Using An Electrical Toothache Salvadora Perisca To Increasing Oral Health Quality: A Manikin Trial

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Satino Satino
Yuyun Setyorini
Rendi Editya Darmawan


Background: The most effective way of oral care in patients with decreased consciousness is not yet known. Electrical toothace salvadora perisca has the potential to improve oral hygiene because it has an antibiotic effect, and is easy to use. Aim of study is to know the effect of electrical toothace salvadora perisca on oral health quality.

Methods: A pre-experimental study in a laboratory using manikins in 2021. The study was conducted by 6 respondents in which each respondent performed 2 oral treatments using an electrical toothace salvadora perisca on the mouth of a manikin that had been dirty make-up using Ky Jelly. The toothbrush was operated for 1 minute evenly on the teeth, and foam sticks are used to clean the lips and oral mucosa. Oral hygiene was measured with a modified Beck Oral Assessment Scale (BOAS) instrument, and the scores of conditions before and after oral care were compared using the Wilcoxon test.

Results: Wilcoxon test showed a value of 0.002, which means that there was a difference in the BOAS score between before and after treatment. Electric toothbrushes clean teeth better, and foam sticks are able to clean the inside and soft of the patient's mouth.

Conclusion: Electrical toothace salvadora perisca can increasing oral health quality. The implication is need to find and try out the most effective way of doing oral care.

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Satino, S., Setyorini, Y., & Darmawan, R. E. (2022). Using An Electrical Toothache Salvadora Perisca To Increasing Oral Health Quality: A Manikin Trial. (JKG) Jurnal Keperawatan Global, 1–9.


Albabtain, R., Ibrahim, L., Bhangra, S., Rosengren, A., & Gustafsson, A. (2018). Chemical effects of chewing sticks made of Salvadora persica. International Journal of Dental Hygiene, 16(4), 535–540.

Albrecht, M., Kupfer, R., Reissmann, D., Haastert, B., Mühlhauser, I., & Köpke, S. (2013). Oral health educational interventions for nursing home staff and residents. Cochrane Database of Systematic Reviews, 2013(5).

Anggraeni, D. T., Hayati, A. T., & Nur’aeni, A. (2020). The Effect of Oral Care Intervention on Oral Health Status of Intubated Patients in the Intensive Care Unit. Belitung Nursing Journal, 6(1), 21–26.

Ayoub, N., Badr, N., Al-Ghamdi, S. S., Alzahrani, A., Alsulaimani, R., Nassar, A., … Swilam, N. (2021). GC/MS Profiling and Ex Vivo Antibacterial Activity of Salvadora persica (Siwak) against Enterococcus faecalis as Intracanal Medicament. Evidence-Based Complementary and Alternative Medicine, 2021, 1–8.

Azaripour, A., Mahmoodi, B., Habibi, E., Willershausen, I., Schmidtmann, I., & Willershausen, B. (2017). Effectiveness of a miswak extract-containing toothpaste on gingival inflammation: a randomized clinical trial. International Journal of Dental Hygiene, 15(3), 195–202.

Cooper, A. S. (2021). Cochrane Review Summary Oral Hygiene Care to Prevent Critically Ill Patients Relevance to Critical Care Nursing. American Association of Critical Care Nurses, 41(4), 80–82.

Cuthbertson, B. H., & Dale, C. M. (2021). Less daily oral hygiene is more in the ICU: yes. Intensive Care Medicine, 47(3), 328–330.

Estaji, Z., Alinejad, M., Hassan Rakhshani, M., & Rad, M. (2015). The Comparison of Chlorhexidine Solution and Swab With Toothbrush and Toothpaste Effect on Preventing Oral Lesions in Hospitalized Patients in Intensive Care Unit. Global Journal of Health Science, 8(5), 211–216.

Farag, M., Abdel-Mageed, W. M., El Gamal, A. A., & Basudan, O. A. (2021). Salvadora persica L.: Toothbrush tree with health benefits and industrial applications – An updated evidence-based review. Saudi Pharmaceutical Journal, 29(7), 751–763.

Gupta, A., Gupta, A., Singh, T., & Saxsena, A. (2016). Role of oral care to prevent VAP in mechanically ventilated Intensive Care Unit patients. Saudi Journal of Anaesthesia, 10(1), 95–97.

Haghighi, A., Shafipour, V., Bagheri-Nesami, M., Gholipour Baradari, A., & Yazdani Charati, J. (2017). The impact of oral care on oral health status and prevention of ventilator-associated pneumonia in critically ill patients. Australian Critical Care, 30(2), 69–73.

Hua, F., Xie, H., Worthington, H. V, Furness, S., Zhang, Q., & Li, C. (2016). Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. The Cochrane Database of Systematic Reviews, 10(10), CD008367.

Irani, H., Sargazi, G., Dahmardeh, A. R., & Pishkar Mofrad, Z. (2020). The Effect of Oral Care with Miswak Versus Chlorhexidine on the Incidence of Ventilator-Associated Pneumonia: A Clinical Trial Study. Medical - Surgical Nursing Journal, 8(4), 1–7.

Kitamoto, S., Nagao-Kitamoto, H., Jiao, Y., Gillilland, M. G., Hayashi, A., Imai, J., … Kamada, N. (2020). The Intermucosal Connection between the Mouth and Gut in Commensal Pathobiont-Driven Colitis. Cell, 182(2), 447-462.e14.

Labeau, S. O., Conoscenti, E., & Blot, S. I. (2021). Less daily oral hygiene is more in the ICU: not sure. Intensive Care Medicine, 47(3), 334–336.

Modes, M. E., Directo, M. P., Melgar, M., Johnson, L. R., Yang, H., Chaudhary, P., … Chen, P. (2022). Clinical Characteristics and Outcomes Among Adults Hospitalized with Laboratory-Confirmed SARS-CoV-2 Infection During Periods of B.1.617.2 (Delta) and B.1.1.529 (Omicron) Variant Predominance — One Hospital, California, July 15–September 23, 2021, and Dec. MMWR Recommendations and Reports, 71(6), 217–223.

Moutsopoulos, N. M., & Konkel, J. E. (2018). Tissue-Specific Immunity at the Oral Mucosal Barrier. Trends in Immunology, 39(4), 276–287.

Petker-Jung, W., Weik, U., Margraf-Stiksrud, J., & Deinzer, R. (2022). What characterizes effective tooth brushing of daily users of powered versus manual toothbrushes? BMC Oral Health, 22(1), 1–9.

Sadli, M. F., Tavianto, D., & Redjeki, I. S. (2017). Gambaran Pengetahuan Klinisi Ruang Rawat Intensif mengenai Ventilator Associated Pneumonia (VAP) Bundle di Ruang Rawat Intensif RSUP Dr. Hasan Sadikin Bandung. Jurnal Anestesi Perioperatif, 5(2), 85.

Setianingsih, Riandhyanita, F., & Asyrofi, A. (2017). Gambaran Pelaksanaan Tindakan Pral Hygiene Pada Pasien di Ruang Intensive Care Unit (ICU). Jurnal Perawat Indonesia, 1(2), 48–53.

Wang, P., Xu, Y., Zhang, J., Chen, X., Liang, W., Liu, X., … Xie, H. (2020). Comparison of the effectiveness between power toothbrushes and manual toothbrushes for oral health: a systematic review and meta-analysis. Acta Odontologica Scandinavica, 78(4).

Wood, D. J. (2017). Dental Journal. Smile Dental Journal, 5(2), 81–83.

Zhao, T., Wu, X., Zhang, Q., Li, C., Worthington, H. V., & Hua, F. (2020). Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. Cochrane Database of Systematic Reviews, 2020(12).