Claim Missing Document
Check
Articles

Prevalence of temporomandibular joint disfunction in children Masitoh, Siti; Kurnikasari, Erna; Rikmasari, Rasmi
Padjadjaran Journal of Dentistry Vol 19, No 2 (2007): July 2007
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.881 KB) | DOI: 10.24198/pjd.vol19no2.14182

Abstract

The aim of this study is to get the description on TMJ dysfunction as well as its symptoms including clicking, crepitation, jaw opening restriction and muscle pain in children. Thus the result can be used as an input to the program of TMJ dysfunction prevention and treatment for the children in SDN Sirnasari Village, Ciptasari Pamulihan Subdistrict, Sumedang District. This study is descriptive study using survey technique. The samples for the study are 79 children in elementary school taken by random sampling technique with stratification. TMJ dysfunctions with clicking and crepitation symptoms were detected by palpating and using a stethoscope. Deviation, deflection, and jaw opening restriction symptoms were found out by visual examination. Whereas pain in TMJ supporting muscles was also detected by palpating. The result of the study shows that the number of children developing TMJ dysfunction with symptom of clicking is 34 children (43.03%), crepitation are 4 children (5.06%), deviation are 13 children (16.45%), deflection are 17 children (21.51%), jaw opening restriction are 49 children (62.02%), and pain in TMJ supporting muscles are 69 children (87.34%). From the study, it can be concluded that the highest frequency of TMJ dysfunction symptom in SDN Sirnasari children is a pain in TMJ supporting muscles. It is followed by jaw opening restriction, clicking, deflection, deviation, and the last is crepitation.
The description of condyle position in disc displacement with reduction using Cone Beam Computed Tomography 3D radiographic analysis Rahmayani, Liana; Kurnikasari, Erna; Rikmasari, Rasmi
Padjadjaran Journal of Dentistry Vol 21, No 2 (2009): July 2009
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (722.185 KB) | DOI: 10.24198/pjd.vol21no2.14092

Abstract

One of the temporomandibular joint disorders that mostly occurs is disc displacement with reduction. Disc displacement that causes the displacement of condyle position can be evaluated by using radiograph. The Cone Beam Computed Tomography (CBCT-3D) is a radiograph equipment which is able to capture the condyle position from many directions. This research was aimed to see the condyle position in patients with disc displacement with reduction symptoms. This research was conducted to 11 patients with symptoms of disc displacement with reduction and 3 patients without symptoms of disc displacement with reduction as the counterpart. What was conducted to the sample was the radiographic imaging using CBCT-3D radiography, followed by measuring the joint space distance in the sagittal and coronal directions. The result of the research was analyzed using the T-test. Statistically, the result of the test showed a significant difference ( = 0.05) between patients with disc displacement with reduction symptoms and the patients without symptoms, in sagittal and coronal views. The conclusion led to the difference in condyle positions in patients with the disc displacement with reduction and patients without the symptoms which meant there was a condyle position displacement that caused the distance alteration in joint space in sagittal and coronal directions.
Stabilization splint and its role in overcoming temporomandibular joint disorders: Splint stabilisasi dan perannya dalam mengatasi gangguan sendi temporomandibula Ista Meidarlina; Rasmi Rikmasari
Makassar Dental Journal Vol. 12 No. 3 (2023): Volume 12 Issue 3 Desember 2023
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Tujuan dari artikel ini membahas peranan splint stabilisasi dalam mengatasi kelainan pada sendi temporomandibula (STM) yang dialami oleh seorang wanita berusia 24 tahun yang datang ke klinik Prostodonsia RSGM FKG Unpad dengan keluhan nyeri serta suara yang muncul di sekitar sendi pengunyahan saat membuka mulut, keterbatasan bukaan mulut, serta adanya ketegangan pada otot leher dan wajah. Pasien ingin keluhannya teratasi. Prosedur perawatan dimulai dengan ekstraksi gigi molar tiga atas kanan dan kiri yang impaksi diikuti oleh pembuatan splint stabilisasi dengan durasi kontrol dua minggu sekali. Selama fase perawatan pasien diinstruksikan untuk melakukan self-management therapy untuk mengeliminasi kebiasaan buruknya. Setelah pemakaian splint stabilisasi selama 3 bulan gangguan pada sendi berangsur-angsur berkurang, nyeri dan bunyi sendi menghilang, bukaan mulut kembali normal, dan pasien merasa sangat nyaman. Disimpulkan bahwa penggunaan splint stabilisasi sebagai terapi oklusal dianggap sebagai metode yang efektif dalam mengatasi gangguan pada STM.
Management of disc displacement with reduction with intermittent locking, myofascial pain, and TMD-Related headache : A Case Report Andita Nurseptiani Lukman; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.329

Abstract

Temporomandibular disorders (TMD) refer to a group of problems involving the temporomandibular joint (TMJ) and the masticatory muscles. The most common intra-articular diagnosis is disc displacement with reduction; however, cases with intermittent locking are relatively rare and can be characterized by fluctuating symptoms. This case report describes the conservative management of disc displacement with reduction with intermittent locking accompanied by myofascial pain with referral and headache attributed to TMD in a 23-year-old male patient. The patient came in with a one year history of left TMJ clicking, recurrent locking episodes, jaw pain, and sharp temporal headache. A clinical examination showed corrected deviation while opening the mouth, limited pain-free mouth opening, joint sounds, myofascial pain with referral, and headache reproduction when the muscles were palpated. The final diagnosis was disc displacement with reduction with intermittent locking complicated with myofascial pain with referral and headache attributed to TMD. Management was a combination of mandibular stabilization splint therapy, muscle conditioning exercises, and physical self regulation. Subsequent visits showed improvement in muscle pain, headaches, joint sounds and locking episodes. Conservative management with stabilization splint therapy supported by behavioral and muscle conditioning interventions can lead to successful symptom relief and functional improvement. Keywords: Temporomandibular disorders, disc displacement with reduction, myofascial pain, headache attributed to TMD, stabilization splint
Management of fully edentulous with flabby ridge using double spacer custom tray and modified impression techniques Sara Stefany; Taufik Sumarsongko; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.331

Abstract

Background: A flabby ridge refers to an area of alveolar ridge with hypermobile and fibrous soft tissue that typically forms as a result of prolonged pressure or unstable occlusion, which posing difficulties in achieving proper denture retention, support, and stability. A precise impression is essential for ensuring the stability of complete dentures with flabby ridge. The fundamental principle for impressions of a flabby ridges is to apply minimal pressure on the flabby area to prevent distortion impression outcome. To achieve that, double spacer custom tray along with selective pressure impression techniques was employed. Objectives: This case report aims to gain impression with minimum pressure on flabby ridge to enhance retention, support, and stability of the complete denture. Case Report: A 70-year-old male patient came to the Policlinic Prosthodontics Oral dan Dental Hospital Universitas Padjadjaran complaining that his old 10-years-used denture felt loose and uncomfortable. Intraoral examination showed that both maxillary and mandibular arches were fully edentulous, with flabby ridges present. Following the assessment, it was decided to make a new complete denture using double spacer custom tray and selective pressure impression techniques. Conclusion: Double spacer custom tray and selective pressure impression techniques have been effective in minimizing pressure that could lead to tissue compression during impression procedures, resulting more comfortable dentures with greater retention and stability. Keywords: Flabby Ridge, Complete Denture, Double Spacer Custom Tray, Selective Pressure Impression Technique
Prosthetic rehabilitation of a severely resorbed mandibular ridge using the effective suction method Novita Gabriela Andreas; Taufik Sumarsongko; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.332

Abstract

Background: Mandibular ridge resorption commonly occurs after tooth loss and progressively reduces ridge height and contour, often resulting in a flat ridge. Severe resorption in edentulous patients creates challenges in complete denture fabrication, particularly in achieving adequate retention and stability. The mandibular suction effective denture technique was developed to improve retention by establishing a complete border seal and negative pressure beneath the denture base. Objectives: This case report aims to describe prosthetic rehabilitation of a patient with a flat mandibular ridge using the effective suction impression technique. Case Report: A 67-year-old female with complete edentulism and a flat mandibular ridge complained of difficulty in mastication and speech due to a loose, fractured denture. Rehabilitation was performed using the effective suction impression technique with a frame cut-back (FCB) tray and a closed-mouth impression method. Procedures included final impression making, jaw relation recording, artificial teeth arrangement, and insertion of complete dentures for both arches. Post-insertion evaluation showed good retention and stability, with improved comfort and masticatory function. Conclusion: The effective suction technique can provide improved retention, stability, and patient comfort in patients with flat mandibular ridges. Further clinical studies are needed to confirm its long-term success.
Complete denture rehabilitation in a patient with flabby ridge using an open-Window impression technique and double-spacer custom tray: A case report Richard Austeen Halim; Taufik Sumarsongko; Rasmi Rikmasari
Indonesian Journal of Prosthodontic Vol 7 No 1 (2026): June 2026
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v7i1.337

Abstract

ABSTRACT Background: A flabby ridge is an area of mobile soft tissue found superficially, which affects both maxillary and mandibular alveolar ridges. It is a common finding in long term denture wearers, where the rate of bone resorption is very fast leading to development of hyperplastic soft tissue over the alveolar bone. These mobile, hyperplastic tissues compromise denture stability and retention, leading to patient discomfort and functional limitations. A precise impression is essential for ensuring the stability of complete dentures with flabby ridge. The fundamental principle for impressions of a flabby ridges is to apply minimal pressure on the flabby area to prevent distortion impression outcome. To achieve that, open-window technique and double spacer custom tray along with selective pressure impression techniques was employed. Objectives: This case report aims to gain impression with minimum pressure on flabby ridge to enhance retention, support, and stability of the complete denture. Case Report: A 63-year-old male patient came to the Department of Prosthodontics, Padjadjaran University, complaining that his old 10-years-used denture felt loose and uncomfortable. Intraoral examination showed that both maxillary and mandibular arches were fully edentulous, with flabby ridges present. Following the assessment, it was decided to make a new complete denture using double spacer custom tray and open-window impression techniques. Conclusion: Double spacer custom tray and open-window impression techniques helped in recording flabby tissue with minimal displacement and hence enhanced the stability, support, and retention of the denture. Keywords: Flabby Ridge, Complete Denture, Impression Techniques, Double Spacer Custom Tray, Open-Window Technique
Profil Nyeri pada Otot Pengunyahan dan Sendi Temporomandibular pada Pasien dengan Bruxism: Artikel Orisinal Ista Meidarlina; Rasmi Rikmasari; Sana Giovani Pramudita
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol. 13 No. 1 (2026): Vol 13 No 1 (Juni 2026)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstract Aims: To determine the pain profile of masticatory muscles and temporomandibular joint (TMJ) in bruxers in relation to the location and the type of the pain. Materials and Methode: This research was a retrospective study using secondary data from the medical records of 30 bruxism patients treated at the Prosthodontics Clinic Dental and Oral Hospital of Universitas Padjadjaran between 2023 and 2025. Inclusion criteria included patients with a complete diagnosis of bruxism. Exclusion criteria included medical records without the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) examination. Data were analyzed using quantitative descriptive analysis to identify the location and characteristics of muscle pain. Results: Data obtained from 30 medical records that met the inclusion and exclusion criteria showed that masticatory muscle pain frequently occurred in the masseter (70%), temporalis (56,67%), pterygoid lateral (46,67%), pterygoid medial (3,33%), and other muscles (13,33%). Pain in the temporomandibular joint (TMJ) was also found (63.33%). The types of muscle pain consisted of local myalgia (63.33%), myofascial muscle pain (20%), and no pain (16,67%). Conclusion: The common site of masticatory muscle pain in bruxers was pain in the masseter muscles and also found in TMJ, with the most common type of muscle pain was local myalgia
Management of Overdenture in a Case of Partial Maxillary Tooth Loss and Complete Mandibular Tooth Loss Tahta Danifatis Sunnah; Patria Legawa Anggadinata; Rasmi Rikmasari
Jurnal Medali Vol 8, No 1 (2026): Media Dental Intelektual February 2026
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.8.1.69-74

Abstract

Background: Extensive tooth loss may impair masticatory function, esthetics, and quality of life, and can accelerate alveolar bone resorption. Overdentures represent a prosthodontic treatment option that preserves remaining teeth or root remnants as supporting structures, thereby improving prosthesis stability and maintaining the supporting tissues.Objective: To report the management of extensive tooth loss using tooth- and root-supported overdentures, with consideration of clinical conditions and patient preferences.Case Report: A 53-year-old male patient presented with a chief complaint of difficulty in mastication due to extensive tooth loss in the maxillary and mandibular arches. Clinical and radiographic examinations revealed the presence of several teeth and root remnants with periodontal conditions that were still suitable for preservation. The treatment was performed in stages, including periodontal and endodontic therapy, extraction of teeth with poor prognosis, and prosthodontic rehabilitation using removable partial dentures combined with bare-root overdentures and non-retentive short coping overdentures.Results: After prosthesis insertion, the patient demonstrated improved masticatory function, comfort, and overall satisfaction. Clinical evaluation showed good adaptation, retention, and stability of the overdentures, with no complaints of pain or soft tissue irritation.Conclusion: Tooth- and root-supported overdentures are an effective treatment option for patients with extensive tooth loss when suitable abutments remain. This approach provides favorable functional and psychological outcomes when supported by appropriate preliminary treatment and regular maintenance.
Co-Authors Akbar, Saiful An-Nissa Kusumadewi An-Nissa Kusumadewi, An-Nissa Andita Nurseptiani Lukman Anggun Rafisa Aprilia Adenan Aprilia Adenan Arlette Suzy Puspa Pertiwi Aufa, Aghitsna Aulia Azkia Ulil Azmy Azkya Nawawi Baiq S. M. Setiadi Beh Wee Ren, Beh Wee Bonifacius, Setiawan Cindy Annisa Melati Cucu Zubaedah Daisy Wulansari Deddy Firman Dirgantara, Tata Cipta Dirgantara, Tata Cipta Dwiningrum, Fatimah Rini Edy Machmud Elita Rafni, Elita Eriyati Darwin, Eriyati Erna Kurnikasari Erna Kurnikasari Erna Kurnikasari Erna Kurnikasari Evy Carolina Choandra Farah Nurul Salsabila Finka Nur Ikhwani Gantini Subrata Hasna Dziab, Hasna Ine Suhartina Ista Meidarlina Ista Meidarlina Isti Arifianti Ivony Fitria Kamila Washfanabila Lestari, Brigitta Swasti Liana Rahmayani Liana Rahmayani Lisda Damayanti Lusi Epsilawati Mira Andriani Mohd Zali, Nur Ateyya Natasha Mohd Zali, Nur Ateyya Natasha Muhsin Mulya, Ignasia Renata Noer Fadilah, Rina Putri Novianti, Vita Mulya Passa Novita Gabriela Andreas Novita Gabriela Andreas Nur Emalina Akhma, Nur Emalina Nusantari Inda Suzan Patria Legawa Anggadinata Pramudita, Seto Prida Lani Debora P Prihatono, Joko Prihatono, Joko Rachman Ardan Rachman Ardan, Rachman Reinaldo, Evander Richard Austeen Halim Rita Dewi Handayani, Rita Dewi Sana Giovani Pramudita Sani Wijaya Sara Stefany Sari, Kartika Indah Seto Pramudita Seto Pramudita Seto Pramudita Setyawan Bonaficius Setyawan Bonifacius Siti Masitoh Sri Susilawati Sri Tjahajawati Tahta Danifatis Sunnah Taufik Sumarsongko Taufik Sumarsongko Taufik Sumarsongko Taufik Sumarsongko Tine Martina Winarti Valentine Rosadi Sinaga Vera Aryanti Vita M. P. Novianti Volvina, Maria Willyanti Soewondo Yanwirasti Y., Yanwirasti Yanwirasti Yanwirasti Zaini, Nadia Atina Zulia Hasratiningsih