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"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."

"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.

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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."

"ABSTRAKLatar 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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ABSTRACTBackground 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"

"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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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."

"[ABSTRAKTesis ini bertujuan untuk menganalisis hubungan antara kebiasaan mengunyah dan asimetri vertikal kondilus pada pasien TMD. Dilakukan penelitian potong lintang di klinik Prostodonsia RSKGM FKG UI menggunakan data sekunder dari empat puluh rekam medik dan gambaran radiografik pasien TMD. Tracing gambaran radiografi panoramik dilakukan untuk menilai asimetri vertikal kondilus pada subjek menggunakan Indeks Asimetri Habets dan Simetri Indeks Kjellberg.Hasil penilaian asimetri vertikal kondilus kemudian dihubungkan dengan kebiasaan mengunyah, Indeks Helkimo, dan DC/TMD. Hasil penelitian menunjukkan tidak terdapat hubungan antara kebiasaan mengunyah dan asimetri vertikal kondilus pada pasien TMD.

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ABSTRACTThis study was performed to analize the relationship betweenchewing preferences and condylar asymmetry in patients with TMD. A cross-sectional study at Prosthodontic Clinic, Faculty of Dentistry, University of Indonesia using secondary data obtain from forty TMD patients's medical record and panoramic radiograph was conducted. The panoramic radiograph were traced on tracing paper to evaluate condylar asymmetry using Asymmetry Index of Habets and Symmetry Index of Kjellberg. The evaluation of condylar asymetry were then related to chewing preference, Helkimo?s Index, and DC/TMD.There was no relationship found between chewing preference and condylar asymmetry in patients with TMD. , This study was performed to analize the relationship betweenchewing preferences and condylar asymmetry in patients with TMD. A cross-sectional study at Prosthodontic Clinic, Faculty of Dentistry, University of Indonesia using secondary data obtain from forty TMD patients’s medical record and panoramic radiograph was conducted. The panoramic radiograph were traced on tracing paper to evaluate condylar asymmetry using Asymmetry Index of Habets and Symmetry Index of Kjellberg. The evaluation of condylar asymetry were then related to chewing preference, Helkimo’s Index, and DC/TMD.There was no relationship found between chewing preference and condylar asymmetry in patients with TMD. ]"

"[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]"

"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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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. "

"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."

"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.

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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."

"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."