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Journal : Dental Journal (Majalah Kedokteran Gigi)

Trans-adapted, reliability, and validity of children fear survey schedule-dental subscale in Bahasa Indonesia Arlette Suzy; Julian Amriwijaya; Efi Fitriana
Dental Journal (Majalah Kedokteran Gigi) Vol. 48 No. 1 (2015): March 2015
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.075 KB) | DOI: 10.20473/j.djmkg.v48.i1.p1-6

Abstract

Background: The most frequently used measuring instrument for determination of dental fear in children nowadays is the children’s fear survey schedule-dental scale (CFSS-DS). Purpose: The purpose of this study was to explore the reliability and validity of the scale with Indonesian trans adapted version of the scale, thus the scale can be reliable to be used in other similar research in Indonesia. Methods: Total of 113 participants, who were parent’s 3 to 12 years old children. Children were divided into two age groups, group I 3-6 year old (83 children) and group II 7-12 year old (30 children). Eighty three children from the first group were divided into first dental visit group (30 children) and non first dental visit group (53 children). Test-retest approach was applied to 30 first dental visit children aged 3-6 year old. Original scale was translated to Indonesian language. Result: The result showed the high value of the Cronbach’s coefficient of internal consistency α=0.956. Three factors were extracted by screen test method with Eigen values higher than 1, which explained 93.05% variance of results. Conclusion: CFSS-DS scale is reliable and valid psychometric instrument for dental fear evaluation in children in Bahasa Indonesia. The differences between this study and those of others may appear due to many factors.
Aplikasi teori belajar sosial dalam penatalaksanaan rasa takut dan cemasan anak pada perawatan gigi (Application of social learning theory in the management of children dental fear and anxiety) Arlette Suzy Setiawan
Dental Journal (Majalah Kedokteran Gigi) Vol. 47 No. 2 (2014): June 2014
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.084 KB) | DOI: 10.20473/j.djmkg.v47.i2.p87-91

Abstract

Background: Dental anxiety is a prevalent problem faced by dentists till nowadays, especially in treating child patients. Several methods in managing anxiety are available, but there is no single method can be applied extensively. Purpose: This article was aimed to describe the application of social learning theory in preventing or reducing dental anxiety in children. Literature review: Anxiety and fear are psych feelings that is experienced by a person. A child developed these feelings by learning from their own past experienced or by information obtained from their environment. If fear and anxiety can be learned by a child, thus the opposite term which is preventing the feelings is assumed can be also offered to learned. This application actually being applied in the field of dentistry as modeling, but the exploration of how this process is due is often being ignored. Conclusion: Social learning theory provides an easy preventive approach and effective intervention that can be applied to children in 4-9 years old to reduce dental anxiety.Latar belakang: Kecemasan pada perawatan gigi merupakan hal yang paling sering dijumpai dan merupakan masalah yang dihadapi oleh dokter gigi sampai saat ini, terutama pada pasien anak. Berbagai metode penatalaksanaan kecemasan banyak tersedia, namun tidak satu pun metode yang dapat diterapkan secara luas. Tujuan: Makalah ini disusun untuk membahas mengenai aplikasi teori belajar sosial dalam mencegah kecemasan pada anak saat perawatan gigi. Tinjauan pustaka: Rasa cemas dan takut merupakan perasaan psikis yang dialami seorang individu. Perasaan ini pada seorang anak lebih banyak didapat dari proses belajar dalam menyerap informasi berdasarkan pengalaman pribadi ataupun informasi dari lingkungan sekitar. Bila rasa cemas dan takut dapat dipelajari oleh seorang anak, maka diasumsikan bahwa menghindari timbulnya perasaan ini dapat pula diajarkan pada anak. Aplikasi hal tersebut sebenarnya telah diterapkan di bidang Kedokteran Gigi melalui modeling, namun eksplorasi bagaimana proses pembelajaran ini berlangsung sering kali terabaikan. Simpulan: Teori belajar sosial memberikan pendekatan preventif yang mudah dan intervensi yang efektif yang dapat digunakan pada anak usia 4-9 tahun untuk mengurangi kecemasan anak saat perawatan gigi.
Henoch-Schönlein purpura in children: its relation to oral and to oral and oral and dental health Arlette Suzy Puspa Pertiwi
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 3 (2012): September 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (543.775 KB) | DOI: 10.20473/j.djmkg.v45.i3.p127-132

Abstract

> Background: Henoch-Schönlein purpura (HSP) is a rare systemic small vessel vasculitis, which commonly occur in childrenbetween 2 and 10 years of age. The course of the disease is often self-limiting, although may manifest long-term renal morbidity. Theseverity of renal involvement decides about the prognosis of this disease. Many factors can trigger the disease attack, which is the mostcommon is bacterial invasion. Since the oral cavity is often refer as infectious foci to other part of the body, it seemed rationally tobe part that contribute the course of disease, thus management of these infectious foci, if possible, gives rise to an astoundingly goodprognosis. Purpose: This paper will describe a review on HSP and the possible association with oral and dental health since it mightbe related to the prognosis of HSP. reviews: Rashes in children are common; they may develop a rash after prescription of antibiotics.Nevertheless there are some childhood diseases that may manifest a rash presentation, such as HSP. It is important for pediatric dentistto have knowledge about HSP and consider the possibility of dental treatment or disease as potential triggers. Conclusion: Oral anddental condition may be the trigger cause of HSP attack. Therefore, it is important for pediatric dental practitioner to be aware of thecourse of the disease in order to limit the expanding complications.> latar belakang: Henoch-Schönlein purpura (HSP) merupakan vaskulitis pembuluh darah kecil sistemik yang jarang terjadi danbiasanya menyerang anak usia 2 hingga 10 tahun. Penyakit tersebut seringkali dapat sembuh sendiri, tetapi pada jangka panjangdapat bermanifestasi dengan morbiditas ginjal. Keparahan keterlibatan ginjal menentukan prognosis penyakit. Banyak faktor yangdapat memicu serangan penyakit, tersering adalah invasi bakteri. Karena rongga mulut sering kali merupakan fokus infeksi terhadapbagian lain dari tubuh, maka mempunyai peluang sebagai faktor pemicu timbulnya penyakit, sehingga penatalaksanaan fokus infeksidalam rongga mulut, jika ada, dapat memberikan prognosis yang baik pada pasien. tujuan: Makalah ini akan menggambarkantinjauan mengenai HSP dan hubungannya dengan kesehatan gigi dan mulut berkaitan pengaruhnya terhadap prognosis HSP. tinjauanPustaka: Ruam sering terjadi pada anak; pasien anak dapat memperlihatkan gejala ruam setelah pemberian antibiotika. Selain itu,beberapa penyakit dapat bermanifestasi sebagai ruam, misalnya HSP. Merupakan hal yang penting bagi dokter gigi anak untuk memilikipengetahuan mengenai HSP dan mempertimbangkan perawatan atau penyakit gigi sebagai pemicu potensial. Kesimpulan: Keadaangigi dan mulut dapat merupakan pencetus serangan HSP, oleh karena itu penting bagi dokter gigi anak untuk memahami perjalananpenyakit sehingga dapat membatasi komplikasi yang terjadi.
Mozart effect on dental anxiety in 6–12 year old children Arlette Suzy Setiawan; Hilnia Zidnia; Inne Suherna Sasmita
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 1 (2010): March 2010
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.295 KB) | DOI: 10.20473/j.djmkg.v43.i1.p17-20

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Background: Children anxiety in dental treatment often becomes a barrier for dentist to perform optimum dental treatment procedure. Various methods to manage anxiety and fear in children have been applied including listening to classical music during dental treatment. One of the classical music usually used is music by Mozart. Purpose: This study is aimed to discover the role of classical music by Mozart in dental anxiety changes. Method: This study was a quasi experimental study using purposive sampling method. The samples consist of 30 children between 6-12 years old group who were treated at the Pediatric Dentistry Clinic, Dental Hospital, Faculty of Dentistry Padjadjaran University. The anxiety data was collected using Visual Analogue Scale (VAS) before and after listening on the classical music during treatment. Result: The result of this study showed that there were 23 children (76.67% of subjects) who present decreased anxiety, 7 children (23.33% of subjects) did not present decreased anxiety and none of of subjects showed increased anxiety. Conclusion: It was concluded that listening to music by Mozart during dental treatment can reduce anxiety in 6-12 year old children.Latar belakang: Kecemasan pada anak saat perawatan gigi seringkali merupakan penghalang bagi dokter gigi untuk melaksanakan prosedurperawatan gigi yang optimal. Berbagai metode untuk mengatasi kecemasan dan rasa takutpada anak telah dilakukan termasuk mendengarkan musik klasik selama perawatan gigi. Salah satu musik klasik yang banyak digunakan adalah music oleh Mozart. Tujuan: Penelitian ini ditujukan untuk menemukan peran music klasik Mozart dalam perubahan kecemasan pada perawatan gigi. Metode: Penelitian ini adalah kuasi eksperimental menggunakan metode pengambilan sampel purposif. Sampel terdiri dari 30 anak antara 6-12 tahun yang dirawat di Klinik Kedokteran Gigi Anak, Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Padjadjaran. Data kecemasan diambil dengan Visual Analogue Scale (VAS) sebelum dan setelah mendengarkan music klasik selama perawatan. Hasil: Hasil menunjukkan bahwa terdapat 23 anak (76,67% dari subjek) yang menunjukkan penurunan kecemasan, 7 anak (23,33%) tidak menunjukanperubahan kecemasan dan tidak ada (0 anak atau 0%) yang menunjukkanpeningkatan kecemasan. Kesimpulan: Disimpulkan bahwa mendengarkan musik Mozart selama perawatan gigi dapat menurunkan kecemasan di antara anak- anak usia 6-12 tahun.
Oral and dental management in children with tetralogy of fallot Arlette Suzy Puspa Pertiwi; Inne Suherna Sasmita; Yetty Herdiati Nonong
Dental Journal (Majalah Kedokteran Gigi) Vol. 40 No. 1 (2007): March 2007
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.836 KB) | DOI: 10.20473/j.djmkg.v40.i1.p42-45

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Tetralogy of fallot is one of the congenital cyanotic heart disease that is often found in children. The disorder has four features, a ventricular septal defect, aortic overriding, infundibulary stenotic, and hypertrophy right ventricular. Like other congenital heart disease, tetralogy of fallot sometimes related to fatal complications, such as bacterial endocarditis which was related to dental infections. The correct management of oral and dental conditions is important to prevent bacterial endocarditis. This paper discussed the oral and dental conditions and its management in two cases of tetralogy of fallot children.
Oral and dental aspects of child abuse Arlette Suzy Puspa Pertiwi; Inne Suherna Sasmita
Dental Journal (Majalah Kedokteran Gigi) Vol. 39 No. 2 (2006): June 2006
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.723 KB) | DOI: 10.20473/j.djmkg.v39.i2.p68-71

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Child abuse is defined as those acts or omissions of care that deprive a child from the opportunity to fully develop his or her unique potentials as a person either physically, socially or emotionally. The overall incidence of child abuse is not really clear. Statistical data do not show the actual rate because of the unreported cases. Dentists are in a strategic position to recognize and report the children being abused because they often see the child and parents interacting during multiple visits and over a long period of time. The orofacial region is commonly traumatized during episodes of child abuse. The characteristics and diagnostic finding of child abuse, and the protocol of reporting such cases, should be familiar to the dentist so that appropriate notification, treatment and prevention of further injury can be instituted. Dentists with experience or expertise in child abuse and neglect will strengthen their ability to prevent and detect child abuse and neglect and enhance the ability to care for and protect children. This paper discusses the oral and dental aspects of child abuse and the dentist role in evaluating this situation including prevention of child abuse.
The role of cervical vertebrae maturation in defining the chronological age of Down syndrome children Aggiani Dewi Rahmawati; Iwan Ahmad; Arlette Suzy Setyawan
Dental Journal (Majalah Kedokteran Gigi) Vol. 50 No. 4 (2017): December 2017
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (296.659 KB) | DOI: 10.20473/j.djmkg.v50.i4.p220-225

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Background: The difficulty of determining chronological age is increased in individuals with conditions that may affect normal development. Some systemic conditions in children, for example Down syndrome, may cause abnormal physiological maturation. Skeletal and dental age are considered the most apt physiological age indicators in determining chronological age. Purpose: This study aimed to compare and analyze the relationship between two developmental parameters (dental history and skeletal age) as indicators of the chronological age of children with Down syndrome. Methods: The study design was cross-sectional with a paired t-test to analyze the differences in chronological and dental age of the samples. The radiograph selection was based on purposive sampling. The study material consisted of 30 panoramic radiographs and lateral cephalometrics of 6-14 years old children with Down syndrome and those experiencing normal development (control group) divided into two groups of 15 subjects who attended the Pediatric Dentistry Polyclinic, RSGM, Universitas Padjadjaran. Statistical analysis employed a t-test to determine the difference between chronological and dental age, while a Spearman rank correlation was used to evaluate the correlation between dental and skeletal age. Results: The results showed there to be no statistical difference between chronological and dental age, where p > 0.05, but a significant relationship between dental and skeletal age in children diagnosed with Down syndrome, where p = 0.05. Conclusion: It is concluded that dental age identified by means of the Nolla method is closer to chronological age than skeletal age using the cervical vertebrae maturation method.
Dentoalveolar changes in post-twin block appliance orthodontic treatment class II dentoskeletal malocclusion Y Yoana; Eka Chemiawan; Arlette Suzy Setiawan
Dental Journal (Majalah Kedokteran Gigi) Vol. 50 No. 4 (2017): December 2017
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v50.i4.p211-215

Abstract

Background: The analysis of cephalometric radiographs provides information about facial skeletal structures, jaw bone-base relationships, incisive-axial inclination relationships, soft tissue morphology, growth direction and pattern, malocclusion classification and the limitations of orthodontic treatments. In class II malocclusion, the mesiobuccal cusp of the permanent maxillary first molar rests between the first mandibular molar and the second premolar. A twin block appliance is recommended to treat Class II dentoskeletal malocclusion with retrognathic mandible characteristics. Purpose: The aim of this study was to analyze the dentoalveolar alterations in class II dentoskeletal malocclusion with retrognathic mandible characteristics after orthodontic treatment with twin block appliance based on a Steiner analysis. Methods: This research constitutes a retrospective study using secondary data derived from the lateral cephalometric radiographs of patients with Class II malocclusion treated with twin block appliance at the Pediatric Dentistry Department of the Oral and Dental Hospital, Universitas Padjajaran, Bandung. The data was analyzed using a T-test for normally distributed paired data. In cases where data was not normally distributed, a Wilcoxon test was employed. Results: The average measurements showed statistically significant dentoalveolar changes among class II malocclusion patients after twin block appliance treatment when analyzed using the paired t-test based on Steiner method cephalometric radiograph analysis (p < 0.05). Conclusion: It is concluded that a twin block appliance is effective in treating class II dentoskeletal malocclusion with a retrognathic mandible based on dentoalveolar changes resulting from Steiner analysis.
Behavior management-based applied behaviour analysis within dental examination of children with autism spectrum disorder Taufiqi Hidayatullah; Hendriati Agustiani; Arlette Suzy Setiawan
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 2 (2018): June 2018
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v51.i2.p71-75

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Background: Autism spectrum disorder (ASD) is a developmental disorder with three main characteristics: communication disorders, social interaction disorders and repetitive behavior. The main problem faced when treating child patients with this disorder is the difficulty of establishing communication with the result that they are unable to understand instructions. One form of therapy frequently applied in cases of autism is that of applied behavior analysis (ABA). It is easier for children with ASD to absorb information visually. Purpose: The purpose of this study was  to evaluate the effectiveness of ABA-based behavior management using visual media in the form of picture cards for oral examination of children with ASD. Methods: The study design was observational descriptive in nature and the sample selection was based on purposive sampling. The study was conducted by observing changes in childrens’ behavior during treatment administered four times a month. The subjects were 13 children with ASD who met the study criteria and were receiving treatment for autism at Prananda special school in Bandung. The collated data related to changes in subjects’ behavior observed during four meetings assessed on the basis of score 1 confirming compliance with instructions and 0 indicating non-compliance. A Kruskal-Wallis statistical analisysis test was used to analyze the data. Results: The results showed a general increase in the former over the latter initial behavior during treatment. Statistical analysis showed that the coefficient of Kruskal-Wallis was meaningful in terms of statistical significance with a p-value of 26.947 (<0.05). The multiple comparison value for average ranks was 15.68 (SD 18.69). Conclusion: The conclusion of this study is that the application of a behavior management-based analytical methodology is effective in supporting the oral examination of children with ASD.
Effectiveness of Applied Behavior Analysis (ABA) with regard to tooth brushing in autistic children Felicia Melati; Ratna Indriyanti; Arlette Suzy Setiawan
Dental Journal (Majalah Kedokteran Gigi) Vol. 52 No. 3 (2019): September 2019
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v52.i3.p117-121

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Background: Children demonstrating autistic spectrum disorders tend to be uncooperative when receiving dental treatment. Actions as simple as brushing the teeth with a prophylactic brush can constitute complex processes for children with such conditions. Applied behavior analysis (ABA) can train children in new positive behavior and it is, therefore, anticipated that an ABA-based approach iscapable of influencing the behavior of individuals with autistic spectrum disorder. Purpose: This study aimed to assess the effectiveness of the ABA-based approach for autistic children during dental brushing procedures. Methods: The research constituted a quasiexperimental single subject investigation of children presenting autistic spectrum disorders who attended the Lembaga Pendidikan Autisma Prananda, Bandung. Potential changes in the behavior of subjects were monitored four times during treatment with a one-week interval between consultations. Those subjects satisfying the inclusion criteria consisted of 11 boys and 4 girls. The data analysis used in this study consisted of an ANOVA test and a non-parametric Kruskal-Wallis test with a p–value < 0.005. Results: Changes in scores between the initial and final consultations were statistically significant with a p-value (0.269) <0.05. Statistically significant differences existed between changes in the behavior of level 1 and level 2 autistic subjects. Conclusion: An ABA-based approach effectively changes the behavior of autistic children with regard to prophylactic brushing. Children with level 1 autistic spectrum disorder demonstrate greater capacity to follow instructions and consistently implement a prophylactic brushing technique.