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Radiograf panoramik digital bentuk kepala kondilus pada pasien kliking dan tidak kliking
Digital panoramic radiograph of the condyle head shape in clicking and non-clicking patientsAbstract
Pendahuluan: Salah satu gejala klinis awal gangguan sendi temporomandibular adalah kliking, tetapi tidak semua penderita gangguan TMJ memperlihatkan gejala kliking. Kliking berkaitan dengan perubahan bentuk dan posisi kepala kondilus. Bentuk kepala kondilus dapat terlihat pada radiograf panoramik digital. Tujuan penelitian ini untuk mengetahui bentuk kepala kondilus pada pasien kliking dan tidak kliking di RSGM Unpad dengan menggunakan radiograf panoramik digital. Metode: Jenis penelitian adalah deskriptif, dengan teknik pengambilan sampel menggunakan metode purposive sampling, sampel berjumlah 31 sampel radiograf panoramik digital pasien kliking dengan jumlah 11 dan tidak kliking dengan jumlah 20 pada bulan Juni dan Juli 2014 di RSGM Unpad. Hasil: Bentuk kepala kondilus yang paling banyak ditemukan pada TMJ kliking adalah flattening, di sisi kanan adalah round dan di sisi kiri adalah flattening. Sisi kanan pasien tidak kliking mayoritas adalah round dan di sisi kiri mayoritas adalah round, pointed, dan flattening. Simpulan: Bentuk kepala kondilus pada TMJ kliking dapat berbentuk normal atau patologis secara seimbang, pada TMJ tidak kliking mayoritas bentuk kepala kondilus kategori normal. Mayoritas bentuk TMJ pada TMJ kliking adalah flattening, tidak kliking adalah round.
Kata kunci: Bentuk kepala kondilus, pasien kliking, pasien tidak kliking, radiograf panoramik digital.
ABSTRACT
Introduction: One of the early clinical symptoms of temporomandibular joint disorder is clicking, but not all TMJ disorder patients show clicking symptoms. Clicking is related to changes in the shape and position of the condyle head. The condyle head shape can be observed on digital panoramic radiograph. The purpose of this study was to determine the condyle head shape in clicking and non-clicking patients in Universitas Padjadjaran Dental Hospital (RSGM Unpad) using a digital panoramic radiograph. Methods: The type of research was descriptive, with sampling technique using purposive sampling method. The total of 31 digital panoramic radiographic samples of 11 clicking patients and 20 non-clicking patients in June and July 2014 at Universitas Padjadjaran Dental Hospital. Results: The condyle head shape which most commonly found in clicking patients was flattening, round-shaped on the right side and flattening-shaped on the left side. The right side of the non-clicking patient was majority round-shaped and on the left side was majority round-shaped, pointed-shaped, and flattening-shaped. Conclusion: The condyle head shape in clicking can be normal or pathologically balanced; in the non-clicking TMJ patients, the majority of condyle head shape was in the normal category. The majority of condyle head shape in the clicking TMJ patients, the majority of condyle head shape was flattening, while non-clicking was round.
Keywords: Condyle head shape, clicking patient, non-clicking patient, digital panoramic radiograph.
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