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Latar Belakang : Penggunaan penanda anatomis jarak tiromental (TMD) dan skor Mallampati banyak digunakan sebagai prediktor kesulitan visualisasi laring preoperatif, namun akurasi kedua penanda tersebut masih dipertanyakan. Penelitian ini mengevaluasi perbandingan tinggi badan terhadap jarak tiromental (RHTMD) sebagai salah satu prediktor kesulitan visualisasi laring kemudian dibandingkan dengan TMD dan skor Mallampati yang merupakan prediktor yang sudah ada sebelumnya. Metode Penelitian : Data didapatkan dari 277 pasien yang dijadwalkan operasi elektif yang akan dilakukan anestesia umum. Pengukuran TMD, RHTMD dan penilaian skor Mallampati dilakukan preoperasi. Laringoskopi dan penilaian skor Cormack-Lehane dilakukan oleh residen anestesi minimal tahun kedua. Data kemudian diolah menggunakan SPSS 15 untuk mendapatkan nilai AUC, sensitifitas, spesifitas, nilai prediksi positif dan nilai prediksi negatif. Nilai AUC dari RHTMD, TMD dan skor Mallampati kemudian dibandingkan untuk memperlihatkan performa dari masing-masing prediktor. Hasil : Kesulitan visualisasi laring didapatkan pada 28 orang (10,1%), luas daearah dibawah kurva AUC RHTMD (85,5%) sedikit lebih baik dibandingkan TMD (82,7%) dan jauh lebih baik dibandingkan dengan skor Mallampati (61,4%), dalam hal ini peneliti menyimpulkan bahwa akurasi RHTMD lebih baik bila dibandingkan dengan TMD dan skor Mallampati. ...... Background : Preoperatif evaluation anatomycal landmark of TMD and Mallampati score has widely used to identify potentially difficult laryngoscopies; however it’s predictive reliability is unclear. This research purpose are to evaluate the ratio height to thyromental distance (RHTMD) as a new predictor of difficult laryngoscopies compare to thyromental distance (TMD) and Mallampati score. Methode : The authors collect data on 277 consecutive patients schedule to receive general anesthesia for elective surgery. TMD, Mallampati score and RHTMD are evaluated preoperatively. Residents of anesthesia minimum at second years performed laryngoscopy and grading (as in Cormack-Lehane classifications). all data processed with spss 15 to get the AUC, sensitivity, spesifity, positive predictive value and negative predictive value. The AUC of each predictor were compared to determine the perform. Result : Difficult visualisation of the laryng occur in 28 patient (10,1%). The AUC of RHTMD (85,5%) is better compared to TMD (82,7%) and much better if compared to Mallampati score (61,4%). The authors conclude thatRHTMD had better accuracy in predicting difficult laryngoscopy than TMD and Mallampati score.

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ABSTRAK
Latar 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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ABSTRACT
Background 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

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ABSTRACT
Latar belakang: Gangguan sendi temporomandibula dapat mempengaruhi kualitas hidup seseorang. Belum ada penelitian yang membahas hubungan gangguan sendi temporomandibula dan kualitas hidup khususnya dengan menggunakan indeks OHIP-TMD-ID dan ID-TMD di Indonesia. Tujuan: Menganalisis hubungan gangguan sendi temporomandibula dan kualitas hidup, hubungan gangguan sendi temporomandibula dan faktor sosiodemografi usia, jenis kelamin, tingkat pendidikan tingkat ekonomi , hubungan kualitas hidup dan faktor sosiodemografi usia, jenis kelamin, tingkat pendidikan tingkat ekonomi . Metode: Penelitian ini dilakukan dengan metode potong lintang pada 115 subjek berusia 20-40 tahun dari pasien Klinik Integrasi RSGM Fakultas Kedokteran Gigi Universitas Indonesia. Dilakukan pencatatan data diri subjek dan wawancara untuk pengisian kuesioner ID-TMD dan OHIP-TMD-ID. Hasil penelitian: uji analisis Man-Whitney menunjukan perbedaan bermakna yang signifikan antara gangguan sendi temporomandibula dan kualitas hidup. Namun, tidak terdapat perbedaan bermakna yang signifikan antara kualitas hidup dan faktor sosiodemografi usia, jenis kelamin, tingkat pendidikan, tingkat ekonomi . Hasil uji analisis Chi Square menunjukan tidak perbedaan bermakna yang signifikan antara gangguan sendi temporomandibula dan faktor sosiodemografi usia, jenis kelamin, tingkat pendidikan, tingkat ekonomi . Kesimpulan: Penderita gangguan sendi temporomandibula mengalami penurunan kualitas hidup dari aspek nyeri orofacial.

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ABSTRACT
Abstract Background Temporomandibular disorders may have an impact on quality of life. No studies have been done to analyze relationship between temporomandibular disorders and quality of life in particular by using OHIP TMD ID and ID TMD in Indonesia. Objectives To analyze the relationship between temporomandibular disorder and quality of life, temporomandibular disorder and sociodemographic factors age, gender, education level economic level , quality of life and sociodemographic factors age, gender, education level, economic level . Methods Cross sectional study was conducted on 115 subjects aged 20 40 years from patients at Integration Clinic of RSGM FKG UI. Subject rsquo s personal data were obtained and interview for ID TMD questionnare and OHIP TMD ID questionnare were conducted. Results Man Whitney test showed significant differences between temporomandibular disorders and quality of life. However, there are no significant differences between the quality of life and sociodemographic factors age, gender, education level, economic level . Chi Square test showed no significant differences between temporomandibular disorders and sociodemographic factors age, gender, education level, economic level . Conclusion Temporomandibular disorders patients suffered from impaired orofacial pain related quality of life. Keywords temporomandibular disorder, quality of life, OHIP TMD ID, ID TMD.

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[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]

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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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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.

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Gangguan sendi temporomandibula (GSTM) adalah gangguan otot dan kelainan artikular dalam fungsi komponen otot dan / atau sistem artikular yang disertai dengan tanda dan gejala klinis yang sangat bervariasi. Adanya riwayat GSTM dapat menjadi pertimbangan dalam rencana perawatan ortodonti. Tidak semua menyadari bahwa mereka memiliki GSTM yang salah satunya disebabkan oleh maloklusi, sehingga mereka datang hanya ke klinik Ortodonti hanya untuk perbaikan maloklusi. Tujuan penelitian ini adalah (1) Mengetahui proporsi dan distribusi demografi pasien dengan GSTM termasuk maloklusi (hubungan rahang, overjet, overbite, hubungan molar dan kaninus) dan sudut parameter vertikal pada sefalometri lateral di klinik spesialis ortodonti RSKGM FKG UI. (2) Mengetahui hubungan GSTM dengan maloklusi serta hubungan GSTM dengan sudut parameter skeletal. Studi deskriptif dengan desain penelitian potong lintang pada pasien tahun kunjungan 2013-2018 yang memiliki GSTM pada anamnesis dan/atau pemeriksaan fungsional. Digunakan analisis univariat menggunakan SPSS 23 untuk menggambarkan distribusi dan analisis korelasi untuk menggambarkan hubungan. Didapatkan 98 status pasien yang mengalami GSTM. Ditemukan lebih banyak pasien perempuan daripada laki-laki dengan usia rata-rata 24,8 tahun dan kebanyakan berprofesi sebagai karyawan swasta. Gejala GSTM yang paling sering ditemukan adalah deviasi pergerakan mandibula dan clicking. Terdapat hubungan antara GSTM dengan maloklusi skeletal kelas II dan hubungan kaninus kelas III. ...... Temporomandibular joint disorders (GSTM) are muscle disorders and articular abnormalities in the function of the components of the muscle and/or articular system accompanied by highly variable clinical signs and symptoms. The presence of a history of GSTM can be considered in the orthodontic treatment plan. Not all are aware that they have GSTM, one of which is caused by malocclusion, so they come only to the Orthodontic clinic only to repair the malocclusion. The aims of this study were (1) to determine the proportion and demographic distribution of patients with GSTM including malocclusion (jaw relationship, overjet, overbite, molar and canine relationship) and vertical angle parameters on lateral cephalometry at the orthodontic specialist clinic of RSKGM FKG UI. (2) Knowing the relationship between GSTM and malocclusion and the relationship between GSTM and the parameter angle skeletal. Descriptive study with a cross-sectional design on patients in the 2013-2018 visit year who had GSTM on history and/or functional examination. Univariate analysis was used using SPSS 23 to describe the distribution and correlation analysis to describe the relationship. There were 98 patients who had GSTM status. There were more female than male patients with a mean age of 24.8 years and Most of them work as private employees. The most common symptoms of GSTM are deviation of mandibular movement and clicking. There is a relationship between GSTM with skeletal malocclusion class II and class III canine relationship.

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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.

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Stress is a known risk factor for Temporomandibular Disorders (TMD), however there are few studies of TMD in people who work in high stress jobs. Accounting is a profession known for its high levels of stress and expectation. Objective: The aim of this study is to investigate the relationship between the intensity and frequency of job related stress and the occurrence of TMD in accountants in Jakarta. Methods: A cross-sectional study, with ethics approval from the Ethical Committee of the Faculty of Dentistry, University Indonesia, was performed on 116 accountants aged 21 to 50, living in Jakarta. Subjects were asked to complete two questionnaires; the first was the Job Stress Survey questionnaire that examined the intensity and frequency of job related stress, and the second was the TMD Diagnostic Index, which assessed TMD prevalence. Results: Fisher?s exact test showed a significant relationship between the intensity of job related stress and the occurrence of TMD in accountants (p = 0.003). Chi-square tests showed a significant relationship between the frequency of job related stress and the occurrence of TMD in accountants (p = 0.032). Conclusion: There is a relationship between the intensity and frequency of job related stress, and the occurrence of TMD in accountants.

Abstrak :
Telah diketahui bahwa stres merupakan salah satu faktor risiko terjadinya Temporomandilbular Disorders (TMD). Namun selama ini belum ada studi pada individu dengan stres kerja tinggi (misalnya akuntan). Tujuan: Penelitian bertujuan untuk menentukan ada atau tidaknya hubungan antara intensitas dan frekuensi stres kerja dengan terjadinya TMD pada usia produktif. Metode: Penelitian ini merupakan penelitian dengan metode potong lintang yang dilakukan pada 116 akuntan berusia 21-50 tahun di Jakarta. Subjek diminta mengisi dua jenis kuesioneir, yang pertama adalah Kuesioner Job Stress Survey (JSS) untuk mendiagnosis tingkat intensitas dan frekuensi stres kerja, yang kedua adalah Indeks Diagnostik TMD untuk mendiagnosis TMD. Kemudian dilakukan tabulasi silang antara tingkat intensitas dan tingkat frekuensi stres kerja dengan terjadinya TMD. Hasil penelitian: Hasil uji Fisher’s Exact menunjukkan bahwa terdapat hubungan antara intensitas stres kerja dengan terjadinya TMD pada usia produktif (p = 0,003). Hasil uji chi-square menunjukkan bahwa terdapat hubungan antara frekuensi stres kerja dengan terjadinya TMD pada usia produktif (p = 0,032). Kesimpulan: Terdapat hubungan antara intensitas stres kerja dan frekuensi stres kerja dengan terjadinya TMD pada usia produktif. ...... It is known that stress is one of the risk factor for Temporomandibular Disorders (TMD). But study on person with high level of job stress (for example accountants) has not been done. Objectives: The aim of this study was to know the relationship between intensity and frequency of job stress and the occurrence of TMD in productive age. Methods: A cross sectional study was performed towards 116 accountants aged 21-50 in Jakarta. The subjects were asked to fill two kinds of questionnaire, the first was Job Stress Survey questionnaire (JSS) to examine the intensity and frequency level of job stress, the other was TMD Diagnostic Index to assess the TMD. A cross tabulation was done between the intensity level and also the frequency level of job stress and the TMD occurrence. Results: Fisher’s Exact test result showed that there was relationship between intensity of job stress and the occurrence of TMD in productive age (p = 0,003). Chi square test result showed that there was relationship between frequency of job stress and the occurrence of TMD in productive age (p = 0,032). Conclusion: There is relationship between intensity and frequency of job stress and the occurrence of TMD in productive age.