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"Since the temporomandibular joints are components of the stomatognathic system that dentist is most familiar with problems relating to this joints must be recognized, understood and treated by dentists. A comprehensive evaluation of this joint problems must include the radiographic examination. Transcranio lateral is the most commonly used of all conventional TMJ radiographic projection from the lateral aspect that shows the condyle, fossa and eminence as well as the condylar fossa relationship in selected functional movements, but which is not free from superimposed of the adjacent structures. A modified positioning device has been developed over this past years to overcome these superinposition problems. The use of "Condy ray" and "Accurad 200" apparatus that have some advantages over the standard transcraniolateral radiographic projection will be discussed in this paper."

"Indonesia Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 308-311The temporomandibular join has a very important role in the stomatognathic system. It's main function is for the opening and closing movement, mastication, and speech. It is located anterior to the ear. The temporomandibular joint connects maxilla and mandible through the articular fossa, hence the slightest change that happens would cause serious matters such as pain, eating, speech disorder, difficulty in opening and closing movement, headache, and event trismus. In a child or an adolescent, the symptoms are often vague; everything is interpreted as "pain". This is probably why temporomandibular disorder are often undetect by dentists. Therefore, patience and accuracy is needed to determine the actual disorder through means of clinical and radiographic examination. The radiographic examination suitable for child is the transcranial projection. This projection is believed to be more accurate amongst other projections for child patients."

"Temporomandibular disorder (TMD) usually has non-specific signs and symptoms. The patient generally can only feel the pain, and thus complains about the stomatognatic problems without knowing the cause and the source. When the patient's chied compaint is pain, it is important to identify the source of the problem in order to provide appropriate treatment. Applied treatments for TMD can vary enormously. A female patient, age 35, came to the prosthodontic clinic with the chief complaints of pain in the right joint and limitation in mouth opening for past 7 years. In the last 2 weeks, the complaints worsened. With light pressure she could still open her mouth wider but showing deviations. She also complained about headache, tension in the forehead region, and muscle pain in the upper back body. The patient also reported that she has been chewing only on the right side for more than 20 years. Lateral transcranial x-ray showed that there were no visible structural or positional disorders. Thus, jaw exercise was decided as the initial therapy for the patient. WIthin one week, all complaints dissapeared. It was concluded that jaw exercise was a very useful form of treatment for TMD provided that the correct diagnosis is established."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 155-158The causes of TMD are complex and multifactorial, therefore the management should be done by several disciplines. ln this report, a 27-year-old man came to the teaching hospital of the University of Indonesia Faculty of Dentistry's Prosthodontic Department complaining about clicking sound and pain around his right joint. He received orthodontic treatment 9 years ago with removable appliance at a private practice and had 4 premolar extraction. The patient's face looked asymmetric, with a low vertical dimension, a Class II occlusion, and an anterior deep bite. Besides that, he clenched his teeth during emotional stress. Lateral tanscranial photo showed that the position of the left condyle was relatively normal or slightly anterior, and the right condyle was in the superoposterior position in the fossa with an abnormal shape. To solve this problem, the patient was referred to the Orthodontic Deparment to get a correct vertical dimension and normal anterior overbite. After 6 years, the patient was again referred to the prosthodontic Department, but the result was not successful. In order to get the right vertical dimension, an occlusal splint was fabricated to achieve a comfort jaw relation. In this position, the overbite was 2 mm, but space between the upper and lower posterior teeth was 5 mm. In this situation, full veneer crowns were not impossible to fabricate. Finally, to maintain this comfort position, the patient was suggested to wear the occlusal splint and come regularly for control every 6 months."

"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 421-426Temporomandibular joint disorder may be caused by variety of factors; one of which is the posture of head and neck. However, the remains controversial and a subject of debate by experts. The objective of this study was to know whether there was a relation between temporomandibular disorders and the head and neck posture seen radiographically. Subject were 40 dental students from University of Indonesia who met the inclusion criteria, selected through questionnaire, and subjective examinations based on Helkimo's dysfuction index. Then, lateral cephalometries radiographic were done to all subjects. In the radiogram, a horizontal line was made from the nasion point to the sella tursica, and a vertical line was drawn along the prominent bone of C1 - C5. The angle between the two lines was measured, and used to represent the head and neck posture. The design of the study was cross sectional. Based on statistical analysis, there was no significant relationship between the anamnestic dysfunction index as well as the clinical dysfunction index that represented the temporomandibular joint disorders and the posture of head and neck seen radiographically."

"A young girl 20 years old with mandibular prognatism has been treated with orthodontics and surgical treatment in between. Mandibular set back was done intra orally 5mm length with bilateral sagital split ramus osteotomy method. And rigid fixation was done by inserting three 2mm bicortical screws for stabilizing the fragment. This method allowed the bony segments to heal properly and allowed the patients to function sooner."

"A case of unilateral bony ankylosis of the temporomandibular joint (TMJ) in a thirteen year old girl was reported. Maximum opening was minimal (4 mm) with hypoplastic mandible and also facial and dental asymmetry. There was no palpable movement over the left TMJ and only slight rotation on the right side. It may be caused by trauma, but the parents didn't notice. She had a problem with sleep apneu and sometimes felt sleepy during school time. She was refered to Oral Surgery Department Hasan Sadikin Hospital in Bandung from a private dental practitioner in Jakarta. Treatment for this patient is divided into three operations. The first operation was gap arthroplasty, second operation is osteodistraction and followed by orthognatic surgery. This paper discusses only gap arthoplasty with temporoparietalis muscle interposition. Twenty days after surgery maximum opening was 26 mm."

"The increase of pain symptoms in the temporomandibular joint (TMJ) challenges the scientists to find a more effective therapy. The popular treatment of the temporomandibular disorder (TMD) are eg occlusal splints, orthodontic treatment, electromyographic biofeedback, medication, etc. Among these splint therapy is more successful than the others especially in dealing with pain in the TMJ. Orthodontics as a treatment for the TMD quite often creates new complains on TMJ during and/or after treatment. The extrusion of the posterior teeth in reducing anterior deep overbite have been proposed as possible cause of TMD. This paper reported that a relaxation splint was an effective solution to relieve the pain in the TMJ for the orthodontic patients where occlusal factors were related. One mounth after the splint therapy, the pain in the TMJ was slowly dissapeared, and the orthodontic treatment can be continued with the splint as an occlusal height guidance."

"ABSTRAKLatar Belakang: Temporomandibular Disorders atau yang dikenal dengan TMDmerupakan kumpulan gangguan yang terjadi pada musculoskeletal dan neuromuscular yangberhubungan dengan otot mastikasi, sendi temporomandibula (TMJ) dan atau struktur yanglainnya. TMD memiliki etiologi yang multifaktorial, dan cara penentuan diagnosis TMDdapat dilakukan dengan berbagai cara, melalui pengisian kuesioner, pemeriksaan klinismaupun pemeriksaan penunjang seperti radiografi. Kuesioner TMD telah banyakdikembangkan di dunia, dan di Indonesia sendiri, telah dikembangkan ID-TMD dan IndeksEtiologi Gangguan Sendi Temporomandibula, namun butuh dikembangkan suatu kuesioneryang mencakup seluruh tanda gejala dan etiologi TMD dengan referensi terkini yang dapatmempermudah klinisi untuk mendeteksi TMD pada pasien. Tujuan: Mengembangkansuatu kuesioner Gangguan Sendi Rahang yang valid dan reliabel. Metode: Pengembangankuesioner dijalankan dengan dua tahap, yaitu pada tahap kualitatif dilakukan 28 wawancaraterstruktur dan mendalam dengan pasien TMD menggunakan panduan semi-struktur yangdibuat peneliti dan melewati diskusi pakar. Hasil kuesioner tahap kualitatif dilanjutkandengan studi potong lintang pada 126 pasien TMD. Seluruh hasil pengisian kuesionerdilakukan Exploratory Analysis Factor dan dilanjutkan dengan pengujian validitas danreliabilitas menggunakan SPSS untuk mendapatkan nilai Alpha Cronbach. Hasil:Pengembangan Kuesioner Gangguan Sendi Rahang terdiri atas 56 item pertanyaan yangmemiliki 3 komponen besar yaitu tanda dan gejala sebanyak 14 pertanyaan, kebiasaanburuk 15 pertanyaan dan stres emosional 27 pertanyaan. Kesimpulan: PengembanganKuesioner Gangguan Sendi Rahang valid dan reliabel.

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ABSTRACTBackground: Temporomandibular Disorders, also known as TMD, is a collection ofdisorders that occur in the musculoskeletal and neuromuscular that are associatedwith masticatory system, temporomandibular joint (TMJ) and or other structures.TMD has a multifactorial etiology, and the method of determining the diagnosis ofTMD can be done in various ways, through filling in questionnaires, clinicalexaminations and investigations such as radiography. The TMD questionnaire hasbeen widely developed in the world, and in Indonesia itself, ID-TMD and theQuestionnaire to determine the Etiology of Temporomandibular Disorders have beendeveloped, but a questionnaire is needed to cover all symptoms and etiology of TMDwith the latest references that can facilitate clinicians to easily detect TMD inpatients. Objective: To develop a valid and reliable Temporomandibular Disorderquestionnaire. Method: The development of the questionnaire was carried out in twostages, namely in the qualitative stage, 28 TMD patient were interviewed using semistructuredguidelines made by researcher and passing expert discussions. The resultsof the qualitative stage questionnaire were followed by cross-sectional studies on 126TMD patients. All the results of filling out the questionnaire were carried out byExploratory Analysis Factor followed by testing validity and reliability using SPSS toproduce Cronbach Alpha value. Results: Development Temporomandibular DisorderQuestionnaire has total 56 items (questions) distributed amongst 3 major components,namely Signs and symptoms consist of 14 items, Bad habits 15 items and Emotionalstress 27 (questions). Conclusion: Development of Temporomandibular DisorderQuestionnaire were valid and reliable."