DOI:

10.37988/1811-153X_2022_2_100

Evaluation of longitudinal arch of foot in patients with temporomandibular joint dysfunction

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Authors

  • A.M. Nesterov 1, PhD in Medical Sciences, full professor of the Prosthodontics Department
    ORCID ID: 0000-0001-9227-4188
  • E.E. Tsymbalov 2, PhD in Medical Sciences, orthodontist, chief physician
    ORCID ID: 0000-0001-8617-6960
  • M.A. Nikulina 2, 3, orthodontist
    ORCID ID: 0000-0002-6551-9335
  • 1 Samara State Medical University, 443001, Samara, Russia
  • 2 Dental clinic “Harmony of bite”, 443030, Samara, Russia
  • 3 Municipal dental clinic no. 3, 443030, Samara, Russia

Abstract

Temporomandibular joint disorders (TMD) is a multifactorial disease requiring a multidisciplinary approach to diagnosis and treatment. Numerous studies have shown the relationship between the condition of the TMD and the musculoskeletal system. The aim was to analyze the longitudinal arch of the foot in patients with painful TMJ syndrome. Materials and
Methods.
Forty patients (36 women, 4 men) from 25 to 42 years of age with TMD, without dentition integrity disorders, were examined to assess the condition of the longitudinal arch of the foot. The dental arches were evaluated according to Engle and measurements were made on a Greenfoot podoscope.
Results.
It was found that Engle class I occurred in 5% of patients. Bilateral class II was found in 45% of patients. Different occlusal classes on the right and on the left were found in 42.5% of the examined patients, which were combined as follows: Class I and II in 13 patients, Class I and III in 3 patients, and Class II and III in 1 patient. Thus, occlusal disorders of class II occur in 80% of patients. When analyzing the longitudinal arch of the foot, normal height was found in 2.5% of patients. High longitudinal arch was found in 70% of patients on both feet and in 15% on one foot.
Conclusion.
In 95% of patients with painful TMJ syndrome, improper dentition was observed. The height of the longitudinal arch of the foot was impaired in 97.5% of those examined. Thus, these signs are pathognomonic for painful TMD syndrome. The presence of Engle occlusal class II in 80% of patients with TMD indirectly indicates a forced, mostly distal, position of the mandible. An increase in the height of the longitudinal arch of the foot was detected in 85% of the examinees, the reasons for which should be investigated. The combination of high longitudinal arch of the foot with occlusal class II according to Engle was found in 75% of the examined patients, which indicates that TMD is realized mainly through violation of occlusal relations with distalization of the mandible and increase in the height of the longitudinal arch of the foot.

Key words:

temporomandibular joint, postural system, interdisciplinary approach, podoscopy, high longitudinal arch of foot

For Citation

[1]
Nesterov A.M., Tsymbalov E.E., Nikulina M.A. Evaluation of longitudinal arch of foot in patients with temporomandibular joint dysfunction. Clinical Dentistry (Russia).  2022; 25 (2): 100—104. DOI: 10.37988/1811-153X_2022_2_100

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Received

April 11, 2022

Published on

June 1, 2022