Dental Health Problems Research Articles

THE EFFECTS OF SOAKING EXTRACTS OF STEMS Musa Acuminate AND LEAVES Ocimum Basilicum L. ON FLUORIDE RELEASE OF WATER SETTABLE GIC

Background: Mouthwash is a dental and oral health product that is easy to obtain and practical to use. Mouthwash is able to kill bacteria causing dental and oral health problems. Mauli banana stems and Basil leaves can be used as an alternative to natural mouthwash because they contain bioactive compounds such as saponins, alkaloids, lycopene, ascorbic acid, flavonoids, and tannins. Objective: To analyze the effect of a mixture of extracts of Mauli banana (Musa acuminate var. sapientum) stems and Basil leaves (Ocimum basilicum L.) at concentrations of 75% and 100% on fluoride ion release in the Water Settable GIC. Methods: Pure experimental design with post-test only with control group design. The number of samples consisted of 21 samples, which were divided into 3 treatment groups, and then the value of fluoride ion release was measured after 22 hours. Results: One Way Anova test showed a significant difference with p <0.05 among the treatment groups. The results of the Post Hoc Bonferroni test obtained a p-value of <0.05, which means that there was a significant difference between the control group compared to the extracts of Mauli banana stems and Basil leaves at concentrations of 75% and 100%. Conclusion: There was an effect of the mixture of the extracts of Mauli banana (Musa acuminate var. sapientum) stems and Basil leaves (Ocimum basilicum L.) at concentrations of 75%, 100%, and artificial saliva on fluoride ion release in the Water Settable GIC. Keywords: Basil Leaves, Fluoride Ion, Mauli Banana Stems, Water Settable.

The importance of dental counseling to prevent dental caries in school-age children at SD X Bekasi

Dental health problems still receive less attention. One of the targets that must be considered in maintaining dental health is the school-age children. This service activity aims to raise awareness of healthy living, build habits to be able to apply how to brush their teeth properly in school-age children in everyday life, and train them to always maintain healthy teeth and mouth. Community service methods are carried out with health counseling, demonstrations and simulations. Participants were asked to fill in pre and posttest to find out changes in knowledge, attitudes and behavior. This program succeeded in increasing children's knowledge, attitudes and behavior related to dental health. It is hoped that this program will continue to be sustainable in order to remind school-age children to take health care, especially teeth, so that optimal dental health is achieved.

Dental Health Counseling for Children in Celep, Srigading, Sanden, Bantul

Dental and oral health problems in Indonesia have a high morbidity rate. These problems can be related to a lack of dental health knowledge. Health promotion is an effort to overcome this lack of knowledge. Health promotion can be done in various ways. Health promotion carried out in children can encourage children to have the right behavior in maintaining dental health. This community service program is carried out by providing dental health education to children in Celep, Srigading, Bantul. There were 19 children who participated, aged 6 to 12 years. The effect of counseling on children's knowledge shows that there is an increase after getting dental health education using dental dolls as the media.

Adherence of Primary Care Dentists to Infection Prevention and Control Guidelines at Oral Health Services in Semarang City

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Primary care dentists are the first destination for patients having dental and oral health problems. The primary dental health service also functions as a referral filter to advanced health facilities. Implementation of Infection Prevention and Control (IPC) in primary health care facilities has not been optimal, such as surveillance is not running well, data on infection incidence in primary health care has not been collected, and there is no supervision. This study aims to analyze the adherence of primary care dentists to the Infection Prevention and Control Guidelines at dental and oral health services. The research design was descriptive-analytic research with quantitative methods based on a cross-sectional study. Data collection was conducted from November to December 2022. The sampling technique used purposive sampling with a total sample of 102 primary care dentists who had been collected from a total population of 147 primary care dentists in Semarang City. The research was conducted by filling out a closed questionnaire.<strong> </strong>Data were analyzed by Chi-Square test and logistic regression test.<strong> </strong>There were significant relationships between perception (p=0.019), attitude (p=0.000), organizational support (p=0.011), clinic owner support (p=0.004), and dental facilities and </em><em>health </em><em>infrastructure (p=0.000) with adherence of primary care dentists to the Infection Prevention and Control Guidelines, whereas knowledge (p=0.748) had no relationship with the adherence of primary care dentists to the Infection Prevention and Control Guidelines. It concludes that primary care dentists in Semarang City have good adherence to Infection Prevention Control Guideline but that guidelines have not been implemented optimally.</em><em></em></p><p><em> </em></p></td></tr></tbody></table></div><p><strong><em>Keywords: Adherence Dentist, Healthcare-Associated Infections, Infection Control</em></strong></p>

Comparative Evaluation of Dental Caries Score Between Teledentistry Examination and Clinical Examination: A Systematic Review and Meta-Analysis.

Dental caries is a common dental health problem affecting all age groups across the globe. Accurate detection and assessment of dental caries are crucial for effective treatment and preventive measures. Teledentistry, which involves remote dental assessment using digital technologies, has shown promise as a potential tool for caries screening. This systematic review and meta-analysis aims to compare the dental caries scores obtained from clinical examinations and teledentistry assessments. Literature searches were conducted across databases such as PubMed, Embase, the Cochrane Library, Scopus, the Web of Science, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycINFO by using predefined search terms and inclusion criteria. Two reviewers separately extracted the data. The study designs, evaluation techniques, dentition types, mean scores, and follow-up times of the included studies were examined. The New Castle-Ottawa Scale was used to assess the risk of bias. Review Manager (RevMan) (computer program) Version 5.4, The Cochrane Collaboration 2020, was used for the quantitative assessment of the data. Eight studies met the inclusion criteria and were included in the review. The findings revealed that teledentistry assessments (based on intraoral photographs captured using smartphones or intraoral cameras) demonstrated comparable accuracy to traditional clinical examinations in detecting and assessing dental caries. Among the four studies that were quantitatively analysed, no significant difference was noted at p = 0.09. A mean difference of 0.64 (95% confidence interval (CI): -0.10; 1.38) suggested that clinical examination and teledentistry-based checkup were on par with each other for the detection of dental caries. The New Castle-Ottawa scale (NOS) grading indicated that the studies were of good quality. Teledentistry may be an effective approach for identifying and evaluating dental caries. However, further research is required to substantiate the findings observed in the present review.

Pendidikan dan Pelatihan Komunitas WKRI Ranting Birgitta untuk Peningkatan Kesehatan Rongga Mulut

The oral cavity is a mirror of a person's health that can show local and systemic health problems. Dental and oral health problems, especially caries, periodontal disease, and cancer are reported as diseases and disorders in dental and oral health that are still experienced by the population in the world and Indonesia. It is known from a preliminary survey, that family members of WKRI community partner Ranting Birgitta have quite a lot of oral health problems but cannot freely come to the dentist for treatment during the pandemic. The aim of this community service was (1) to increase the knowledge about the problem of caries, bleeding gums, bad breath and the prevention (2) to increase the knowledge of causes and manifestations of various disorders that arise due to systemic medications and how to overcome them. The activity was carried out offline through the educational materials in the form of presentations, demonstrations, and posters to members of the WKRI community of Birgitta branches and guests, on February 5, 2023, at Grha St. Mikael, Kranji, Bekasi. A total of 43 people (32 participants and 11 PkM teams) participated in this activity. The pre-test and post-test results attended by 29 participants showed a significant increase in knowledge by 1.2 times (p<0.001) of the material presented, with an average pre-test score of 54.66 and 78.10 for the average post-test score. Overall, the activity went smoothly. It is highly suggested that similar activities can be held again with a wider scope of participants.

Relationship Between Dental and Oral Health Knowledge Levels With Toothbrushing Behavior in Former Methamphetamine Users

Misuse of methamphetamine types can cause dental and oral health problems such as meth mouth, xerostomia, periodontitis and so on. Meanwhile, based on the 2018 BNN survey, cases of methamphetamine abuse in Indonesia are still relatively high. The high level of dental and oral health problems in shabu addicts can also be caused by a lack of knowledge and behavior in maintaining dental and oral health. Therefore, this study aims to determine the level of knowledge and behavior as well as the relationship between the level of knowledge of dental and oral health with brushing behavior in former users of methamphetamine.
 This study is an analytical study using a cross-sectional design. Data was collected by distributing questionnaires containing closed-ended questions regarding dental and oral health and by observing tooth brushing behavior in 40 respondents who were undergoing rehabilitation at the Cakra Sehati Foundation, Bandung. The analytical method used is the Fisher Exact test because there are cells with an expected value of less than 5. The results show that 92.3% of respondents have a level of knowledge of oral health and tooth brushing behavior in the poor category. Fisher's Exact statistical test showed that there was a relationship between the level of knowledge of oral health and tooth brushing behavior in former methamphetamine addicts at the Cakra Sehati Foundation, Bandung (p = 0.013 < 0.05).

KNOWLEDGE AND BEHAVIOR OF BRUSHING TEETH WITH THE EXPERIENCE OF CARIES OF PEDIATRIC PATIENTS AGED 10-14 YEARS

Background: The 2018 Base Health Research results recorded 57.6% of dental and oral problems, caused by a lack of knowledge and behavior of brushing teeth properly and correctly. Children aged 10-14 are children who are vulnerable to dental and oral health problems. This study aims to determine the relationship between knowledge and behavior of brushing teeth with caries experience in pediatric patients aged 10-14 years at the dental polyclinic at Arjawinangun Hospital, Cirebon Regency. Research objective: To analyze the relationship between knowledge and behavor of brushing teeth with caries experience in pediatric patients age 10-14 years old at the dental polyclinic at the Arjawinangun Regional General Hospital. Methodology: The type of research used was quantitative research with a cross-sectional approach to 30 samples based on a purposive sampling technique. Data collection used a questionnaire to measure knowledge and behavior of brushing teeth and the DMF-T index for caries experience. Results: The study showed that 60% of the sample had moderate knowledge, 70% had moderate behavior, and 46.7% had low caries experience. Spearman correlation test results obtained p value = 0.000 meaning that there is a relationship between knowledge and behavior about brushing teeth with caries experience. Conclusion: Knowledge and behavior of brushing teeth are related to dental caries experience.

THE EFFECTIVENESS OF COUNSELING USING LECTURES AND MEDIA GUESSING PICTURES ON KNOWLEDGE AND ATTITUDES ABOUT DENTAL CARIES AT SDN MEKARSARI 03 SOUTH TAMBUN

In Indonesia, dental and oral health problems are one of the problems that people often complain about, especially among children. Based on the Basic Health Research (RISKESDAS) in 2018, the prevalence of caries in Indonesia was 88.8%, while the prevalence of caries in Indonesia for the 10-14 year age group was 73.4%. There are many cases, one of which is at SDN Mekarsari 03. Besides that, education has never been given so that it is necessary to carry out dental and oral health counseling from an early age. The purpose of the study was to determine the effectiveness of counseling using lectures and guessing media images on knowledge and attitudes about dental caries at Mekarsari 03 State Elementary School Tambun Selatan Bekasi Regency, this research was 49 students of class V using the Non-Probability Sampling technique with the type of Purposive Example. This type of research is a quasi-experimental. The results of the Wilcoxon test the difference in increasing student knowledge before and before counseling with lecture media and picture guessing have p = 0.000 < 0.05 and the difference in increasing student attitudes before and before counseling with lecture and picture guessing methods has p = 0.001 < 0.05. These results indicate that there are significant differences in students' knowledge and attitudes about dental caries before and before counseling using the lecture and picture guessing methods.

The effect of gargling with green tea extract solution (Camelia sinensis) in efforts to prevent caries incidence: A systematic review

Background: One of the main dental and oral health problems that occur throughout the world is dental caries. Cariogenic bacteria such as Streptococcus mutans and Lactobacillus acidophilus are the main microorganisms that cause dental caries. Saliva plays a significant function in maintaining optimal dental health and oral cavity especially because of its components such as pH, flow, and buffering capacity. These three components have a significant role in the initiation and development of dental caries. Gargling is one of the activities that can be done as a prevention of dental caries. Green tea contains the compound Epigallocatechin gallate (EGCG) which is a flavonoid compound that has antioxidant, anti-inflammatory, antifungal, antibacterial, and anticariogenic properties. This systematic review aims to describe the effect of gargling with green tea to prevent dental caries incidents. Method: The method used is a systematic review which is done by searching articles through Google Scholar, PubMed, and ScienceDirect. Discussion: Gargling with green tea regularly can help to increase the pH of saliva. It will help the tooth remineralization process and prevent caries. Green tea contains catechins that inhibit acid formation and reduce the work of the glucosyltransferase enzyme of Streptococcus mutans. The largest catechin content in green tea is EGCG. EGCG can reduce the quantity of Streptococcus mutans. Conclusion: Gargling with green tea is effective in preventing dental caries incidents because it contains catechins, especially EGCG, tannins, and fluoride.

Description of knowledge levels about the maintenance of dental and oral health with the occurrence of dental caries in class VI at SDN Sindangbarang 2

Knowledge is the result of knowing someone about an object or something through the senses they have. Knowledge is very influential in shaping one's actions, one of which is in maintaining dental and oral health. One of the most common dental and oral health problems experienced by the community is dental caries. Dental caries is damage to the hard tissues of the teeth starting from the tooth surface (pits, fissures and interproximal areas) to extending to the dentin and pulp and can occur on one or more tooth surfaces. The purpose of this study was to describe the level of knowledge about the maintenance of dental and oral health with the occurrence of dental caries in class VI students at SDN Sindangbarang 2. This research is a descriptive study, the sampling technique used was total sampling technique. The results of research conducted on 38 students showed that the level of knowledge about dental and oral health maintenance which was categorized as good was 17 people (44.7%), medium category was 12 people (31.6%), and less category was 9 people ( 23.7%) and the average dental caries index in students was 1.26. The conclusion of this study is that the majority of students have a good level of knowledge about dental and oral health maintenance with 17 people (44.7%) and the average dental caries index in the low category with a value of 1.26.

The Correlation Between Knowledge Levels Of Dental And Oral Health Towards Concern Of Maintaining Dental And Mouth Health Of Junior High School Students 2 Solokanjeruk

The Maintenance of dental and oral health is one of the efforts to improve body health. One of the causes, why a person is less concerned with dental and oral health problems, is the lack of knowledge about dental and oral health. Caring is one form of real action, which is done by someone in response to a problem. Based on Lawrence Green's theory, the behavior itself is influenced by predisposing factors, which include knowledge, confidence, beliefs, and attitudes. The goal of this study is to determine the relationship between dental and oral health knowledge and concern for maintaining dental and oral health among Junior High School students 2 Solokanjeruk. The research method used analytical research with a cross-sectional approach. The population of this study amounted to 146 people. The data is processed and presented in a frequency distribution table and cross-tabulation. The results of this study showed that there was no relationship between the level of dental and oral health knowledge to concern about maintaining the dental and oral health of Junior High School students 2 Solokanjeruk.

PARENTING PATTERN OF PARENTS WITH THE LEVEL OF ORAL HYGIENE FOR CHILDREN WITH MENTAL RETARDATION

Background: The most common dental and oral health problems for people with mental retardation are gum tissue disease (periodontal), cavities and irregular teeth (malocclusion). This disorder is also coupled with the difficulty of the child being able to maintain healthy oral teeth independently and the inactivity of the oral muscles to get good natural cleaning of the teeth. Efforts to realize this healthy paradigm are carried out through a family approach and a healthy living community movement involving parents, especially in the parenting style of mentally retarded children. The aim of the study: to determine the relationship between parenting style and the level of dental and oral hygiene in children with mild mental retardation at SLB Tunas Indonesia, Cibitung District, Bekasi Regency. Methods: research with a cross-sectional design, a population of 60 people, consisting of parents and children with mild mental retardation at SLB Tunas Indonesia, taking samples using the total sampling method. Data were collected by examining oral and dental hygiene in children with mild mental retardation and filling out questionnaires by parents. Data were analyzed using the Spearman rank statistical test. Results: the results show that the parenting style of parents of mildly mentally retarded children is mostly democratic parenting (70%), dental and oral hygiene (OHI-S) of mildly mentally retarded children is mostly with good criteria (66.7%), and there is a relationship between parenting style and the level of dental and oral hygiene in children with mild mental retardation (ρ value = 0.000 < α : 0.05). Conclusion: in this study it can be concluded that there is a relationship between parenting style and the level of dental and oral hygiene in children with mild mental retardation at SLB Tunas Indonesia, Cibitung District, Bekasi Regency. It is recommended for SLB Tunas Indonesia to provide health education about dental and oral hygiene to parents and mentally retarded children outside of study hours and practice directly, for example how to clean teeth and mouth properly and correctly.

KNOWLEDGE OF DENTAL AND ORAL HEALTH WITH EXAMINATION MOTIVATION TOOTH

Background: Maintaining dental and oral health is one of the efforts to improve health. One of the causes of a person ignoring his dental and oral health problems is the factor of lack of knowledge about dental and oral hygiene. Knowledge is one of the intrinstic factors that influence motivation. A person who is sick needs motivation for treatment as the main component in determining their health behavior. The purpose of the study: to determine the relationship between knowledge of dental and oral health maintenance of patients with the motivation to check their teeth at the UPTD Puskesmas Nusaherang, Kuningan Regency. Method: descriptive survey research with a cross sectional approach, a population of 38 patients to those who came to the dental poly of the Nusaherang Health Center, sampling using the accidental sampling method. Data are taken by means of the distribution of knowledge and motivation questionnaires. The data were analyzed using the chi square test. The results of the study: The level of knowledge of dental and oral health maintenance of patients who visited UPTD Puskesmas Nusaherang, Kuningan Regency, was mostly good (73.7%), patient motivation was mostly good (76.3%). The results of the correlation analysis show that there is a relationship between the patient's dental and oral health maintenance knowledge and the motivation to check the teeth (p-value = 0.000). In this study, it can be concluded that there is a relationship between knowledge of dental and oral health maintenance of patients with the motivation to check teeth at the UPTD Puskesmas Nusaherang, Kuningan Regency.

PARENTAL MOTIVATION IN THE MAINTENANCE OF DENTAL AND ORAL HEALTH WITH THE INCIDENCE OF CARIES IN CHILDREN AGED 6-12 YEARS

Background: Children are the most vulnerable group to dental and oral health problems. The cause is that children's dietary habits towards high cariogenic foods and awareness about maintaining good and correct oral health are still lacking. Meanwhile, parents, especially mothers, are less concerned about the habit of taking care of children's teeth. The habit of children not taking care of teeth is due to the lack of motivation of mothers in children to do dental prevention, this habit can cause children to experience dental caries and the impact will be very large if dental prevention is not carried out early on in children.Purpose: to find out "the relationship between parental motivation in dental and oral prevention with the incidence of caries in children aged 6-12 years at SDN Sukawening 1 Sukawening District, Garut Regency". Method: Correlative descriptive research method with the research design used is cross sectional, the number of samples is 117 people, using the slovin formula. The measuring instruments used are questionnaires and DMF-T and def-t indices.Results: The results of the statistical test obtained a significance of 0.000 while the conditions for the hypothesis were accepted, namely < 0.05, so it can be concluded that there is a relationship between parental motivation in preventing children's dental and oral health with the incidence of caries in children aged 6-12 years at SDN Sukawening 1 Sukawening Garut Distric. Conclusion: There is a relationship between parental motivation and teeth in students in grades 1-6 of SDN 1 Sukawening, Garut district. This is shown as a result of P value=0.000.

ORAL PHYSIOTHERAPY LEARNING TO THE PARENTS ON BRUSHING SKILLS OF CHILDREN WITH CEREBAL PALSY

Children with cerebral palsy are a physical development disorder that generally has problems in dental and oral health. One way to overcome dental and oral health problems is by brushing their teeth. Parents should receive oral physiotherapy lessons to help their children to clean their teeth and mouth from food residue properly. This research objective to analyse the effect of learning oral physiotherapy patient’s parents on the teeth brushing skills of children with cerebral palsy at Hasan Sadikin Hospital. The method use Quasi-experimental study and Wilcoxon Signed Rank Test with group pre and post-test design for 20 children with cerebral palsy, using purposive sampling. The results show before being given oral physiotherapy lessons, it has 90% less skills and 10% moderate skills. After being given the lessons, it increased to 75% less skills, 15% moderate and 10% good skills. The average skill before the lessons is 6.80 while after the lessons it increased to 8.75. The results showed there was an effect of learning oral physiotherapy from the patient's parents on the teeth brushing skills of children with cerebral palsy with a significant value of 0.039. There is an effect of oral physiotherapy learning on patient's parents on the teeth brushing skills of children with cerebral palsy at Hasan Sadikin Hospital. It is recommended to dental and oral therapists to carry out dental health education activities or outreach to the community with interesting methods to increase knowledge about how to maintain dental and oral health, especially children with cerebral palsy.

COUNSELING OF THE STORYTELLING METHOD WITH DENTAL PHANTOM MEDIA ON TOOTHBRUSHING SKILLS IN PRESCHOOL CHILDREN

Preschool-age children are an age group that is relatively high in caries. The prevalence of caries in preschool-aged children in 2018 was 93%. The most effective way to prevent dental health problems, especially cavities, is to brush your teeth and promote dental health using methods that are on target. Storytelling is a therapeutic process that positively and effectively influences preschoolers' learning comprehension. Storytelling helps children learn new things and creates a comfortable learning environment. This study aims to analyze the effect of counseling using the storytelling method with dental phantom media on the teeth-brushing skills of preschoolers. The type of research used is Quasi Experiment with pre and post-test design. The population in this study were 32 students of Kindergarten Islam Plus Al Haqiqi Surabaya. Methods of data collection using observation sheets. The data analysis technique uses the Wilcoxon test. The results of the study showed that counseling on the storytelling method with dental phantom media affected the teeth brushing skills of preschoolers at the Islam Plus Al Haqiqi Kindergarten in Surabaya.
 Preschool-age children are an age group that is relatively high in caries. The prevalence of caries in preschool-aged children in 2018 was 93%. The most effective way to prevent dental health problems, especially cavities, is to brush your teeth and promote dental health using methods that are on target. Storytelling is a therapeutic process that positively and effectively influences preschoolers' learning comprehension. Storytelling helps children learn new things and creates a comfortable learning environment. This study aims to analyze the effect of counseling using the storytelling method with dental phantom media on the teeth-brushing skills of preschoolers. The type of research used is Quasi Experiment with pre and post-test design. The population in this study were 32 students of Kindergarten Islam Plus Al Haqiqi Surabaya. Methods of data collection using observation sheets. The data analysis technique uses the Wilcoxon test. The results of the study showed that counseling on the storytelling method with dental phantom media affected the teeth brushing skills of preschoolers at the Islam Plus Al Haqiqi Kindergarten in Surabaya.

PENGARUH METODE SIMULASI DAN DEMONSTRASI TERHADAP KEMAMPUAN MENYIKAT GIGI PADA SISWA SDN GUE GAJAH ACEH BESAR

The proportion of Acehnese who experience dental and oral health problems is 56%, and correct brushing behavior is only 2.9%. Aceh Besar shows the prevalence of people experiencing caries which reaches 44.23% and Darul Imarah Aceh Besar Health Center based on data on visits of children 6-14 years old who came to the dental poly in 2019 with caries cases of 0.037%. The purpose of the study was to determine the effect of dental and oral health counseling with simulation and demonstration methods on the ability to brush children's teeth at SD Negeri Gue Gajah Aceh Besar Regency in 2021. This research is a quasi-experimental research design one group pretest-posttest design. The population of all grade V students of SD Negeri Gue Gajah Aceh Besar Regency is 30 students. The study was conducted on the 29th March- April 10, 2021. The instrument used is a pretest-posttest observation sheet. Results based on paired t-tests produce a p value = 0.001 (p<0.05) which means less than 0.05. Based on the research findings, it can be concluded that the use of simulation and demonstration methods in dental and oral health education has an impact on students' brushing ability.

PEMBERDAYAAN MASYARAKAT DESA MARGASARI MENUJU DESA BEBAS KARIES MELALUI PRODUK BERES (BEBAS KARIES)

Background: The Global Burden of Disease Study 2019 estimates that 3.5 billion people worldwide experience dental and oral health problems, with dental caries being the most common disease. The 2018 RISKESDAS data shows that the greatest caries prevalence is in the 5-year-old (93.4%), 12-year-
 old (68.8%), 15-year-old (68.1%), 35-44 years (92.1%) and 65 years old. -74 years (95.2%). Dental caries has an impact on the quality of life of the sufferer which can interfere with daily activities so that efforts are needed and people become more aware and care about their oral health. Method: The solution to the problem is carried out by educating the community, one of them are in Margasari, Tegal. Dental Health Education is carried out using poster media to make it more interactive, effective and efficient. Evaluation of the implementation is done by using a questionnaire. The results of the questionnaire were tabulated using SPSS with the Wilcoxon non-parametric test method. Result: wilcoxon signed rank shows that there are 0 negative ranks, 24 positive ranks, and 1 ties. Z value based on negative ranks are -4.322 Conclusion: There is an increase in knowledge of respondents after being
 given education.

Dental health education: Maintenance of dental health using flipchart media

Background: Dental and oral health maintenance is an effort to improve health. One of the reasons a person ignores dental and oral health problems is the lack of knowledge about dental and oral hygiene. Provision of dental and oral health knowledge should be given to school-age children. Efforts to increase knowledge are dental health counseling using flipchart media. Purpose: to analyze knowledge of dental and oral health maintenance before and after being given counseling using flipchart media for fifth grade students at SDN Tidung Island, 2022. Method: Pre-experimental research with pretest-posttest one group design. This research was conducted on 69 students of class V SDN on Tidung Island, who were obtained using a total sampling technique. The research instrument used a questionnaire and data analysis used the descriptive analysis. Results: The correct answers to the pre-test questions in the good category were 32 students with a percentage of 46.4%, in the sufficient category were 26 students with a percentage of 37.7%, and in the poor category were 11 students with a percentage of 15.9%. While the results of the correct answers to the post-test questions in the good category were 64 students with a percentage of 92.2%, the sufficient category was 5 students with a percentage of 7.2%, and the poor category was 0 with a percentage of 0%. Conclusion: there is a change in students' knowledge after being given dental health education using flipchart media.
 Keywords: flipchart media, knowledge, dental health education.