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"Ankylosis of the temporomandibular joint is a fusion of the glenoid fossa and capsular surface of the joint that involved condyle and discus as a result of the formation of fibrous tissue or bone formation. This condition caused the mandible could not translate from the fossa. This condition reduced mouth opening that range from partial to complete immobility of the jaw. Ankylosis can be duvided into two types, intracapsular and extracapsular ankylosis. This case reported a condylectomy of an adult patient with ankylosis for eight years. It resulted maximum opening mouth approximately 32 mm."

"Tujuan: Menganalisis pengaruh gangguan sendi temporomandibula terhadap aktivitasotot mastikasi. Metode penelitian: Subjek merupakan pasien dengan tipe wajahdolichofacial berusia 15 - 35 tahun yang belum melakukan perawatan ortodonti, yaitu 11dengan gangguan sendi temporomandibula dan 11 tanpa gangguan senditemporomandibula sebagai kontrol. Pemeriksaan elektromiografi pada otot masseter dantemporalis anterior dilakukan dengan menginstruksikan pasien menggigit cotton rollsselama 5 detik. Perhitungan Root Mean Square dari pemeriksaan EMG masing-masingotot dibandingkan dengan uji T tidak berpasangan dan uji korelasi Spearman. Hasil:Terdapat perbedaan yang signifikan antara akticvitas otot kanan masseter, kiri masseter,dan kanan temporalis anterior pada pasien maloklusi dengan dan tanpa gangguan senditemporomandibula yang memiliki tipe wajah dolichofacial. Terdapat korelasi negatifantara otot mastikasi tersebut dengan gangguan sendi temporomandibula. Kesimpulan:Pasien dolichofacial dengan gangguan sendi temporomandibula memiliki aktivitas ototmasseter dan otot temporalis anterior yang lebih lemah jika dibandingkan dengan pasientanpa gangguan sendi temporomandibula

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Objectives: This study aimed to analyze the influence of temporomandibular joint

disorder (TMD) on surface electromyography activity in the masticatory muscles.

Methods: Dolichofacial patients (n = 22) aged 15 to 35 years were examined: 11 with

TMD and 11 control subjects without TMD. A standardized surface electromyography

recording was performed on the masticatory muscle during 5 s of maximum voluntary

clenching on cotton rolls. The root mean square value of each muscle was calculated and

analyzed for differences using an unpaired Student’s t-test. Spearman’s correlation

coefficients (r) were calculated for the determination of correlations between TMD and

root mean square values. Results: Surface electromyography revealed significant

differences in the right temporal, right and left masseter during maximum voluntary

clenching. Both sides of the masseter and right temporal also showed a negative

correlation with TMD. During maximum voluntary clenching, TMD patients had

relatively lower elevator muscle activity. Conclusions: Electromyographic activities in

the masseter muscles were lower in dolichofacial patients with TMD than non-TMD

controls. Surface electromyography of masticatory muscles may assist the clinical

assessment of TMD patients."

"Latar Belakang: Prevalensi kecemasan pada mahasiswa lebih tinggi dibandingkan pada populasi umum. Hal ini dipengaruhi oleh beberapa faktor, antara lain faktor akademis, status sosioekonomi, faktor budaya, moral, psikologis, dan biologis. Tingginya tingkat kecemasan juga meningkatkan risiko terjadinya gangguan sendi temporomandibula pada mahasiswa.Tujuan: Mengetahui hubungan antara kecemasan dan gangguan sendi temporomandibula pada mahasiswa, serta mengetahui hubungan antara jenis kelamin, status sosioekonomi (tingkat pendidikan orang tua dan jumlah pendapatan keluarga), dan faktor budaya (asal daerah) dengan kecemasan dan gangguan sendi temporomandibula pada mahasiswa.Metode: Studi dengan desain cross-sectional berupa kuesioner online, yang disebarkan pada bulan November 2021 kepada mahasiswa Universitas Indonesia dengan jumlah responden 527 mahasiswa. Kuesioner yang diberikan merupakan State-Trait Anxiety Inventory yang terdiri dari 2 bagian dengan total 40 pertanyaan dan berfungsi untuk mengukur kecemasan, serta Temporomandibular Disorder Diagnostic Index (TMD-DI) yang berjumlah 8 pertanyaan dan digunakan untuk mengukur gangguan sendi temporomandibula.Hasil Penelitian: Uji chi-square menunjukkan adanya perbedaan bermakna (p<0.05) kecemasan, baik A-State maupun A-Trait, terhadap gangguan sendi temporomandibula. Uji korelasi kendall menunjukkan kecemasan, baik A-State maupun A-Trait, memiliki korelasi bermakna yang bersifat positif dan lemah terhadap gangguan sendi temporomandibula. Uji chi-square menunjukkan adanya perbedaan bermakna (p<0.05) jenis kelamin terhadap kecemasan,baik A-State maupun A-Trait. Kemudian, uji korelasi kendall menunjukkan jenis kelamin memiliki korelasi bermakna secara statistik terhadap kecemasan. Namun, uji continuity correctionmenunjukkan tidak adanya perbedaan bermakna (p 0.05) jenis kelamin terhadap gangguan sendi temporomandibula. Uji chi-square juga menunjukkan tidak terdapat perbedaan bermakna (p 0.05) status sosioekonomi (tingkat pendidikan orang tua dan jumlah pendapatan keluarga) dan faktor budaya (asal daerah) terhadap kecemasan dan gangguan sendi temporomandibula. Kesimpulan: Terdapat hubungan antara kecemasan, baik A-State maupun A-Trait, dengan gangguan sendi temporomandibula pada mahasiswa. Terdapat pula hubungan antara jenis kelamin dengan kecemasan, baik A-State maupun A-Trait, pada mahasiswa. Namun, tidak terdapat hubungan antara jenis kelamin dengan gangguan sendi temporomandibula, serta status sosioekonomi (tingkat pendidikan orang tua dan jumlah pendapatan keluarga) dan faktor budaya (asal daerah) dengan kecemasan, baik A-State maupun A-Trait, dan gangguan sendi temporomandibula pada mahasiswa.

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Background: The prevalence of anxiety in college students are higher than in general population. This can be influenced by several factors, including academic, socioeconomic status, cultural, moral, and also biological factors. The high level of anxiety also increases the risk of temporomandibular disorder in college students.

Objective: This study aims to find out the association between anxiety and temporomandibular disorder, and also find out the association between gender, socioeconomic status (parental education and monthly family income), and cultural factor (origin) with anxiety and temporomandibular disorder in college students.

Methods: A cross-sectional study using online questionnaire of 527 students from University of Indonesia, that conducted on November 2021. There are two given questionnaires, State-Trait Anxiety Inventory that consisted of two part and 40 questions in total to assess anxiety, and Temporomandibular Disorder Diagnostic Index that consisted of 8 questions tao assess temporomandibular disorder.

Result: The chi-square test showed that there was a statistically significant difference (p<0.05) of temporomandibular disorder based on anxiety, either A-State or A-Trait. The kendall correlation test showed that temporomandibular disorder, have positive and weak statistically significant correlation to anxiety, either A-State or A-Trait. The chi-square test showed that there was a statistically significant difference (p<0.05) of anxiety, either A-State or A-Trait, based on gender. The kendall correlation test also showed that gender, have positive and weak statistically significant correlation to anxiety, either A-State or A-Trait. However, the continuity correction test showed that there was no statistically significant difference (p 0.05) of temporomandibular disorder based on gender. The chi-square test also showed that there was no statistically significant difference (p 0.05) of anxiety, either A-State and A-Trait, and temporomandibular disorder based on socioeconomic status (parental education and monthly family income) and cultural factor (origin).

Conclusion: There was an association between anxiety, either A-State or A-Trait, and temporomandibular disorder, as well as gender and anxiety, either A-State or A-Trait, in college students. However, no association was found between gender and temporomandibular disorder, as well as socioeconomic status (parental education and monthly family income) and cultural factor (origin) with anxiety,either A-State or A-Trait, and temporomandibular disorder in college students. "

"Temporomandibular Joint (TMJ) sound is on of TMJ dysfunction symptom that often reported by patient. The most common causes are considered to be poor coordination in lateral pterygoid muscle function, displacement of articular disc and irregularities in articular surface (articular eminence and condyle). A rescent study has reported that unilateral chewing habit caused differential loading when mandibular was moved. This may lead disc discplacement or dislocation and joint sounds in closing and/or opening movement. the purpose of this study was to clarify the relationshiop between unilateral chewing habit with presence of TMJ sounds. The subjects were 114 female and 14 male who study in Faculty of Dentistry- University of Indonesia with age, varying from 18-22 years old. Result, 45 subject (35,2%) have clicking or popping sounds and 20 subject (15,6%) have crepitation sound. Pearson Chi-square test shown that P was 0.413 for clicking or popping sounds and 0.352 for crepitation sound, P>0.05. In conclusion, there is no significant relationship between unilateral chewing habit with presence of TMJ sounds.

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Salah satu gejala gangguan sendi tempomandibula (STM) yang sering dirasakan oleh penderita adalah bunyi sendi. Penyebab bunyi tersebut diyakini akibat buruknya koordinasi otot pterigoideus lateralis, displacement diskus artikularis dan iregularitas permukaan artikulasi (eminensia artikularis dan kondilus). Berdasarkan penelitian sebelumnya dinyatakan bahwa kebiasaan mengunyah unilateral dapat menyebabkan ketidak seimbangan distribusi beban kunyah saat mandibula digerakkan, yang mengakibatkan terjadinya displacement atau dislokasi pada diskus dan bunyi saat membuka dan atau menutup mulut. Dengan demikian penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara kebiasaan mengunyah unilateral dengan terjadinya bunyi STM, yang dilakukan pada 128 subjek penelitian mahasiswa FKG UI umur 18-22 tahun yang terdiri dari 114 subjek perempuan dan 14 subjek laki-laki. Didapat hasil, sebanyak 45 orang (35,2%) memiliki bunyi click atau pop dan sebanyak 20 orang (15,6%) memiliki bunyi krepitasi (kresek-kresek). Pada analisa statistik menggunakan uji Pearson Chi-Square, menunjukkan nilai P adalah 0.413 untuk bunyi click atau pop dan 0.352 untuk bunyi krepitasi (kresek-kresek), P>0,05. Dengan demikian disimpulkan bahwa tidak terdapat hubungan antara kebiasaan mengunyah unilateral dengan terjadinya bunyi STM."

"Temporomandibular disorder (TMD) usually has non-specific signs and symptoms. The patient generally can only feel the pain, and thus complains about the stomatognatic problems without knowing the cause and the source. When the patient's chied compaint is pain, it is important to identify the source of the problem in order to provide appropriate treatment. Applied treatments for TMD can vary enormously. A female patient, age 35, came to the prosthodontic clinic with the chief complaints of pain in the right joint and limitation in mouth opening for past 7 years. In the last 2 weeks, the complaints worsened. With light pressure she could still open her mouth wider but showing deviations. She also complained about headache, tension in the forehead region, and muscle pain in the upper back body. The patient also reported that she has been chewing only on the right side for more than 20 years. Lateral transcranial x-ray showed that there were no visible structural or positional disorders. Thus, jaw exercise was decided as the initial therapy for the patient. WIthin one week, all complaints dissapeared. It was concluded that jaw exercise was a very useful form of treatment for TMD provided that the correct diagnosis is established."

"Splint or orthopedic appliance is routinely used in the treatment of temporomandibular disorders (TMD). This appliance is used to alter occlusal relationship and to redistribute occlisal forces, to prevent wear and mobility of the teeth, to reduce bruxim and parafunction, to treat masticatory muscle pain and dysfunction, and to alter structural relationship of the TMJ. There are 2 kinds of splint, the permissive and non permissive. Stabilization splint and bite plane are permissive splints, and anterior repositioning appliance is a non permissive splints. Each kind of splint has its own indication. There is strong evidence that splint therapy is succesful in the treatment of TMD but there is no consensus of opinion on how splints work."

"Occlusal splint is commonly used for treatment of the temporomandibular joint disorder (TMD). It can be made of hard and soft material. Hard occlusal splint (HOS) which was known earlier had been recognized more effective then soft occlusal splint (SOS) which recently gained some popularity. This clinical study based on case series was to detemined which type of occlusal splint was more effective for TMD. This study involved 20 subjects and they were divided into HOS and SOS group with 10 subjects in each group. HOS was processed with heat curing acrylic and SOS with vacuum former. Before and after 4 weeks of treatment, 5 TMD symptoms (impaired range of movement, impaired TMJ function, muscle pain, TMJ pain and pain on movement of mandible) were measured using Helkimo diagnostic index. The results were analyzed with Kolmogorov-Smimov Z's test. The findings showed statistically significant improvement in impaired range of movement and muscle pain in favor of HOS group(p<0.05). Although they were not statistically significant, HOS group showed better improvement than SOS group in TMJ pain and pain on movement of the mandible. In TMJ's function, no changes werefound in both groups. In general, HOS was more effective than SOS for treating TMD in relatively short period of time. Despite of the phenomena, the popularity of SOS was not followed with its effectiveness."

"Pre-prosthetic treatment is very important step to get a successful prosthodontic treatment. This study reported a case of a patient with missing teeth on left and right lower first and second molar with TMJ symptoms. Other symptoms felt by the patients were car pain and shoulder pain. After detailed examination, pre-prosthetic treatment needed by the patient was the TMH treatment. The usage of occlusal splint as one of the methods to treat the TMD where i.e. eliminate the occlusal disorder to reduce the neuromuscular activity and to regain a stable centric relation. After the splint treatment, an open bite on the posterior teeth appeared. To solve this problem, a removable frame prosthesis enhanced with overlay rest was fabricated. With this prosthesis, the TMJ symptoms stopped recurring. It was concluded that to achieve a successful prosthesis a detailed and comprehensive treatment was needed including the pre-prosthetic treatment along with the patient's motivation and cooperation."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 155-158The causes of TMD are complex and multifactorial, therefore the management should be done by several disciplines. ln this report, a 27-year-old man came to the teaching hospital of the University of Indonesia Faculty of Dentistry's Prosthodontic Department complaining about clicking sound and pain around his right joint. He received orthodontic treatment 9 years ago with removable appliance at a private practice and had 4 premolar extraction. The patient's face looked asymmetric, with a low vertical dimension, a Class II occlusion, and an anterior deep bite. Besides that, he clenched his teeth during emotional stress. Lateral tanscranial photo showed that the position of the left condyle was relatively normal or slightly anterior, and the right condyle was in the superoposterior position in the fossa with an abnormal shape. To solve this problem, the patient was referred to the Orthodontic Deparment to get a correct vertical dimension and normal anterior overbite. After 6 years, the patient was again referred to the prosthodontic Department, but the result was not successful. In order to get the right vertical dimension, an occlusal splint was fabricated to achieve a comfort jaw relation. In this position, the overbite was 2 mm, but space between the upper and lower posterior teeth was 5 mm. In this situation, full veneer crowns were not impossible to fabricate. Finally, to maintain this comfort position, the patient was suggested to wear the occlusal splint and come regularly for control every 6 months."

"Latar belakang: Gangguan sendi temporomandibula dapat memengaruhi kualitas tidur. Penelitian mengenai hubungan gangguan sendi temporomandibula dan kualitas tidur pada perawat umum di rumah sakit dengan menggunakan kuesioner ID-TMD dan PSQI belum pernah dilakukan di Indonesia. Tujuan: Menganalisis hubungan gangguan sendi temporomandibula dengan kualitas tidur, stres kerja, dan faktor sosiodemografis jenis kelamin, usia, status sosial ekonomi, tingkat pendidikan, dan status pernikahan pada perawat umum di rumah sakit swasta tipe C. Menganalisis hubungan kualitas tidur dengan stres kerja dan faktor sosiodemografis jenis kelamin, usia, status sosial ekonomi, tingkat pendidikan, dan status pernikahan pada perawat umum di rumah sakit swasta tipe C. Metode: Penelitian menggunakan desain cross sectional pada 92 subjek perawat di rumah sakit Hasanah Graha Afiah. Subjek mengisi tiga buah kuesioner yaitu; ID-TMD untuk mengukur gangguan sendi temporomandibula, PSQI versi bahasa Indonesia untuk mengukur kualitas tidur, dan ENSS versi bahasa Indonesia untuk mengukur stres kerja. Hasil Penelitian: Uji chi-square menunjukkan bahwa terdapat perbedaan bermakna p=0.02 antara gangguan sendi temporomandibula dengan kualitas tidur pada perawat umum di rumah sakit swasta tipe C. Uji Mann-Whitney dan Independen T-test menunjukkan bahwa tidak terdapat perbedaan bermakna yang signifikan p>0.05 antara gangguan sendi temporomandibula dengan stres kerja pada perawat umum di rumah sakit swasta tipe C. Uji chi-square menunjukkan bahwa tidak terdapat perbedaan bermakna p>0.05 antara gangguan sendi temporomandibula dengan faktor sosiodemografi jenis kelamin, tingkat pendidikan, status sosial ekonomi, status pernikahan pada perawat umum di rumah sakit swasta tipe C. Uji Indepeden T-test menunjukkan bahwa terdapat perbedaan bermakna p=0.035 antara kualitas tidur dengan komponen ENSS masalah dengan pasien dan keluarganya pada perawat umum di rumah sakit swasta tipe C. Uji chi-square menunjukkan bahwa tidak terdapat perbedaan bermakna p>0.05 antara kualitas tidur dengan faktor sosiodemografi jenis kelamin, tingkat pendidikan, status sosial ekonomi, status pernikahan pada perawat umum di rumah sakit swasta tipe C. Kesimpulan: Terdapat hubungan antara gangguan sendi temporomandibula dengan kualitas tidur pada perawat umum di rumah sakit swasta tipe C.

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Backgroud: Temporomandibular disorder can affect quality of sleep. The study analyzing the association between temporomandibular disorder and quality of sleep on nurses in type C private hospital using ID TMD and PSQI Indonesian version questionnaire has never been conducted in Indonesia.

Objectives: Analyzing the relationship between temporomandibular disorder with quality of sleep, work stress, and sociodemographic factors gender, age, sosial economic status, education level, and marital status on nurses in type C private hospital. Analyzing the relationship between quality of sleep with work stress and sociodemographic factors gender, age, sosial economic status, education level, and marital status on nurses in type C private hospital.

Methods: This cross sectional study assessed the data of 92 nurses in Hasanah Graha Afiah Hospital. Three questionnaires were given to each hospital nurse. The ID TMD questionnaire was used to evaluate temporomandibular disorder, the PSQI Indonesian version was used to evaluate quality of sleep, and the ENSS Indonesian version was used to evaluate work stress.

Results: Chi square test showed significant differences p 0.02 between temporomandibular disorder and quality of sleep on nurses in type C private hospital. Mann Whitney and Independent T test showed that there are no significant differences p 0.05 between temporomandibular disorder and work stress on nurses in type C private hospital. Chi square test showed that there are no significant differences p 0.05 between temporomandibular disorder and sociodemographic factors gender, age, sosial economic status, education level, and marital status on nurses in type C private hospital. Independent T test showed significant differences p 0.035 between quality of sleep and one of the ENSS component patients and their families on nurses in type C private hospital. Chi square test showed that there are no significant differences p 0.05 between quality of sleep and sociodemographic factors gender, age, sosial economic status, education level, and marital status on nurses in type C private hospital.

Conclusion: Temporomandibular disorder was associated with quality of sleep on nurses in type C private hospital. "