanan pada balita sedikit banyakdipengaruhi oleh tradisi budaya di suatu daerah tertentu. diantaranya adalah tradisinasi papah atau seringkali juga disebut nasi papak yang masih banyak dilakukanoleh para ibu di beberapa wilayah di Indonesia, diantaranya di kabupaten LombokTimur, Propinsi Nusa Tenggara Barat. Tradisi nasi papah adalah nasi yang telahdikunyah dan dilumatkan terlebih dahulu sebelum diberikan kepada balita. Darisegi kesehatan terutama kesehatan mulut, hal ini berisiko terhadap terjadinyaEarly Childhood Caries(ECC). Perilaku tersebut dapat menyebabkan transmisimikroorganisme S.mutans dari mulut ibu ke mulut anak.Tujuan: Untukmengetahui kontribusi tradisi nasi papah terhadap risiko terjadinya EarlyChildhood Caries. Metode :Desain yang digunakan adalah cross sectionaldengan jumlah total sampel subyek penelitian sebanyak 186 anak berusia 6 – 60bulan yang didampingi oleh ibunya, yang bertempat tinggal di Desa Senyiur,Kabupaten Lombok Timur, Nusa Tenggara Barat. Pemeriksaan Intra Oraldilakukan untuk mengukur karies gigi ibu dan anak dengan menggunakan indeksDMFT/deft dan untuk mendapatkan informasi mengenai perilaku danpengetahuan kesehatan mulut ibu dan anak dilakukan wawancara pada ibu denganmenggunakan kuesioner. Semua data yang terkumpul dianalisa menggunakan ujiChi Square dan uji regresi logistik. Hasil: Risiko perilaku nasi papah terhadapECC adalah 5,46 (OR 5,46;CI 95% 4,24-36,55, p<0,001) dengan kontribusiterhadap risiko ECC sebesar 41,8%. Kesimpulan: Tradisi nasi papahberkontribusi terhadap risiko terjadinya ECC.

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ABSTRACTBackground:The infant feeding practices usually affected by cultural traditionespecially in rural areas in Indonesia. One of that tradition is Nasi Papah orsometimes called Nasi Papak, which one of that were done by mothers at EastLombok regency , West Nusa Tenggara Province. Nasi papah is define as feedingpractice between mother to their infant through pre chewed rice by mother beforethe food given to their child. For oral health, this behaviour is one of risk factorsfor ECC, where vertical transmission frequently transmitted S.mutans frommother to child through salivary contact. Aim: To analyzing the contribution ofnasi papah tradition towards occurence risk of Early Childhood Caries.Materials and Methods: This study using cross sectional design with totalsampels are consists of 186 children between 6 – 60 months old accompanied byhis/her mother, whose living at Senyiur village,East Lombok regency,West NusaTenggara Province. The intra oral examination had been done for valued cariesexperience through DMFT/deft index and informations about oral healthbehaviour and mother knowledges related to oral health derived from mothersthrough questionnare and data analyzed by Chi Square and logistic regressiontests.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 ofEarly Childhood Caries., Background:The infant feeding practices usually affected by cultural traditionespecially in rural areas in Indonesia. One of that tradition is Nasi Papah orsometimes called Nasi Papak, which one of that were done by mothers at EastLombok regency , West Nusa Tenggara Province. Nasi papah is define as feedingpractice between mother to their infant through pre chewed rice by mother beforethe food given to their child. For oral health, this behaviour is one of risk factorsfor ECC, where vertical transmission frequently transmitted S.mutans frommother to child through salivary contact. Aim: To analyzing the contribution ofnasi papah tradition towards occurence risk of Early Childhood Caries.Materials and Methods: This study using cross sectional design with totalsampels are consists of 186 children between 6 – 60 months old accompanied byhis/her mother, whose living at Senyiur village,East Lombok regency,West NusaTenggara Province. The intra oral examination had been done for valued cariesexperience through DMFT/deft index and informations about oral healthbehaviour and mother knowledges related to oral health derived from mothersthrough questionnare and data analyzed by Chi Square and logistic regressiontests.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 ofEarly Childhood Caries.]"

"Tesis ini membahas persepsi pasien terhadap kualitas pelayanan dan kepuasan sebagai strategi dalam meningkatkan peran Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Padjadjaran Bandung. Dengan adanya kunjungan pasien yang terus meningkat dari tahun 2003 sampai 2008, RSGM UNPAD memiliki tantangan untuk mempertahankan dan bahkan meningkatkan kinerjanya. Penelitian ini adalah penelitian kuantitatif dengan desain potong lintang. Analisis univariat (Deskriptif), bivariat ( Tes T Independen dan korelasi pearson) dan multivariat (regresi logistik) menggunakan SPSS 16.0 menunjukan hasil persepsi pasien paling baik terhadap kualitas pelayanan adalah empathy (7,24). Hubungan signifikan diperlihatkan empathy dengan kepuasan pasien. Analisis regresi logistik menunjukan empathy memberikan pengaruh yang paling kuat untuk kepuasan pasien.

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This thesis explained patient`s perception on the service quality and patient`s satisfaction as a strategy in increasing the role of RSGM dentistry faculty ? Padjadjaran University - Bandung. With the increase in patient?s visit from 2003 to 2008, RSGM UNPAD had another challenge to maintain and improve its performance. This is a quantitative research with a cross sectional design. Univariate (descriptive), bivariate (t-test independent and pearson`s correlation) and multivariate (logistic regression) analysis was conducted using statistical program SPSS 16.0, and the result showed that the best patient`s perception to the quality of service was empathy (7.24). Significant relation shown between empathy and patient`s satisfaction. Logistic regression analysis showed empathy had been the most important influence for patient`s satisfaction."

"Latar belakang: Masalah Kesehatan gigi dan gizi pada anak tidak dapat dipisahkan. Keduanya berbagi faktor risiko yang sama. Masih tingginya prevalensi malnutrisi di negara berkembang khususnya di Indonesia yang disertai dengan tingginya prevalensi Early childhood caries (ECC) pada kelompok anak perlu menjadi perhatian khusus. Tujuan : Menganalisa hubungan ECC dengan status gizi anak usia 5 tahun di Indonesia berdasarkan data Riskesdas 2018.Metode: Penelitian cross sectional menggunakan data sekunder Riskesdas 2018. Sampel 701 anak usia 5 tahun yang dilakukan pemeriksaan klinis dan kuesioner. ECC sebagai variabel independen utama dan faktor risiko lainnya ; self-reported oral health, jenis kelamin, tingkat Pendidikan ibu, status pekerjaan ayah, status ekonomi keluarga, praktik diet anak dan pemanfaatan fasyankes dianalisa terhadap status gizi berdasarkan kategori berat badan/tinggi badan yang dikonversikan dengan standard Z-score. Hasil: uji chi-square menunjukkan korelasi signifikan antara status ECC, tingkat Pendidikan ibu, status ekonomi keluarga dan praktik diet berisiko anak terhadap status gizi (p-value<0,05). Uji regresi logistik multinomial membuktikan korelasi signifikan antara ECC dengan wasting (OR = 1,352, 95% CI: 0.989 – 2,589). ECC tidak berkorelasi terhadap obesitas.Kesimpulan: ECC dapat menjadi salah satu penyebab wasting pada anak. Beberapa faktor risiko terjadinya masalah gizi juga merupakan faktor risiko yang sama terhadap kejadian karies gigi.

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Background: Oral health and nutrition problems in children cannot be separated. Both share the same risk factors. The high prevalence of malnutrition and Early childhood caries (ECC) in developing countries, especially in Indonesia still need attention.

Objective: Analyze the relationship between ECC and the nutritional status of children aged 5 years in Indonesia based on the 2018 Riskesdas data.

Methods: A cross-sectional study using secondary data from Riskesdas 2018. A sample of 701 children aged 5 years were subjected to clinical examinations and questionnaires. ECC as the independent variable and other risk factors; self-reported oral health, gender, mother's education level, father's employment status, family economic status, children's dietary practices and utilization of health facilities were analyzed against nutritional status based on weight/height categories converted by Z-score.

Results: chi-square test showed a significant correlation between ECC, maternal education level, family economic status and dietary practices at risk of children on nutritional status (p-value <0.05). Multinomial logistic regression test proved a significant correlation between ECC and wasting (OR = 1,352, 95% CI: 0.989 – 2.589). ECC is not correlated with obesity.

Conclusion: ECC can cause wasting in children. Meanwhile several risk factors for nutritional problems and dental caries were similar."

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Prevalensi karies gigi remaja di Indonesia masih tinggi. Salah satunya karena perilaku kesehatan gigi yang masih buruk. Perilaku remaja yang tidak stabil secara emosional dapat mempengaruhi perawatan kesehatan giginya. Keadaan kesehatan gigi yang buruk akan berdampak pada kepercayaan diri dalam hubungan sosialnya. Oleh karena itu diperlukan evaluasi penilaian determinan kesehatan gigi remaja. Alat ukur yang sesuai dengan karakteristik remaja, sampai saat ini belum tersedia. Tujuan penelitian adalah membuat alat ukur untuk mengukur perilaku kesehatan gigi remaja dan menguji model perilaku kesehatan gigi remaja berdasarkan theory of planned behavior serta menentukan determinannya. Penelitian ini menggunakan studi deskriptif eksploratif dengan desain cross sectional. Sejumlah 723 siswa SMP berusia 13-15 tahun adalah siswa SMP di Kota Bandung menjadi subjek penelitian. Sampel dipilih dengan metoda probability proportional to size (PPS) menggunakan random group methods. Penelitian terdiri dari: (1) membuat alat ukur dan memvalidasinya; (2) menilai perilaku kesehatan gigi remaja dan plak skor (3) menguji model determinan perilaku kesehatan gigi remaja. Hasil penelitian menunjukkan, alat ukur perilaku kesehatan gigi remaja (oral hygiene, dietary habits, dental attendance) berdasarkan theory of planned behavior serta perilaku aktual (oral hygiene, dietary habits, dental attendance), dan dengan dua faktor terkait yaitu harapan hasil sosial dan pengetahuan dinyatakan valid dan reliabel. Hasil untuk model struktural ketiga perilaku kebersihan gigi, kebiasaan diet, kunjungan ke Dokter Gigi, berdasarkan theory of planned behaviour, harapan hasil sosial dan pengetahuan hasilnya data fit (sesuai dengan model). Hasil analisis hubungan (1) model struktural perilaku kebersihan gigi: kontrol perilaku, harapan hasil sosial dan pengetahuan kesehatan gigi mempengaruhi skor plak melalui intensi dan perilaku aktual kebersihan gigi, (2) model struktural perilaku kebiasaan diet: kontrol perilaku dan pengetahuan kesehatan gigi mempengaruhi skor plak melalui intensi dan perilaku aktual kebiasaan diet, (3) model struktural perilaku kunjungan ke Dokter Gigi: kontrol perilaku dan pengetahuan kesehatan gigi mempengaruhi skor plak melalui intensi dan perilaku aktual kunjungan ke Dokter Gigi (4) model struktural perilaku kesehatan gigi: ketiga kontrol perilaku (kebersihan gigi, kebiasaan diet dan kunjungan ke Dokter Gigi) berkonstribusi kuat terhadap masing-masing intensi (kebersihan gigi, kebiasaan diet dan kunjungan ke Dokter Gigi), dan yang terbesar konstribusinya adalah kontrol perilaku kebiasaan diet. Kesimpulan, kontrol perilaku yang kuat pada komponen intensi akan menentukan ketiga perilaku kesehatan gigi pada remaja, namun yang secara empiris menentukan adanya hubungan dengan skor plak hanya perilaku kebersihan gigi dan kebiasaan diet.

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The prevalence of adolescent caries in Indonesia is still high. Poor oral health behaviour is one of the causes. Unstable emotional behaviour in adolescent can affect their oral health care. Poor oral health condition can affect their self-confident in social environment. Therefore evaluation for adolescent oral health determinant and assessment is needed. Measuring instruments that suitable for adolescent characteristics are not yet available. The purpose for this research is to make an effective measuring instrument to assess adolescent oral health behaviour and to test adolescent the model of oral health behaviour based on theory of planned behavior alongside by determining the determinants. This research uses explorative description with cross sectional design. A total of 723 junior high school students aged 13-15 years in the city of Bandung became the subject of study.The sample was chosen with probability proportional to size (PPS) method using random group methods. The research consist of (1) make an effective measuring instrument and validate it; (2) assessing adolescent oral health behavior and score plaque (3) assessing the determinant model of adolescent oral health behaviour. Research result shown that measuring instrument of adolescent oral health behaviour based on theory of planned behaviour, the expectation of social outcome, oral health knowledge, and actual behaviour confirmed as valid and reliable. The result of third structural oral hygiene behaviour model, dietary habits, dental based on the theory of planned behaviour, expected social outcome and knowledge which resulted of data fit with model. The result of result of relationship analysis consist of (1) structural models of oral hygiene behaviors: perceived behavior control, expectations social outcomes and oral health knowledge influence plaque scores through the intention and actual behavior of oral hygiene, (2) structural models of dietary habits: perceived behavior control and oral health knowledge influence plaque scores through the intention and actual behavior of dietary habits, (3) structural models of dental attandance: perceived behavior control and oral health knowledge influence plaque scores through the intention and actual behavior of dental attendance (4) structural models of oral health behavior: perceived behaviora control (oral hygiene, dietary habits and dental attandance) have a strong contribution to each intention (oral hygiene, dietary habits and dental attandance), and the biggest contribution is perceived behaver control of dietary habits. Conclusion, strong perceived behavioral control on the intention component will determine the three oral health behaviors in adolescents, but which empirically determines the association with plaque scores only oral hygiene behavior and dietary habits.

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