Penatalaksanaan Kasus Gangguan Sendi Temporomandbular dengan Latihan Rahang

Kartika, Lia; Himawan, Laura Susanti

doi:10.14693/jdi.v14i1.786

Cited by 3 publications

(5 citation statements)

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“…Jaw exercise therapy will be effective if the patient routinely undergoes the instructions and procedures given. According to Kartika et al, 10 jaw exercise therapy should be done for 2-3 minutes with a frequency of 2-3 times a day, and in most cases, it takes about 2-3 months to get satisfactory benefits, both subjectively and objectively. 10 However, research by Sakuma et al 12 found that clinical symptoms such as maximum mouth opening distance, pain on movement, pain on mastication, and impact on daily activities in the second week were significantly increased.…”

Section: Discussionmentioning

confidence: 99%

“…According to Kartika et al, 10 jaw exercise therapy should be done for 2-3 minutes with a frequency of 2-3 times a day, and in most cases, it takes about 2-3 months to get satisfactory benefits, both subjectively and objectively. 10 However, research by Sakuma et al 12 found that clinical symptoms such as maximum mouth opening distance, pain on movement, pain on mastication, and impact on daily activities in the second week were significantly increased. 12 The following is in accordance with this study, where therapy was carried out for a duration of three minutes three times a day and for two weeks which showed a decrease in severity before and after jaw exercise therapy, that respondents no longer felt symptoms of TMD such as sound and pain in temporomandibular joint, and fatigue when chewing.…”

Section: Discussionmentioning

confidence: 99%

“…That way, even though the exercise is only done for a short period of time, if the patient does the exercise consistently it can reduce the signs and symptoms of TMD. [9][10][11][12] Due to the COVID-19 pandemic that makes it difficult for patients to get treatment, telemedicine can be a major tool to self-care at home by the patient without loss of monitoring from the practitioner. Telemedicine is an informationbased technology and communication system for crossdistance care services and has been shown to improve the consistency and quality of healthcare, sometimes cheaper than conventional practice.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of telemedicine approach as a treatment to reduce severity of temporomandibular disorders

Chairunnisa

Fadilla

2022

Dent. J. (Majalah Kedokt. Gigi)

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Background: Temporomandibular disorder (TMD) is the most common pain in the maxillofacial area. Overall prevalence of TMD was approximately 31% for adults/elderly and 11% for children/adolescents. TMD is considered a multifactorial disorder. There are various treatments for TMD, one of which is jaw exercises therapy which is the most widely used initial treatment to relieve signs and symptoms. Currently, conventional therapy for TMD patients has been difficult to control patient compliance. Hence, this therapy can be done at home independently through telemedicine as an alternative tool to rehabilitateate the patients that can be accessed via smartphone. Purpose: To determine the severity of TMD before and after jaw exercises and the effect of telemedicine approach using jaw exercises via smartphone apps on dental students. Methods: This study used a quasi-experimental method with a one-group pretest post-test design using Fonseca anamnestic index (FAI) questionnaire to measure the severity before and after two weeks of jaw exercises on 35 dental students using purposive sampling based on inclusion and exclusion criteria. Wilcoxon signed-rank test was used to analyze the data (p<0.05). Results: Before jaw exercises, 21 people (60%) had mild TMD, 14 people (40%) had moderate TMD, and none had severe TMD. After jaw exercises, the severity of 9 people (42.8%) in the mild TMD group has decreased (p=0.007), and the severity of 11 people (78.5%) in the moderate TMD group has decreased (p=0.003). Conclusion: There was positive effect that decreased the level of severity of TMD through telemedicine approach after jaw exercises via smartphone apps on dental students.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of telemedicine approach as a treatment to reduce severity of temporomandibular disorders

Chairunnisa

Fadilla

2022

Dent. J. (Majalah Kedokt. Gigi)

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“…Pasien juga diinstruksikan agar menghentikan kebiasaan mengunyah satu sisi dan belajar memulai mengunyah pada kedua sisi rahang. 7 Penggunaan splin oklusal harus menambah dimensi vertikal pasien yang akan menempatkan kondil ke posisi stabil pada fossa glenoid (relasi sentris) sehingga mengurangi tekanan pada struktur sendi dan kemungkinan penurunan aktivitas otot karena relaksasi otot. Posisi oklusi diubah, sehingga akurasi dan ketepatan dari kondil harus diperoleh.…”

Section: Pembahasanunclassified

Pain and limitations of mouth opening: a case report

Sabirin

Jubhari

Sudarman

2022

MDJ

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Temporomandibular joint disorders (TMD) do not always indicate a problem in the joints but also involve all disorders related to the function of the masticatorysystem. One of the common signs of TMD is pain and limitations of mouth opening. When a pa-tient has a joint disorder and a masticatory muscle disordersimultaneously and the primary diagnosis cannot be determined, it is generally agreed to treat the masticatory muscle disorder as the primary diagnosis. Thereforethe initial treatment is directed to-wards the muscular symptoms. If symptoms do not decrease, further therapy is required for the joint disorder. This article re-ports on muscles therapy and the use of occlusal splints to rehabilitate pain and limitations of mouth opening. A 16-year-old female came to ProsthodonticDepartment RSGM Unhas, with complaints of pain when opening and closing her mouth. The pain and sound of crack on the right side of the face were felt for a few minutes since 2 months ago. The patient chews fre-quently in the left region because of caries and pain in the maxillary right molar since 2 months ago.Tooth 36 was extracted about 1 year ago due to residual roots. It was concluded that muscles therapy and occlusal splints are effectively overcome the limitations of mouth opening and reduce pain in the jaw joint.

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“…1 Penyebab terjadinya gangguan sendi temporomandibula (GSTM) bersifat kompleks dan multifaktor. 2 Beberapa penyebab GSTM, yaitu maloklusi, trauma, keadaan emosi, dan kebiasaan buruk. 3 Terdapat berbagai kebiasaan buruk yang sering dikaitkan dengan kelainan STM, salah satunya yaitu kebiasaan buruk mengunyah satu sisi yang jika dilakukan dalam jangka waktu yang lama akan menyebabkan gangguan.…”

Section: Pendahuluanunclassified

The effect of unilateral chewing habit on interincisal distance of maximum mouth opening

Hidajah,

Ayu,

Gisela

2021

MDJ

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One of the causes of temporomandibular disorder (TMD), which is a bad habit of chewing on one side. The occurrence of TMD can be characterized by limited mouth opening of less than 40 mm. Maximum mouth opening distance can be influenced by gender, age, weight, and height. This study is intended to determine the interincisal distance of maximum mouth opening in unilateral chewing habit. By using descriptive observational study with a purposive sampling technique, it was obtained of 25 subjects, students from the Faculty of Dentistry, Mahasaraswati Denpasar University. Data collection was carried out by using a sliding caliper direct to measure the distance of interincisal when open the mouth. The results showed that 10 men (40%) had an average maximum mouth opening of 42.6 mm, 15 women (60%) had an average maximum mouth opening of 39.6 mm, 5 people (20%) with a body weight of 41-50 kg had the lowest average maximum mouth opening of 37.4 mm, 4 people (16%) with a body weight of 81-90 kg had the highest maximum mouth opening of 45.5 mm, 2 people (8%) with a body height of 151-160 cm had the lowest maximum mouth opening of 36.5 mm, 8 people (32%) with a body height of 171-180 cm had the highest maximum mouth opening of 42.3 mm and 25 people (100%) had a maximum mouth opening of 40.8 mm. It was con-cluded that there are 48% (12 people) subjects have an average maximum mouth opening distance with a limited category of 36.3 mm and 52% (13 people) subjects have an average maximum mouth opening distance with a normal category of 45 mm.

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Penatalaksanaan Kasus Gangguan Sendi Temporomandbular dengan Latihan Rahang

Cited by 3 publications

References 0 publications

Effectiveness of telemedicine approach as a treatment to reduce severity of temporomandibular disorders

Effectiveness of telemedicine approach as a treatment to reduce severity of temporomandibular disorders

Pain and limitations of mouth opening: a case report

The effect of unilateral chewing habit on interincisal distance of maximum mouth opening

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