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"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."

"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."

"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."

"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."

"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."

"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. "

"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."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 421-426Temporomandibular joint disorder may be caused by variety of factors; one of which is the posture of head and neck. However, the remains controversial and a subject of debate by experts. The objective of this study was to know whether there was a relation between temporomandibular disorders and the head and neck posture seen radiographically. Subject were 40 dental students from University of Indonesia who met the inclusion criteria, selected through questionnaire, and subjective examinations based on Helkimo's dysfuction index. Then, lateral cephalometries radiographic were done to all subjects. In the radiogram, a horizontal line was made from the nasion point to the sella tursica, and a vertical line was drawn along the prominent bone of C1 - C5. The angle between the two lines was measured, and used to represent the head and neck posture. The design of the study was cross sectional. Based on statistical analysis, there was no significant relationship between the anamnestic dysfunction index as well as the clinical dysfunction index that represented the temporomandibular joint disorders and the posture of head and neck seen radiographically."

"Etiologi gangguan sendi temporomandibula adalah kompleks dan multifaktorial. Selama ini diagnosa ditegakkan berdasarkan tanda klinis dan gejala. Tujuan penelitian ini adalah untuk menghasilkan suatu indeks berdasarkan etiologi dalam penetapan diagnosis, sehingga pencegahan dan perawatan yang tepat dapat dilaksanakan. Penelitian dibagi dalam dua tahap. Pertama, tahap kualitatif eksploratif melalui konsep konsensus pakar untuk menentukan variabel dan indikator yang diduga menjadi penyebab gangguan sendi temporomandibula dan akan digunakan pada kuesioner etiologi gangguan sendi temporomandibula. Tahap ke dua penelitian kuantitatif, pembuatan indeks berdasarkan etiologi gangguan sendi temporomandibula, menggunakan baku emas RDC/TMD dengan desain kasus kontrol. Dihasilkan indeks yang mudah, sederhana, dan akurat untuk memprediksi etiologi gangguan sendi temporomandibula. Indeks tersebut terdiri atas stres, kebiasaan buruk, jenis kelamin, dan free way space yang merupakan bagian dari faktor maloklusi. Komponen kebiasaan buruk dan komponen stres diukur menggunakan kuesioner yang didapat dari proses ekploratif kualitatif. Kuesioner ini adalah valid (sahih) dan reliable (andal) untuk digunakan dalam penentuan etiologi gangguan sendi temporomndibula.

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The etiology of temporomandibular disorders is complex and multifactorial. Usually diagnosis was done by clinical signs and symptoms. The purpose of this research is to produce an index based on etiology so early prevention and prompt treatment can be done. This study was divided in two stages. Firstly the qualitative explorative concept. It was done to get a consensus between the experts to define variables and indicators that were suspected as the causes of temporomandibular disorders. The variables and indicators will be used in the questionnaire based on the etiology of Temporomandibular disorders. Then, followed by a quantitative study with case-control design using the RDC/TMD as a gold standard, producing an easy, simple, and accurate index to predict the etiology of temporomandibular disorders. Included in this index are stress, bad habits, gender, and free way space which is a part of a malocclusion. Bad habit and stress could be measured by using a questionnaire which was obtained from a qualitative explorative study. This questionnaire is valid and reliable in the determination of the etiology of 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."