DOI:

10.37988/1811-153X_2023_4_34

Clinical case of treatment of a patient with temporomandibular joint dysfunction

Downloads

Authors

  • A.A. Dolgalev 1, PhD in Medical Sciences, full professor of the Prosthetic dentistry Department
    ORCID ID: 0009-0001-2434-417X
  • V.M. Vodolackij 1, PhD in Medical Sciences, full professor of the Pediatric dentistry Department
    ORCID ID: 0000-0002-6573-9282
  • O.A. Solov’eva 1, PhD in Medical Sciences, full professor of the Therapeutic dentistry Department
    ORCID ID: 0000-0001-5921-1783
  • D.Y. Hristoforando 1, PhD in Medical Sciences, associate professor of the Surgical Dentistry and Maxillofacial surgery Department
  • Y.N. Garus 1, PhD in Medical Sciences, full professor of the Dentistry diseases propaedeutics Department
  • Z.V. Kerefova 2, orthodontist
  • P.N. Geletin 3, PhD in Medical Sciences, full professor of the Propaedeutic dentistry Department
  • 1 Stavropol State Medical University, 355017, Stavropol, Russia
  • 2 Republican Dental Center, Nalchik, 360051, Russia
  • 3 Smolensk State Medical University, 214019, Smolensk, Russia

Abstract

In the modern practice of a dentist today there is a sufficient variety of hardware methods for the treatment of temporomandibular joint dysfunction. It is sometimes difficult for a practicing physician who does not have much clinical experience to determine the indications for choosing a certain tactic of hardware treatment. Sometimes it becomes necessary to use two or more types of occlusal devices in series or in parallel. A clinical example of complex diagnostics and combined treatment of a patient with temporomandibular joint dysfunction with modern individualized devices — orthotics and aligners is given. The results of studying the bioelectric activity of the masticatory muscles before and after treatment with orthotics and aligners, at rest and when squeezing the dentition through cotton pads, showed obtaining values of biopotentials when closing the dentition, closer to the physiological norm.

Key words:

temporomandibular joint dysfunction, aligners, orthotic, occlusive splints, occlusive mouthguards

For Citation

[1]
Dolgalev A.A., Vodolackij V.M., Solov’eva O.A., Hristoforando D.Y., Garus Y.N., Kerefova Z.V., Geletin P.N. Clinical case of treatment of a patient with temporomandibular joint dysfunction. Clinical Dentistry (Russia).  2024; 26 (4): 34—41. DOI: 10.37988/1811-153X_2023_4_34

References

  1. Golovatenko O.V., Shevkunova N.A., Khusainov A.I. An analysis of the occurrence of signs of temporomandibular disorders in young people. International Research Journal. 2021; 11—2 (113): 140—142 (In Russian). eLIBRARY ID: 47276017
  2. Mansur Yu.P., Scherbakov L.N., Yagupova V.T., Yuknov I.N., Raynedov A.Yu. The frequency of diseases of the temporomandibular joint among adult orthodontic patients. Scientific Review. Medical sciences. 2022; 6: 34—38 (In Russian). eLIBRARY ID: 50107120
  3. Dolgalev Al.An., Bragin E.A., Karakov K.G. The influence of the spatial position of the lower jaw determining on the efficiency of the apparatus treatment in patients with dysfunctions of the temporomandian joint. Medical News of North Caucasus. 2022; 4: 394—397 (In Russian). eLIBRARY ID: 50467195
  4. Pichugina E.N., Konnov V.V., Frolkina K.M., Dralschikova A.A., Arushanyan A.R. The relationship between pain dysfunction syndrome of temporomandibular joint and defects of the dentition. Modern Science: Actual Problems of Theory and Practice. Series: Natural and Technical Sciences. 2023; 7: 182—184 (In Russian). eLIBRARY ID: 54508780
  5. Tikhonov V.E., Gus'kov A.V., Oleynikov A.A., Mitina E.N., Kalinovskiy S.I., Chizhenkova N.V., Mikheyev D.S. Splint therapy as a separate approach in the complex treatment of temporomandibular joint dysfunction from the point of view of physiologic concepts. Eruditio Juvenium. 2021; 3: 447—456 (In Russian). eLIBRARY ID: 46614620
  6. Nikulina M.A. Digital analysis of occlusion in the interdisciplinary approuch to dysfunction of the temporomandibular joint. Clinical Dentistry (Russia). 2022; 3: 48—53 (In Russian). eLIBRARY ID: 49514199
  7. Danilova M.A., Ishmurzin P.V. Prediction of developing temporomandibular joint dysfunction in patients with maxillary dental anomalies. Perm Medical Journal. 2021; 3: 41—47 (In Russian). eLIBRARY ID: 46192176
  8. Oreshaka O.V., Dement'eva E.A., Ganisik A.V., Sharov A.M. Epidemiology of temporomandibular joint disorders. Clinical Dentistry (Russia). 2019; 4 (92): 97—99 (In Russian). eLIBRARY ID: 41601796
  9. Lai Y.C., Yap A.U., Türp J.C. Prevalence of temporomandibular disorders in patients seeking orthodontic treatment: A systematic review. J Oral Rehabil. 2020; 47 (2): 270—280. PMID: 31638281
  10. Murphy M.K., MacBarb R.F., Wong M.E., Athanasiou K.A. Temporomandibular disorders: a review of etiology, clinical management, and tissue engineering strategies. Int J Oral Maxillofac Implants. 2013; 28 (6): e393—414. PMID: 24278954
  11. Arsenina O.I., Komarova A.V., Popova N.V., Popova A.V. Chewing muscles functional status assessment in patients with TMJ muscular-articular dysfunction while using of soft occlusal splint. Clinical Dentistry (Russia). 2020; 3 (95): 100—107 (In Russian). eLIBRARY ID: 44008075
  12. Chaikla K., Pumklin J., Piyapattamin T. Comparison of occlusal parameters between open bite and nonopen bite patients using the T-Scan III system: A pilot study. Eur J Dent. 2022; 16 (3): 656—662. PMID: 35016230
  13. Sippy V.R., Hegde C., Shetty G. A study to evaluate the influence of condylar and incisal guidance in canine guided and group function occlusal schemes. J Indian Prosthodont Soc. 2021; 21 (3): 256—261. PMID: 34380812
  14. Mishra S.K., Somkuwar S., Chowdhary R. Occlusion and temporomandibular joint disorders. In: Bhargava D. Temporomandibular joint disorders. Singapore: Springer, 2021. Pp. 133—143. DOI: 10.1007/978-981-16-2754-5_10
  15. Greenbaum T., Dvir Z., Emodi-Perelmam A., Reiter S., Rubin P., Winocur E. Relationship between specific temporomandibular disorders and impaired upper neck performance. Eur J Oral Sci. 2020; 128 (4): 292—298. PMID: 32627243
  16. Pérez-Belloso A.J., Coheña-Jiménez M., Cabrera-Domínguez M.E., Galan-González A.F., Domínguez-Reyes A., Pabón-Carrasco M. Influence of dental malocclusion on body posture and foot posture in children: A cross-sectional study. Healthcare (Basel). 2020; 8 (4): 485. PMID: 33202576
  17. Bulycheva E.A., Bulycheva D.S. X-ray and anatomical features of the temporomandibular joint disorders. Clinical Dentistry (Russia). 2023; 2: 66—74 (In Russian). eLIBRARY ID: 54167528
  18. Saakyan M.Yu., Ershov P.E., Ershova O.A., Mahsubova M.A. The study of the position and pathomorphology of the mandibular condyles in the syndrome of pain dysfunction of the temporomandibular joint complicated by partial loss of teeth. The Dental Institute. 2021; 2 (91): 62—64 (In Russian). eLIBRARY ID: 46227977
  19. Egorova D.O., Arsenina O.I., Nadtochiy A.G., Ryakhovsky A.N., Popova N.V. X-ray assessment of the position of the lower jaw heads in different types of face. Stomatology. 2020; 1: 55—60 (In Russian). eLIBRARY ID: 42479505
  20. Shahidi S., Salehi P., Abedi P., Dehbozorgi M., Hamedani S., Berahman N. Comparison of the bony changes of TMJ in patients with and without TMD complaints using CBCT. J Dent (Shiraz). 2018; 19 (2): 142—149. PMID: 29854888
  21. Ivanov S.Yu., Tuturov N.S., Bulycheva E.A., Katbekh I., Bulycheva D.S., Lebedev V.G., Anohina A.D. Modern trends in diagnostics and treatment of patients with TMJ dysfunction. The Dental Institute. 2022; 1 (94): 32—34 (In Russian). eLIBRARY ID: 48213668
  22. Postnikov M.A., Nesterov A.M., Trunin D.A., Sadykov M.I., Gabdrafikov R.R., Sagirov M.R. Possibilities of diagnostics and complex treatment of patients with TMJ disfunctions. Clinical Dentistry (Russia). 2020; 1 (93): 60—63 (In Russian). eLIBRARY ID: 42846269
  23. Skármeta N.P., Pesce M.C., Saldivia J., Espinoza-Mellado P., Montini F., Sotomayor C. Changes in understanding of painful temporomandibular disorders: the history of a transformation. Quintessence Int. 2019; 50 (8): 662—669. PMID: 31286120
  24. Postnikov M.A., Bulycheva D.S., Ignat'eva A.A., Bulycheva E.A. Protocols of digital diagnostics in patients with reduced lower third of the face. Clinical Dentistry (Russia). 2021; 1 (97): 108—113 (In Russian). eLIBRARY ID: 44847637
  25. de Kanter R., Battistuzzi P., Truin G.J. Temporomandibular disorders: “Occlusion” matters! Pain Res Manag. 2018; 2018: 8746858. PMID: 29861806
  26. Ryakhovsky A.N., Boytsova E.A. 3D analysis of the temporomandibular joint and occlusal relationships based on computer virtual simulation. Stomatology. 2020; 2: 97—104 (In Russian). eLIBRARY ID: 42851813
  27. Prygunov K.A., Abolmasov N.N., Adaeva I.A., Kovaleva I.A., Abolmasov I.N. Digital method of index evaluation of occlusal contacts of lateral teeth. Clinical Dentistry (Russia). 2023; 1: 132—137 (In Russian). eLIBRARY ID: 50465580
  28. Bulycheva E., Trezubov V., Spitsyna O., Bystrova Y., Alpatyeva Y., Bulycheva D. Criteria for assessing the quality of treatment of disorders of the masticatory and speech apparatus. Sovremennaya stomatologiya (Belarus). 2020; 4 (81): 87—90 (In Russian). eLIBRARY ID: 44597955
  29. Kosyreva T.F., Tuturov N.S., Katbekh I.Kh., Lebedev V.G., Donskov D.V., Chkhikvadze T.V. Diagnostics and treatment of temporomandibular joint dysfunctions using digital technologies. International Dental Review. 2020; 3 (92): 56—61 (In Russian). eLIBRARY ID: 44000974

Downloads

Received

August 6, 2023

Accepted

November 4, 2023

Published on

January 16, 2024