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The Knowledge Level of Temporomandibular Disorders Pathophysiology by Dental Practitioners in Jakarta, Indonesia Christopher Ryan Aliwarga; Carolina Marpaung
Scientific Dental Journal VOLUME 2, ISSUE 3, SEPTEMBER 2018
Publisher : Faculty of Dentistry, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/sdj.v2i3.3205

Abstract

Background: Temporomandibular disorder (TMD) is a common term used to describe the problems related to masticatory muscles, joints, and supporting tissues. TMD commonly causes orofacial pain and has been the subject of considerable research in the field of dentistry. The treatment chosen for patients who have TMD is largely determined by the knowledge of general dental practitioners. Objectives: The purpose of this research was to assess the understanding of TMD pathophysiology by such practitioners. Methods: Questionnaires were distributed randomly to general dental practitioners in private offices and hospitals in the area of Jakarta, Indonesia. The answers on the returned questionnaires were compared to those of TMD experts. Results: Of the 117 questionnaires distributed to general dentists, 105 were returned (89.7% response rate). The results showed an overall level of knowledge of TMD pathophysiology of 25%. Conclusion: The majority of general dental practitioners in Jakarta lack knowledge of TMD pathophysiology
Psychosocial and Functional Impact of Temporomandibular Disorder Subtypes among Adults: A Cross-sectional Study in Indonesia Dewi, Ni Luh; Anggraini, Wita; Valiente-Lopez, Maria; Marpaung, Carolina
Journal of Dentistry Indonesia
Publisher : UI Scholars Hub

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Abstract

Background: Temporomandibular disorders (TMDs) affect psychological, functional, and pain-related aspects of oral health-related quality of life (OHRQoL). However, the differential impact of pain-related and non-pain-related TMDs remains limited. This study aimed to evaluate the impact of different TMD subtypes on psychological distress, jaw function, and OHRQoL in young adults and to determine whether pain-related TMDs exert a greater effect than non-pain-related TMDs. Methods: In this cross-sectional study, 278 university students (aged 18–24 years) were categorized into no TMD (NT), pain-related TMD (PT), intra-articular TMD (IT), and combined TMD (CT). Diagnoses were made using the 5Ts Questionnaire screening tool and DC/TMD clinical examination. Psychological distress, jaw functional limitations, and OHRQoL were measured using Patient Health Questionnaire-4, Jaw Functional Limitation Scale-8, and OHIP-TMD, respectively. Data were analyzed using Kruskal-Wallis and Mann-Whitney U tests. Results: Significant differences were found among the TMD subtypes (p <0.001). PT and CT groups exhibited higher psychological distress and jaw functional limitations, along with poorer OHRQoL, compared to IT and NT groups. Conclusion: Pain-related TMDs have a greater impact on psychological distress, jaw function, and OHRQoL than non-pain-related TMDs, highlighting the importance of pain in amplifying the overall impact of TMD on both psychosocial and functional aspects.