Jurnal Medali
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Evaluation Of A Web-Based Teledentistry Application As An Assessment And Follow-Up For Oral And Maxillofacial Surgery Patients Using The Sus (System Usability Scale) Method
Background: Teledentistry is an innovation in web-based dental health services that enables dentists and patients to communicate remotely without direct contact. This application plays an essential role in the assessment and follow-up of oral and maxillofacial surgery patients. This study aimed to evaluate the usability level of a web-based teledentistry application using the System Usability Scale (SUS) method.Method: This study was a descriptive observational research with a non-experimental case study approach. Data were obtained using a SUS questionnaire consisting of 10 Likert-scale questions assessing three main aspects: effectiveness, efficiency, and user satisfaction toward the RamahCLP web application.Result: The results showed that the web-based teledentistry application achieved a good usability score, categorized as “acceptable,” indicating that users could easily understand and operate the application for assessment and follow-up needs.Conclusion: It can be concluded that the RamahCLP web-based application has good usability and has the potential to effectively support teledentistry services
JKN Patient Satisfaction Analysis Based on Reliability Dimension at Islamic Dental Hospital and the mouth (RSIGM) of Sultan Agung Semarang
Background: Patient satisfaction is one of the indicators of service quality that is greatly influenced by the level of patient satisfaction to get more patients. Patients will give good references or assessments to others on the quality of health services received. Patients will always choose quality health services, according to their needs, can meet their expectations and desires. Objective: This study aims to determine the reliability dimension of the satisfaction level of JKN patients at the Islamic Dental and Oral Hospital (RSIGM) SA Semarang. Methode: This study applied of descriptive observational research (case study) using an accidental sampling technique of 97 respondents. The research instrument used a questionnaire consisting of 8 items of reliability dimension questions on JKN patient satisfaction. The research instrument used was the distribution of questionnaires offline. The test of research results uses validity, reliability, and descriptive tests. Results: The study used a validity test with an interval value of 0.361 from all reliability dimension questions with a total value of >0.6. The quality of service in the reliability dimension on JKN patient satisfaction at RSIGM SA Semarang has a correlation coefficient value of 0.896. Conclusion: There is an overview of the application of the reliability dimension to the level of satisfaction of JKN patients. The better the application of the reliability element that is applied, the better the level of patient satisfaction will be given
EFFECT OF TEA TREE (MELALEUCA ALTERNIFOLIA) GEL ON FIBROBLASTS, BLOOD VESSELS AND COLLAGEN POST-EXODONTICS
Background: Dental exodontics cause wounds to the surrounding tissue where the exodontic procedure was performed. The wound healing process is influenced by the formation of new blood vessels, fibroblast and collagen. Tea-tree has anti-inflammatory and antibacterial properties that can support the wound healing process. Objective: This study aims to determine the effect of tea tree get application on the number of blood vessel cells, fibroblasts, and collagen in post-exodontic sockets of male wistar rats. Research Methods: This study use a true experimental laboratories design with a post test - only control group design with a sample of 27 male Wistar rats which were divided into 9 groups, each group of which had 3 male Wistar rats and then added a reserve of 1 head of each group so the total sample and the reserve amounted to 36 heads. Exodontics were performed on the maxillary left central incisor to facilitate field view and reduce the risk of rat death. The concentration of tea tree gel used was 5%. The number of blood vessel cells, fibroblast and collagen density were observed and counted on days 3, 5 and 7 then the average was taken. Result: the result showed that the mean number of fibroblast cells, blood vessels and collagen density increased from day 3,5 and 7. Conclusion: it can be shown that the application of tea tree gel can increase fibroblast cells, blood vessels and collagen density in post-exodontic socket of male Wistar rats, thus accelerating the wound healing process
Methisoprinol (Inosine Pranobex) for Mumps During a Local Outbreak: Findings from a Descriptive Single-Center Study
Background: Mumps is an acute infectious disease caused by the paramyxovirus, commonly found in many countries. In 2024, mumps outbreaks were reported globally, with significant cases in India (18,158), the USA (328), the Netherlands (578), and Indonesia (413). The current treatment guidelines for mumps are paracetamol or ibuprofen for pain relief. Purpose: To describe clinical profiles and outcomes of mumps patients treated with methisoprinol in a single-center cross-sectional study. Methods: A descriptive cross-sectional study of mumps patients treated with methisoprinol was conducted at the Islamic Dental Hospital Sultan Agung, Semarang, using retrospective data from August to December 2024. Mumps was defined by the WHO's clinical definition of parotid gland swelling. Results: Among 35 mumps patients, there was an almost equal gender distribution, with most being under 18. The majority had a history of febrile illness, used symptomatic medication, and lacked MMR vaccination history. There was a significant difference in the duration of parotitis before and after methisoprinol medication. Factors like sex, age, parotitis location, and MMR vaccination history did not significantly affect recovery time. Conclusion: Methisoprinol significantly reduced the duration of parotitis, while sex, age, parotitis location, and MMR vaccination history did not significantly influence recovery time
AN OVERVIEW OF THE TOTAL NUMBER OF SALIVARY BACTERIA BASED ON THE NUTRITIONAL STATUS OF CHILDREN
Background: A person's nutritional status can affect oral health where socio-economic status had a close relationship with the nutritional fulfillment. About 34% of the population of Bandarharjo North Semarang Village is unemployed, which requires monitoring the nutritional status of children in the area. Nutritional status can affect the risk of caries in children, where the lower a person's nutritional status, the higher the risk of caries. This study aimed to determine the total number of salivary bacteria based on the nutritional status of children aged 5-12 years at SDN Bandarharjo 02.Method: This study used descriptive observations, by taking 2-5 ml of unstimulated saliva in 100 children aged 5-12 years who had been measured nutritional status based on BMI/A. The saliva samples obtained were then counted for total bacteria with a colony counter. Data was analyzed using univariate analysis.Result: The results showed that from 100 children aged 5-12 years, the average total number of bacteria was 43.76 ± 43.22 CFU/ml. The total number of bacteria in 22 children with overweight status was 45.95 ± 18.78 CFU/ml, 62 children with normal status 37.51 ± 42.47 CFU/ml, 16 children with thinnes status 64.93 ± 62.04 CFU/ml.Conclusion: Based on the results of the study, he highest total number of bacteria was found in the group of children with thinnes statu
MANAGEMENT OF LOCAL ANAESTHESIA FOR DENTAL PROCEDURES IN HYPERTENSIVE PATIENTS: A REVIEW OF THE LITERATURE
Background: Hypertension is a major global health issue with a high prevalence and is often a risk factor for various cardiovascular complications such as coronary artery disease, stroke, and heart failure. Hypertensive patients who are uncontrolled or have other comorbidities tend to be more susceptible to hemodynamic changes during induction, maintenance, and recovery from anesthesia. Method: The materials and methods of this study were derived from various literatures regarding anesthesia in hypertensive patients. The literature was obtained from journals, sourced from Google Scholar. The articles were from the years 2021 to 2024. Result: Optimal blood pressure control before the procedure is crucial to prevent serious complications, such as stroke or myocardial infarction. During anesthesia induction, the choice of anesthetic agents must be tailored to the patient's condition to avoid excessive blood pressure reduction, and close monitoring should be performed throughout the procedure. After surgery, it is important to continue careful blood pressure management and ensure safe recovery to prevent long-term negative health impacts on hypertensive patients
COMPARATIVE ANALYSIS OF BONDING SYSTEMS FOR QUARTZ FIBER POSTS IN ROOT DENTINE
Background: The success of bonding quartz fiber posts to root dentin hinges on various factors, including the bonding system. This experimental study aimed to investigate pull-out bond strength (PBS) of quartz fiber post toward root denting using different adhesive systems.Method: Thirty six human teeth (n=12) were embedded in acrylic resin blocks. Crowns were sectioned, leaving the root portion 20mm in length. Root canals were treated with standard endodontic protocols using the rotary instrument, obturated with gutta percha, and prepared for post cementation, leaving a 4mm apical seal. Root canals were prepared uniformly. After simple randomization, samples were divided into three groups according to the adhesive systems (Allcem core dual resin, NOVA resin self-adhesive, and GC FUJI Luting & Lining). Cementation procedures followed to manufacturer instructions. Post cementation was tested for PBS using a Universal Testing Machine (TN20 MD) until the posts were detached. Data were analyzed using the Kruskal-Wallis and Mann-Whitney U post hoc test (α=0.05)Result: The Kruskal-Wallis test indicated significant differences among the groups (P < 0.001), with GC FUJI Luting & Lining showing the significantly lowest PBS.Conclusion: Different cementation materials exhibit varying bond strengths. GC FUJI Luting & Lining provided inferior bond strength, making it the least recommended choice for bonding quartz fiber posts to root dentin
The Correlation Between The Quality Of Mobile Dental Services And Brand Image Of Dental And Oral Hospital Jenderal Soedirman University
A decline in patient visits, reduced satisfaction with hospital services, and the limited use of services by the UNSOED academic community highlight ongoing challenges in shaping the public image of RSGMP UNSOED. In response to these issues, the hospital introduced a mobile dental unit, an innovative outreach initiative that functions both as an extension of its services and as a representation of its commitment beyond the hospital walls. At the heart of building a positive image lies the quality of service delivered, which ultimately shapes how the hospital is perceived by the public. This study aimed to examine the correlation between the quality of mobile dental services and the brand image of RSGMP UNSOED. To achieve this objective, a quantitative study with a cross-sectional design and a total sampling technique was conducted involving 53 respondents who received services from the mobile dental unit between July and August 2024. Service quality was measured using the five SERVQUAL dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Meanwhile, brand image was assessed through indicators of brand strength, brand favorability, and brand uniqueness. Data were collected through validated questionnaires and analyzed using chi-square tests, Fisher’s exact test, and multinomial regression. The analysis showed that all service quality dimensions had significant correlations with brand image, with p-values for tangibles (0,004), reliability (0,000), assurance (0,002), responsiveness (0,002), and empathy (0,000). Among these, empathy emerged as the most influential factor. In conclusion, there is a significant correlation between the quality of mobile dental services and the brand image of RSGMP UNSOED. Improving the quality of this service can play an essential role in strengthening the hospital’s public image
Comprehensive Analysis of Oral Health-Related Quality of Life (OHRQoL) in Periodontitis Patients: Evaluating the Impact of Non-Surgical and Surgical Periodontal Therapy
Introduction: Periodontitis is a chronic inflammatory condition that affects the supporting structures of the teeth. Due to its often asymptomatic progression in early stages, timely diagnosis is frequently challenging.Objective: This study aimed to assess the impact of non-surgical and surgical periodontal treatments on the Oral Health-Related Quality of Life (OHRQoL) among individuals diagnosed with periodontitis.Methods: An observational analytic study with a cross-sectional design was conducted using a pre-test and post-test group approach. The study involved 100 patients aged 18–60 years who met predefined inclusion and exclusion criteria and underwent periodontal therapy either non-surgical or surgical at Sultan Agung Islamic Dental and Oral Hospital (RSIGM) between August and December 2024. The OHIP-14sp questionnaire was used to measure OHRQoL across seven domains using a Likert scale. Data were analyzed using descriptive statistics and paired t-tests to evaluate differences between pre- and post-treatment scores.Results: A marked reduction in OHIP-14sp scores was observed across all domains following treatment. The most pronounced improvements occurred in the domains of social disability (−46.2%) and functional limitation (−45.1%). Overall, the total OHIP-14sp score improved by 43.9%. All domains exhibited statistically significant differences between baseline and follow-up scores (p < 0.001). Conclusion: The findings indicated that both non-surgical and surgical periodontal therapies contributed significantly to enhancing patients’ quality of life by alleviating physical discomfort and improving psychological and social well-being
Perceptions of people with hiv/aids towards stigma in performing oral health services
Background: HIV/AIDS sufferers have many negative influences in their lives, such as experiencing problems of stigma and discrimination in their lives. Stigma is bad prejudice, and discrimination is unfair treatment of fellow humans. Prejudice and discriminatory behavior on the part of dental health care providers constitutes a significant barrier to normal dental health care for people living with HIV/AIDS. This study aims to determine the perceptions of people with HIV/AIDS regarding stigma in providing dental and oral health services. Method: This research method is a descriptive observational type which consists of two variables, namely the independent variable perception and the dependent variable stigma. The population of this study was carried out on HIV/AIDS sufferers at the Islamic Dental and Oral Hospital Semarang who had received dental and oral health services with 70 respondents as research subjects. Respondents filled out the questionnaire in a structured manner. In addition to sociodemographic variables, perceptions of public and private dental services and professionals were evaluated, as well as perceived stigma related to HIV/AIDS, via a Likert-type scale. Statistical evaluation using descriptive statistics to see the mean, median and mode values. Result: The results of the research show that people with HIV/AIDS have a good perception of stigma so that people with HIV/AIDS when providing dental and oral health services feel very comfortable because there is no stigma and discrimination they experience. Conclusion: It can be concluded that Perceptions of people living with HIV/AIDS regarding stigma in providing dental and oral health services, respondents have good perceptions regarding stigma and discrimination in health services