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Aulia Madina F. KH.
"Latar Belakang: Temporomandibular disorders (TMD) memiliki prevalensi yang bervariasi antara 45% hingga 88% di berbagai tempat di dunia. Beberapa gejalanya berupa sakit dan kesulitan membuka mulut. Gejala ini dapat mengganggu pola makan dan pada akhirnya mengganggu status nutrisi individu penderita TMD. Tujuan penelitian ini adalah membandingkan perbedaan Indeks Massa Tubuh (IMT) pada individu dengan dan tanpa TMD. Metode: Penelitian dengan desain cross-sectional dilakukan dengan partisipan 100 orang penduduk Desa Klecoregonang, Pati, Jawa Tengah. Variabel yang diteliti yaitu status TMD, IMT, asupan nutrisi, usia, jenis kelamin, tingkat pendidikan, dan tingkat ekonomi. Pengambilan data dilakukan sepanjang bulan November 2020. Partisipan diwawancarai untuk mengisi kuesioner ID-TMD sebagai alat skrining TMD dan kuesioner food frequency questionnaire (FFQ) untuk mengukur asupan nutrisi. Partisipan juga diukur tinggi dan berat badannya untuk menghitung IMT. Selain itu, data usia, jenis kelamin, pendidikan terakhir, dan jumlah pengeluaran per bulan juga dicatat sebagai data sosiodemografis. Hasil: Analisis data menggunakan uji komparatif kategorik tidak berpasangan menunjukkan tidak ada perbedaan IMT pada partisipan dengan dan tanpa TMD (p = 0,933). Variabel confounding yang menujukkan perbedaan nilai secara statistik pada partisipan dengan dan tanpa TMD adalah asupan nutrisi (p = 0,003), usia (p = 0,025), dan tingkat ekonomi (p = 0,01). Lebih lanjut, tidak ada perbedaan IMT antar kategori asupan nutrisi (p=0,454). Kesimpulan: tidak terdapat perbedaan IMT pada partisipan dengan dan tanpa TMD.

Background: Temporomandibular disorders (TMD) occurrence ranged between 45%- 88% in various part of the world. Some of the symptoms include pain and mouth opening difficulty. These symptoms can interfere with eating patterns and ultimately disrupt the nutritional status of individuals with TMD. Aim of this study is to compare the differences in Body Mass Index (BMI) in individuals with and without TMD. Methods: This study is a cross-sectional study with 100 participants from Klecoregonang Village, Pati, Central Java. Data collection was carried out throughout November 2020. The variables studied were TMD status as dependent variable, BMI as independent variable, and the confounding variable were nutritional intake, age, gender, education level, and economic level. Participants were interviewed to fill out ID-TMD questionnaire as TMD screening tool and Food Frequency Questionnaire (FFQ) to measure nutritional intake. Participants were also measured for height and weight to calculate BMI. In addition, data about age, gender, education level, and monthly expenditure were also recorded as sociodemographic data. Results: Data analysis using unpaired categoric comparative test showed no difference in BMI between participants with and without TMD. The confounding variables that showed statistically different values for paricipants with and without TMD is nutritional intake (p = 0,003), age (p = 0,025), and economic level (p = 0,01). Furthermore, there was no difference in BMI between nutritional intake categories (p=0,454). Conclusion: there is no difference in BMI between participants with and without TMD."
Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2021
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UI - Skripsi Membership  Universitas Indonesia Library
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Nadhira Dewi Hanana Irsan
"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."
2018
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UI - Skripsi Membership  Universitas Indonesia Library
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Nandya Wintasari
"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

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"
Depok: 2017
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UI - Tesis Membership  Universitas Indonesia Library
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Cahya Adriani Putri
"[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]"
Fakultas Kedokteran Gigi Universitas Indonesia, 2015
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UI - Skripsi Membership  Universitas Indonesia Library
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Yenny Pragustine
"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"
2017
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Okeson, Jeffrey P
St. Louis, Mo.: Elsevier, 2013
617.643 OKE m
Buku Teks  Universitas Indonesia Library
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Wright, Edward F.
"Patient interview -- Review of the "initial patient questionnaire" -- Clinical examination -- Imaging -- TMD diagnostic categories -- Contributing factors -- TMD secondary to trauma -- TMD secondary to dental treatment -- Lateral pterygoid myospasm -- Acute TMJ disc displacement without reduction -- TMJ dislocation -- Stabilization appliance -- Anterior positioning appliance -- Self-management therapy -- Physical medicine -- Cognitive-behavioral intervention -- Pharmacological management -- Other dental procedures -- Integrating multidisciplinary therapies"
Ames, Iowa: Wiley Blackwell, 2010
R 617.522 WRI m (1)
Buku Referensi  Universitas Indonesia Library
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Delphia Aisyah Kristiyady
"Latar Belakang: Gangguan sendi temporomandibula memiliki etiologi yang kompleks dan multifaktorial, salah satunya adalah stres. Pada masa pandemi COVID-19 stres mahasiswa meningkat karena adanya perubahan sistem pembelajaran dari tatap muka menjadi daring. Penelitian mengenai hubungan stres mahasiswa selama pembelajaran daring dengan gangguan sendi temporomandibula belum pernah dikaji sebelumnya.
Tujuan: Mengetahui hubungan antara stres mahasiswa selama pembelajaran daring dengan gangguan sendi temporomandibula, mengetahui hubungan gangguan sendi temporomandibula dengan jenis kelamin selama pembelajaran daring, dan mengetahui hubungan antara gangguan sendi temporomandibula dengan durasi, dan frekuensi pembelajaran daring.
Metode: Desain penelitian ini adalah penelitian potong lintang yang dilakukan pada 351 mahasiswa Universitas Indonesia. Partisipan penelitian diberikan dua buah kuesioner, yaitu Perceived Stress Scale (PSS) versi bahasa Indonesia untuk mengukur stres dan Temporomandibular Disorders Diagnostic Index (TMD-DI) untuk mengukur gangguan sendi temporomandibula.
Hasil Penelitian: Uji Mann-Whitney menunjukkan terdapat hubungan antara stres mahasiswa selama pembelajaran daring dengan gangguan sendi temporomandibula (p<0.05). Uji Chi-square menunjukkan tidak terdapat hubungan antara gangguan sendi temporomandibula dengan jenis kelamin selama pembelajaran daring (p>0.05). Uji Chi-square menunjukkan bahwa tidak terdapat hubungan antara gangguan sendi temporomandibula dengan durasi dan frekuensi pembelajaran daring (p>0.05).
Kesimpulan: Terdapat hubungan antara stres mahasiswa selama pembelajaran daring dengan gangguan sendi temporomandibula.

Background: Temporomandibular disorders has complex and multifactorial etiology, particularly stress. During pandemic COVID-19 student stress has increased by changes in learning system from face-to-face into e-learning. The study to analyze the relationship between student stress during e-learning and temporomandibular disorders never been conducted.
Objectives: This study aimed to assess the relationship of student stress during e-learning and temporomandibular disorders, analyze the relationship between temporomandibular disorders and gender during e-learning, and analyze the relationship between temporomandibular disorders with duration and frequency of e-learning.
Methods: The number of 351 students of Universitas Indonesia participated in this cross- sectional study. Each participant is given two questionnaires. Perceived Stress Scale (PSS) Indonesian version to assess stress and TMD-DI to assess temporomandibular disorders.
Result: The Mann-Whitney test showed there was a relationship between student stress during e-learning learning and temporomandibular disorders (p<0.05). Chi- square test showed there was no relationship between temporomandibular disorders and gender during e-learning (p>0.05). Chi-square test showed there was no relationship between temporomandibular disorders with duration and frequency of e-learning (p> 0.05).
Conclusions: There was a relationship between student stress during e-learning and temporomandibular disorders.
"
Jakarta: Fakultas Kedokteran Gigi Universitas Indonesia, 2021
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UI - Skripsi Membership  Universitas Indonesia Library
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Nada Ismah
"Gangguan sendi temporomandibula (GSTM) adalah istilah untuk Temporomandibular Disorders (TMD), yaitu kumpulan gangguan yang melibatkan sendi temporomandibula, otot, dan struktur di sekitarnya. Dokter gigi dan dokter gigi spesialis merasakan hambatan dalam menangani pasien GSTM. Saat ini belum diketahui bagaimana pengetahuan, sikap, dan perilaku dokter gigi dan dokter gigi spesialis di Indonesia dalam menangani pasien GSTM. Etiologi GSTM multifaktorial dan salah satu penanganannya adalah perawatan ortodonti. Namun di sisi lain perawatan ortodonti diduga menjadi salah satu penyebab GSTM akibar perubahan posisi gigi, mandibula, dan letak kondil. Hal ini dapat dilihat melalui kondisi klinis dan radiograf sefalometri. Gangguan sendi temporomandibula dapat menjadi suatu inflamasi sehingga biomarker inflamasi banyak diteliti. Tujuan: Penelitian ini terdiri dari dua tahap. Penelitian tahap I (Kualitatif) bertujuan mendapatkan alat ukur/kuesioner kemampuan operator (dokter gigi dan dokter gigi spesialis) tentang pengetahuan, sikap, dan perilaku terhadap pasien dengan GSTM, yang valid dan reliabel. Penelitian tahap II (Kuantitatif) bertujuan memperoleh indeks prediksi risiko GSTM berdasarkan kemampuan operator (skor kuesioner), kondisi klinis terkait faktor klinis (usia, jenis maloklusi, overjet, overbite, dan indeks etiologi GSTM), kondisi klinis terkait faktor mekanis (jenis bracket, kasus ekstraksi, dan alat tambahan), radiograf sefalometri (sudut ANB, SN-MP, Go Angle, I-I dan Y-Axis), dan biomarker inflasi (IL-1β dan CRP) Metode: Penelitian disetujui Komite Etik Kedokteran Gigi, FKG-UI, No: 11/Ethical Approval/FKGUI/III/2022 dan dilakukan di Klinik Ortodonti dan Laboratorium Biologi Oral, RSKGM, FKG UI, Jakarta, Indonesia, pada November 2021-Januari 2024. Penelitian tahap I, pembuatan kuesioner melalui telaah pustaka, observasi, dan diskusi kelompok terarah (FGD) oleh 10 orang dokter gigi dan dokter gigi spesialis. Hasil FGD dianalisis menggunakan metode Framework dilanjutkan uji face dan content validity menggunakan analisis Aiken’s V, I-CVI, dan I-CVR. Kuesioner juga dilakukan uji validitas (korelasi Spearman) dan uji reliabilitas (Cronbach’s Alpha dan CITC). Setiap tahap pengujian dilakukan diskusi dan revisi terkait substansi oleh pakar. Kuesioner akhir (Kuesioner PSP-GSTM) diujikan pada 370 responden dan PPDGS Ortodonti (operator) yang merawat subjek pada penelitian tahap II. Penelitian tahap II, dilakukan pada 105 subjek pasien pascaperawatan ortodonti yang dipanggil kembali untuk menandatangani informed consent, mengisi indeks etiologi GSTM, dilakukan pemeriksaan DC/ TMD, dan swab mukosa bukal. Data lainnya dilengkapi dari skor kuesioner, rekam medis, dan radiograf sefalometri. Dilakukan analisis bivariat untuk melihat hubungan setiap variabel dengan GSTM dan multivariat regresi logistik berganda. Hasil: Alat ukur/kuesioner PSPGSTM berisi 73 pernyataan, terdiri dari 50 pernyataan domain pengetahuan, 14 pernyataan domain sikap, dan sembilan pernyataan domain perilaku. Domain pengetahuan terdiri dari 12 pernyataan subdomain tanda dan gejala, 14 pernyataan subdomain etiologi, 11 pernyataan subdomain diagnosis, dan 13 pernyataan subdomain perawatan. Kuesioner PSP-GSTM memiliki validitas dan reliabilitas yang baik. Dihasilkan indeks prediksi risiko GSTM dengan empat faktor prediktor yaitu indeks etiologi GSTM, alat tambahan, SN-MP, dan Go Angle. Kesimpulan: Kemampuan dokter gigi dan dokter gigi spesialis terkait pengetahuan, sikap, dan perilaku terhadap pasien dengan GSTM dapat diukur menggunakan kuesioner PSP-GSTM. Indeks prediksi risiko GSTM yang terdiri dari indeks etiologi GSTM, alat tambahan, SN-MP, dan Go Angle dapat digunakan untuk memprediksi faktor risiko terjadinya GSTM.

The temporomandibular disorders (TMD) are a group of disorders involving the temporomandibular joint, muscles, and surrounding structures. Dentists or dental specialists often encounter challenges when dealing with TMD patients. It is unknown how the knowledge, attitudes, and behavior of dentists and dental specialists in Indonesia are in dealing with TMD patients. The etiology of TMD is multifactorial and one of the treatments is orthodontic treatment. On the other hand, orthodontic treatment is thought to be one of the causes of TMD due to changes in the position of the teeth, mandibles, and the location of the condyle. This can be seen through clinical conditions and cephalometric radiographs. Temporomandibular joint disorders can become inflammatory so inflammatory biomarkers are widely studied. Objective: The research consists of two stages. Phase I (Qualitative) aims to obtain a measurement/questionnaire of operator’s ability (dentists and dental specialists) about knowledge, attitudes, and behavior towards patients with TMD (PSP-TMD Questionnaire), which is valid and reliable. Phase II (Quantitative) aims to obtain TMD risk prediction index based on operator capability (PSP-TMD questionnaire score), clinical conditions related to clinical factors (age, malocclusion type, overjet, overbite, and TMD etiology index), clinical conditions related to mechanical factors (bracket type, extraction case, and auxiliary tools), cephalometric radiographs (ANB, SN-MP, Go Angle, I-I and Y-Axis angles), and biomarkers of inflammation (IL-1β and CRP) Method: The research was approved by the Dental Ethics Committee, FKG-UI, No: 11/Ethical Approval/FKGUI/III/2022 and conducted at the Orthodontics Clinic and Oral Biology Laboratory, RSKGM, FKG UI, Jakarta, Indonesia, in November 2021-January 2024. Phase I involves creating questionnaires through literature review, observation, and focus group discussion (FGD) by 10 dentists and dental specialists. The FGD results were analyzed using the Framework method followed by face and content validity tests using Aiken's V, I-CVI, and I-CVR analysis. Questionnaires were tested using validity tests (Spearman correlation) and reliability tests (Cronbach's Alpha and CITC). Every stage and testing related to the substance is discussed and revised by experts. The final questionnaire (PSPGSTM Questionnaire) was tested on 370 respondents and Orthodontics residents (operators) who treated subjects in phase II research. The phase II study was conducted on 105 subjects of orthodontic post-treatment patients who were called back to sign an informed consent and fill in the TMD etiology index, DC/TMD examination, and buccal mucosal swabs. Other data were supplemented from questionnaire scores, medical records, and cephalometric radiographs. Bivariate analysis was performed to see the relationship of each variable with TMD and multivariate multiple logistic regression. Results: The PSP-TMD measurement tool/questionnaire contained 73 statements, consisting of 50 knowledge domain statements, 14 attitude domain statements, and nine behavior domain statements. The knowledge domain consists of 12 sign and symptom subdomain statements, 14 etiology subdomain statements, 11 diagnosis subdomain statements, and 13 treatment subdomain statements. The PSP-TMD questionnaire has good validity and reliability. The TMD risk prediction index was generated with four predictor factors, namely the TMD etiology index, auxiliary tools, SN-MP, and Go Angle. Conclusion: The capability of dentists and dental specialists regarding knowledge, attitudes, and behavior towards patients with TMD can be measured using the PSP-TMD questionnaire. The TMD risk prediction index consisting of the TMD etiology index, auxiliary tools, SN-MP, and Go Angle can be used to predict risk factors for TMD"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
D-pdf
UI - Disertasi Membership  Universitas Indonesia Library
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P. Tamilla Artizar Kodijat
"Tujuan: Tujuan dari kajian sistematis ini adalah untuk mengidentifikasi alat ukur yang dapat mengevaluasi disfungsi otot orofasial saat mastiksai dan/atau deglutasi pada pasien Temporomandibular Disorders (TMD). 
Metode: Protokol kajian disusun dan diregistrasikan pada International Prospective Register of Systematic Reviews. Pencarian literatur dilakukan pada enam basis data daring yaitu Pubmed, Scopus, EBSCO, ProQuest, SpringerLink and Wiley dengan membatasi hanya literatur dalam bahasa Inggris dan dipublikasikan dalam rentang waktu tahun 2012 hingga 2022. Kriteria inklusi yang ditetapkan adalah studi yang mengevaluasi otot orofasial dalam pemeriksaan perilaku, performa, efisiensi, durasi, frekuensi mastikasi dan/atau deglutasi pada pasien TMD. Studi yang terpilih sesuai kriteria inklusi dilakukan ekstraksi data dan penilaian risiko bias menggunakan borang Joanna Briggs Institute Critical Appraisal Checklist.
Hasil: Dari proses seleksi didapatkan 2848 literatur dan terdapat 21 literatur yang termasuk dalam kriteria inklusi. Untuk mengukur disfungsi otot orofasial, empat belas literatur menggunakan alat ukut surface electromyography (sEMG), dua belas literatur menggunakan Orofacial Myofunctional Evaluation with Scores (OMES) dan satu literatur menggunakan MBGR Protocol. OMES and MBGR merupakan protokol pemeriksaan yang mencakup postur, mobilitas dan fungsi otot orofasial dari persepsi operator. 
Kesimpulan: Meskipun sifatnya yang non invasif, perolehan data sEMG saja tidak cukup untuk mendapatkan informasi disfungsi otot orofasial saat mastikasi dan deglutasi. OMES dan MBGR memberikan data tambahan yang luas dalam aspek postur, mobilitas dan fungsi dari otot orofasial. Keduanya dapat diaplikasikan secara efisien dalam mengidentifikasi serta mengevaluasi perawatan pada pasien TMD. 

Objectives: The aim of this systematic review was to identify instruments that evaluates orofacial muscle dysfunctions during mastication and/or deglutition in temporomandibular disorders 
Materials and methods: Protocol was organized and registered to the International Prospective Register of Systematic Reviews. Literature search were conducted in 6 databases, Pubmed, Scopus, EBSCO, ProQuest, SpringerLink and Wiley with restriction for studies that are published in English between 2012-2022. The inclusion criteria are studies evaluating orofacial muscle within behaviour, performance, efficiency, duration, frequency assesment during mastication and/or deglutition in TMD patients. Data extraction were followed by risk of bias (RoB) assessment using the Joanna Briggs Institute Critical Appraisal Checklist and continued with further analysis. 
Results: Through selection process on 2848 articles found, 21 were included. For measurement on orofacial muscle, fourteen studies used surface electromyography (sEMG), twelve studies used Orofacial Myofunctional Evaluation with Scores (OMES) and one study used MBGR Protocol. OMES and MBGR are examination protocols that covers posture, mobility and functions from the perception of operator.  
Conclusions: Despite that it is non invasive, sEMG data are not sufficient to obtain information on muscle dysfunction during mastication and deglutition. OMES and MBGR protocols provides broad supplementary data on posture, mobility and functions of orofacial muscle. Both protocols are efficiently applicable for identification and treatment evaluation for TMD patients.
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Jakarta: Fakultas Kedokteran Gigi Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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