IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 24, Issue 6 Ser. 1 (June. 2025), PP 54-56
www.iosrjournals.org

Analisis Of Dental Treatment Needs With The

Availability Of Dental Services Provided By Kalisat
Comminity Health Center
Dwi Prijatmoko, Sulistyani, Kiswaluyo, Dyah Setyorini, Agus Sumono,
Harist Al Barik
Fakultas Kedokteran Gigi, Universitas Jember, Jember-Indonesia

Abstract
Introduction. Based on Ministry of Health Constitution Law Number 36 of 2009 concerning Health,
Community Health Centers called as community health centers are first-level health services facilities that
organized and promotive, preventive, curative, rehabilitative and palliative health services by prioritizing
promotive and preventive in their working areas.
Aim of the study. The aim of this study was to analyze the relationship between type and the availability of
dental health services provided by the KALISAT community health center with the patients need for dental
services.
Methods. In this analytical observational study, all data regarding dental treatments on patient visited the
dental clinic, including the number of visits and types of treatment performed at the dental clinic throughout
2023 were collected. Data on patient visits were grouped into two categories, with and without doctor action.
Bivariate analysis was used in the analysis.
Results. Total of 2490 patient visits to the dental clinic of Kalisat community health center have been recorded.
Number of without action treatment category higher (53.2%) in comparation with that of with action treatment
category (46.8%). Within with action treatment category, the highest action performed by doctor was primary
teeth extraction (20%), followed by pre-medication relief of pain (11,1%) and filling class 1 with Glass Ionomer
Cement (11,2%). While extraction of permanent teeth was only performed in 3% of total patient visits.
Conclusion. Services without action category were mostly carried out at the Kalisat community health center
mainly due to referral from internal clinic with community health center. Primary tooth exstraction were mostly
available action treatment in dental clinic at the Kalisat Community Health Center in 2023.
Keywords: The patient’s need, availability of dental treatment, Comunity Health Center
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Date of Submission: 23-05-2025 Date of Acceptance: 03-06-2025
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I. Introduction
The healthcare structure in Indonesia is made up of private and public healthcare facilities. In the
public sector, healthcare facilities are under the tree tiers of Indonesian government. In local government areas
is the Comunity Health Center or as know as The community health center. In the private sector, they are
broadly categorized into those that provide primary care, those that provide secondary care and those that
provide primary and specialist care. Improving basic health services by the Indonesian government is one of the
efforts to increase public access to a beter quality health services. In Indonesia, the community health centre
whish is was developed by the government as to provide basic health service facilitis that is directly involve
with the community.
According to the Ministry of Health Regulation number 43 of 2019, the principle of organizing the
community health center is to include a healthy paradigm, regional accountability, community independence, as
well as the availability of access to health services with appropriate technology and integration within health
system and also a sustainability of the programs1.
Comunity Health Centerare functional organizations that are comprehensive, integrated, evenly
distributed, acceptable and affordable to the community in one work area. Implicitly, Comunity Health Centeris
a technical implementing unit of the district/city Health Service activities that directly engages with the
community2. Comunity Health Centerfunctions as a center for implementing health services, a center for driving
health development, and a center for community empowerment in the health sector. Preferences are part of an
individual's decision-making component. Individual features of decision-making include perceptions, attitudes,
and values. Yu et al. (2017) reported that patients' healthcare-seeking preferences were mainly influenced by

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 Analisis Of Dental Treatment Needs With The Availability Of Dental Services Provided.........

healthcare providers' characteristics, illness severity, and sociodemographic characteristics 3.

The form of service provided by the community health center is comprehensive, namely health
services that include promotive, preventive, curative, and rehabilitative aspects. All health center functions
cover the work area of each health center. Health center categories are classified based on regional
characteristics and implementation capabilities. Health centers have a work area and are responsible for all
aspects of public health in their work area 4. The work area of the health center includes an administrative work
area, namely one or part of a sub-district, so that it is possible for there to be more than one health center in one
sub-district.
The community health center is obliged to carry out technical guidance for the Health Center network
and the Health Center network such as the First Health Facilities and community based health efforts in its area.
is the most important part of human life, physically and mentally healthy. Health that needs to be considered in
addition to general body health, also dental and oral health, because dental and oral health can affect overall
body health. In other words, dental and oral health is an integral part of overall body health that cannot be
separated from general body health2.
The purpose of health development by community health center is to reach the the highest possible
level of public health. This is in line with the mission of the Health Center. Health development carried out in
community health center as the Health Center is aimed to reach a healthy work area around the working areas of
community health center leading to a community that has healthy behavior that includes awareness, willingness,
and ability to live healthily, a momunity that is able to access quality Health Services and able to live in a
healthy environment and at the end, a community that has an optimal level of health, both individuals, families,
groups, and communities.
However, the community health center is expected to provide promotive healthcare. Healthcare
services can be started by providing health education to include healthy diet, good food eating behavior such as
explained the food pyramid. community health center is also expected to provide primary care such as dental
health education programs. Cleaning plaque and teeth brushing techniques should also be delivered actively to
the community. Regular visits to the dentist every six months should also be explained4.

II. Method
This is an analytical observational study. This research was conducted in Kalisat Community Health
Center, Jember, East Java. Data were collected in May 2024. This study used primary data sources obtained
directly from the Community Health Center.This study uses dental care data at the Kalisat Health Center in
2023. Data on patient visits to the dental clinic are grouped into two categories of care, (1) without action and
(2) with action. Without action consists of 3 sub-categories (a) Examination and consultation only, (b)
Prescription only, (c) consulted to the hospital, while with action consists of 5 sub-categories (a) premedication
(b) glass ionomer fillings (c) Extraction of deciduous teeth (d) extraction of permanent teeth and (e) cleaning of
tartar. Bivariate analysis was used to determine the relationship between the type of care and the availability of
services at the Kalisat community health center.

III. Results
Results in this study showed data associated with number of patient visited the dental clinik during
2023 and the two categories of action treatment. The category of Without action treatment is to include oral
examination and consultation only, doctor’s prescription only and referral to other health centre. While the
category of with doctor action treatment is to include primary and permanent tooth extraction, GIC filling,
dental scaling procedure and premedication as shown in table 1 and table 2

Table 1. Dental care data at Kalisat community health center in 2023 for one working day in 2023 (260 days)
for without action category
No Action Treatment Sum (%)
1 Oral examination and consultation only 865 34.7
2 Doctor’s prescription only 425 17.0
3 Refferal to other center 36 1.5
Sum of visits 1326 53.2

Table 2. Dental care data at Kalisat community health center in 2023 for one working day in 2023 (260 days)
for witht action category
No Action Treatment Sum %
1 Primary tooth extraction 515 20.7
2 Permanent tooth exstraction 75 3.0
3 GIC Filling 278 11.2
4 Scalling 22 0.9
5 Pre-medication 274 11.1

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 Analisis Of Dental Treatment Needs With The Availability Of Dental Services Provided.........

6 Sum of visit 1164 46.8

Based on the 2023 Kalisat Health Center morbidity data, it shows that the highest number of visits was
on without doctor’s action category (53..2 %) while other category was only reach 46.8% out of the total 2490
visits. It means that most patient were given only oral examanation and consultation or given doctor’s
prescription or refferal only.
The highest action sequence of all dental care action is as follow: oral examanation and consultation
only reach 865 (34.7%) actions, then followed by primary tooth extraction with 515 (20.7%) action, then
doctor’s prescription only with 425 (17%) actions, followed by GIC filling treatment with 278 (11.2%) and Pre-
medication (11.1%). While permanent tooth extraction and scalling reach the lowest number of action.

IV. Discussion
The goal of health development by the community health center is to increase awareness, willingness
and ability to live healthily for everyone who lives in the Health Center's work area in order to achieve the
highest level of health in order to realize a Healthy Indonesia. This is in accordance with the Indonesian
Minister of Health Regulation Number 43 of 2019 in Article 4 paragraph (1) which states that the Health Center
has the task of implementing health policies to achieve health development goals in its work area 1.
The community health center has the following functions: a. Organizing health-oriented development
services; b. Organizing community empowerment; c. Organizing first-level health services. According to the
Regulation of the Minister of Health Number 75 of 2014 concerning Community Health Centers, there are 3
(three) functions of the Community Health Center, namely: a center for driving health-oriented development,
which means that the Community Health Center always strives to drive and monitor the implementation of
cross-sector development including by the community and the business world in its working area 5.
Dental clinic in community health center are one of the health services that are widely used by the
community. Basically, dental treatment in community health centers focuses on three aspects, namely dental
and oral health examinations, treatment, and basic medical procedures such as fillings and tooth extractions 1.
From the calculation of the overall treatment actions at the Kalisat Health Center, it was found that the
most treatments action performed were oral examinations and consultations. It was suggested that majority need
of treatment was no available in the Kalisat Health Center. However, the number of referral action was not
support that argument. Simple extraction procedure such as extraction of primary teeth as well as GIC fillings
which is usually applied in pediatric patient and also dental scaling action for adult patients occupied most of
the action treatment performed the doctor.
That was possibly due to the fact that services in the form of examinations and consultations are basic
actions that must be carried out by the dental clinic at a health center. One of them is through Community-
Based Health Efforts, namely government policy through Law No. 36 of 2009 concerning health 6, which states
that dental and oral health services are part of what must be done. It was also observed that internal referral
system played a significant role in determining the high number of visit in without action treatment shown in
table 1. This finding is supported by the Village Community Dental Health Effort Program conducted by
Kalisat Health Center which perform a routine every year delivering counseling activity, in dental health
education and oral examinations and dental care for pregnant women. The demand for health is highly
influential on the utilization of health services. Utilizing health services is a behavior or action whereby
individuals seek health services. Utilizing health services is essential to society and aims to assist in determining
health status7.

V. Conclusion
Services without action category were mostly carried out at the Kalisat community health center
mainly due to referral from internal clinic with community health center. Based on the data obtained from all
treatment actions at the health center, the results showed that the most common treatments carried out were
examinations and consultations, followed by second place was extraction of the primary teeth.

Daftar Pustaka
[1] Regulation Of The Minister Of Health Of The Republic Of Indonesia Number 43 Of 2019. Public Health Center
[2] Yamini EA., Analysis Of Factors Influencing Consumers In Choosing A Hospital In Jpogyakarta City. Management Insight:
Scientific Journal Of Management. 2022; 17(1):131-140
[3] Yu E., Li M., Xue And Zhang L. Patient Preference And Choice Of Healthcare Providers In Shanghai, China. A Cross-Sectional
Study. BMJ. 2017;7(10):1-16
[4] Ministry Of Health Of The Republic Of Indonesia. Law Of The Republic Of Indonesia Number 36 Of 2009 Concerning Health.
Jakarta: Ministry Of Health Of The Republic Of Indonesia: 2009.
[5] Stephens MB, Wiedemer JP, Kushner GM. Dental Problems In Primary Care. Am Fam Phys, 2018. 98(11): 654-660
[6] Regulation Of Indonesian Ministry Of Health Number 17 Of 2014. Community Health Center.
[7] Gusnawan R.I, Kumalasari B And Azizah Y. Preferences, Needs, And Demand Analysis Of Health Fasilities Developments.
Journal Of Consumer Sciences. 2023;8(3):340-359
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