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"ABSTRACTLatar belakang: Proses penuaan pada lanjut usia (lansia) menyebabkan perubahan pada fisiologi tubuh serta penurunan respon pertahanan tubuh. Kehilangan gigi diakibatkan adanya proses penuaan dan berbagai penyakit mulut. Seiring bertambahnya usia, kehilangan gigi juga akan semakin banyak. Kehilangan gigi terutama pada bagian posterior menyebabkan berkurangnya zona dukungan gigi posterior. Berkurangnya zona dukungan oklusal dapat memengaruhi kesatuan unit sistem mastikasi dan menimbulkan emporomandibular disorders. Menganalisis hubungan antara banyaknya zona dukungan oklusal dengan TMD dan hubungan keduanya terhadap faktor sosiodemografi (jenis kelamin, tingkat pendidikan, dan tingkat ekonomi) pada lansia. Metode: Studi analitik observasional dengan desain penelitian cross-sectional. Sampel berjumlah 100 dan diambil menggunakan teknik consecutive sampling pada pasien usia 60 tahun ke atas dengan gigi geligi lengkap atau kehilangan gigi tanpa digantikan gigi tiruan. Penelitian dilakukan di Puskesmas Kecamatan Kramat Jati dan RSKGM FKG UI. Subjek dilakukan screening untuk pengambilan data jumlah zona dukungan oklusal berdasarkan indeks Eichner dan diwawancara menggunakan kuesioner Temporomandibular Disorder-Diagnostic Index (TMD-DI) untuk mengukur adanya TMD. Data dianalisis menggunakan uji Chi-Square. Hasil Penelitian: terdapat perbedaan bermakna (p=0.473) antara banyaknya zona dukungan oklusal dengan TMD pada lansia. Tetapi, terdapat peningkatan subjek yang mengalami TMD seiring semakin berkurangnya zona dukungan oklusal. Hasil uji analisis:banyaknya zona dukungan oklusal dengan faktor sosiodemografi (jenis kelamin, tingkat pendidikan, dan tingkat ekonomi) tidak menghasilkan perbedaan yang signifikan (p>0.05), begitu juga antara TMD dengan jenis kelamin dan tingkat pendidikan. Namun, terdapat perbedaan bermakna antara TMD dengan tingkat ekonomi. Kesimpulan: Tidak terdapat hubungan yang signifikan antara banyaknya zona dukungan oklusal dengan temporomandibular disorders (TMD) pada lansia. Background: The elderly undergoes an aging process that causes physiological changes and decreased of the bodys defense system. Loss of teeth can be caused by the aging process and various of untreated oral diseases. Tooth loss increased as people age. Missing teeth, especially in the posterior area will reduce the number of occlusal support zones (OSZ). It can affect the unit of the masticatory system and cause temporomandibular disorders (TMD). Objectives: The aim of this study was to analyze the relationship between occlusal support zones and TMD and their relationship to sociodemographic factors (gender, education level, economic level) in the elderly. Methods: Observational analytic study with cross-sectional design. The number of samples included was 100. They were taken at Puskesmas Kecamatan Kramat Jati and RSKGM FKG UI using a consecutive sampling technique among the elderly aged over 60 with complete dentition or loss of teeth without being replaced by dentures. Subjects were screened to collect the data of occlusal support zones based on the Eichner index and interviewed using Temporomandibular Disorder-DiagnosticIndex (TMD-DI) questionnaire to evaluate the TMD. Then, all data were analyzed using Chi-Square test. Results: There was no significant difference (p = 0.473) between occlusal support zones and TMD in the elderly. However, there is an increase in subjects experiencing TMD as the occlusal support zones decreased. The results of the analysis test between occlusal support zones and sociodemographic factors (gender, education level, economic level) did not produce a significant difference (p > 0.05), as well as TMD with gender and education level. But there is a significant difference between TMD and economic level. Conclusion: There is no significant relationship between occlusal support zones and TMD in the elderly."

"[ABSTRAKPenurunan fungsi pada rongga mulut, termasuk di dalamnya fungsi sendi temporomandibula mempengaruhi kualitas hidup lansia. Suatu studi potong lintang dilaksanakan pada 112 lansia berusia 60 tahun ke atas. Diagnosis gangguan sendi temporomandibula dilakukan dengan DC/TMD dan kualitas hidup dengan GOHAI. Terdapat hubungan bermakna antara gangguan sendi temporomandibula dengan kualitas hidup, jenis kelamin, dan domisili. Selain itu juga terdapat hubungan bermakna antara kualitas hidup dengan tingkat ekonomi. Pada penelitian ini diketahui faktor yang paling berperan terhadap terjadinya gangguan sendi temporomandibula adalah jenis kelamin, sedangkan untuk kualitas hidup adalah tingkat ekonomi.

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ABSTRACTDecreased oral function in elderly, including the function of temporomandibular joint, will affect the quality of life (QoL). A cross-sectional study was conducted upon 112 elders aged 60 and above. DC/TMD was used to diagnose for TMD and GOHAI was used for the QoL. Significant relationship was observed between TMD and QoL, gender, as well as domicile. Pronounced association was also observed between QoL and economic status. In this study, the most affected factors in TMD occurrence was gender, and for QoL was economic status.;Decreased oral function in elderly, including the function of temporomandibular joint, will affect the quality of life (QoL). A cross-sectional study was conducted upon 112 elders aged 60 and above. DC/TMD was used to diagnose for TMD and GOHAI was used for the QoL. Significant relationship was observed between TMD and QoL, gender, as well as domicile. Pronounced association was also observed between QoL and economic status. In this study, the most affected factors in TMD occurrence was gender, and for QoL was economic status., Decreased oral function in elderly, including the function of temporomandibular joint, will affect the quality of life (QoL). A cross-sectional study was conducted upon 112 elders aged 60 and above. DC/TMD was used to diagnose for TMD and GOHAI was used for the QoL. Significant relationship was observed between TMD and QoL, gender, as well as domicile. Pronounced association was also observed between QoL and economic status. In this study, the most affected factors in TMD occurrence was gender, and for QoL was economic status.]"

"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. "

"Latar Belakang: Pilot TNI AU terdiri dari korp tempur, helikopter dan transport merupakan salah satu profesi dengan tingkat stres yang tinggi. Pilot tempur mengalami g-force yang tinggi. Hal ini disebabkan perubahan lingkungan penerbangan meliputi perubahan tekanan udara, suplai oksigen, suhu dan percepatan yang dapat menyebabkan gangguan sendi temporomandibula atau Temporomandibular Disorder (TMD) pada pilot. Penelitian mengenai hubungan stres dengan TMD, serta bruxism sebagai respon terhadap stres dan keausan gigi sebagai akibat bruxism terhadap TMD di pilot TNI AU belum pernah dilakukan di Indonesia. Tujuan: Menganalisis hubungan antara stres, bruxism dan keausan gigi terhadap TMD pada pilot transport dan tempur TNI AU. Metode: Penelitian menggunakan desain cross-sectional pada 50 pilot tempur dan 50 pilot transport TNI AU. Setiap subjek dilakukan pemeriksaan klinis menggunakan formulir Axis I DC/TMD untuk menentukan diagnosa TMD dan menggunakan kriteria identik untuk mengukur keausan gigi. Setelah itu setiap subjek mengisi kuesioner bruxism dari American Academy of Sleep Medicine dan kuesioner stres emosional dari indeks etiologi TMD. Hasil Penelitian: Uji mann-whitney menunjukkan bahwa terdapat perbedaan bermakna antara stres dengan TMD pada pilot transport (p = 0.018) dan pilot tempur (p = 0.010). Uji mann-whitney menunjukkan bahwa terdapat perbedaan bermakna antara bruxism dengan TMD pada pilot transport (p = 0.000) dan pilot tempur (p = 0.000). Uji mann-whitney menunjukkan bahwa terdapat perbedaan bermakna antara keausan gigi dengan TMD pada pilot transport (p = 0.000) dan pilot tempur (p = 0.000). Kesimpulan: Terdapat hubungan antara stres dengan TMD pada pilot TNI AU baik pilot transpor maupun pilot tempur.

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Background: Indonesian Air Force pilots consists of fighter and transport corp are one of the professions with high levels of stress. Fighter pilots experience high g-force. This is due to changes in the aviation environment including changes in barometric pressure, oxygen supply, temperature and acceleration which can cause Temporomandibular Disorder (TMD) on pilot. The study analyzing the association between stress and TMD, as well as bruxism in response to stress and tooth wear as a result of bruxism against TMD in Indonesian Air Force pilots has never been conducted in Indonesia. Objective: Analyzing the relationship between stress, bruxism and tooth wear with TMD in transport pilots and fighter pilots of Indonesian Air Force. Method: This cross sectional study assessed the data of 50 transport pilots and 50 fighter pilots of Indonesian Air Force. Subject performed a clinical examination using the Axis I DC/TMD form to determine the diagnosis of TMD and used identical criteria to measure tooth wear. After that each subject fills the bruxism questionnaire from American Academy of Sleep Medicine and emotional stress questionnaire from the TMD etiology index. Result: Mann-whitney test showed significant differences between stress and TMD in transport pilot (p = 0.018) and fighter pilot (p = 0.010). Mann-whitney test showed significant differences between bruxism with TMD in transport pilot (p = 0.000) and fighter pilot (p = 0.000). Mann-whitney test showed significant differences between tooth wear and TMD in transport pilot (p = 0.000) and fighter pilot (p = 0.000). Conclusion: Stress was associated with TMD in Indonesian Air Force Pilot both transport pilot and fighter pilot."

"Latar belakang: Sleep bruxism merupakan aktivitas oromandibular stereotip sewaktu tidur yang ditandai oleh grinding dan clenching gigi. Penderita sleep bruxism umumnya identik dengan adanya nyeri temporomandibular disorder (TMD). Metode: Penelitian potong lintang ini menggunakan 97 subjek terdiri dari 38 orang laki-laki dan 59 orang perempuan, dengan rentang usia 17-55 tahun. Penilaian sleep bruxism dilakukan menggunakan kuesioner oleh American Academy of Sleep Medicine versi Bahasa Indonesia, serta penilaian TMD dilakukan menggunakan indeks diagnostik DC/TMD. Hasil: Terdapat hubungan yang signifikan secara statistik antara sleep bruxism dan TMD. Sleep bruxism, jenis kelamin dan stress emosional menjadi faktor prediktor terhadap TMD. Pada analisis multivariat dengan regresi logistik diketahui bahwa jenis kelamin dan stress emosional berpengaruh terhadap TMD dengan odds ratio (OR) masing-masing sebesar 3,113 dan 4,043, sedangkan sleep bruxism tidak memiliki pengaruh yang signifikan terhadap TMD dengan OR sebesar 1,141. Kesimpulan: Sleep bruxism berhubungan dengan TMD, namun memiliki pengaruh yang lebih kecil dibandingkan dengan jenis kelamin dan stress emosional.

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Background: Sleep bruxism is a stereotypical oromandibular activity during sleep characterized by grinding and clenching of teeth. Patients with sleep bruxism are generally associated with temporomandibular disorder (TMD) pain. Methods: This cross-sectional study used 97 subjects consisting of 38 male and 59 female, with an age range of 17-55 years. The assessment of sleep bruxism was carried out using Indonesian version of the questionnaire based on the American Academy of Sleep Medicine sleep bruxism questionnaire, and the TMD assessment was carried out using the DC/TMD diagnostic index. Results: There was a statistically significant relationship between sleep bruxism and TMD. Sleep bruxism, gender and emotional stress are predictors of TMD. In multivariate analysis with logistic regression, it was found that gender and emotional stress had an impact on TMD with odds ratio (OR) of 3.113 and 4.043, respectively, while sleep bruxism had no significant impact on TMD with an OR of 1.141. Conclusion: Sleep bruxism is associated with TMD, but has a smaller impact compared to gender and emotional stress."

"Latar Belakang: Adanya perubahan pada metode pembelajaran akibat Covid-19 meningkatkan waktu yang dihabiskan untuk menatap layar (screen-time) yang berpotensi mengganggu kualitas tidur mahasiswa kedokteran gigi yang sebelum pandemi ini telah dilaporkan memiliki persentase kualitas tidur buruk yang cukup tinggi. Bedasarkan penelitian sebelumnya, kualitas tidur yang buruk juga dikaitkan dengan insidens TMD. Tujuan: Menganalisis hubungan antara kualitas tidur dengan TMD pada mahasiswa kedokteran gigi selama pandemi Covid-19. Penelitian ini juga bertujuan untuk menganalisis pengaruh jenis kelamin dan screen-time terhadap kualitas tidur dan TMD. Metode: Penelitian ini menggunakan desain potong lintang pada 110 mahasiswa Program Pendidikan Kedokteran Gigi dan Program Profesi Dokter Gigi Fakultas Kedokteran Gigi Universitas Indonesia. Pengambilan data dilakukan dengan pengisian kuesioner Pittsburgh Sleep Quality Index (PSQI) dan Indeks Diagnostik – Temporomandibular Disorder (ID-TMD) secara daring melalui google form. Hasil Penelitian: Uji Chi-Square menujukkan kualitas tidur memiliki hubungan bermakna dengan TMD pada mahasiswa kedokteran gigi selama pandemi Covid-19 (p=0.035). Hubungan yang bermakna juga ditunjukkan antara screen-time dengan kualitas tidur (p=0.027), namun tidak dengan TMD (p=0.489). Jenis kelamin juga tidak memiliki hubungan bermakna, baik dengan kualitas tidur (p=0.974) maupun TMD (p=0.902). Kesimpulan: Terdapat hubungan antara kualitas tidur dengan TMD pada mahasiswa kedokteran gigi selama pandemi Covid-19.Terdapat pula hubungan antara screen-time dengan kualitas tidur. Namun tidak terdapat hubungan antara screen-time dengan TMD, serta jenis kelamin dengan kualitas tidur maupun TMD.

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Background: Changes in learning methods and increased screen-time due to Covid-19 pandemic may lead dental students to poor sleep quality. Based on previous studies, poor sleep quality also associated with the incidence of TMD. Objectives: The aim of this study is to analyze the relationship between sleep quality and TMD in dental students during Covid-19 pandemic. This study also aims to analyze the influence of gender and screen-time to sleep quality and TMD. Method: Cross-sectional study was conducted on 110 pre-clinical and clinical year students of Faculty of Dentistry, Universitas Indonesia. Sleep quality was evaluated using Pittsburgh Sleep Quality Index (PSQI) questionnaire and TMD was evaluated using Indeks Diagnostik – Temporomandibular Disorder (ID-TMD) questionnaire. Retrieval of data using questionnaires distributed and collected online. Result: The result of Chi-Square test showing there is relationship between sleep quality and TMD in dental students during Covid-19 pandemic (p=0.035). Significant relationship was also showed between screen-time and sleep quality (p=0.027), but not with TMD (p=0.489). There is no relationship between gender and sleep quality (p=0.974) as well as TMD (p=0.902). Conclusion: This study shows that there is relationship between sleep quality and TMD in dental students during Covid-19 Pandemic. Significant relationship was also found between screen-time and sleep quality. However, no relationship was found between screen-time and TMD along with gender and sleep quality as well as 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. ]"

"ABSTRAKLatar Belakang: Lansia mengalami proses penuaan yang melibatkan perubahan pola penyakit, salah satunya penyakit gigi mulut. Masalah utama yang dimiliki lansia adalah kehilangan gigi yang membutuhkan perawatan prostodonsia. Kebutuhan perawatan mendahului perencanaan perawatan prostodonsia. Kebutuhan sendiri dibagi menjadi kebutuhan objektif dan kebutuhan subjektif atau kebutuhan yang dirasakan pasien itu sendiri. Terdapat beberapa hal yang mempengaruhi kebutuhan seseorang, salah satunya adalah tingkat pengetahuan seseorang akan kesehatan gigi dan mulut. Tujuan: Menganalisis hubungan tingkat pengetahuan kesehatan gigi mulut dengan kebutuhan perawatan prostodonsia secara objektif dan subjektif pada lansia, menganalisis pengaruh faktor sosiodemografi (jenis kelamin, tingkat pendidikan, dan status ekonomi) terhadap tingkat pengetahuan kesehatan gigi mulut dan kebutuhan perawatan prostodonsia. Metode: Penelitian ini dilakukan dengan desain cross sectional pada 100 pasien Puskesmas Kecamatan Kramat Jati berusia 60 tahun ke atas. Dilakukan pencatatan diri subjek, wawancara pengisian kuesioner tingkat pengetahuan kesehatan gigi mulut pada lansia, kebutuhan subjektif (need) gigi tiruan, dan pemeriksaan klinis intraoral (kebutuhan objektif). Hasil penelitian: Tingkat pengetahuan kesehatan gigi mulut memiliki perbedaan bermakna (p < 0,05) dengan kebutuhan objektif gigi tiruan pada rahang atas dan kebutuhan subjektif (need) gigi tiruan, tetapi tidak terdapat perbedaan bermakna tingkat pengetahuan kesehatan gigi mulut dengan kebutuhan objektif gigi tiruan pada rahang bawah. Terdapat perbedaan bermakna jenis kelamin dan tingkat pendidikan dengan kebutuhan subjektif (need) gigi tiruan, tetapi tidak ada perbedaan bermakna antara status ekonomi dengan kebutuhan subjektif (need) gigi tiruan. Tidak terdapat perbedaan bermakna antara faktor sosiodemografi dengan tingkat pengetahuan kesehatan gigi mulut dan kebutuhan objektif pada kedua rahang. Kesimpulan: Terdapat pengaruh tingkat pengetahuan kesehatan gigi mulut pada lansia dengan kebutuhan objektif gigi tiruan pada rahang atas dan kebutuhan subjektif (need) gigi tiruan.

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ABSTRACTBackground: The elderly undergoes aging process that involves changes in the profile of disease, one of them is oral disease. The main problem experienced by the elderly is loss of teeth that needs prosthodontic treatment. Treatment need precedes the treatment plan of prosthodontic treatment. Treatment need is divided into two, that is objective and subjective need or perceived need. There are few things influencing one's need, one of them to be oral health knowledge. Objectives: To analyze the relationship between oral health knowledge towards prosthodontic treatment need in elderly both objectively and subjectively, to analyze sociodemographic factors (gender, educational level, and economic status) towards oral health knowledge and prosthodontic treatment need. Methods: Cross-sectional study was conducted on 100 patients of Puskesmas Kramat Jati aged 60 years and over. Subjects data and oral examination were obtained, and interview for oral health knowledge and subjective prosthodontic need were conducted. Results: There was significant difference (p < 0,05) between oral health knowledge towards objective prosthodontic treatment need on the upper jaw and subjective prosthodontic treatment need, but there was difference between oral health knowledge towards towards objective prosthodontic treatment need on the lower jaw. There was significant difference gender and educational level towards subjective prosthodontic treatment need, but there was no significant difference between economic status towards subjective prosthodontic treatment need. There was no significant difference between sociodemographic factors towards oral health knowledge and objective prosthodontic treatment need on both jaws. Conclusion: This study shows a relationship between oral health knowledge and objective prosthodontic treatment need on the upper jaw and subjective prosthodontic treatment need."

"Pada tahun 2016, hasil penelitian The Tobacco Atlas melaporkan bahwa 66 pria di Indonesia adalah perokok. Penelitian epidemiologi telah melaporkan bahwa merokok tembakau berhubungan dengan nyeri pada gangguan muskuloskeletal. Beberapa penelitian telah melaporkan bahwa merokok tembakau berhubungan dengan temporomandibular disorders TMD , yang memiliki gejala diantaranya nyeri musculoskeletal, clicking, dan keterbatasan buka mulut. Namun, penelitian seperti ini belum pernah diteliti di Indonesia. Tujuan penelitian ini adalah untuk menganalisis hubungan kebiasaan merokok tembakau dan derajat keparahan nyeri pada pasien TMD. Sejumlah 54 subjek diperiksa dan dibagi menjadi dua kelompok: merokok tembakau dan tidak merokok; kemudian, perokok dibagi menjadi tiga kelompok menjadi: perokok ringan, perokok sedang, dan perokok berat. Diagnosis ditegakkan berdasarkan Diagnostic Criteria for Temporomandibula Disorders DC/TMD aksis I dan derajat keparahan nyeri TMD diukur melalui Visual analog scale VAS . Data dianalisis menggunakan Kruskal Wallis dan Post Hoc Mann-Whitney. Hasil penelitian menunjukan terdapat perbedaan bermakna dari derajat keparahan nyeri TMD yaitu pada kelompok perokok dibandingkan kelompok tidak merokok, dan terdapat hubungan yang bermakna antara derajat keparahan nyeri TMD dan jumlah rokok yang dikonsumsi. Kebiasaan merokok tembakau merupakan faktor yang mempengaruhi derajat keparahan nyeri TMD, sehingga kontrol terhadap kebiasaan merokok tembakau harus dipertimbangkan dalam merawat TMD pada pasien perokok.

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In 2016, The Tobacco Atlas reported that 66 of males in Indonesia were cigarettes smoker. Epidemiologic studies have suggested that smoking might be associated with musculoskeletal pain. Some studies have reported that there was a relationship between cigarettes smoking and Temporomandibular Disorders TMD , since the sysmptom could be musculoskeletal pain, clicking, and limitation on opening. But this kind of study have not yet been done in Indonesia. The aim of this study was to evaluate the relationship of cigarette smoking on pain severity in TMD patients. Study was done on 54 TMD patients. They were first divided into two groups smokers and non smokers. Then, smokers were further divided into three subgroups light, moderate, and heavy smokers. The subjects were diagnosed according to the Diagnostic Criteria for Temporomandibula Disorders DC TMD Axis I and the TMD pain was derived from Visual Analog Scale VAS . All the collected data were analysed using Kruskal Wallis and Post Hoc Mann Whitney. It has been shown that the TMD pain severity was significant higher in smokers compared to non smokers, and a significant relationship was found between pain severity and the number of cigarettes smoked in a day by each subject. Smoking seems to be a relevant factor affecting the TMD pain severity, thus, control of smoking habits should be considered when treating TMD patients. "

"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."