Correlation of Temporomandibular Joint Sound Cases With Direction of Jaw Movement Deviation: A Study of Data Survey at Unsyiah Dental Hospital, Aceh-Indonesia

Abstract

The temporomandibular joint disorder is a complex and multifactorial problem involving aspects of muscles and joints. Signs and symptoms are joint sounds and deviations during jaw movements such as opening and closing the mouth. Objectives: This study was aimed to show whether there is a correlation between joint sounds that occur with the direction of deviation the jaw movement in Temporomandibular Joint sound cases at Unsyiah Dental Hospital, Aceh. Material and Methods: A cross-sectional study was taken from data of subjects who received prosthodontic treatment at the dental hospital in 2019. From the overall medical record data of 470 prosthodontic treatment subject data, 84 patients were recorded as having temporomandibular joint disorders. However, from 84 data, it turns out that 32 patient data cannot be used and only 52 medical record data can be used. The data collected was analyzed and tested by the Pearson chi-square test and continued with the Fisher's exact (2-sided) test with a significance alpha p-value <0.05. Results: The results showed that the most joint sounds in the right and left joint sounds that is a total of 30 (58%). The highest number of samples is 24 (46%) in the deviation direction to the right. Whereas for the most age range in the age of 46-55 that is equal to 13 subject data (25%), and it showed that a value of P was 0.378 which means the results were not significant (P ≥ 0.05). Conclusion: It can be concluded that there is no correlation between joint sounds with the deviation direction of the jaw movement. The joint sound is not determined by the direction of deviation. There is usually the possibility that right joint sounds can have a left, right, and left-right deviation, as well as other possibilities.