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Abstrak :
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. ......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.

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 :
Tujuan: Kajian sistematis ini bertujuan mengidentifikasi dan menyelidiki dampak psikologis, seperti stres, kecemasan, dan depresi akibat pandemi COVID-19 sebagai etiologi temporomandibular disorder (TMD). Metode: Protokol penelusuran literatur dalam kajian sistematik ini berdasarkan tahapan Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). Pencarian literatur dilakukan pada empat basis data daring yaitu Pubmed, Scopus, EBSCO, dan ProQuest dengan membatasi literatur dalam bahasa Inggris dan dipublikasikan dalam rentang waktu tahun 2020 hingga 2022 sejak pandemi COVID-19 terjadi. Kriteria inklusi lain yang ditetapkan adalah subjek dengan TMD, dampak psikologis pandemi COVID-19 sebagai etiologi TMD dan studi observasional. Penilaian risiko bias menggunakan borang Joanna Briggs Institute Critical Appraisal. Hasil: Dari penelusuran didapatkan 421 literatur dan setelah proses seleksi terdapat 13 literatur yang termasuk dalam kriteria inklusi. Kondisi TMD pasien didiagnosa menggunakan kuesioner DC/TMD dan variasinya. Pada subjek dengan TMD dilakukan pengukuran terhadap keadaan psikologis dan dampak dari pandemi COVID-19. Hasil pemeriksaan keadaan psikologis pada 13 literatur ini menunjukkan adanya peningkatan stres, depresi, dan kecemasan pada subjek dengan TMD yang merupakan dampak dari pandemi COVID-19. Hal ini disebabkan karena adanya peristiwa lockdown, kehilangan pekerjaan, keterbatasan interaksi sosial, dan ketakutan pada pandemi COVID-19. Dampak pandemi COVID-19 menyebabkan peningkatan tekanan emosional dan kebiasaan parafungsi. Hal ini memperburuk kondisi fisiologis pada sistem stomatognatik dan mengakibatkan terjadinya TMD. Kesimpulan: Interaksi dampak pandemi COVID-19 dengan faktor psikologi dapat berperan sebagai etiologi TMD. Stres, depresi, dan kecemasan berkelanjutan akibat pandemi COVID-19 dapat menyebabkan peningkatan tekanan psikologis dan emosional, serta kebiasaan parafungsi seperti bruxism dan mengakibatkan TMD. Penilaian faktor psikologi yang menyeluruh pada pasien TMD dapat menjadi kunci dalam keberhasilan perawatan pasien TMD terutama pada masa pandemi COVID-19. ......Objectives: The aim of this systematic review was to identify and investigate the impact of the COVID-19 pandemic in relation to psychological factors such as stress, anxiety, and depression as etiologies of temporomandibular disorder (TMD). Methods: The literature search protocol in this systematic review was based on the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). The literature search was conducted on four online databases: Pubmed, Scopus, EBSCO, and ProQuest by limiting only literature in English and published in the period from 2020 to 2022 since the COVID-19 pandemic occurred. The inclusion criteria were the subject with TMD; the impact of the COVID-19 pandemic as an etiology of TMD; observational studies. The bias risk was assessed using the Joanna Briggs Institute Critical Appraisal form. Results: 421 literatures were obtained in the initial search and after the selection process there were 13 literatures included in this systematic review. The patient's TMD condition was diagnosed using the DC/TMD questionnaire and its variations. Psychological measurements and the impact of the COVID-19 pandemic were carried out for the subjects with TMD. The results of examining the psychological state of the 13 literatures show an increase in stress, depression, and anxiety in subjects with TMD which is the impact of the COVID-19 pandemic. This condition is due to lockdown events, loss of jobs, restrictions on social interaction, and fear of the COVID-19 pandemic. The impact of the COVID-19 pandemic causes an increase in emotional stress,and parafunctional habits. These impacts can cause physiological decline in the stomatognathic system and results in TMD. Conclusions: The interaction between the impact of the COVID-19 pandemic and psychological factors can act as an etiology for TMD. Continued stress, depression and anxiety due to the COVID-19 pandemic can lead to increased psychological and emotional distress, as well as parafunctional habits such as bruxism and lead to TMD. A thorough assessment of psychological factors in TMD patients can be key to the successful treatment of TMD patients, especially during the COVID-19 pandemic.

Abstrak :
[Salah satu gejala TMD dapat berupa keterbatasan gerak mandibula yang antara lain dapat dilihat melalui besar pembukaan mulut. Telah terdapat penelitian tentang besar pembukaan mulut di negara lain, tetapi belum pernah dilakukan di Indonesia. Penelitian dilakukan untuk melihat hubungan besar pembukaan mulut dengan TMD di Indonesia. Penelitian menggunakan metode potong lintang pada 223 mahasiswa UI berusia 17-22 tahun. Subjek mengisi kuesioner Indeks Diagnostik-TMD dan diukur besar pembukaan mulutnya. Hasil uji t tidak berpasangan menunjukkan perbedaan bermakna pada rata-rata besar pembukaan mulut subjek TMD dan non-TMD (p=0,005). Ditemukan hubungan antara besar pembukaan mulut dengan Temporomandibular Disorders di Indonesia.;One of the symptoms of Temporomandibular Disorders (TMD) is limitation of mandibular movement that is reflected in mouth opening. Study of measurement of mouth opening has not been done in Indonesia. The aim of this study was to analyze the relationship between width of mouth opening and TMD in Indonesia. Cross-sectional study was performed towards 223 UI students aged 17-22. Firstly, subjects had to fill the TMD-Diagnostic Index questionnaire, then mouth opening was measured. Independent t-test showed significant difference between width of mouth opening in TMD and non-TMD subjects (p=0,005). There was a relationship between width of mouth opening and TMD in Indonesia, One of the symptoms of Temporomandibular Disorders (TMD) is limitation of mandibular movement that is reflected in mouth opening. Study of measurement of mouth opening has not been done in Indonesia. The aim of this study was to analyze the relationship between width of mouth opening and TMD in Indonesia. Cross-sectional study was performed towards 223 UI students aged 17-22. Firstly, subjects had to fill the TMD-Diagnostic Index questionnaire, then mouth opening was measured. Independent t-test showed significant difference between width of mouth opening in TMD and non-TMD subjects (p=0,005). There was a relationship between width of mouth opening and TMD in Indonesia]

Abstrak :
ABSTRACT
Latar 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.

Abstrak :
ABSTRAK
Latar Belakang: Temporomandibular disorders TMD adalah gangguan yang bersifat multifaktorial dan keluhan yang seringkali ditemukan adalah nyeri di daerah orofasial, keterbatasan buka mulut dan bunyi sendi. Keluhan tersebut seringkali mengganggu aktivitas sehari-hari pasien sehingga semakin banyak pasien yang datang untuk mendapatkan perawatan. Aktivitas pasien mempengaruhi kualitas hidupnya, sehingga perlu dilakukan analisis hubungan TMD dengan kualitas hidup dinilai menggunakan kuesioner OHIP-TMDs-ID. Tujuan: Menganalisis hubungan TMD dengan kualitas hidup, menganalisis hubungan antara faktor sosiodemografis, status stres emosional, status kebiasaan buruk dan jumlah kehilangan gigi dengan kualitas hidup. Metode: Desain potong lintang. Hubungan TMD, faktor sosiodemografis, status stres emosional, status kebiasaan buruk dan jumlah kehilangan gigi dengan kualitas hidup dianalisis dengan uji t tidak berpasangan sedangkan untuk hubungan kelompok diagnosis TMD dan kelompok usia dengan kualitas hidup dengan uji ANOVA satu arah. Hasil: Dari uji yang dilakukan terlihat bahwa terdapat hubungan antara TMD dengan kualitas hidup p0,05 . Kesimpulan: Kualitas hidup pasien TMD lebih rendah dibandingkan dengan pasien non TMD. ABSTRACT Background Temporomandibular disorders TMD is a multifactorial etiologic disorders and mostly patients complain about orofacial pain, limited opening and clicking or crepitation. Sometimes those complaints are affecting their daily activities so patients tried to seek treatments. Patients rsquo daily activities affected their quality of life so we needed to analyze the relationship between TMD and quality of life based on OHIP TMDs ID. Objective to analyze the relationships between TMD, sociodemographic factors, emotional stress, bad habit and number of tooth loss with quality of life. Method This research used a cross sectional design. The relationship between TMD, sociodemographic factors, emotional stress status, bad habit status and number of tooth loss with quality of life were analyzed using unpaired t test while for the relationship between diagnostic group of TMD and age group with quality of life used one way ANOVA. Results There is a relationship between TMD and TMD rsquo s group diagnose with quality of life p