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"Latar Belakang: Untuk menilai status kesehatan gigi dan mulut, selama puluhan tahun para ahli studi epidemiologi kesehatan komunitas menggunakan indeks Decayed, Missing, and Filled Teeth (DMF-T). Berdasarkan data Riset Kesehatan Dasar pada tahun 2018, rerata skor indeks DMF-T penduduk Indonesia sebesar 7,1 yang tergolong tinggi. Kehilangan gigi merupakan kondisi oral ireversibel yang dideskripsikan sebagai indikator final mengenai keparahan kondisi kesehatan gigi dan mulut. Kehilangan gigi menyebabkan kerusakan fungsional, estetika, dan sosial-psikologis serta berdampak sangat besar terhadap kualitas hidup individu. Kehilangan gigi dapat disebabkan oleh berbagai faktor. Maka dari itu, diperlukan data mengenai pengaruh berbagai faktor risiko terhadap kehilangan gigi pada berbagai kelompok usia.Tujuan: Memperoleh data hubungan faktor risiko dan rerata jumlah kehilangan gigi pada subjek usia 31-75 tahun dari radiograf panoramik digital. Metode: Penelitian ini menggunakan data sekunder berupa 375 sampel radiograf panoramik digital subjek usia 31-75 tahun di Rumah Sakit Khusus Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Indoneisa (RSKGM FKGUI). Subjek dibagi menjadi 3. kategori: 31-45 tahun, 46-60 tahun, dan 61-75 tahun. Untuk mendapatkan jumlah kehilangan gigi dan data mengenai faktor risiko umur, jenis kelamin, karies/jumlah restorasi/lesi periapikal, dan kehilangan tulang/penyakit periodontal, dilakukan interpretasi radiograf panoramik digital. Kemudian dilakukan uji reliabilitas intraobserver dan interobserver dengan t-test dan Bland Altman. Hasil: Median, nilai minimum, dan nilai maksimum jumlah kehilangan gigi pada kelompok usia 31-45 tahun sejumlah 1 (0-5) gigi, usia 46-60 tahun sejumlah 5 (0-19) gigi, dan usia 61-75 tahun sejumlah 10 (2-28) gigi. Jumlah kehilangan gigi antar kelompok usia berbeda bermakna (p<0.05 berdasarkan uji Kruskal Wallis). Jumlah kehilangan gigi bertambah seiring penuaan usia. Analisis korelasi faktor-faktor risiko terhadap kehilangan gigi menunjukkan bahwa usia dan status periodontal berhubungan sangat kuat dengan kehilangan gigi, jumlah karies gigi dan lesi periapikal memiliki hubungan sedang dengan kehilangan gigi, dan jenis kelamin dan jumlah restorasi gigi memiliki hubungan lemah dengan kehilangan gigi. Kesimpulan: Jumlah kehilangan gigi pada usia 31-45 tahun berbeda bermakna dibandingkan pada usia 46-60 dan 61-75 tahun. Kehilangan gigi cenderung bertambah seiring penuaan usia. Faktor risiko yang hubungannya sangat kuat dengan kehilangan gigi adalah usia dan kehilangan tulang.

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Background: To assess community oral health status, for several decades, epidemiologists have always used Decayed, Missing, and Filled Teeth (DMF-T) index. Based on the 2018 Basic Health Research, the mean of DMF-T index of Indonesia’s population was 7.1, which was considered high. Tooth loss is an irreversible oral condition that is often described as the final indicator of oral health status that causes functional, aesthetics, and social-psychological damage that greatly affects life quality. Tooth loss is a multi-factorial phenomenon. Thus, a concrete data is needed to assess the impact of risk factors on tooth loss in several age categories.

Objective: To obtain the data of tooth loss risk factors and the mean of missing teeth in 31-75-year-old subjects from digital panoramic radiograph.

Methods: This study was completed using secondary data of 375 digital panoramic radiographs in Universitas Indonesia Dental Hospital (RSKGM FKGUI). The subjects were devided into 3 categories: 31-45 years old, 46-60 years old, and 61-75 years old. In order to obtain the data of tooth loss and its risk factors: age, gender, caries/restoration/periapical disease, and periodontitis, the digital panoramic radiographs were interpreted. Then, the reliability test for both intraobserver and interobserver were conducted using t-test and Bland Altman test.

Results: The median, minimum, and maximum of tooth loss in the 31-45 years old group is 1 (0-5) teeth, 46-60 years old group is 5 (0-19) teeth, and 61-75 years old group is 10 (2-28) teeth. The number of tooth loss in all age groups are statistically different (p<0.05 in Kruskal Wallis test). The number of tooth loss increases as aging continues. Correlation analysis of the tooth loss risk factors showed that age and periodontitis have a very strong correlation with tooth loss, the number of tooth caries and periapical disease have a moderate correlation with tooth loss, and gender and restoration have a weak correlation with tooth loss.

Conclusion: The number tooth loss occurred in 31-45 years old group subject is significantly different compared to the number of tooth loss in 46-60 and 61-75 years old group. Tooth loss is strongly correlated with age and bone loss."

"ABSTRAKOral Health Literacy OHL adalah tingkat kemampuan seseorang untuk menerima, memproses, dan memahami informasi kesehatan gigi dan mulut dasar untuk menentukan tindakan perawatan kesehatan gigi yang tepat untuk dirinya. Tingginya skor OHL menunjukkan kemampuan individu menggunakan informasi kesehatan gigi dan mulut untuk menjaga status kesehatan gigi dan mulutnya termasuk untuk memilih perawatan akan kehilangan gigi. Namun, rehabilitasi kehilangan gigi dengan gigi tiruan di Indonesia masih sangat sedikit dilakukan. Saat ini belum ada penelitian tentang hubungan skor OHL dengan pemakaian gigi tiruan. Tujuan penelitian ini adalah menganalisis hubungan tingkat oral health literacy dengan pemakaian gigi tiruan, hubungan tingkat oral health literacy dengan pemakaian gigi tiruan berdasarkan status kehilangan gigi dan faktor sosiodemografi usia, jenis kelamin, tingkat pendidikan, pendapatan, dan pekerjaan . Penelitian ini dilakukan dengan menggunakan metode potong lintang dan melibatkan 70 responden diatas 18 tahun di Kota Depok, Jawa Barat. Kedua tahap penelitian menggunakan kuesioner Health literacy in Dentistry HeLD-29 untuk menilai skor OHL serta pemeriksaan klinis untuk melihat pemakaian gigi tiruan dan menilai status kehilangan gigi berdasarkan jumlah kehilangan gigi. Rerata skor OHL dari responden adalah 2.86 0.66 dengan jumlah presentase pemakai gigi tiruan adalah 30 dari jumlah responden. Terdapat hubungan antara skor OHL dengan pemakaian gigi tiruan. Kesimpulan: Terdapat hubungan tingkat oral health literacy dengan pemakaian gigi tiruan.

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ABSTRACTOral Health Literacy OHL is a degree of individual comptenece to gain, process, and understand basic oral health information and services needed to determine appropriate oral health care. High OHL score shows individu has good capability to use oral health information as a direction to maintain their oral health and decide the treatment, especially treatment of tooth loss replacement with denture. However, the number of denture usage as rehabilitation of tooth loss in Indonesia is still low. At this time, there is no study has been done to analyze the relationship between oral health literacy score with denture usage. The purpose of this study is to analyze the correlation between OHL score with denture usage. Cross sectional study was done in 70 respondents in Depok, Jawa Barat using Health Literacy in Dentistry HeLD 29 questionnaires to assess OHL score and clinical examination to check denture usage and classify tooth loss based on the amount of tooth loss. Total 70 respondent participated this research with OHL score 2.86 0.66 and denture usage percentage was 30 of total respondents. There were correlations between OHL score and denture usage p"

"Latar belakang: Masalah kesehatan gigi dan mulut seperti karies gigi dan penyakit periodontal merupakan penyebab terbesar kehilangan gigi pada pasien lanjut usia (lansia). Kehilangan gigi pada lansia dapat menyebabkan kesulitan untuk mengunyah dan menggigit makanan sehingga fungsi mastikasi terganggu dan mengakibatkan pemilihan makanan tertentu. Tujuan: Menganalisis hubungan antara kehilangan gigi dan faktor sosiodemografi (usia, jenis kelamin, tingkat pendidikan dan status ekonomi) dengan kemampuan mastikasi pada lansia secara subjektif, serta menganalisis hubungan antara kehilangan gigi pada lansia dengan jumlah pemilihan jenis makanan, cara pengolahan makanan dan potongan/ukuran bahan makanan. Metode: Penelitian ini dilakukan dengan desain cross sectional pada 100 pasien Puskesmas Kecamatan Kramat Jati, Jakarta Timur yang berusia 60 tahun ke atas. Dilakukan pemeriksaan kondisi kehilangan gigi berdasarkan indeks Eichner, serta wawancara kuesioner kemampuan mastikasi (Hanin) dan kuesioner pemilihan jenis makanan (Oey Kam Nio). Hasil Penelitian: Kehilangan gigi memiliki hubungan bermakna dengan kemampuan mastikasi pada lansia (p=0.001), jumlah pemilihan jenis makanan, cara pengolahan makanan (mentah dan goreng), dan potongan/ukuran bahan makanan (sedang). Usia, tingkat pendidikan dan status ekonomi memiliki hubungan bermakna dengan kemampuan mastikasi. Kesimpulan: Terdapat hubungan antara kehilangan gigi, usia, tingkat pendidikan, dan status ekonomi dengan kemampuan mastikasi pada lansia.

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Dental and oral health problems such as dental caries and periodontal disease which are the biggest causes of tooth loss in elderly. Tooth loss in elderly can cause difficulty in chewing and biting food so disruption of mastication function and selection of certain food.

Objectives: o analyze relationship between tooth loss and sociodemographic factors (age, sex, education level and economic status) with subjective masticatory ability in elderly, analyze relationship between tooth loss in elderly and number of food choice, food processing method and food material size.

Methods: Cross sectional study was conducted on 100 patients of Kramat Jati Sub-district Health Center, East Jakarta aged 60 years and over. Examination of tooth loss condition based on Eichner index and interview masticatory ability questionnaire (Hanin) and selection of food types questionnaire (Oey Kam Nio).

Results: Tooth loss has a significant relationship with masticatory ability in elderly (p=0.001), number of food choice, food processing method (raw and fried), and size of food (medium). Age, education level and economic status have a significant relationship with masticatory ability.

Conclusion: There is a relationship between tooth loss, age, sex, education level and economic status with masticatory ability in elderly. "

"Latar Belakang: Kehilangan gigi dan trauma oklusi merupakan salah satu faktor pendukung penyebab penyakit periodontal. Belum ada penelitian mengenai analisis kehilangan gigi molar pertama mandibula terhadap trauma oklusi dan status periodontal di Indonesia. Tujuan: Memperoleh analisis kehilangan gigi molar pertama mandibula terhadap trauma oklusi dan status periodontal. Metode: Studi retrospektif menggunakan data sekunder dengan pendekatan potong lintang dari rekam medik Departemen Periodonsia RSKGM FKG UI periode 2012-2017. Hasil: Didapatkan 184 subjek yang mengalami kehilangan gigi molar pertama (M1) mandibula dengan jumlah kasus trauma oklusi terjadi pada 42 gigi premolar kedua (P2) mandibula dan 63 gigi molar kedua (M2) mandibula. Trauma oklusi yang terjadi pada P2 dan M2 mandibula memiliki nilai resesi gingiva, kedalaman poket, dan kehilangan perlekatan klinis yang lebih besar dibandingkan dengan keadaan tidak trauma oklusi. Terdapat perbedaan bermakna (p<0,05) nilai resesi gingiva, kedalaman poket, dan kehilangan perlekatan klinis antara gigi P2 mandibula trauma oklusi dengan tidak trauma oklusi. Terdapat perbedaan bermakna (p<0,05) nilai resesi gingiva dan kehilangan perlekatan klinis antara gigi M2 mandibula trauma oklusi dengan tidak trauma oklusi. Kesimpulan: Kehilangan gigi M1 mandibula dengan trauma oklusi berpengaruh terhadap resesi gingiva, kedalaman poket, dan kehilangan perlekatan klinis pada gigi P2 dan M2 mandibula.

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Background: Tooth loss and trauma from occlusion are kind of factors that contributing in periodontal disease. There has been no research on the analysis of mandibular first molar loss to trauma from occlusion and periodontal status in Indonesia.

Objective: Get the analysis of mandibular first molar loss to trauma from occlusion and periodontal status.

Method: A cross-sectional study using medical records in Department of Periodontics RSKGM FKG UI 2012-2017.

Result: There were 184 subjects that had mandibular first molar (M1) loss with total 42 mandibular second premolar (P2) and 63 mandibular second molar (M2) cases related to trauma from occlusion (TFO). Gingival recession, pocket depth, and loss of attachment of P2 and M2 mandibular teeth with TFO were worse than non-TFO. There were statically significant differences (p<0,05) of gingival recession, pocket depth, and loss of attachment between P2 mandibular teeth with TFO and non-TFO groups. There were statically significant differences (p<0,05) of gingival recession and loss of attachment between M2 mandibular teeth with TFO and non-TFO groups.

Conclusion:  Mandibular first molar loss with trauma from occlusion is related to gingival recession, pocket depth, and lost of attachment on mandibular second premolar and mandibular second molar."

"Latar belakang: Kesehatan gigi dan mulut merupakan salah satu faktor untuk mencapai kualitas hidup yang optimal. Salah satu masalah kesehatan gigi dan mulut yang sering ditemukan pada lansia adalah kehilangan gigi. Pembuatan gigi tiruan diharapkan dapat memperbaiki keadaan kehilangan gigi, baik dari segi fungsi, estetik, psikologis dan sosial. Kebutuhan gigi tiruan tidak sama dengan permintaan gigi tiruan. Alat ukur kuesioner kebutuhan subjektif dan permintaan gigi tiruan diharapkan dapat mengukur kebutuhan subjektif dan permintaan gigi tiruan pada lansia.Faktor lokal dan sosiodemografi dapat mempengaruhi proses perubahan kebutuhan menjadi permintaan. Tujuan: Tujuan penelitian ini untuk menganalisis faktor yang berperan terhadap permintaan gigi tiruan pada lanjut usia. Metode: Subjek penelitian terdiri dari 100 orang lansia yang berusia 60 tahun keatas. Subjek diminta menjawab kuesioner kebutuhan dan permintaan gigi tiruan dan faktor-faktor yang mempengaruhinya. Kemudian dilakukan pemeriksaan rongga mulut untuk memeriksa kehilangan gigi dan penggunaan gigi tiruan. Pada tahap pertama dilakukan uji validitas dan reabilitas kuesioner kebutuhan dan permintaan gigi tiruan, tahap kedua dilakukan uji potong lintang. Hasil: Uji validitas dan reabilitas alat ukur ini menunjukkan hasil yang baik, sehingga dapat digunakan sebagai alat ukur kebutuhan subjektif gigi tiruan dan permintaan gigi tiruan. Analisis data menggunakan uji Chi Square dan regresi logistik menunjukkan bahwa kebutuhan subjektif dan biaya perawatan mempunyai hubungan yang bermakna dengan permintaan gigi tiruan (p<0,05). Biaya perawatan merupakan faktor yang paling berperan terhadap permintaan gigi tiruan (OR = 3,55). Kesimpulan: Alat ukur kebutuhan subjektif dan permintaan gigi tiruan valid dan reliabel. Faktor yang paling menghambat permintaan gigi tiruan adalah biaya perawatan.

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Background: Oral health of the elderly is a part of optimal quality of life. Tooth loss is a common oral health problem in elderly. The objective of tooth replacement is the rehabilitation of function, esthetics, psychological and social. Need does not always lead to demand of the treatment. Perceived need and demand for denture questionnaire tools was expected to estimate perceived need and demand of denture in elderly. The process between need and demand closely related to local factors and socio demographic factors.

Objective: To analysis factor influenced the demand of the dentures in elderly.

Method: A survey was performed to 100 elderly. The subject was questioned with the perceived need and demand questionnaire tools and factors which influenced demand of the denture. Oral and dental examination was performed to examined tooth loss and denture worn. The survey was analysis in two steps, the first step was to investigated the validity and reliability of the questionnaire tools and the second step was a crosssectional design.

Result: The reliability and validity had good result. Analysis used Chi Square and logistic regression showed perceived need and cost were significantly associated with demand of the denture (p<0,5). Cost had the strongest association with the demand of the denture (OR=3,55).

Conclusion: The questionnaire tools is valid and reliable to measure the perceived need and demand of the denture in elderly. Cost had the highest impact as a barrier on the demand of the denture."

"[Kehilangan gigi dapat digantikan dengan gigi tiruan jembatan (GTJ) ataupun gigi tiruan sebagian lepasan (GTSL). Menurut berbagai penelitian pemilihan jenis gigi tiruan tersebut dipengaruhi oleh jenis kelamin, usia, pekerjaan, motivasi pasien dan lokasi kehilangan gigi, namun belum terdapat penelitian yang meneliti faktor tersebut di Klinik Integrasi RSKGM FKG UI yang merupakan salah satu penyedia jasa perawatan gigi tiruan yang cukup besar di Jakarta, sehingga perlu dilakukan penelitian serupa di Klinik Integrasi RSKGM FKG UI. Desain penelitian ini adalah potong lintang, menggunakan 265 rekam medik pasien yang diolah dengan piranti lunak SPSS versi 17 menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa secara statistik, tidak terdapat hubungan bermakna antara jenis kelamin dengan pemilihan jenis gigi tiruan (p=0,395), namun sebaliknya terdapat hubungan bermakna antara usia (p=0,005), pekerjaan (p=0,000), motivasi pasien (p=0,038), dan lokasi kehilangan gigi (p=0,000) dengan pemilihan jenis gigi tiruan.

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Missing teeth could be replaced either by bridge or removable partial denture. Based on some researches, the treatment decision is influenced by gender, age, occupation, motivation and location of missing teeth, yet there hasn?t any research conducted at Integration Clinic of RSKGM FKG UI as one of big providers for prosthetic treatment in Jakarta, then there should be a research to analyze those factors at RSKGM FKG UI. The design of this study is cross sectional study, using 265 patients` medical records which statistically analyzed by (SPSS) version 17 using Chi-square test. It was found that statistically, gender had no significant relationship with the treatment decision (p=0,395). In contrary, age (p=0,005), occupation (p=0,000), patient`s motivation (p=0,038) and location of missing teeth (p=0,000) had siginificant relationship with the treatment decision.;Missing teeth could be replaced either by bridge or removable partial denture. Based on some researches, the treatment decision is influenced by gender, age, occupation, motivation and location of missing teeth, yet there hasn?t any research conducted at Integration Clinic of RSKGM FKG UI as one of big providers for prosthetic treatment in Jakarta, then there should be a research to analyze those factors at RSKGM FKG UI. The design of this study is cross sectional study, using 265 patients` medical records which statistically analyzed by (SPSS) version 17 using Chi-square test. It was found that statistically, gender had no significant relationship with the treatment decision (p=0,395). In contrary, age (p=0,005), occupation (p=0,000), patient`s motivation (p=0,038) and location of missing teeth (p=0,000) had siginificant relationship with the treatment decision, Missing teeth could be replaced either by bridge or removable partial denture. Based on some researches, the treatment decision is influenced by gender, age, occupation, motivation and location of missing teeth, yet there hasn’t any research conducted at Integration Clinic of RSKGM FKG UI as one of big providers for prosthetic treatment in Jakarta, then there should be a research to analyze those factors at RSKGM FKG UI. The design of this study is cross sectional study, using 265 patients` medical records which statistically analyzed by (SPSS) version 17 using Chi-square test. It was found that statistically, gender had no significant relationship with the treatment decision (p=0,395). In contrary, age (p=0,005), occupation (p=0,000), patient`s motivation (p=0,038) and location of missing teeth (p=0,000) had siginificant relationship with the treatment decision]"

"ABSTRACTLatar Belakang: Kehilangan gigi masih menjadi masalah dalam kesehatan gigi dan mulut orang dewasa di Indonesia. Namun, karena kurangnya kesadaran dan faktor sodiodemografi lainnya, biasanya pasien tidak langsung mencari perawatan prostodontik setelah mengalami kehilangan gigi. Tujuan: Menganalisis hubungan antara status kehilangan gigi berdasarkan jumlah dan lokasinya dengan tingkat kesadaran mengenai perawatan prostodontik. Metode: Studi analitik observasional dengan desain penelitian cross sectional. Penelitian ini dilakukan dengan teknik consecutive sampling pada pasien usia 20 tahun ke atas dengan satu atau lebih gigi yang hilang. Subjek diperiksa untuk mengetahui jumlah dan lokasi gigi hilang dan menjawab kuesioner mengenai kesadaran akan perawatan prostodontik. Penelitian ini dianalisis dengan Kruskal-Wallis dan uji Mann Whitney ?=5 . Hasil: Jumlah dan posisi kehilangan gigi memiliki hubungan dengan tingkat kesadaran dengan perawatan prostodontik.

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ABSTRACTBackground Edentulism still represents a significant oral health concern among Indonesian adults. Due to lack of awareness, and other sociodemographic factors, mostly patients do not seek prosthetic treatment immediately after tooth loss. Objective This study was analyzed the relationship between number and position of tooth loss with perception of patient rsquo s awareness about prosthodontic treatment. Methods Analytic observational study with cross sectional design. This study was done using a consecutive sampling on patient age of 20 years and above with one or more missing teeth. Patients were evaluated to determine the number and position of tooth loss and answered questionnaire about awareness of prosthodontic treatment. This research was analyzed with Kruskal Wallis and Mann Whitney test a 5 . Results The number and position of missing tooth had a relationship with patient rsquo s awareness of prosthodontic treatment."

"ABSTRACTLatar 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."

"Latar Belakang: Perubahan degeneratif pada TMJ dapat menyebabkan perubahan morfologi kondilus mandibula. Salah satu faktor yang mempengaruhi perubahan degeneratif TMJ yaitu kehilangan gigi posterior yang tidak diganti. Modalitas CBCT memberikan gambar multiplanar bidang aksial, sagital dan koronal sehingga mempermudah visualisasi TMJ secara menyeluruh, sehingga CBCT dapat menjadi modalitas alternatif untuk mengevaluasi keadaan TMJ terutama morfologi kondilus. Penelitian ini dilakukan untuk meneliti perubahan morfologi kondilus mandibula pada evaluasi CBCT yang berhubungan dengan jumlah kehilangan gigi posterior, kelompok usia dan jenis kelamin. Tujuan: Mengetahui hubungan perubahan morfologi kondilus mandibula berdasarkan jumlah kehilangan gigi posterior pada kelompok usia 30 – 45 tahun dengan kelompok usia 55 – 70 tahun pada evaluasi CBCT. Metode: Penelitian ini merupakan penelitian retrospektif analitik cross sectional. Pengumpulan sampel dilakukan menggunakan metode Non-Probability Sampling dengan teknik Purposive Sampling dan didapatkan sebanyak 70 sampel volume data CBCT. Rekonstruksi dilakukan menggunakan Software CS Imaging Patient Browser 7.0.23 dan CS 3D Imaging v3.8.7. Carestream Health Inc. Kondilus mandibula dibedakan antara sisi kanan dan kiri, hasil rekonstruksi diambil dari potongan sagital dan koronal anteroposterior. Pengamatan dilakukan dua orang, sebanyak dua kali dalam jangka waktu berbeda dan jarak waktu dua minggu. Uji reliabilitas hasil pengamatan dilakukan menggunakan Uji Cohen’s Kappa dan hasil uji intraobserver dan intraobserver menunjukan angka 0.814 – 1.000 yang termasuk dalam kategori almost perfect agreement. Hasil: Terdapat hubungan yang bermakna antara perubahan morfologi kondilus mandibula dengan jumlah kehilangan gigi posterior pada kelompok usia 30 – 45 tahun dan kelompok usia 55 – 70 tahun dalam bentuk erosi, flattening, dan sklerosis (p= <0.005). Pada variabel jenis kelamin tidak ditemukan hubungan yang bermakna (p= >0.005). Kesimpulan: Dari keseluruhan hasil penelitian dapat ditarik kesimpulan bahwa semakin banyak jumlah kehilangan gigi dan semakin bertambahnya usia, memiliki hubungan dan dapat menyebabkan terjadinya perubahan morfologi kondilus mandibula.

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Background: Degenerative changes in the TMJ can lead to changes in the morphology of the mandibular condyle. One of the factors that affect degenerative changes in the TMJ is the loss of posterior teeth that are not replaced. CBCT modality provides multiplanar images in axial, sagittal, and coronal planes making it easier to visualize the TMJ thoroughly, therefore CBCT can be an alternative modality to evaluate the TMJ condition, specifically the morphology of the condyles. This study aimed to examine the morphological changes of the mandibular condyle on CBCT evaluation with the number of missing posterior teeth, age group, and gender. Objective: To determine the relationship between changes in the morphology of the mandibular condyle based on the number of missing posterior teeth in the age group 30-45 years and the age group 55-70 years. Methods: This study is a cross-sectional analytic retrospective study. Sample collection was carried out using the Non-Probability Sampling method with the Purposive Sampling technique. Reconstruction was performed using CS Imaging Patient Browser 7.0.23 and CS 3D Imaging v3.8.7 Software from Carestream Health Inc. The mandibular condyle was divided into right and left, and the results of the reconstruction were taken from the sagittal and coronal anteroposterior sections. Observations were made by two people, two times in different periods with an interval of two weeks. The reliability test from the observations using Cohen's Kappa test and the results showed almost perfect agreement category with Kappa value 0.814 - 1.000. Results: There was a significant relationship between changes in the morphology of the mandibular condyle in the form of erosion, flattening, and sclerosis with the number of missing posterior teeth in the age group 30-45 years and the age group 55-70 years (p = <0.005). In the gender variable, there was no significant relationship with changes in the morphology of the condyle (p = > 0.005). Conclusion: It can be concluded that the greater number of missing teeth and the older the subject gets has relationship with and can cause changes in the morphology of the mandibular condyle."

"Latar Belakang: Kehilangan gigi merupakan masalah yang sering ditemukan pada lanjut usia (lansia) dan berdampak buruk pada sistem fungsional, struktur anatomi, estetika, emosional, dan sosial. Dokter gigi perlu merekomendasikan perawatan prostodontik untuk merehabilitasi kondisi tersebut, namun kebutuhan perawatan gigi tiruan dikalangan lansia masih sangat terbatas. Dalam kebutuhan perawatan, keadaan sosiodemografi (usia, jenis kelamin, tingkat pendidikan) dan jumlah kehilangan gigi dapat memengaruhi prosesnya. Tujuan: Mengetahui gambaran dan menganalisis hubungan kebutuhan perawatan prostodontik pada pasien lansia berdasarkan keadaan sosiodemografi (usia, jenis kelamin, tingkat pendidikan) dan jumlah kehilangan gigi. Metode: Studi analitik observasional dengan desain cross sectional dan menggunakan data sekunder dari rekam medik pasien baru yang datang pada bulan Januari – November 2022. Rekam medik yang digunakan adalah rekam medik konvensional dan digital dengan dengan teknik pengambilan consecutive sampling. Hasil Penelitian: Distribusi frekuensi kebutuhan perawatan prostodontik didominasi oleh kelompok usia 60-69 tahun (56.9%), perempuan (58.8%), tingkat pendidikan Perguruan Tinggi (PT) dan Sekolah Menengah Atas (SMA) (39.2%), jumlah kehilangan gigi sebanyak gigi (74.5%), dan jenis perawatan yang paling banyak dibutuhkan yaitu Gigi Tiruan Lengkap (GTL) (54.9%). Uji chi-square menunjukkan adanya hubungan antara jumlah kehilangan gigi dengan kebutuhan perawatan Gigi Tiruan Jembatan (GTJ), Gigi Tiruan Sebagian (GTS), dan GTL (p=0.000) serta terdapat hubungan antara tingkat pendidikan dengan kebutuhan perawatan GTL (p=0.017). Namun, tidak terdapat hubungan antara usia dan jenis kelamin dengan kebutuhan perawatan GTJ, GTS, dan GTL (p 0.05). Kesimpulan: Penelitian ini menunjukkan adanya hubungan kebutuhan perawatan prostodontik dengan tingkat pendidikan dan jumlah kehilangan gigi pada pasien lansia di RSKGM FKG UI.

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Background: Tooth loss is a problem that is often found in the elderly and has a negative impact on functional systems, anatomical structures, aesthetics, emotional and social. The dentists will recommend prosthodontic treatment to rehabilitate this condition, but the need for denture treatment among the elderly is still limited. In terms of treatment needs, sociodemographic (age, gender, level of education) and the number of missing teeth can influence the process. Objective: Knowing the description and analyzing the relationship between the need for prosthodontic treatment in elderly patients based on sociodemographic conditions (age, gender, level of education) and the number of missing teeth. Methods: Observational analytic study with cross-sectional design and using secondary data from the medical records of new patients who arrived in January – November 2022. The medical records used were conventional and digital medical records with consecutive sampling technique. Result: The frequency distribution of the need for prosthodontic treatment was dominated by the age group 60-69 years (56.9%), women (58.8%), higher education level and senior high school (39.2%), the number of missing teeth was >6 teeth (74.5%), and the type of treatment most needed is complete denture (54.9%). The chi-square test showed that there is a relationship between the number of missing teeth and the need for fixed partial denture, removable partial denture, and complete denture treatment (p=0.000) and there is a relationship between education level and complete denture treatment needs (p=0.017). However, there is no relationship between age and gender with the need for fixed partial denture, removable partial denture, and complete denture treatment (p 0.05). Conclusion: This study shows that there is a relationship between prosthodontic treatment need with education level and the number of missing teeth in elderly patients at RSKGM FKG UI. "