Ira Tanti
Department Of Prosthodontics, Faculty Of Dentistry, Universitas Indonesia, Jakarta 10430

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Relationship between Temporomandibular Disorder and Quality of Sleep in a Sample of Nurses in a Type C Private Hospital in Depok, West Java, Indonesia Maxwell, David; Amalina, Fadhillah Nur; Tanti, Ira
Journal of Dentistry Indonesia Vol. 25, No. 3
Publisher : UI Scholars Hub

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Abstract

Temporomandibular disorder can affect the quality of sleep. Objective: To analyze the association between temporomandibular disorder and quality of sleep among nurses in a type C private hospital using the ID-TMD and PSQI Indonesian version questionnaire. Methods: This cross-sectional study assessed the data of 92 nurses in Hasanah Graha Afiah Hospital, Depok City, West Java, Indonesia. Three questionnaires were administered 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. Results: T he results showed significant differences between temporomandibular disorder and quality of sleep among nurses in a type C private hospital (p = 0.02). Conclusion: There was a relationship found in this study between temporomandibular joint disorder and quality of sleep in a type C private hospital.
A Study of the Relationship Between Job Related Stress and Temporomandibular Disorders in Accountants Working in Jakarta Saputra, Cindy Maura; Himawan, Laura Susanti; Tanti, Ira
Journal of Dentistry Indonesia Vol. 23, No. 3
Publisher : UI Scholars Hub

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Abstract

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.
Anterior repositioning splint treatment consideration for cases of disc displacement with reduction Tjang, Steven Alexander; Tanti, Ira
Indonesian Journal of Prosthodontic Vol 1, No 1 (2020): June 2020
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (515.745 KB) | DOI: 10.46934/ijp.v1i1.2

Abstract

The focus of this literature review is to explore the process of disc displacement with reduction (DDWR) and how the treatment using anterior repositioning splint (ARS) can positively affect patients who are diagnosed with DDWR. The use of MRI as the gold standard of TMJ study allows current researcher to re-consider the common theory whereby DDWR ultimately progresses into disc displacement without reduction or other advanced internal derange-ment process. The use of ARS can produce resolution of pain in patients who are experiencing DDWR with joint pain. However, the use of ARS is shown to be effective on short term only, and its use must be accompanied by other modalities such as physical self-regulation (PSR). The lack of gold standard for the treatment of DDWR prompts healthcare worker to provide patients with conservative treatment before offering more advanced and sur-gical procedure, both of which carries additional unwanted risk. Overall, the use of ARS is shown to be very effective and non-invasive.
Comparison between endocrown fracture resistance with post core crown Krisna, Yohanes Paulus; Tanti, Ira
Indonesian Journal of Prosthodontic Vol 1, No 1 (2020): June 2020
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.718 KB) | DOI: 10.46934/ijp.v1i1.5

Abstract

The concept of minimally invasive restoration has been more approached lately, with the aim of preserve the remaining tooth structure especially after endodotic treatment. Endocrown is one type of restoration that might be the solution. Endocrown is made of glass-ceramic material, defined as a single restoration that uses pulp cham-bers as a retention and resistance form, margin of preparation is above the gingiva in order to preserve tooth structure. Endocrown was initiated by Pissis in 1995 and popularized by Bindl and Mörmann in 1999. According to late research, crown endocrown has higher fracture resistance than post-core crown. Although the literature on endocrown is still limited, empirical evidence leads to positive view for the use of this restoration.
Temporomandibular disorder among metamphetamine user Happysari, Septyana; Tanti, Ira
Indonesian Journal of Prosthodontic Vol 1, No 2 (2020): December 2020
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.545 KB) | DOI: 10.46934/ijp.v1i2.21

Abstract

Cystalline metamphetamine or often called "shabu shabu" is a type of amphetamine which is the most often abused in Indonesia. Cinical symptoms of temporomandibular disorder (TMD) were found in 84.2% of 152 among amphe-tamine users. This case analysis aims to evaluate the treatment of TMD of muscular origin, with myofacial pain diagnosis. The chosen treatments are maximizing etiology-related education and supportive care that aims to reduce muscle mastication activities such as physical self-regulation, assisted muscle stretching, warm compresses, and administration of analgesics to reduce pain that patients often experience.
Posisi kondilus setelah perawatan ortodontik pada maloklusi kelas II divisi 1 dengan pencabutan premolarCondylar position after orthodontic treatment in class II division 1 malocclusion with premolar extraction Dhani Ayu Andini; Maria Purbiati; Nia Ayu Ismaniati Suria; Ira Tanti
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 33, No 1 (2021): April 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v33i1.30643

Abstract

Pendahuluan: Maloklusi kelas II divisi 1 dilaporkan seringkali memicu terjadinya gangguan sendi temporomandibula. Posisi kondilus mengalami perubahan pada akhir perawatan ortodontik dengan pencabutan premolar pada maloklusi kelas II divisi 1. Tujuan penelitian menganalisis posisi kondilus pada akhir perawatan ortodontik supaya dapat memberikan pelayanan yang efektif dan komprehensif kepada pasien. Metode: Jenis penelitian deskriptif observasional dengan desain kohort dilakukan pada Klinik Spesialis RSKGM FKG UI dari Maret sampai Mei 2019. Subjek sebanyak 30 orang mengalami maloklusi kelas II divisi 1 yang memiliki gejala gangguan temporomandibular yang memenuhi kriteria inklusi. Metode sampling yang digunakan adalah sampling konsekutif. Foto transkranial dibandingkan dan diukur ruang sendinya bagian anterior, posterior dan superior dan dianalisis menggunakan uji Mc Nemar. Hasil: Sebelum dan sesudah perawatan ortodontik, posisi kondilus kanan dan kiri tidak mengalami perubahan yang signifikan (p>0,05). Sebelum dan sesudah perawatan ortodontik, AJS (Anterior Joint Space), PJS (Posterior Joint Space), SS (Superior Space) kanan dan kiri tidak mengalami perubahan yang signifikan (p>0,05). Gejala gangguan sendi temporomandibula pada akhir perawatan ortodontik adalah kliking dan krepitasi dilaporkan masih ada sedangkan gejala tidak nyaman dan keterbatasan membuka mulut dilaporkan sudah hilang.  Simpulan: Tidak terdapat perbedaan posisi kondilus kanan dan kiri, sebelum dan sesudah perawatan ortodontik dengan pencabutan premolar pada maloklusi kelas II divisi 1. Keluhan gangguan sendi temporomandibular tidak ditemukan lagi pada akhir perawatan ortodontik.Kata kunci: Posisi kondilus, perawatan ortodontik, maloklusi kelas II divisi 1, pencabutan premolar. ABSTRACTIntroduction: Class II division 1 malocclusion is reported to trigger temporomandibular joint disorders often. The position of the condyles changed at the end of orthodontic treatment with premolar removal in class II division 1 malocclusion. This study aimed to analyse the position of the condyles at the end of orthodontic treatment to provide effective and comprehensive services to patients. Methods: This type of descriptive observational study with a cohort design was conducted at the Specialist Clinic of University of Indonesia Dental Hospital from March to May 2019. Thirty subjects experienced class II division 1 malocclusion who had temporomandibular disorders that met the inclusion criteria. The sampling method used was consecutive sampling. Transcranial radiographs were compared, and anterior, posterior and superior joint spaces were measured and analysed using the McNemar test. Results: Before and after orthodontic treatment, the position of the right and left condyles did not change significantly (p>0.05). Before and after orthodontic treatment, AJS (Anterior Joint Space), PJS (Posterior Joint Space), SS (Superior Space) right and left did not change significantly (p>0.05). Symptoms of temporomandibular joint disorder at the end of orthodontic treatment were clicking, and crepitus was reported to be present, while the symptoms of discomfort and limited opening of the mouth were reported to have disappeared. Conclusion: There is no difference in the position of the right and left condyles before and after orthodontic treatment with premolar extraction in class II division 1 malocclusion. Complaints of temporomandibular joint disorders were not found again at the end of orthodontic treatment. Keywords: Condyle position, orthodontic treatment, class II division 1 malocclusion, premolar extraction.
Migraine and temporomandibular disorder triggered by stress-induced bruxism: a case report: Migrain dan gangguan temporomandibular yang dipicu oleh bruxism yang diinduksi stres: laporan kasus Astari Larasati; Pinta Marito; Laura Susanti Himawan; Ira Tanti
Makassar Dental Journal Vol. 11 No. 3 (2022): Volume 11 Issue 3 Desember 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i3.643

Abstract

Migraine is the most common primary headache that associated with temporomandibular disorders (TMD) that is known as number of clinical problemsinvolving the masticatory muscles, temporomandibular joint and associated structures. Bruxism may be considered as an important factor of initiation of TMDand stress might be the contributory factor. This article is aimed to discuss the management of migraine and TMD patient with stress-induced bruxism as aprecipitating factor. A 42-year-old male patient visited RSKGM FKGUI due to throbbing pain, headache and discomfort around ear and face. Patient was diag-nosed myalgia based on DC/TMD with no articular joint disorder and migraine according to orofacial pain classification axis-1 following with anxiety disorder and stress. A stabilization appliance was designed followed with patient education, physical therapy and stress management. It was concluded that treatment combination of stabilization appliance, stress management and significantly improve the patient’s condition with lessen migraine attack and TMD symptoms.
Combination of temporomandibular disorder and trigeminal neuralgia in adolescent: a case report: Kombinasi gangguan sendi temporomandibular dan trigeminal neuralgia pada remaja: laporan kasus Ariyanti Rezeki; Laura Susanti Himawan; Ira Tanti; Nina Ariani
Makassar Dental Journal Vol. 11 No. 3 (2022): Volume 11 Issue 3 Desember 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i3.644

Abstract

Trigeminal neuralgia was uncommon in people younger than 30 years of age. Only 1% of cases reportedly occurring in those younger than 20 years of age, so that this case is quite rare. The diagnosis of temporomandibular joint disorder (TMD) was also present along with the trigeminal neuralgia and confirmed by head and TMJ MRI. This article describes a case of a 17-years-old females who sought help because of pain in the right side of her face, from her temple area down to her cheek and TMJ, continuing to her lower jaw and sometimes at the back of the ear. She also reported increased pain during chewing or otherfunctional activity. The pain already lasted for almost two years and debilitating. The patient was treated with the combi-nation of pharmacotherapy for treating the trigeminal neuralgia, physical therapy (jaw exercise) and stabilization appliance, in order to reduce the pain and restore the normal function of the lower jaw.It was concluded that trigeminal neuralgia and TMD can be treated simultaneously and obtained a good result.
Marginal fit comparison of conventional and CAD/CAM techniques of PMMA temporary crown Achmad Riwandy; Ira Tanti
Indonesian Journal of Prosthodontic Vol 4 No 2 (2023): December 2023
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v4i2.239

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Despite the weakness of PMMA as a temporary crown, this material has a high fracture resistance. PMMA can be used for a long time as a temporary and it can replace teeth loss. The marginal fit of the temporary crown must be as precise as that of the definitive crown to prevent irritation of the pulp tissue, inflammation of the periodontal tissues, and also produce an esthetic result. CAD/CAM temporary crown made of PMMA is a new concept in dentistry so it still needs to be investigated regarding the marginal gap in considering the use of conventional PMMA temporary crown. The objective is to review the comparison of the marginal gap of temporary crowns made from PMMA with CAD/CAM technology against conventional method. It is concluded that temporary crowns manufactured by CAD/ CAM method produces a better marginal fit than the conventional method. Polymerization shrinkage is one of the causes of dimensional changes that cause a marginal gap.
The efficacy of oral appliances treatment for obstructive sleep apnea Geraldine Ria Adrianne; Ira Tanti
Indonesian Journal of Prosthodontic Vol 4 No 2 (2023): December 2023
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v4i2.246

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Obstructive sleep apnea (OSA) is a sleep disorder caused by upper airway obstruction. There are about one bil-lion people worldwide affected by OSA; in the past decade, the number of people who seek treatment for OSA is increasing. Although continuous positive airway pressure (CPAP) is the gold standard for OSA treatment, the dentist also has a role in treating OSA using oral appliances (OA), especially for those who do not want to be treated using CPAP. However, the efficacy of OA treatment for OSA is varied so further study is needed. This sco-ping review ia aimed to evaluate the efficacy of OA treatment for OSA on adult patients with different severity based on the apnea-hypopnea index (AHI) which is classified as a mild, moderate, and severe group. It is con-cluded that OA effectively reduces the symptoms of OSA. It must be noted that objective examination through the AHI evaluation shows that AHI reduction is affected based on the OSA and BMI classification. Patients with high BMI demonstrated a smaller reduction in AHI, thus showing low effectiveness of OA.