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All Journal Journal of Dentistry Indonesia Jurnal Kedokteran Gigi Universitas Padjadjaran Journal of Indonesian Dental Association Padjadjaran Journal of Dental Researchers and Students J.Abdimas: Community Health Indonesian Journal of Prosthodontics PENA ABDIMAS : Jurnal Pengabdian Masyarakat JUARA: JURNAL WAHANA ABDIMAS SEJAHTERA Jurnal Kedokteran Gigi Terpadu JURNAL ABDI MASYARAKAT INDONESIA (JAMIN) Jurnal Abdimas Kesehatan Terpadu SDJ
Carolina Damayanti Marpaung
Departemen Prostodonsia, Fakultas Kedokteran Gigi, Universitas Trisakti, Jakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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The Addition of Pharmacological Treatment to Physiotherapy in Pain Reduction of TMD-myalgia Patients Carolina Marpaung; Hasti Parvaneh
Scientific Dental Journal VOLUME 2, ISSUE 1, JANUARY 2018
Publisher : Faculty of Dentistry, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/sdj.v2i1.2227

Abstract

Background: Myalgia is the most common cause of Temporomandibular Disorders (TMDs) pain, which has a dull and mild character. In some patients with high somatization, it can present itself as severe pain, which can complicate the treatment. Additional pharmacological treatment may thus be needed. Case Report: Two female patients came with similar symptoms but different pain intensities. The first patient had a high intensity of pain, which became severe during examination. The second patient had more complaints but showed typical symptoms of myalgia. Both received physiotherapy sessions, but for the first patient, we added analgesics to help the patient endure physiotherapy. Conclusion: Additional pharmacological treatments, especially analgesics, can be used in helping myalgia patients with high somatization to undergo physiotherapy.
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.
Influence of sleep disturbances on temporomandibular disorders, somatic, and negative emotional symptoms in young adults: A cross-sectional study Marpaung, Carolina; Dewi, Ni Luh; Pragustine, Yenny; Hanin, Isya; Yuliasari, Hani; rahmadini, Enrita dian
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 38, No 1 (2026): April 2026
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v38i1.66392

Abstract

Introduction: While temporomandibular disorders (TMDs), sleep disturbances, and psycho-emotional symptoms are interrelated, it remains unclear whether sleep disturbances are a contributing factor to TMDs or a result of chronic pain and somatic symptoms. The objective of this study was to analyze the influence of sleep disturbances on TMD, somatic, and negative emotional symptoms in young adults. Methods: A cross-sectional study was conducted on young adults  from a private university in Indonesia. Sleep disturbances were assessed using the Pittsburgh Sleep Quality Index (PSQI), TMD symptoms using the quintessential five TMD symptoms (5Ts), and somatic symptoms using the Patient Health Questionnaire-15 (PHQ-15). Psychological distress and coping strategies were measured using the Depression, Anxiety, Stress Scales-21 (DASS-21) and the Brief Coping Orientation to Problems Experienced Inventory (Brief-COPE). Data were analyzed using the Chi-square test, Kruskal-Wallis, Spearman correlation, and logistic regression (p=0.05). Results: Among the 456 participants (mean age 22.4 ± 1.5 years), 58.2% reported TMD symptoms. Participants with high sleep disturbance had significantly higher TMD pain, somatic symptoms, dysfunctional coping, and psychological distress compared to those with low sleep disturbance. Somatic symptoms and dysfunctional coping were moderately correlated with general distress, anxiety, and stress. Multivariate analyses indicated that the odds of sleep disturbance was increased by somatic symptoms (OR=1.18;95% CI=1.12-1.24) and stress (OR=1.10;95% CI=1.04-1.17). Conclusion: Sleep disturbances are not only linked to TMD but also contribute to increasing the severity of somatic symptoms and psycho-emotional symptoms. Pengaruh gangguan tidur terhadap gangguan temporomandibula, somatik, dan gejala emosional negatif pada dewasa muda: sebuah studi potong lintangPendahuluan: Gangguan temporomandibular (TMD), gangguan tidur, dan gejala psiko-emosional saling berkaitan, namun masih belum jelas apakah gangguan tidur merupakan faktor yang berkontribusi terhadap TMD atau justru merupakan akibat dari nyeri kronis dan gejala somatik. Tujuan dari penelitian ini adalah menganalisis pengaruh  gangguan tidur terhadap gangguan temporomandibula, somatik, dan gejala emosional negative pada dewasa muda. Metode: Partisipan dari studi potong lintang ini merupakan dewasa muda yang direkrut dari sebuah universitas swasta di Indonesia. Gangguan tidur dinilai menggunakan Pittsburgh Sleep Quality Index (PSQI), gejala TMD dengan lima gejala utama TMD (5Ts), dan gejala somatik menggunakan Patient Health Questionnaire-15 (PHQ-15). Tekanan psikologis dan strategi koping diukur menggunakan Depression, Anxiety, Stress Scales-21 (DASS-21) dan Brief Coping Orientation to Problems Experienced Inventory (Brief-COPE). Analisis data dilakukan dengan uji Chi-square, Kruskal-Wallis, korelasi Spearman, dan regresi logistik (α=0,05). Hasil: Sebanyak 58,2% dari 456 partisipan melaporkan mengalami gejala TMD (usia rata-rata 22,4 ± 1,5 tahun). Partisipan dengan tingkat gangguan tidur yang tinggi menunjukkan tingkat nyeri TMD, gejala somatik, koping disfungsional, dan tekanan psikologis yang secara signifikan lebih tinggi dibandingkan dengan mereka yang memiliki gangguan tidur rendah. Gejala somatik dan koping disfungsional menunjukkan korelasi sedang dengan tekanan psikologis umum, kecemasan, dan stres. Analisis multivariat menunjukkan bahwa kemungkinan terjadinya gangguan tidur meningkat seiring dengan meningkatnya gejala somatik (OR = 1,18; 95% CI = 1,12–1,24) dan stres (OR = 1,10; 95% CI = 1,04–1,17). Simpulan: Gangguan tidur tidak hanya berkaitan dengan TMD, tetapi juga berkontribusi terhadap peningkatan keparahan gejala somatik dan psiko-emosional.
Co-Authors Aditya P. Sarwono Ariel Jason Ariel Jason Armelia S. Widyarman Armelia Widyarman Budiman, Michael Christopher Ryan Aliwarga Deviyanti Pratiwi Dew, Ni Luh Dewi Priandini Dewi, Ni Luh Eka SI. Sari Enrita Dian Rahmadini, Enrita Dian Florencia Livia Kurniawan Goalbertus Hasti Parvaneh I Gusti Ayu Ratih Utari Mayun Isya Hanin Juliawati, Mita Juslily, Marta Komariah Komariah Komariah Komariah Krisna, Yohanes Kurniawati, Isnaeni Kusnadi, Yoseph Louisa, Marie Marcelino I Maria Leny Raiyon Michelle Sanita Michelle, Michelle Mufidah Nurul Hayati Nadhira Razaqa Shabila Ni Luh Putri Niko Falatehan Pragustine, Yenny Rahmi Amtha Ranggaini, Dewi Ricky Anggara Putranto Rosalina Tjandrawinata Sasmita, Josephine Seftiana, Eka Setyowati, Indrani Siti Chandra Dwidjayanti Thomas Alberto Tiarma Talenta Theresia Valiente-Lopez, Maria Wita Anggraini Yayuk Yuliarsi Yenny Pragustine Yohana Yusra Yoseph Kusnadi Yuliasari, Hani