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Fimma Naritasari
Department of Oral Medicine, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
Dentistry

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The relationship between salivary secretion and taste sensitivity level in the elderly Fimma Naritasari; Dewi Agustina; Supriatno Supriatno
Majalah Kedokteran Gigi Indonesia Vol 4, No 3 (2018): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.674 KB) | DOI: 10.22146/majkedgiind.36903

Abstract

The increasing population of the elderly has an impact on health problems, including an increase of oral problems. One of the common oral problems is dry mouth that possibly disrupts gustatory function. The aim of this study was to investigate the relationship between salivary secretion and taste sensitivity level in the elderly. This study was a cross sectional study for the elderly population of Daerah Istimewa Yogyakarta/The Special Region of Yogyakarta (DIY) Province, Indonesia. This study consisted of interview, clinical examination, measurement of salivary secretion (sialometry) and taste sensitivity level using chemical gustometry method. Salivary secretion data were described in ml/ min. The measurement of taste sensitivity level was performed using 4 different substances: sweet (sucrose), salty (NaCl), sour (citric acid) and bitter (quinidine sulphate) with 4 different concentrations for each flavor. Four score was given if the respondent recognized the lowest concentration of the substance and 0 score was provided when all concentrations were failed to be tasted. Total score for test sensitivity level was scaled from 0 to 16. Salivary secretion data and taste sensitivity level data were analyzed by Spearman correlation test to determine the correlation between both variables. There were 103 subjects (70 women and 33 men) with the age mean of 65.61 years old, participating in this study. The mean of the sweet taste level was 2.81, 3.32 for salty taste, 3.69 for sour taste and 2.98 for bitter taste. Total taste sensitivity level mean was 12.80 out of 16. The measurements of unstimulated whole saliva showed a mean value of 0.170 ml/min with the majority of subjects having normal salivary flow. The Spearman correlation test results showed r= -0.078 with p >0.05 that indicated no correlation. We concluded that there was no relationship between salivary secretion and taste sensitivity level in the elderly.
Oral health-related quality of life in type 2 diabetic patients of Yogyakarta General Hospital Dewi Agustina; Nunuk Purwanti; Lisdrianto Hanindriyo; Fimma Naritasari
Majalah Kedokteran Gigi Indonesia Vol 7, No 1 (2021): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.43693

Abstract

Yogyakarta is a province in Indonesia with the highest prevalence (2.4%) of Diabetes Mellitus (DM). Around 90% of diabetic patients suffer from type 2 DM. Oral manifestations of DM may disturb oral functions which in turn influence oral health - related quality of life (OHRQo)L. This study aimed to evaluate the OHRQoL of type 2 DM outpatients in Yogyakarta General Hospital. The study subjects comprised 50 male outpatients and 32 female outpatients with type 2 DM (40-81 years old). Geriatric Oral Health Assessment Index (GOHAI) and Xerostomia Inventory were used to assess OHRQoL and xerostomia status, respectively. Intraoral examinations comprising periodontal tissue, oral hygiene (OH), coated tongue, and present teeth were performed. There were 49 (59.76%) subjects with low and 33 (40.24%) subjects with high score of GOHAI; 78 (95.12%) with and 4 (4.88%) without periodontal tissue defect; 79 (96.34%) with poor and 3 (3.66%) good OH; 17 (20.73%) with coated tongue >50% and 65 (79.27%) with coated tongue ≤50%; 34 (41.46%) with present teeth <20 and 48 (58.54%) with present teeth ≥20; and 39 (47.56%) with xerostomia and 43 (52.44%) with normal status. Only ‘present teeth’ had a significant contribution to the proportion of GOHAI status in type 2 DM patients in this study (p=0.032). Type 2 DM patients with ≥20 teeth had a more significant proportion of high GOHAI status compared to those with <20 teeth. The majority of type 2 DM outpatients of Yogyakarta General Hospital had poor OHRQoL as reflection of their oral condition that is partly contributed by patients with present teeth <20.
Tongue coating index as a risk factor of decline of taste sensitivity in the elderly population Fimma Naritasari; Dewi Agustina; Fania Chairunisa; Lisdrianto Hanindriyo; Elastria Widita; Iffah Mardhiyah
Majalah Kedokteran Gigi Indonesia Vol 7, No 3 (2021): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.54935

Abstract

The elderly had various oral health issues, one of which is taste sensitivity. Taste sensitivity is highly affected by a person’s health, medication, eating habits, nutritional status, and oral hygiene. As an important organ for the sense of taste, the tongue can be covered in a white coating of debris, bacteria, and dead cells. To clean the tongue coating, one can do tongue brushing procedure, but this practice is not common among the elderly, especially in Indonesia. This cross-sectional study involved 114 older adults (n= 114) in the Special Region of Yogyakarta (Daerah Istimewa Yogyakarta- DIY), Indonesia, who were selected using stratified random sampling. The participants first signed the informed consent before undergoing an interview and going through oral clinical examination. This research particularly measured the tongue coating index and taste sensitivity level by way of statistically analyzing both variables to determine the correlation between tongue coating index and taste sensitivity level using three-dropmethod. Data from 114 subjects were presented descriptively using table and graphic. Most of the subjects 90.53% (103 subjects) had a coated tongue with various degree. The correlation statistic between tongue coating index and taste sensitivity level showed the statistically significant correlation (p-value = 0.019) and the coefficient correlation was -0.216, which means that there was a negative and weak correlation between both. Elderly with a higher tongue coating index tended to have less taste sensitivity. This could be due to debris blocking taste buds, thereby reducing taste sensitivity.
Prevalence and identification of oral candida species in patients with type 2 diabetes in Yogyakarta Dewi Agustina; Regina Titi Chrisnawati; Bernadetta Esti Chrismawaty; Sri Budiarti Wongsohardjono; Fimma Naritasari; Andari Sarasati
Majalah Kedokteran Gigi Indonesia Vol 9, No 1 (2023): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.76176

Abstract

Patients with diabetes are prone to recurring and even resistant Candidiasis, making treatment challenging. Many hypotheses proposed related to susceptibility of diabetic patients to Candida. The prevalence and species of Candida in a particular diabetic community might be different compared to other diabetic community. This study aimed to determine the prevalence of Candida colony and its species in the oral cavity of diabetic patients included in the CDM (Chronic Disease Management) program in Yogyakarta. One hundred patients with type 2 diabetes (n= 100) were recruited as the subjects of this study. The subjects were classified into controlled and uncontrolled Diabetes mellitus (DM). Samples of oral rinse solution were collected to determine the species of Candida and number of Candida colonies using CHROMagar Candida medium. There were 47 and 53 of subjects with controlled and uncontrolled DM, respectively. The mean number of Candida colony in the subjects with controlled diabetes (1003.13) was higher than that in the subjects with uncontrolled diabetes (478.43). The Candida colony most commonly identified in the subjects with controlled and uncontrolled diabetes were C. albicans and C. glabrata, respectively. Female patients had higher mean number of Candida colony (859.51) compared to male (299.21). The Candida colony most often identified in both genders was C. albicans. In addition, the subjects of this study consisted of 83 geriatric subjects and 17 non geriatric subjects, in which the mean number of Candida colony in the geriatric subjects (761.77) was higher than that in the non-geriatric subjects (545.71). The Candida colony most often identified in the geriatric subjects and non-geriatric subjects was C. albicans and C. glabrata, respectively. The Mann Whitney test demonstrated that there was a significant difference (p = 0.009) of the mean number of Candida colony between male and female. However, there was no significant difference of the mean number of Candida colony between ages (p = 0.060) and diabetic status (p=0.175). It can be concluded that the Candida species most commonly identified in all the subjects was Candida albicans with the mean colony number of 349.96, followed by C. glabrata (225.97), C. krusei (144.91), C. tropicalis (3.67), and other species (2.02).
Co-Authors Andari Sarasati Bernadetta Esti Chrismawaty Dewi Agustina Elastria Widita Fania Chairunisa Hanindriyo, Lisdrianto Iffah Mardhiyah Nunuk Purwanti Regina Titi Chrisnawati Sri Budiarti Wongsohardjono Supriatno Supriatno