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  <front>
    <article-meta>
      <title-group>
        <article-title>Development of method for information delivering of dental cutting according to the health rules to sanggings in tabanan regency in 2018</article-title>
      </title-group>
      <contrib-group content-type="author">
        <contrib contrib-type="person">
          <name>
            <given-names>Sagung Agung Putri Dwiastuti</given-names>
          </name>
          <email>ijamscr@gmail.com</email>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
      </contrib-group>
      <aff id="aff-1">
        <institution>lecturers at JKG Poltekkes Denpasar</institution>
        <country>Indonesia</country>
      </aff>
      <history>
        <date date-type="received" iso-8601-date="2020-08-14">
          <day>14</day>
          <month>08</month>
          <year>2020</year>
        </date>
        <date data-type="published" iso-8601-date="2020-08-14">
          <day>14</day>
          <month>08</month>
          <year>2020</year>
        </date>
      </history>
    </article-meta>
  </front>
  <body>
    <fig>
      <graphic mimetype="image" mime-subtype="jpeg" xlink:href="image1.jpeg"/>
    </fig>
    <p>
      <bold>www.ijamscr.com</bold>
    </p>
    <p>
      <bold>Development of method for information delivering of dental cutting according to the health rules to </bold>
      <bold>sanggings</bold>
      <bold> in </bold>
      <bold>tabanan</bold>
      <bold> regency in 2018 </bold>
    </p>
    <sec id="sec-1">
      <title>Sagung Agung Putri Dwiastuti, Ni Nyoman Dewi Supariani </title>
    </sec>
    <sec id="sec-2">
      <title>
        <bold>
          <italic>lecturers</italic>
        </bold>
        <bold>
          <italic> at JKG </italic>
        </bold>
        <bold>
          <italic>Poltekkes</italic>
        </bold>
        <bold>
          <italic> Denpasar</italic>
        </bold>
      </title>
      <p><bold>*Corresponding Author</bold>:<bold>Sagung</bold><bold>Agung</bold><bold>Putri</bold><bold>Dwiastuti</bold></p>
      <sec id="sec-2_1">
        <title>
          <bold>Abstract</bold>
        </title>
        <p>Bali Island as the main tourist destination of Indonesia, is famous for its natural beauty which is supported by its cultural uniqueness that is very closely related to Hinduism, one of which is the tooth-cutting ceremony. Tooth cutting ceremony is a ceremony that must be carried out by Hindus, full of meaning, ethical values, ritual, and religious, so it needs to be preserved. If the process of cutting teeth is carried out in accordance with the health method, then there is no fear and doubt to cut teeth so that the tradition of cutting teeth can be steady and sustainable.</p>
        <p>The purpose of this research is to develop a method of delivering information on cutting teeth according to the health method to the recipients in Tabanan district in 2018. This research is a quasi-experimental design approach with pre and post with control group approach. Where there are two groups, namely the treatment and control groups. The treatment group was given counselling with audio-visual media (video bondres) after the pre-test, while the control group was still given treatment in the form of counselling with the treatment of manual tooth-cutting in accordance with the health method after the pre-test. Analysis that carried out was univariate frequency distribution, percentage and bivariate with homogeneity, and normality tests using Kolmogorov Smirnov because respondents were more than 50 respondents, results were not normally distributed so the statistical tests used Wilcoxon signed Ranks test and Mann Withney test. Of the two counselling methods through videos and booklets to increase competent knowledge about the method of cutting teeth in accordance with the health method in Tanbanan Regency showed a significant increase (p = 0,000), from both methods of education it was found that the method with the booklet was more effective. It is hoped that Parisada Hindu Darma will print tooth-cutting manual in accordance with the health method to be distributed to the recipients to increase knowledge, so that the congregation will be more comfortable in carrying out the tooth-cutting ritual.</p>
        <p><bold>Keywords:</bold> Tooth-cutting, Sangging, Health method</p>
      </sec>
      <sec id="sec-2_2"/>
      <sec id="sec-2_3">
        <title>
          <bold>PREFACE</bold>
        </title>
        <p>Bali Island as the main tourist destination of Indonesia, is famous for its natural beauty which is supported by its cultural uniqueness that is very closely related to Hinduism, one of which is the tooth-cutting ceremony. Tooth cutting ceremony is a ceremony that must be carried out by Hindus, full of meaning, ethical values, ritual, and religious, so it needs to be preserved.</p>
        <p>The results of Widayanti's research (2010) found complaints that occurred after cutting teeth in Bangli Subdistrict, among others: the tooth that was got sanggih was felt aching (92,9%), pain after got sanggih (47,1%), tooth changed position or rotate (5,3%), tooth become tenuous (23.4%), teeth died or changes colour (9.4%), and tooth shakes (16.5%). According to Ingge (2002) thermic stimulation is the stimulation received by the teeth in the form of excessive heat when the teeth are inlaid and using metal objects that are rubbed on the teeth must leave trauma to the support brace. Sagung (2016) found that sangging is a hereditary profession, with a moderate level of knowledge about health and teeth so it needs efforts to increase health knowledge, as well as oral health of the Sangging during the mepandes (cut teeth) ceremony.</p>
        <p>At this ceremony there are four things to consider. The first treatment on the teeth, it is cutting, or levelling four incisors and two left and right canines in the maxilla, chiselled three times, sharpened and levelled (Sudarma, 2009). Secondly there is the spread of the disease through breath, saliva, blood (Duhita R, 2012). Third is the person who performs the tooth-cutting ceremony called Sangging, fourth is the tools used to cut teeth.</p>
        <p>Efforts to make a sangging able to absorb new information, understand dental and oral health, how to maintain personal hygiene so that transmission of disease from sangging or those with teeth cut off helps solve public health problems. What method is more effective to convey information about cutting teeth according to the health method? So that the purpose of this study is to develop methods for delivering tooth-cutting information in accordance with the health method to the sangging.</p>
      </sec>
      <sec id="sec-2_4"/>
      <sec id="sec-2_5">
        <title>
          <bold>RESEARCH METHOD</bold>
        </title>
        <p>This is a quasi experimental design with a pre and post with control group approach. Where there are two treatment groups and a control group. The treatment group was given counselling with audio-visual media (video bondres) after the pre-test, while the control group was given treatment in the form of counselling with the treatment of manual tooth-cutting in accordance with the health method after the pre-test.</p>
        <p>Sangging population in each sub-district is not known certainty, because there is no definite data about sangging, but according to the person responsible for culture in the sub-district (majelis alit), the number of sangging in one sub-district is more than 50 so researchers search for samples using the Sugiono’s formula (2005) so as to get a sample of at least 27 people, to maintain the lack of data, the researchers added 10% of the total sample so that the samples to be searched were 30 respondents each. The sample in this study was the one that met the inclusion criteria. Inclusion criteria: a member of a local traditional village, at least 25 years old, male and female sex, able to read and write, willing to be a sample. The exclusion criteria were: being sick so unable to implement a tooth-cutting, not being willing to be a sample</p>
        <p>Research by using univariate analysis of frequency distribution, presentation and bivariate with homogeneity test and normality test using Kolmogorov Smirnov because the respondents were more than 50 respondents. If the results are not normally distributed, the statistical test uses the Wilcoxon signed Ranks test and the Mann Withney test, whereas if the data is normally distributed then it is tested by the independent t-test statistical test.</p>
      </sec>
      <sec id="sec-2_6">
        <title>
          <bold>RESULT AND DISCUSSION</bold>
        </title>
        <p>Based on the results of a study of 33 sangging people from the video intervention group and 30 from the booklet group, it is discovered that the average age in the booklet group is 51,7±9,02, the average age in the video group is 59,69 ± 9,00. To find out how long become sangging, and what is the sangging’s level of education can be seen below</p>
        <p>
          <bold>Distribution of Characteristics of Research Subjects</bold>
        </p>
        <table-wrap>
          <table>
            <tr>
              <td>
                <bold>Characteristic </bold>
              </td>
              <td colspan="2">
                <bold>Video/treatment </bold>
              </td>
              <td colspan="2">
                <bold>Booklet/Control</bold>
              </td>
            </tr>
            <tr>
              <td/>
              <td>
                <bold>n</bold>
              </td>
              <td>
                <bold>%</bold>
              </td>
              <td>
                <bold>n</bold>
              </td>
              <td>
                <bold>%</bold>
              </td>
            </tr>
            <tr>
              <td>Age</td>
              <td/>
              <td/>
              <td/>
              <td/>
            </tr>
            <tr>
              <td>32-48         </td>
              <td>3</td>
              <td>9,09</td>
              <td>11</td>
              <td>36,67</td>
            </tr>
            <tr>
              <td>49 – 65</td>
              <td>23</td>
              <td>69,70</td>
              <td>17</td>
              <td>56,67</td>
            </tr>
            <tr>
              <td>66 - 82</td>
              <td>7</td>
              <td>21,21</td>
              <td>2</td>
              <td>6,66</td>
            </tr>
            <tr>
              <td>How long has become a sangging</td>
              <td/>
              <td/>
              <td/>
              <td/>
            </tr>
            <tr>
              <td>0 -10</td>
              <td>19</td>
              <td>57,58</td>
              <td>24</td>
              <td>80</td>
            </tr>
            <tr>
              <td>11-20</td>
              <td>9</td>
              <td>27,27</td>
              <td>3 </td>
              <td>10</td>
            </tr>
            <tr>
              <td>21 - 30</td>
              <td>5</td>
              <td>15,15</td>
              <td>3</td>
              <td>10</td>
            </tr>
            <tr>
              <td>Education</td>
              <td/>
              <td/>
              <td/>
              <td/>
            </tr>
            <tr>
              <td>Elementary</td>
              <td>10</td>
              <td>30,3</td>
              <td>1</td>
              <td>3,3</td>
            </tr>
            <tr>
              <td>Junior High</td>
              <td>16</td>
              <td>48,5</td>
              <td>20 </td>
              <td>66,3</td>
            </tr>
            <tr>
              <td>Senior High</td>
              <td>7</td>
              <td>21,2</td>
              <td>9</td>
              <td>29,4</td>
            </tr>
          </table>
        </table-wrap>
        <p>The table above shows that the age of most sangging is between 49-65 years, the length of being a sangging is 1-10 years, with the most education being senior high school education.</p>
        <sec id="sec-2_6_1">
          <title>
            <bold>Knowledge about cutting teeth in accordance with the rules of health in the sample before and after treatment</bold>
          </title>
          <p>Changes in knowledge about cutting teeth in accordance with the rules of health in the sample before and after treatment can be seen in the table below:</p>
          <p>
            <bold>Distribution of Knowledge Level of the video group and booklet group before and after treatment</bold>
          </p>
          <table-wrap>
            <table>
              <tr>
                <td>
                  <bold>Level of Knowledge</bold>
                </td>
                <td colspan="2">
                  <bold>Video/treatment</bold>
                </td>
                <td colspan="2">
                  <bold>Booklet/Control</bold>
                </td>
              </tr>
              <tr>
                <td/>
                <td>
                  <bold>n</bold>
                </td>
                <td>
                  <bold>%</bold>
                </td>
                <td>
                  <bold>n</bold>
                </td>
                <td>
                  <bold>%</bold>
                </td>
              </tr>
              <tr>
                <td>
                  <bold>Before</bold>
                </td>
                <td/>
                <td/>
                <td/>
                <td/>
              </tr>
              <tr>
                <td>Failed </td>
                <td>2</td>
                <td>6,06</td>
                <td>3</td>
                <td>10,00</td>
              </tr>
              <tr>
                <td>Less</td>
                <td>6</td>
                <td>18,18</td>
                <td>5</td>
                <td>16,67</td>
              </tr>
              <tr>
                <td>Enough</td>
                <td>7</td>
                <td>21,21</td>
                <td>5</td>
                <td>16,67</td>
              </tr>
              <tr>
                <td>Good</td>
                <td>13</td>
                <td>39,40</td>
                <td>14</td>
                <td>46,66</td>
              </tr>
              <tr>
                <td>Very Good</td>
                <td>5</td>
                <td>15,15</td>
                <td>3</td>
                <td>10,00</td>
              </tr>
              <tr>
                <td/>
                <td>
                  <bold>33</bold>
                </td>
                <td>
                  <bold>100,00</bold>
                </td>
                <td>
                  <bold>30</bold>
                </td>
                <td>
                  <bold>100,00</bold>
                </td>
              </tr>
              <tr>
                <td>
                  <bold>After</bold>
                </td>
                <td/>
                <td/>
                <td/>
                <td/>
              </tr>
              <tr>
                <td>Failed </td>
                <td>0</td>
                <td>0,00</td>
                <td>0</td>
                <td>0,00</td>
              </tr>
              <tr>
                <td>Less</td>
                <td>0</td>
                <td>0,00</td>
                <td>0</td>
                <td>0,00</td>
              </tr>
              <tr>
                <td>Enough</td>
                <td>3</td>
                <td>9,09</td>
                <td>0</td>
                <td>0,00</td>
              </tr>
              <tr>
                <td>Goof</td>
                <td>13</td>
                <td>39,39</td>
                <td>6</td>
                <td>20,00</td>
              </tr>
              <tr>
                <td>Very Good</td>
                <td>17</td>
                <td>51,52</td>
                <td>24</td>
                <td>80,00</td>
              </tr>
              <tr>
                <td/>
                <td>
                  <bold>33</bold>
                </td>
                <td>
                  <bold>100,00</bold>
                </td>
                <td>
                  <bold>30</bold>
                </td>
                <td>
                  <bold>100,00</bold>
                </td>
              </tr>
            </table>
          </table-wrap>
          <p>        The table above shows that in the group of videos and booklets, the level of knowledge before treatment is the level of knowledge that fails, but after treatment an increase in knowledge is very good.</p>
        </sec>
        <sec id="sec-2_6_2">
          <title>
            <bold>Dental and oral health knowledge of </bold>
            <bold>sangging</bold>
            <bold> in the video group and booklet groups before and after treatment</bold>
          </title>
          <p>Distribution of dental and oral health knowledge of the sangging in the video group and treatment groups before and after treatment</p>
          <table-wrap>
            <table>
              <tr>
                <td colspan="2">
                  <bold>Variable</bold>
                </td>
                <td>
                  <bold>Mean Rank </bold>
                </td>
                <td>
                  <bold> Sum of Rank</bold>
                </td>
                <td>
                  <bold>Z</bold>
                </td>
                <td>
                  <bold>Sig (p) (2-tailled)</bold>
                </td>
              </tr>
              <tr>
                <td>Video/treatment</td>
                <td>Knowledge preKnowledge post</td>
                <td>16.489.00</td>
                <td>478.0018.00</td>
                <td>- 4.545</td>
                <td>0.000</td>
              </tr>
              <tr>
                <td>Booklet/Control</td>
                <td>Knowledge pre Knowledge post</td>
                <td>15.000.00</td>
                <td>435.000.00</td>
                <td>-4.720</td>
                <td>0.000</td>
              </tr>
            </table>
          </table-wrap>
          <p>In the table above, it can be seen that the results of the analysis of the knowledge of tooth cutting in accordance with the health methods of the sangging in the video/Marga group, the knowledge before and after the sign score = 0,000 and in the booklet/Kediri group of knowledge before and after, there is a change with the score of sign = 0,000.</p>
        </sec>
        <sec id="sec-2_6_3">
          <title>
            <bold>Analysis of changes in dental and mouth health knowledge of the </bold>
            <bold>sanggings</bold>
            <bold> before and after the training</bold>
            <bold>.</bold>
          </title>
          <p>To find out the changes that occurred before and after treatment in the video and booklet groups, the Man – Whitney test was performed, which can be seen below.</p>
          <p>
            <bold>Distribution of knowledge before and after the booklet and video group</bold>
          </p>
          <table-wrap>
            <table>
              <tr>
                <td colspan="2">
                  <bold>Variable</bold>
                </td>
                <td>
                  <bold>Mean </bold>
                </td>
                <td>
                  <bold> Sum of Rank</bold>
                </td>
                <td>
                  <bold>Sig (p) (2-tailled)</bold>
                </td>
              </tr>
              <tr>
                <td>Knowledge pre </td>
                <td>videobooklet</td>
                <td>65,6065.00</td>
                <td>1052.50963.50</td>
                <td>0.961</td>
              </tr>
              <tr>
                <td>Knowledge post</td>
                <td>videobooklet</td>
                <td>77,7385,33</td>
                <td>1203.00813.00</td>
                <td>0.001</td>
              </tr>
            </table>
          </table-wrap>
          <p>From the table above, we can see that the knowledge before treatment of the video group and booklet group is the same as p = 0,961, but after treatment there is a difference in the knowledge of the booklet and video group with a sign score = 0,001</p>
        </sec>
      </sec>
      <sec id="sec-2_7">
        <title>
          <bold>Discussion</bold>
        </title>
        <p>Research conducted on 63 sanggings (30 booklet groups and 33 video groups) in Tabanan district, found the average age in the video group was 59,690 ± 9,00 the average age of the booklet group was 51,73± 9.02. Judging from the distribution of the age of the sangging more at the age of 45-65 years. The average length of being able to be sangging in the video group was 13,27 ± 11,29 while the average length of being able to be sangging in the booklet group was 7,57 ± 9,26. Most of the video groups (57.58%) and booklets (80%) have become a sangging for 0-10 years. Judging from the distribution of education, the largest sample of junior high school education is in the video group (48,5%), while the rest is elementary school education, only a few are in senior high school education, and the booklet group (66.3%), while the rest is in senior high school education, only one with elementary school education.</p>
        <sec id="sec-2_7_1">
          <title>
            <bold>Measuring the score of pre-test and post-test in the video group</bold>
          </title>
          <p>The difference between pre-test and post-test in the treatment group can be seen by using paired t-test. In paired t-test, the data is said to be a difference between the pre-test and post-test scores if the p score &lt;0,05 (Sopiyudin Dhlan, 2008: 69). After testing, the results show that p = 0,000 (p &lt;0,01). Giving counselling with video to the sangging gives positive results to the increase in the knowledge of the sanggings.</p>
          <p>Video media is one way to increase the knowledge of the sanggings about tooth-cutting in accordance with the health method. Media as one that can be used to channel messages, stimulation of thoughts, feelings, day-to-day, and will so that they are encouraged in the learning process. In accordance with the FISI-UI Broadcasting Centre (2005: 2) which states that film/video is one of the effective learning media, there is a tendency to increase ownership of electronic devices such as television, personal computers, and mobile phones.</p>
          <p>This research is in line with the research of Anita DH and Sri H (2017) which states that the use of counselling with audio-visual media is very effective to add knowledge to someone who will further enhance positive values or attitudes so that they can be directly practiced on values or attitudes and will practice to positive direction.</p>
          <p>The results of this study are in accordance with the opinion of Hosland (in Notoadmodjo, 2007) which states that behaviour change is essentially the same as the learning process. The learning process of individuals consisting of: stimulus given to individuals, if the stimulus has received attention, then proceed to the next course to process the stimulus so that there is a willingness to act (attitude) with the support of facilities and encouragement from the environment, then the stimulus has an effect the actions of these individuals.</p>
        </sec>
        <sec id="sec-2_7_2">
          <title>
            <bold>Difference between Pre-test and Post-test Score in Booklet Group</bold>
          </title>
          <p>The difference in the pre-test and post-test scores in the booklet group can be determined by conducting a t-test. Based on the analysis it was found that p = 0,000 (p &lt;0,01). The provision of counselling with booklets to the sanggings gave positive results to the increase in the knowledge of the sanggings.</p>
          <p>This study is in line with the research of Hadi, et al (2011) states that there is an increase in cognitive, affective and psychomotor after being given health education using printed media. Susanti (2011) also stated that there was a significant improvement after being given a health education intervention using printed media by 81,46%. This was because printed media could display images and languages that were better understood by the target. Research by Wahyuni, Sarma and Pulungan (2007) shows the results that there is a significant relationship between counselling provided with the mass media by changing behaviour (p = 0.009).</p>
        </sec>
        <sec id="sec-2_7_3">
          <title>
            <bold>Difference between Pre-test and Post-test Score in the video and booklet groups</bold>
          </title>
          <p>From the Man-Whitney analysis of sanggings’ knowledge, it shows that the mean in the treatment and control groups before treatment is almost the same as the score of p = 0, 961, but after treatment, there is a significant change with the score of p = 0,001. This shows that the treatment in the form of counselling by using videos or booklets is very important to increase the knowledge of the sanggings when carrying out tooth-cutting. From the results of research, counselling using booklets is more dominant than using videos in increasing the knowledge of the sanggings in tooth-cutting according to the health method. This study is in line with the research of Sri, Junaiti and Sukihananto (2016) which states that counselling with printed media is a dominant factor in hypertension care.</p>
          <p>According to Kerta (2008) a sangging is a person in charge of cutting tooth during the process of tooth-cutting. A sangging  who is usually hereditary does not look at the level of education, age, length of time he is capable, and the level of ability, so it can be ascertained that the understanding and level of acceptance of information is also very different. According to Hamidjoyo and Latuher in Ida (2014), states that the media are all forms of intermediaries used by humans to convey ideas, thoughts, or opinions expressed to the intended recipient. The principle of using media is that no media is suitable for all kinds of learning, there is no media that must be used to exclude other media, so the use of media must be carefully prepared.</p>
        </sec>
      </sec>
      <sec id="sec-2_8">
        <title>
          <bold>CONCUSION AND SUGGESTION</bold>
        </title>
        <p>Of the two counselling methods through videos and booklets to increase knowledge about the ability to cut tooth according to the health method in Tanbanan Regency shows a significant increase (p = 0,000). From both methods of education, it was discovered that the method with the booklet was more effective.</p>
      </sec>
      <sec id="sec-2_9">
        <title>
          <bold>SUGGESTION</bold>
        </title>
        <p>There is a need for counselling on dental and oral health with a more comprehensive method with a combination of extension media. In this research, counselling by using media booklets is more effective, so it is expected that Parisada Hindu will print  tooth-cutting manual in accordance with the health method to be distributed to the sanggings to increase knowledge, so that the followers will be more comfortable in carrying out the ritual of tooth-cutting.</p>
      </sec>
      <sec id="sec-2_10">
        <title>
          <bold>REFERENCES</bold>
        </title>
        <list list-type="bullet">
          <list-item>
            <p>Agus Riyanto 2011. Aplikaso Metodelogi Penelitian Kesehatan. Yogyakarta: Maha Medika.</p>
          </list-item>
          <list-item>
            <p>Anita Dyah Listyarini dan Sri Handriyastuti,. Penyluhan Dengan Audio Visual Meningkatkan Perilaku Hidup Bersih Anak Usia Sekolah. The <italic>5 </italic><italic>th</italic><italic>Erecol</italic><italic>Procceding</italic><italic>.</italic> 2017, ISBN 978-979-3812-42-7</p>
          </list-item>
          <list-item>
            <p>Chin, J.,2000. Manual Pemberantasan Penyakit Menular. Jakarta: Imfomedika.</p>
          </list-item>
          <list-item>
            <p>Duhita Rinendy, 2012, Hubungan Pengetahuan dan Sikap Mahasiswa Profesi dengan Tindakan Pencegahan Penyakit Menular di Rumah Sakit Gigi dan Mulut Universitas Jember (skripsi).</p>
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