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"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."

"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."

"The increase of pain symptoms in the temporomandibular joint (TMJ) challenges the scientists to find a more effective therapy. The popular treatment of the temporomandibular disorder (TMD) are eg occlusal splints, orthodontic treatment, electromyographic biofeedback, medication, etc. Among these splint therapy is more successful than the others especially in dealing with pain in the TMJ. Orthodontics as a treatment for the TMD quite often creates new complains on TMJ during and/or after treatment. The extrusion of the posterior teeth in reducing anterior deep overbite have been proposed as possible cause of TMD. This paper reported that a relaxation splint was an effective solution to relieve the pain in the TMJ for the orthodontic patients where occlusal factors were related. One mounth after the splint therapy, the pain in the TMJ was slowly dissapeared, and the orthodontic treatment can be continued with the splint as an occlusal height guidance."

"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."

"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: 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. "

"Latar Belakang: Gangguan sendi temporomandibula memiliki etiologi yang kompleks dan multifaktorial, salah satunya adalah stres. Pada masa pandemi COVID-19 stres mahasiswa meningkat karena adanya perubahan sistem pembelajaran dari tatap muka menjadi daring. Penelitian mengenai hubungan stres mahasiswa selama pembelajaran daring dengan gangguan sendi temporomandibula belum pernah dikaji sebelumnya.Tujuan: Mengetahui hubungan antara stres mahasiswa selama pembelajaran daring dengan gangguan sendi temporomandibula, mengetahui hubungan gangguan sendi temporomandibula dengan jenis kelamin selama pembelajaran daring, dan mengetahui hubungan antara gangguan sendi temporomandibula dengan durasi, dan frekuensi pembelajaran daring.Metode: Desain penelitian ini adalah penelitian potong lintang yang dilakukan pada 351 mahasiswa Universitas Indonesia. Partisipan penelitian diberikan dua buah kuesioner, yaitu Perceived Stress Scale (PSS) versi bahasa Indonesia untuk mengukur stres dan Temporomandibular Disorders Diagnostic Index (TMD-DI) untuk mengukur gangguan sendi temporomandibula.Hasil Penelitian: Uji Mann-Whitney menunjukkan terdapat hubungan antara stres mahasiswa selama pembelajaran daring dengan gangguan sendi temporomandibula (p<0.05). Uji Chi-square menunjukkan tidak terdapat hubungan antara gangguan sendi temporomandibula dengan jenis kelamin selama pembelajaran daring (p>0.05). Uji Chi-square menunjukkan bahwa tidak terdapat hubungan antara gangguan sendi temporomandibula dengan durasi dan frekuensi pembelajaran daring (p>0.05).Kesimpulan: Terdapat hubungan antara stres mahasiswa selama pembelajaran daring dengan gangguan sendi temporomandibula.

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Background: Temporomandibular disorders has complex and multifactorial etiology, particularly stress. During pandemic COVID-19 student stress has increased by changes in learning system from face-to-face into e-learning. The study to analyze the relationship between student stress during e-learning and temporomandibular disorders never been conducted.

Objectives: This study aimed to assess the relationship of student stress during e-learning and temporomandibular disorders, analyze the relationship between temporomandibular disorders and gender during e-learning, and analyze the relationship between temporomandibular disorders with duration and frequency of e-learning.

Methods: The number of 351 students of Universitas Indonesia participated in this cross- sectional study. Each participant is given two questionnaires. Perceived Stress Scale (PSS) Indonesian version to assess stress and TMD-DI to assess temporomandibular disorders.

Result: The Mann-Whitney test showed there was a relationship between student stress during e-learning learning and temporomandibular disorders (p<0.05). Chi- square test showed there was no relationship between temporomandibular disorders and gender during e-learning (p>0.05). Chi-square test showed there was no relationship between temporomandibular disorders with duration and frequency of e-learning (p> 0.05).

Conclusions: There was a relationship between student stress during e-learning and temporomandibular disorders."

"ABSTRAKLatar Belakang: Proses penuaan dapat menyebabkan perubahan fisiologis pada jaringan gigi dan mulut, termasuk fungsi pada sendi temporomandibula. Mastikasi merupakan salah satu fungsi sistem stomagtonati yang dapat dipengaruhi oleh gangguan sendi temporomandibula (Temporomandibula Disorders). Tujuan: Menganalisis hubungan antara gangguan sendi temporomandibula terhadap kemampuan mastikasi, serta menganalisis pengaruh faktor sosiodemografi terhadap gangguan sendi temporomandibula dan kemampuan mastikasi. Metode: Penelitian ini dilakukan dengan desain cross sectional pada 100 pasien Puskesmas Kecamatan Kramat Jati berusia 60 tahun ke atas. Dilakukan pencatatan diri responden, pemeriksaan klinis intraoral, dan wawancara menggunakan kuesioner kemampuan mastikasi dan ID-TMD. Hasil penelitian: Gangguan sendi temporomandibula memiliki hubungan (p < 0,05) terhadap kemampuan mastikasi. Terdapat hubungan antara usia dengan gangguan sendi temporomandibula, tetapi tidak terdapat hubungan antara jenis kelamin, tingkat pendidikan dan status ekonomi dengan gangguan sendi temporomandibula. Terdapat hubungan antara usia, tingkat pendidikan, dan status ekonomi dengan kemampuan mastikasi, tetapi tidak ada hubungan antara jenis kelamin dengan kemampuan mastikasi. Kesimpulan: Terdapat pengaruh gangguan sendi temporomandibula terhadap kemampuan mastikasi pada lansia.

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ABSTRACTBackground: Aging process involve physiological changes in the teeth and mouth tissues, including temporomandibular joint function. Mastication is one of the main functions of the stomatognathic system that may be affected by temporomandibular disorders. Objectives: To analyze the relationship between temporomandibular disorder towards masticatory ability, to analyze sociodemographic factors (age, gender, educational level, and economic status) towards temporomandibular disorder and masticatory ability. Methods: Cross-sectional study was conducted on 100 patients of Puskesmas Kramat Jati aged 60 years and over. Subject's data and oral examination were obtained, and interview for masticatory ability and ID-TMD were conducted. Results: There was correlation (p < 0.05) between temporomandibular disorder towards masticatory ability. There was correlation between age towards temporomandibular disorder, but there was no correlation between gender, educational level and economic status towards temporomandibular disorder. There was correlation between age, educational level, and economic status towards masticatory ability, but there was no correlation between gender towards masticatory ability. Conclusion: This study shows that temporomandibular disorders negatively influence masticatory ability in elderly."

"Latar Belakang: SARS-CoV-2 menyebabkan pandemi COVID-19 yang telah menyebar di seluruh dunia termasuk Indonesia. Pandemi membuat masyarakat umum menderita masalah psikologis, salah satunya adalah kecemasan. Kecemasan dapat terjadi sebagai akibat dari pembatasan sosial serta paparan media yang berlebihan. Kecemasan sendiri merupakan salah satu Tujuan: Menganalisis hubungan antara tingkat kecemasan terhadap SARS-CoV-2 dengan gangguan sendi temporomandibula di masa pandemi COVID-19 pada masyarakat Jabodetabek dan menganalisis hubungan antara faktor sosiodemografi (usia dan jenis kelamin) dengan tingkat kecemasan terhadap SARS-CoV-2 dan gangguan sendi temporomandibula di masa Metode: Desain penelitian ini adalah potong lintang pada 421 masyarakat Jabodetabek. Partisipan mengisi kuesioner Coronavirus Anxiety Scale bahasa Indonesia untuk mengukur kecemasan terhadap SARS-CoV-2 serta Indeks Diagnostik Temporomandibular Disorder untuk mengukur gangguan sendi temporomandibula. Pengambilan data dilakukan secara daring melalui google form pada bulan November 2021 hingga Desember 2021. Hasil Penelitian: Uji Chi-Square menunjukkan tingkat kecemasan terhadap SARS-CoV-2 tidak memiliki hubungan bermakna dengan gangguan sendi temporomandibula di masa pandemi COVID-19 pada masyarakat Jabodetabek (p=0.151). Uji Chi-Square juga menunjukkan hubungan yang tidak bermakna antara usia dengan tingkat kecemasan terhadap SARS-CoV-2 (p=1) serta jenis kelamin dengan tingkat kecemasan terhadap SARS-CoV-2 (p=0.719). Uji Chi-Square menunjukkan hubungan yang bermakna antara usia dengan gangguan sendi temporomandibula (p=0.008), namun tidak pada hubungan antara jenis kelamin dengan gangguan sendi temporomandibula (p=0.137).Kesimpulan: Tidak terdapat hubungan antara tingkat kecemasan terhadap SARS-CoV-2 dengan gangguan sendi temporomandibula di masa pandemi COVID-19 pada masyarakat Jabodetabek. Tidak terdapat hubungan antara faktor sosiodemografi (usia dan jenis kelamin) dengan kecemasan terhadap SARS-CoV-2 di masa pandemi COVID-19 pada masyarakat Jabodetabek. Terdapat hubungan antara usia dengan gangguan sendi temporomandibula, namun tidak antara jenis kelamin dengan gangguan sendi temporomandibula di masa pandemi COVID-19 pada masyarakat Jabodetabek.

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Background: SARS-CoV-2 causes the COVID-19 pandemic which has spread throughout the world, including Indonesia. The pandemic makes the general public suffer from psychological problems, one of which is anxiety. Anxiety can occur as a result of social impact as well as excessive media exposure. Anxiety is one of many risk factors for temporomandibular joint disorders.

Objective: This study aims to analyze the association between anxiety levels against SARS-CoV-2 and temporomandibular joint disorders during the COVID-19 pandemic in the Jabodetabek population and analyzing the association between sociodemographic factors (age and gender) and anxiety levels against SARS-CoV-2 as well as temporomandibular joint disorders in the COVID-19 pandemic in the Jabodetabek population.

Methods: Cross-sectional study was conducted to 421 Jabodetabek population. Participant filled out the Indonesian Coronavirus Anxiety Scale questionnaire to assess the anxiety levels against SARS-CoV-2 and the Indeks Diagnostik Temporomandibular Disorder to assess the temporomandibular joint disorder. Data were collected online via google form in November 2021 until December 2021.

Result: The Chi-Square test showed that the anxiety levels against SARS-CoV-2 did not have a significant association with temporomandibular joint disorders during the COVID-19 pandemic in the Jabodetabek population (p=0.151). The Chi-Square test also showed a non-significant association between age and anxiety levels against SARS-CoV-2 (p=1) as well as gender and anxiety levels against SARS-CoV-2 (p=0.719). The Chi-Square test showed a significant association between age and temporomandibular joint disorders (p=0.008), but not on the association between gender and temporomandibular joint disorders (p=0.137).

Conclusion: There was no association found between anxiety levels against SARS-CoV-2 and temporomandibular joint disorders during the COVID-19 pandemic in the Jabodetabek Population. There was no association found between sociodemographic factors (age and gender) and anxiety levels against SARS-CoV-2 during the COVID-19 pandemic in the Jabodetabek population. There was an association found between age and temporomandibular joint disorders, however no association was found between gender and temporomandibular joint disorders during the COVID-19 pandemic in the Jabodetabek population."