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Abstrak :
Latar belakang: Kehilangan dukungan gigi yang melibatkan dukungan oklusal baik pada satu atau kedua sisi rahang merupakan faktor risiko terjadinya Gangguan Sendi Temporomandibula. Tidak adanya dukungan gigi posterior dapat mengganggu mastikasi dan mempengaruhi asupan serta status nutrisi pasien pra lansia dan lansia. Pembuatan gigi tiruan lepasan diharapkan dapat memperbaiki fungsi mastikasi dan merawat gangguan sendi temporomandibula sehingga asupan dan status nutrisi meningkat. Tujuan: Penelitian ini menganalisis pengaruh pemakaian gigi tiruan, gangguan sendi temporomandibula, asupan serta status nutrisi. Metode: Studi kuasi eksperimen pada 28 partisipan (≥45 tahun) dengan kehilangan gigi posterior indeks Eichner B2 sampai C2 yang diambil menggunakan teknik consecutive sampling, kemudian dibuatkan gigi tiruan di Rumah Sakit Gigi Mulut Universitas Indonesia. Pemeriksaan klinis dilakukan dan digunakan DC/ TMD untuk mendiagnosis gangguan sendi temporomandibula, Semi-quantitative Food Frequency Questionnaire (FFQ) digunakan untuk mengukur asupan nutrisi (Kkal), dan Mini Nutritional Assessment Short Form(MNA-SF) digunakan untuk menilai status nutrisi saat sebelum dan setelah 4, 8, dan 12 minggu pemakaian gigi tiruan.Hasil Penelitian: Terdapat pengaruh pada lama pemakaian gigi tiruan terhadap asupan nutrisi pra lansia dan lansia dengan gangguan sendi temporomandibula. Tidak terdapat perbedaan bermakna pada asupan nutrisi partisipan dengan gangguan sendi temporomandibula dan non gangguan sendi temporomandibula. Uji Repeated ANOVA digunakan untuk mengukur asupan nutrisi seiring dengan lama pemakaian gigi tiruan dan signifikan secara statistik (P<0.05). Terdapat perbedaan bermakna pada status nutrisi antara kelompok gangguan sendi temporomandibula dan non gangguan sendi temporomandibula sebelum pemakaian gigi tiruan. Status nutrisi partisipan signifikan secara statistik pada 4 dan 12 minggu setelah pemakaian gigi tiruan. Kesimpulan: Pemakaian gigi tiruan meningkatkan asupan dan status nutrisi pra lansia dan lansia pasien gangguan sendi temporomandibula. ......Background: Missing posterior teeth that resulted in the loss of occlusal support on one or both side of dental arch were found to be risk factors for TMD (Temporomandibular Disorder). Posterior tooth loss can cause disruption of mastication as well as affect nutrition intake and nutritional status of pre-elderly and elderly patients. Denture replacement may improve mastication, as a TMD therapy, and improve nutrition. Objectives: The aim of this study was to analyze the relationship between effect of denture wearing, TMD, nutrition intake, and nutritional status. Methods: Quasi experimental study was conducted on 28 patients (≥45 years old) with missing posterior teeth index Eichner classification B2 until C2 who will be treated with dentures at the Dental Hospital Faculty of Dentistry Universitas Indonesia using a consecutive sampling technique. Oral examination was done. DC/ TMD was used to diagnose Temporomandibular Disorder (TMD), the Semi-quantitative Food Frequency Questionnaire (FFQ) was used to measure nutrition intake (Kcal), and Mini Nutritional Assessment Short Form (MNA-SF) was used to measure nutritional status at baseline and after 4, 8, and 12 weeks of denture wearing. Results: There was significant difference of nutrition intake on TMD groups before and after denture wearing. There is no significant difference between nutrient intake of TMD and non TMDgroups. Repeated ANOVA to measure nutrition intake with period of denture wearing was significant statistically (P<0.05). There was significant difference in nutritional status between TMD and non TMD groups before denture wearing. Nutritional status all subjects was significant statistically at 4 and 12 weeks after denture wearing. Conclusions:Denture wearing improves nutrition intake and nutritional status of pre- elderly and elderly TMD patients.

Abstrak :
ABSTRAK
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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ABSTRACT
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.

Abstrak :
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 were found 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.