The main duty of the dental nurse at health center are planning, preparing and doing service of tooth and mouth healthy in individual, group, and society in healthy facility include at health center. Looked on the important of service target achievement of dental and mouth healthy, so the main duty of the dental nurse must be optimal. This unsuccessful show by the national survey result riskedas Bali, that is low number of tooth defence that only reach 42,4 %, resident that have care by medical only 1,7 %. Konseling care/ clean of the tooth only 12,7 %. Besides resident’s behavior on caring of the tooth and mouth cleaness is in low number that show by the percentage of the residents that in 10 years old which brushes teeth everyday are 82,2 %, but that brushes their teeth with the right way and time only 16%. Low number of optimalization when do the main duty dental nurse caused by un knowledge the dental nurse of their main duty. Dental nurse, know about their main duty but not do it, and there are no straightening of the regulation. The way to optimalize main duty of dental nurse in the health center are motivate for the next study and serve exercise of dental and mouth healthy to the dental nurse that passed the SPRG, make a rule about do the main duty in the health center, assesmant functional credits number of the dental nurse must be fixed, and doing a meeting between the of PPGI, of PDGI, school institution, health center and Dinkes for talk about the realization of dental nurse’s main duty and rebuild the format ricord of dental care service in health center. Optimal of the main duty of dental nurse will support the reach of Millennium Dielopment Goals (MDG’s)
Toothache is an acute pain condition that requires immediate treatment. One of the herbal ingredients to treat toothache is frangipani flower sap because it is believed to contain anti-pain compounds such as alkaloids, tannins, flavonoids and tritepenoids which also function as antibiotics. Scientific evidence regarding the safety and effectiveness of using frangipani flower sap must be known so that the author is interested in writing "Is frangipani flower sap effective for overcoming tooth pain during the covid-19 pandemic?" The purpose of this study was to determine the effectiveness of frangipani flower sap on tooth pain during the covid-19 pandemic. Research method with literature study. By reviewing various previous research results that already exist, both from books and journals that are relevant to the problem, then they are discussed and conclusions are made. This research was conducted in 2021. Results and discussion, Sriwarthini NLPN et al., 2017 research results found that all concentrations of frangipani sap ethyl acetate extract ranging from 5, 20, 35, 50 and 65% were effective in inhibiting the growth of pathogenic fungi and forming an inhibition zone included in very strong category. The results of the research by Sukarjati, 2013 showed that the concentration of frangipani sap extract had a significant effect (P0.05) on the growth of S. aureus. The highest power of frangipani sap extract on the growth of S. aureus was obtained at a concentration of 25%. The results of Heyne's research, 1987 The frangipani sap is useful as a pain reliever due to cavities, treats swollen gums and can ripen ulcers. The results of the research by Sulistyarsi, 2012 showed that there were differences in the inhibition zone of frangipani leaf extract against S. aureus p value = 0.01 0.05. In the inhibition test, better results were obtained against Staphylococcus aureus bacteria with the lowest concentration of 25% and the inhibition zone of 23.66 mm. Sirisha, 2014 frangipani sap extract has analgesic and antibacterial and antifungal effects. The frangipani extract contains alkaloids, flavonoids, saponins, steroids, tannins, glycosides and carbohydrates. Flavonoids and tannins dictate the role of pain inhibitors. This mechanism is driven by its effect as a prostaglandin inhibitor. The presence of active compounds in frangipani sap can reduce nociceptor activity on the tooth surface so that it can temporarily reduce pain. The conclusion is that frangipani flower sap is a safe, inexpensive and effective alternative to toothache treatment for treating acute toothache without complications in patients during the COVID-19 pandemic era.
The 6th highest diseases that occur in Indonesian society include dental caries and periodontitis caused by dental plaque which is a breeding ground for bacteria such as Streptococcus mutants and Phorphyromonas gingivalis. The purpose of this study was to determine the effectiveness of chitosan on levels of Interleukin-6 and Malondhyaldehyde (MDA), as an anti-inflammatory marker using the Elisa test. The research method was a true experimental randomized posttest only control group design, with 3 treatment groups namely control, 2% chitosan gel, and 100mg/200g/bb of chitosan orally in 15 Wistar rats with periodontitis induced by Phorphyromonas gingivalis bacteria. The results showed that the mean levels of Interleukin-6 and Mallondhyaldehyde were significantly different (p<0.05) between the control group, chitosan gel treatment, and oral chitosan administration Interleukin-6 levels were the highest in the chitosan gel (8.3091±1.25570), the control average (5.8523±0.51512), the lowest oral average (3.2563±1.45952). Similarly, Mallondhyaldehyde levels were highest in the gel group (2.8850±0.19353), control group (2.2284±0.00914), and oral group (1.2943±0.60280).). Based on these results, oral chitosan was the most effective in the treatment of periodontitis.
To keep the dental and oral cleanliness is one of effort to prevent the dental and oral disease. The objective of this research is to know the influence optimalization role of little dentists in Early Detection of Teeth Program to lower Oral Hygiene Index Simplified score of students in Elementary School in Batuan Villages, Sukawati Sub district, Gianyar Regency in 2019.The research is quasi experimental with pre and post test design. The research will do June 2019. The population in this research is all students in Elementary School in Batuan Villages, Sukawati Sub district, Gianyar Regency. This research use 106 respondents. The data will analyze with paired t-test, to know the influencing of Early Detection of Teeth Program by optimalization role of little dentists to lower Oral Hygiene Index Simplified score of students in Elementary School in Batuan Villages, Sukawati Sub district, Gianyar Regency.The results of this research shows that before optimalization role of little dentists in Early Detection of Teeth Program, majority (80 peoples: 75.4%) students with OHI-S in middle criteria, and there are 3 peoples (2.83%) with poor criteria. After optimalization role of little dentists in Early Detection of Teeth Program, majority (79 peoples: 74.53%) students with OHI-S in good criteria, and there is not with poor criteria. The results of analyze with Paired Samples Test shiows that there is influence optimalization role of little dentists in Early Detection of Teeth Program to lower score of OHI-S with the value of significance lower than 0.005.The conclusion of this study is optimalization role of little dentists in Early Detection of Teeth Program has influence to lower score of OHI-S of students in Elementary School in Batuan Villages, Sukawati Sub district, Gianyar Regency in 2019. Based on the results of this study recommend that all the elementary schools need to train the little dentist.
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