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Abstrak :
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.

Abstrak :
ABSTRAK
Latar belakang: Kehilangan gigi posterior dapat menyebabkan terganggunya fungsi mastikasi sehingga dapat mempengaruhi asupan dan status nutrisi pralansia dan lansia. Pemakaian gigi tiruan dapat mengembalikan fungsi gigi yang hilang sehingga diharapkan dapat meningkatkan asupan dan status nutrisi. Belum ada penelitian yang mengamati asupan dan status nutrisi pada sebelum dan setelah pemakaian gigi tiruan di Indonesia. Beberapa penelitian terdahulu tentang hubungan antara kehilangan gigi dan pemakaian gigi tiruan dengan asupan dan status nutrisi di Indonesia dilakukan dengan studi potong lintang dan menunjukkan hasil yang berbeda-beda. Tujuan: Menganalisis hubungan antara kehilangan gigi posterior dengan faktor sosiodemografi, hubungan antara kehilangan gigi posterior, pemakaian gigi tiruan, dan faktor sosiodemografi usia, jenis kelamin, tingkat pendidikan dengan asupan dan status nutrisi. Metode: Penelitian ini dilakukan dengan desain observasional pada 30 pasien RSKGM Fakultas Kedokteran Gigi Universitas Indonesia berusia 45 tahun ke atas yang akan dibuatkan gigi tiruan lepasan. Dilakukan pencatatan data diri subjek, pemeriksaan rongga mulut, pengukuran berat dan tinggi badan, serta wawancara kuesioner FFQ semikuantitatif dan MNA-SF. Hasil penelitian: Kehilangan gigi posterior diketahui tidak berhubungan dengan asupan dan status nutrisi. Kehilangan gigi posterior memiliki hubungan bermakna dengan usia dan tidak berhubungan dengan jenis kelamin dan tingkat pendidikan. Uji analisis Paired T-Test menunjukkan adanya hubungan bermakna antara pemakaian gigi tiruan dengan asupan nutrisi. Terdapat perbedaan bermakna antara usia dengan asupan nutrisi pada 1 bulan setelah pemakaian gigi tiruan. Uji analisis Wilcoxon menunjukkan adanya hubungan bermakna antara pemakaian gigi tiruan dengan status nutrisi. Kesimpulan: Kehilangan gigi tidak berhubungan dengan asupan dan status nutrisi pralansia dan lansia. Namun, pemakaian gigi tiruan berhubungan dengan asupan dan status nutrisi pralansia dan lansia.

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ABSTRACT
Background Posterior tooth loss can cause disruption of mastication and may affect the nutrient intake and nutritional status of pre elderly and elderly. Denture wearing can improve tooth function so it may improve patients nutrition. There has been no research that discusses nutrient intake and nutritional status before and after denture wearing in Indonesia. Previous studies on tooth loss and denture wearing with nutrient intake and nutritional status were using cross sectional study and showed inconclusive result. Objectives To analyze the relationship between posterior tooth loss and sociodemographic factors, the relationship between posterior tooth loss, denture wearing, denture type, and sociodemographic factors age, gender, educational level with nutrient intake and nutritional status. Methods Observational study was conducted on 30 patients that will be made a removable denture at RSKGM Faculty of Dentistry University of Indonesia aged 45 years and over. Subjects 39 personal data, oral examination, weight and height measurement were obtained, and interview for semiquantitative FFQ and MNA SF were conducted. Results There was no significant difference between posterior tooth loss and nutrient intake, and between posterior tooth loss and nutritional status. Posterior tooth loss is known to be age related and unrelated to gender and educational level. Paired T Test analysis showed significant difference between denture wearing and nutrient intake. There was a significant difference between age and nutrient intake 1 month after denture wearing. Wilcoxon analysis showed significant difference between denture wearing and nutritional status. Conclusion Posterior tooth loss is not related to nutrient intake and nutritional status of pre elderly and elderly. However, denture wearing is related to nutrient intake and nutritional status of pre elderly and elderly.