Radiograf panoramik digital bentuk kepala kondilus pada pasien kliking dan tidak klikingDigital panoramic radiograph of the condyle head shape in clicking and non-clicking patients

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.