Publication Search

Background: Temporomandibular joint disorder (TMD) is characterized by craniofacial pain involving the jaw joint, masticatory muscles, or muscles that innervate the head and neck. The causes of TMD are multifactorial, including tooth loss and bad habits. The new DC/TMD protocol is a TMD examination protocol that is highly recommended for use as a clinical and research protocol for dentists. Objective: This study aims to determine the prevalence of TMD diagnosis results using the DC/TMD method, to determine the types of TMD diseases experienced and their relationship to the status of tooth loss in students. Method: The study used a cross-sectional analytical design with samples that met the inclusion criteria of 150 students aged 19-25 years who were taken by total sampling. The research subjects were asked to agree and sign an informed consent in advance by the researcher. Data were obtained from the results of anamnesis and physical examination with a diagnosis of TMD using the DC/TMD protocol based on the International RDC/TMD Consortium Network which has been translated into Indonesian. The examination data were processed using SPSS statistical software with univariate and bivariate tests. Results: 48% of students had tooth loss, 62% of students were diagnosed with TMD, and the results of the relationship analysis using the chi-square test showed that there was a significant relationship between tooth loss and TMD (p-value = 0.024; p  

The State of Indonesia in providing protection for patients who receive medical services, doctors and dentists in carrying out medical practices are required to provide medical services according to professional standards and standard operating procedures in accordance with Indonesian law no. 29 of 2004 article 51 letter a,.Informed consent is one of the requirements that must be met before doctors perform medical procedures on their patients.  However, even though there is Indonesian Law No. 29 of 2004, there are still doctors who commit negligence by providing services that are not in accordance with procedures by not asking for approval for medical actions that lead to malpractice claims from their patients.. The research conducted is classified as normative juridical research, using primary legal materials and secondary materials from laws and regulations, court decisions, legal theory, and existing journals as a basis.. The doctor's error by taking actions that are not in accordance with the procedure in the form of without asking for informed consent is an administrative violation so it is categorized as administrative malpractice. Indonesian Supreme Court Decision No. 233 K/PID.SUS/2021 which imposes a prison sentence in an administrative malpractice case on a legal basis that has been declared non-binding by the Indonesian Constitutional Court is an act of carelessness. However, the guilty verdict for the defendant was already correct, because the defendant did not give informed consent before carrying out a risky procedure for his patient

Informed consent atau persetujuan tindakan kedokteran/medis bisa disebut sebagai bentuk komunikasi antara dokter dengan pasien atau keluarga pasien. Selain Informed consent, ada juga surat pernyataan pasien yang lain yaitu “Penolakan Tindakan Kedokteran” atau “Informed Refusal”. Dalam situasi pandemi COVID-19 saat in sering terjadi penolakan dari pasien maupun keluarga terhadap prosedur di fasilitas kesehatan. Pasal 56 Undang-Undang Nomor 36 tahun 2009 tentang Kesehatan menyebutkan bahwa seseorang tidak berhak menerima atau menolak sebagian atau seluruh tindakan pertolongan yang akan diberikan kepadanya bagi penderita penyakit yang penyakitnya dapat secara cepat menular ke dalam masyarakat yang lebih luas. Penolakan protokol kesehatan dalam situasi pandemi ini dapat berpotensi dijatuhi sanksi pidana di beberapa undang-undang dan KUHP.