The Relationship Between Tooth Brushing Behaviour and Oral Hygiene Status in the Elderly in Bantul District Yogyakarta

Authors

  • Sri Utami Dental Public Health, Faculty of Dentistry, Universitas Muhammadiyah Yogyakarta https://orcid.org/0000-0002-6204-360X
  • Elvaretta Angie Claresta Faculty of Dentistry Universitas Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.31983/jkg.v12i1.12627

Keywords:

Elderly, Behavior, Oral hygiene

Abstract

Background: The elderly population in Indonesia is estimated to increase to 2.1 billion by 2050. The increase in the number of elderly people causes an increase in problems due to aging. The elderly experience decreased cell function which cases physical limitations, especially in brushing their teeth. Tooth loss can also reduce the motivation of the elderly to brush their teeth. Physical limitations and decreased motivation affect tooth-brushing behavior, resulting in poor oral hygiene status. Other conditions that cause poor oral hygiene in the elderly are systemic diseases and medication use. Purpose: To determine the correlation between tooth brushing behavior and oral hygiene status in the elderly in Bantul in 2024 (Study at the Budi Luhur Nursing Home and the Madania Foundation). Method: This type of research is observational analytic with a cross-sectional design. This study took place in July 2024 and the research subjects were 42 people aged ≥ 60 years selected using total sampling. Tooth brushing behavior was measured using a questionnaire of knowledge, attitudes, and actions while oral hygiene status was measured using the Oral Hygiene Index Simplified (OHIS). Data analysis used the Chi-Square test. Result: The study found a significant correlation (p<0,05) between tooth brushing  knowledge, attitude, action, and behaviour toward oral hygiene status. Conclusion: There is a correlation between tooth brushing knowledge, attitude, action, and behavior toward oral hygiene status in the elderly in Bantul Yogyakarta (Study at Budi Luhur Nursing Home and Madania Foundation)

References

R. W. Basrowi, E. M. Rahayu, L. C. Khoe, E. Wasito, and T. Sundjaya, “The Road to Healthy Ageing: What Has Indonesia Achieved So Far?,†Nutrients, vol. 13, no. 10, p. 3441, Sep. 2021, doi: 10.3390/nu13103441.

P. A. Razak, K. M. J. Richard, R. P. Thankachan, K. A. A. Hafiz, K. N. Kumar, and K. M. Sameer, “Geriatric Oral Health: A Review Article,†Journal of International Oral Health.

S. Koistinen, K. Ståhlnacke, L. Olai, A. Ehrenberg, and E. Carlsson, “Older people’s experiences of oral health and assisted daily oral care in short-term facilities,†BMC Geriatr, vol. 21, no. 1, p. 388, Dec. 2021, doi: 10.1186/s12877-021-02281-z.

H. Islas-Granillo et al., “Self-reported oral hygiene practices with emphasis on frequency of tooth brushing: A cross-sectional study of Mexican older adults aged 60 years or above,†Medicine, vol. 99, no. 36, p. e21622, Sep. 2020, doi: 10.1097/MD.0000000000021622.

S. Pengpid and K. Peltzer, “The prevalence of edentulism and their related factors in Indonesia, 2014/15,†BMC Oral Health, vol. 18, no. 1, p. 118, Dec. 2018, doi: 10.1186/s12903-018-0582-7.

M. J. Batista, H. P. Lawrence, and M. D. L. Rosário De Sousa, “Impact of tooth loss related to number and position on oral health quality of life among adults,†Health Qual Life Outcomes, vol. 12, no. 1, p. 165, Dec. 2014, doi: 10.1186/s12955-014-0165-5.

S. Grover and N. Malhotra, “Depression in elderly: A review of Indian research,†J Geriatr Ment Health, vol. 2, no. 1, p. 4, 2015, doi: 10.4103/2348-9995.161376.

A. K. Y. Chan, M. Tamrakar, C. M. Jiang, E. C. M. Lo, K. C. M. Leung, and C.-H. Chu, “Common Medical and Dental Problems of Older Adults: A Narrative Review,†Geriatrics, vol. 6, no. 3, p. 76, Aug. 2021, doi: 10.3390/geriatrics6030076.

J. Gil-Montoya, A. L. Ferreira De Mello, R. Barrios, M. A. Gonzalez-Moles, and M. Bravo, “Oral health in the elderly patient and its impact on general well-being: a nonsystematic review,†CIA, p. 461, Feb. 2015, doi: 10.2147/CIA.S54630.

M. A. Nazir, “Prevalence of periodontal disease, its association with systemic diseases and prevention,†International Journal of Health Sciences, vol. 1, no. 2, 2017.

S. Utami and Yulianti, “Oral Health-Related Quality of Life and Dental Caries Status Among Elderly People in Bantul Yogyakarta Indonesia: A Cross-Sectional Study:,†presented at the 4th International Conference on Sustainable Innovation 2020–Health Science and Nursing (ICoSIHSN 2020), Yogyakarta, Indonesia, 2021. doi: 10.2991/ahsr.k.210115.059.

S. Sariyem, S. Sadimin, S. Suwarsono, and A. Amiruddin, “Assistance And Prevention Of Non-Communicable Diseases (Ncds) Through Dental And Oral Health Maintenance In The Elderly Posyandu Group In Semarang City (Community Service Results),†jkg. jurnal. kesehatan. gigi, vol. 11, no. 1, pp. 62–65, Jun. 2024, doi: 10.31983/jkg.v11i1.10670.

M. T. Rajeh, “Gender Differences in Oral Health Knowledge and Practices Among Adults in Jeddah, Saudi Arabia,†CCIDE, vol. Volume 14, pp. 235–244, Aug. 2022, doi: 10.2147/CCIDE.S379171.

M. Abe, A. Mitani, K. Hoshi, and S. Yanagimoto, “Large Gender Gap in Oral Hygiene Behavior and Its Impact on Gingival Health in Late Adolescence,†IJERPH, vol. 17, no. 12, p. 4394, Jun. 2020, doi: 10.3390/ijerph17124394.

F. M. F. Wong, “Factors Associated with Knowledge, Attitudes, and Practices Related to Oral Care Among the Elderly in Hong Kong Community,†IJERPH, vol. 17, no. 21, p. 8088, Nov. 2020, doi: 10.3390/ijerph17218088.

D. Cheruvathoor, V. Thomas, N. Kumar, and M. Jose, “High prevalence of oral mucosal lesions in elderly: Call for revolutionizing geriatric dental care strategies,†J Family Med Prim Care, vol. 9, no. 8, p. 4375, 2020, doi: 10.4103/jfmpc.jfmpc_51_20.

X. Che, M. Sohn, S. Moon, and H.-J. Park, “Relationship between Precarious Employment and Unmet Dental Care Needs among Korean Workers: A Longitudinal Panel Study,†Medicina, vol. 58, no. 11, p. 1547, Oct. 2022, doi: 10.3390/medicina58111547.

Aisyah Ar, Hasrini Hasrini, Amirah Maritsa, Zahrawi Astrie Ahkam, Fidzah Nurfajrina Murad, and Arfiah Jauharuddin, “Faktor – faktor yang Berhubungan dengan Kebersihan Gigi dan Mulut pada Lansia,†JPM, vol. 1, no. 6, pp. 160–170, Nov. 2023, doi: 10.61132/obat.v1i6.692.

A. Sosiawan et al., “The relationship between parents’ oral hygiene knowledge and children with Down Syndrome’s oral hygiene via OHI-S [version 2; peer review: 2 approved],†2022.

D. A. Aulia, I. Hatta, and G. D. Sari, “HUBUNGAN PENGETAHUAN, SIKAP DAN TINDAKAN KESEHATAN GIGI DAN MULUT TERHADAP

Oral Hygiene PADA SISWA SMP (Tinjauan Pada Siswa Kelas 1 di SMPN 1 Alalak Kabupaten Barito Kuala),†Dentin, vol. 5, no. 2, Jul. 2021, doi: 10.20527/dentin.v5i2.3788.

E. T. Isomura et al., “Not brushing teeth at night may increase the risk of cardiovascular disease,†Sci Rep, vol. 13, no. 1, p. 10467, Jun. 2023, doi: 10.1038/s41598-023-37738-1.

A. R. Hoeksema, L. L. Peters, G. M. Raghoebar, H. J. A. Meijer, A. Vissink, and A. Visser, “Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death,†Clin Oral Invest, vol. 21, no. 7, pp. 2189–2196, Sep. 2017, doi: 10.1007/s00784-016-2011-0.

L. B. Ortíz-Barrios, V. Granados-García, P. Cruz-Hervert, K. Moreno-Tamayo, E. Heredia-Ponce, and S. Sánchez-García, “The impact of poor oral health on the oral health-related quality of life (OHRQoL) in older adults: the oral health status through a latent class analysis,†BMC Oral Health, vol. 19, no. 1, p. 141, Dec. 2019, doi: 10.1186/s12903-019-0840-3.

M. S. Lipsky, T. Singh, G. Zakeri, and M. Hung, “Oral Health and Older Adults: A Narrative Review,†Dentistry Journal, vol. 12, no. 2, p. 30, Feb. 2024, doi: 10.3390/dj12020030.

C. Girestam Croonquist, J. Dalum, P. Skott, P. Sjögren, I. Wårdh, and E. Morén, “Effects of Domiciliary Professional Oral Care for Care-Dependent Elderly in Nursing Homes – Oral Hygiene, Gingival Bleeding, Root Caries and Nursing Staff’s Oral Health Knowledge and Attitudes,†CIA, vol. Volume 15, pp. 1305–1315, Aug. 2020, doi: 10.2147/CIA.S236460.

I. M. Khan, S. A. Mani, J. G. Doss, M. Danaee, and L. Y. L. Kong, “Pre-schoolers’ tooth brushing behaviour and association with their oral health: a cross sectional study,†BMC Oral Health, vol. 21, no. 1, p. 283, Dec. 2021, doi: 10.1186/s12903-021-01643-8.

E. Dolińska et al., “Periodontitis-Related Knowledge and Its Relationship with Oral Health Behavior among Adult Patients Seeking Professional Periodontal Care,†JCM, vol. 11, no. 6, p. 1517, Mar. 2022, doi: 10.3390/jcm11061517.

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Published

2025-12-16

Issue

Vol. 12 No. 2 (2025): December 2025

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Articles

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