| dc.description.abstract | Temporomandibula joint disorder (TMD) is a complex and multifactorial condition.
Tooth loss can cause TMD. Changes in temporomandibula joint load will increase with
tooth loss. Complete edentulus treatment using a complete denture (complete denture)
can minimize TMD. However, complete denture-wearing patients can also experience
TMD. The relationship between the concept of occlusion and TMD is said to contribute
to the occurrence of TMD. The purpose of this study was to determine the relationship
between the concept of occlusion and the TMD status of complete denture-wearing
patients at USU. The type of research is cross-sectional analytic observational. A total
of 48 samples were divided based on the occlusion concept, namely bilateral balanced
occlusion, lingualized occlusion and monoplane occlusion. Subjects were interviewed
with Fonseca Anamnestic Index and clinical examination with Dysfunction Index. To
get high or low risk results, the subjects were interviewed with the TMD Etiology Index
questionnaire. The results showed that as many as 31 people (64.6%) were at low risk,
and 17 people (35.4%) were at high risk based on the occlusion concept, showing that
subjects with high risk with the highest prevalence were bilateral balanced occlusion
56.2%, and followed by monoplane occlusion and lingualized occlusion each by
25.0%. The results also showed that the joint disorder status of 32 people (66.6%) out
of 48 subjects did not have TMD and 16 people (33.3%) had TMD where based on the
concept of occlusion, subjects with TMD with the highest prevalence were bilateral
balanced occlusion which was 48,3% %, followed by lingualized occlusion of 37,5 %
and monoplane occlusion of 18,8%. Based on the results of the Chi-Square test of the
relationship between the concept of occlusion and TMD status, a value of p = 0.296 was obtained, namely there was no relationship between the concept of occlusion of
dentures and TMD status. In this study, although there was no relationship between the
concept of complete denture occlusion and TMD, it was seen that the highest tendency
of TMD in bilateral balanced occlusion was 43.8%, this is because the tooth
transmission pressure that occurs in bilateral balanced occlusion is higher than other
occlusion concepts. | en_US |
