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ABSTRAK
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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" "ABSTRACT
" 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.

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Oral splints have been frequently used in the treatment of bruxism to protect teeth and periodontium from damage, but the mechanism of action and efficacy of oral splints remain controversial. It has been suggested that they can be used to treat bruxism, based on the assumption that the device can eliminate or remove occlusal interference. Currently there are no reliable data to support the assumption of occlusion as an etiologic factor for bruxism, because several other factors have a role in bruxism, such as psychiatric, neurological and systemic disorders. In this paper, the mechanism of action and efficacy of oral splints in bruxism are discussed. Conclusions: although oral splint may be beneficial in protecting the dentition, the efficacy of this device in reducing bruxism is still not confirmed. There are several aspects that would support the broad usage of oral splints in the treatment of bruxism, but there are also limitations associated with each of these aspects. In conclusion, oral splints can be considered as useful adjuncts in the management of sleep bruxism but not as a definitive treatment.

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Masticatory system is a complex functional unit of the body primarily responsible for mastication, speech and deglutition process. Temporomandibular disorders (TMD) is used to describe all functional disturbances of the masticatory system. The etiology of TMD is multifactorial, such as occlusal disharmony and emotional stress. The relationship between occlusion and TMD has been highly debated in dentistry, one of the occlusal factors is the occlusal schemes. Occlusal schemes are defined as bilateral canine guidance, unilateral canine guidance, group function, and balanced occlusion. However, studies about the relationship of occlusal schemes and the occurrence of the TMD are still limited and remained controversial. Objective: To investigate the relationship of occlusal schemes with the occurrence of TMD. Methods: A cross-sectional study was conducted at the Faculty of Dentistry, Universitas Indonesia. A total of 127,\ students were included in this study. Subjects were examined based on Clinical Helkimo Index and divided into TMD and non-TMD groups. Subjects were categorized as non-TMD group if the value of clinical Helkimo index was 0 and as TMD group when the value ranged between1-25. Results: Balanced occlusion schemes has a greater risk of TMD occurrence with odds ratio value of 5.6 and 95% confidence interval of 1.188 to 26.331 (p=0.021). Conclusion: Balanced occlusion has asignificant relationship with the occurence of TMD.

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Latar Belakang: Gangguan sendi temporomandibular (TMJD) merupakan penyebab utama nyeri non-odontogenik di regio oro-fasial. Diagnosis dini dari TMJD penting dilakukan, namun kesadaran diri akan TMJD masih terbilang rendah. TMJD juga terjadi pada mahasiswa kedokteran gigi dengan persentase yang cukup tinggi, hal ini dapat dikaitkan dengan kurangnya kesadaran dan pengetahuan. Tujuan: mengetahui sejauh mana pengetahuan dan kesadaran diri akan tanda dan gejala TMJD pada mahasiswa FKG UI dan melihat hubungan antara keduanya. Metode: Studi deskriptif potong lintang pada 617 mahasiswa Fakultas Kedokteran Gigi Universitas Indonesia menggunakan kuesioner pengetahuan, dan tanda dan gejala TMJD yang pernah digunakan dalam penelitian terdahulu di India. Hasil: Tidak terdapat hubungan antara tingkat pengetahuan dengan tingkat kesadaran diri akan tanda dan gejala TMJD. Namun terdapat korelasi positif antara angkatan dengan tingkat pengetahuan dan korelasi negatif antara angkatan dengan tingkat kesadaran diri. Tingkat pengetahuan dan kesadaran diri mayoritas mahasiswa tergolong sedang serta tanda dan gejala yang paling banyak pernah dirasakan oleh mahasiswa yaitu pengalaman mendengar suara dari TMJ saat membuka atau menutup mulut. Kesimpulan: Semakin tinggi angkatan mahasiswa maka tingkat pengetahuan TMJD akan meningkat namun, tingkat kesadaran diri akan tanda dan gejala TMJD justru menurun. ......Background: Temporomandibular Joint Disorder (TMJD) is the main cause of non-odontogenic pain in oro-facial region. Early diagnosis of TMJD urge to be done, however the self-awareness of TMJD is usually low. TMJD also occurred among dentistry students with significant percentage, this could be associated with the lack of awareness and knowledge. Objective: To understand the level of knowledge and self-awareness regarding the sign and symptoms of TMJD and its relations of the dentistry student in University of Indonesia. Methods: Descriptive cross-sectional was applied to 617 students using adapted questionnaire concerning knowledge, sign and symptoms of TMJD used by a similar study in India. Results: There is no association between knowledge level and self-awareness regarding the sign and symptoms of TMJD level. There is a positive correlation between student’s grade and the level of knowledge, however negative correlation appears between student’s grade and the level of self-awareness. The knowledge and self-awareness level among majority of students are moderate. The major sign and symptoms that mostly have ever felt by students is experiencing of noises within TMJ while opening or closing the jaw. Conclusion: Higher student’s grade tends to have higher TMJD knowledge level but lower TMJD sign and symptoms self-awareness level.

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ABSTRACT
The AAOP Guidelines for Assessment, Diagnosis, and Management of Orofacial Pain is an invaluable resource for all health care professionals who evaluate and treat patients with orofacial pain and face the daunting task of "keeping up with the literature" in the rapidly emerging arena of pain management in clinical practice. This new edition continues to emphasize evidence-based knowledge and, for the first time, offers a summary of key points at the beginning of each chapter. Other important changes include an entirely new chapter on sleep and its relationship to pain and well-being; new imaging guidelines for the diagnosis of headache, TMD, and neuropathic pain; a new section on dysesthesias related to neuropathic pain; comprehensive descriptions of SUNCT/SUNA in the chapter devoted to primary headache disorders; and recommendations for quantitative sensory testing, narcotic agreement, and brief screening questionnaires used in patient assessment. Most important, the differential diagnosis and TMD chapters reflect the recommendations of the long-awaited RDC/TMD taxonomy, which will have a significant impact on clinical practice.