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All Journal Journal of Dentistry Indonesia Indonesian Journal of Prosthodontics
Laura Susanti Himawan, Laura Susanti
Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta 10430
Dentistry

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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.
Stabilization Appliance as Treatment Modality for Headache Attributed to TMD Alexander, Steven; Himawan, Laura Susanti
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.106 KB) | DOI: 10.46934/ijp.v2i0.55

Abstract

A 25-year-old female visited Universitas Indonesia Specialty Dental Clinic seeking treatment for her migraine headache (HA). With visual analog scale of 8, the pain was so severe that she often fell from motorcycle several times and suffered sacro-iliac joint pain due to her loss of balance. Upon presentation she appeared to be physically sound, yet she experienced continuous tinnitus and photophobia that affect her daily routine. Her oral status showed missing tooth 18,28,38,48 with occlusal interference at tooth 22 against 32. Her jaw movement were shown to be restricted during protrusive and laterotrusive movement, with pain in her right masseter muscle upon palpation. Trans-cranial x ray examination showed her condyle position to be inferiorly displaced during bite and relax position. After thorough examination using diagnostic decision tree developed by DC/TMD, she was diagnosed with Headache attributed to TMD. 400mg of Ibuprofen were given three times a day for two weeks and a stabilization appliance (SA) was also fabricated. This SA were indicated to provide patient with optimal and simultaneous tooth contact that promoted stability in patient’s stomatognathic relationship. She was also encouraged to do physical self-regulation regime as well as removal of bad habits that contributed to her TMD. After one year and a half, her migraine condition improved and her mandible functioned within normal limits. It is important to note that temporomandibular joint disorder (TMD) and HA are often found to be a co-morbid condition. These conditions were related by them sharing similar neural pathway that converges into Spinal Trigeminal Nucleus. Treatment using stabilization appliance may show a very slow improvement due to how HA can negatively affects patient’s motivation. It is crucial for operator to provide continual support so that patient could adhere to the treatment planned.
Co-Authors Ira Tanti Saputra, Cindy Maura Steven Alexander