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"ABSTRAKLatar Belakang: Inklinasi eminensia artikularis merupakan struktur yang paling cepat mengalami degenerasi akibat beban oklusi yang berat. Perbedaan inklinasi eminensia artikularis kanan dan kiri lebih banyak ditemui pada individu dengan Temporomandibular disorders TMD . Jenis kelamin, usia, oklusi, kehilangan gigi dan sleep bruxism juga dapat mempengaruhi perbedaan inklinasi eminensia artikularis. Sehingga, perlu diteliti hubungan antara diagnosis TMD, jenis kelamin, usia, oklusi, kehilangan gigi dan sleep bruxism dengan perbedaan inklinasi eminensia artikularis kanan dan kiri.Tujuan: Menganalisis hubungan antara diagnosis TMD dengan perbedaan inklinasi eminensia artikularis kanan dan kiri.Metode: Desain penelitian potong lintang dengan penegakan diagnosis melalui pemeriksaan DC-TMD, serta foto radiograf transkranial pada 70 subjek 14 pria, 56 wanita , usia 20 tahun ke atas. Uji One-way ANOVA digunakan untuk menganalisis hubungan diagnosis TMD dengan perbedaan inklinasi eminensia kanan dan kiri. Uji t tidak berpasangan digunakan untuk menganalisis pengaruh jenis kelamin, usia, oklusi, kehilangan gigi dan sleep bruxism terhadap perbedaan inklinasi eminensia artikularis kanan dan kiri. Uji chi-square digunakan untuk menganalisis hubungan antara jenis kelamin, usia, kondisi oklusi, kehilangan gigi dan kebiasaan sleep bruxism terhadap diagnosis TMD. Uji multivariat regresi logistik digunakan untuk menentukan faktor yang berpengaruh terhadap perbedaan inklinasi eminensia kanan dan kiri.Hasil: Terdapat hubungan antara diagnosis TMD dengan perbedaan inklinasi eminensia artikularis kanan dan kiri p=0,001 . Dengan hasil post hoc bermakna pada kelompok gangguan sendi p=0,042 dan gangguan kombinasi p=0,000 . Jenis kelamin dan usia mempengaruhi diagnosis TMD p=0,009 dan p=0,029 . Uji multivariat menunjukkan bahwa variabel diagnosis TMD merupakan variabel yang paling berpengaruh dengan perbedaan inklinasi eminensia artikularis kanan dan kiri.Kesimpulan: Terdapat hubungan antara diagnosis TMD dengan perbedaan inklinasi eminensia artikularis kanan dan kiri. Diagnosis TMD dengan gangguan intra artikular dan otot mempunyai risiko terjadinya perbedaan inklinasi eminensia artikularis kanan dan kiri sebesar 9,75 kali dibandingkan TMD dengan gangguan otot.Kata kunci: perbedaan eminensia artikularis, inklinasi, TMD, transkranial

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ABSTRACTBackground Articular eminence is the most rapidly degenerating structure due to heavy occlusion loads. Asymmetrical articular eminence is more common in individuals with Temporomandibular disorders TMD . It is also associated with gender, age, occlusion, missing tooth teeth and sleep bruxism. Therefore, further research is required to analyze the relationship between TMD diagnoses, gender, age, occlusion, missing tooth teeth and sleep bruxism with asymmetrical articular eminence.Objective To analyze the association between TMD diagnoses and asymmetrical articular eminence.Method This research implemented a cross sectional study in diagnosis process using DC TMD protocol and transcranial radiographs of 70 subjects 14 male, 56 female aged 20 years and older. One way ANOVA was used to determine the association between TMD diagnoses to asymmetrical articular eminence. Independent t test was used to determine the association between gender, age, occlusion, missing tooth teeth and sleep bruxism to asymmetrical articular eminence. Chi square test was used to determine the influence of gender, age, occlusion, missing tooth teeth and sleep bruxism in association to TMD diagnoses. Logistic regression multivariate test was used to determine which factors are the most influential to asymmetrical articular eminence.Result TMD diagnoses had a significant association with asymmetrical articular eminence p 0,001 . Post hoc result showed significant values in intra articular disorder p 0,042 , and combination disorder p 0,000 . Gender and age were associated with TMD diagnoses p 0,009 and p 0,029 . Based on multivariate test, TMD diagnoses was the most influential factor to asymmetrical articular eminence, with OR value of 9,75 for intraarticular disorder and OR value of 4,13 for muscle disorder.Conclusion TMD diagnoses were significantly associated with asymmetrical articular eminence. TMD with intraarticular and muscle disorder is 9,75 times more likely to cause asymmetrical articular eminence compared to TMD with muscle disorder. Keywords asymmetrical articular eminence, inclination, TMD, transcranial"

"Latar Belakang: Temporomandibular disorders (TMD) memiliki prevalensi yang bervariasi antara 45% hingga 88% di berbagai tempat di dunia. Beberapa gejalanya berupa sakit dan kesulitan membuka mulut. Gejala ini dapat mengganggu pola makan dan pada akhirnya mengganggu status nutrisi individu penderita TMD. Tujuan penelitian ini adalah membandingkan perbedaan Indeks Massa Tubuh (IMT) pada individu dengan dan tanpa TMD. Metode: Penelitian dengan desain cross-sectional dilakukan dengan partisipan 100 orang penduduk Desa Klecoregonang, Pati, Jawa Tengah. Variabel yang diteliti yaitu status TMD, IMT, asupan nutrisi, usia, jenis kelamin, tingkat pendidikan, dan tingkat ekonomi. Pengambilan data dilakukan sepanjang bulan November 2020. Partisipan diwawancarai untuk mengisi kuesioner ID-TMD sebagai alat skrining TMD dan kuesioner food frequency questionnaire (FFQ) untuk mengukur asupan nutrisi. Partisipan juga diukur tinggi dan berat badannya untuk menghitung IMT. Selain itu, data usia, jenis kelamin, pendidikan terakhir, dan jumlah pengeluaran per bulan juga dicatat sebagai data sosiodemografis. Hasil: Analisis data menggunakan uji komparatif kategorik tidak berpasangan menunjukkan tidak ada perbedaan IMT pada partisipan dengan dan tanpa TMD (p = 0,933). Variabel confounding yang menujukkan perbedaan nilai secara statistik pada partisipan dengan dan tanpa TMD adalah asupan nutrisi (p = 0,003), usia (p = 0,025), dan tingkat ekonomi (p = 0,01). Lebih lanjut, tidak ada perbedaan IMT antar kategori asupan nutrisi (p=0,454). Kesimpulan: tidak terdapat perbedaan IMT pada partisipan dengan dan tanpa TMD.

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Background: Temporomandibular disorders (TMD) occurrence ranged between 45%- 88% in various part of the world. Some of the symptoms include pain and mouth opening difficulty. These symptoms can interfere with eating patterns and ultimately disrupt the nutritional status of individuals with TMD. Aim of this study is to compare the differences in Body Mass Index (BMI) in individuals with and without TMD. Methods: This study is a cross-sectional study with 100 participants from Klecoregonang Village, Pati, Central Java. Data collection was carried out throughout November 2020. The variables studied were TMD status as dependent variable, BMI as independent variable, and the confounding variable were nutritional intake, age, gender, education level, and economic level. Participants were interviewed to fill out ID-TMD questionnaire as TMD screening tool and Food Frequency Questionnaire (FFQ) to measure nutritional intake. Participants were also measured for height and weight to calculate BMI. In addition, data about age, gender, education level, and monthly expenditure were also recorded as sociodemographic data. Results: Data analysis using unpaired categoric comparative test showed no difference in BMI between participants with and without TMD. The confounding variables that showed statistically different values for paricipants with and without TMD is nutritional intake (p = 0,003), age (p = 0,025), and economic level (p = 0,01). Furthermore, there was no difference in BMI between nutritional intake categories (p=0,454). Conclusion: there is no difference in BMI between participants with and without TMD."

"[ABSTRAKTesis ini bertujuan untuk menganalisis hubungan antara kebiasaan mengunyah dan asimetri vertikal kondilus pada pasien TMD. Dilakukan penelitian potong lintang di klinik Prostodonsia RSKGM FKG UI menggunakan data sekunder dari empat puluh rekam medik dan gambaran radiografik pasien TMD. Tracing gambaran radiografi panoramik dilakukan untuk menilai asimetri vertikal kondilus pada subjek menggunakan Indeks Asimetri Habets dan Simetri Indeks Kjellberg.Hasil penilaian asimetri vertikal kondilus kemudian dihubungkan dengan kebiasaan mengunyah, Indeks Helkimo, dan DC/TMD. Hasil penelitian menunjukkan tidak terdapat hubungan antara kebiasaan mengunyah dan asimetri vertikal kondilus pada pasien TMD.

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ABSTRACTThis study was performed to analize the relationship betweenchewing preferences and condylar asymmetry in patients with TMD. A cross-sectional study at Prosthodontic Clinic, Faculty of Dentistry, University of Indonesia using secondary data obtain from forty TMD patients's medical record and panoramic radiograph was conducted. The panoramic radiograph were traced on tracing paper to evaluate condylar asymmetry using Asymmetry Index of Habets and Symmetry Index of Kjellberg. The evaluation of condylar asymetry were then related to chewing preference, Helkimo?s Index, and DC/TMD.There was no relationship found between chewing preference and condylar asymmetry in patients with TMD. , This study was performed to analize the relationship betweenchewing preferences and condylar asymmetry in patients with TMD. A cross-sectional study at Prosthodontic Clinic, Faculty of Dentistry, University of Indonesia using secondary data obtain from forty TMD patients’s medical record and panoramic radiograph was conducted. The panoramic radiograph were traced on tracing paper to evaluate condylar asymmetry using Asymmetry Index of Habets and Symmetry Index of Kjellberg. The evaluation of condylar asymetry were then related to chewing preference, Helkimo’s Index, and DC/TMD.There was no relationship found between chewing preference and condylar asymmetry in patients with TMD. ]"