DOI:

10.37988/1811-153X_2025_3_6

Evaluation of the effect of osteopathic treatment on the postural balance of patients with temporomandibular joint dysfunction at the stages of dental rehabilitation

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Authors

  • A.M. Nesterov 1, Doctor of Science in Medicine, head of the Prosthodontics Department
    ORCID: 0000-0001-8487-7392
  • M.A. Nikulina 1, PhD in Medical Sciences, assistant professor of the Prosthodontics Department
    ORCID: 0000-0002-6551-9335
  • G.M. Nesterov 1, assistant at the Prosthodontics Department
    ORCID: 0009-0009-7506-8265
  • E.E. Tsymbalov 2, PhD in Medical Sciences, chief medical officer
    ORCID: 0000-0001-8617-6960
  • A.S. Sharafutdinova 1, 5th year student at the Institute of Dentistry
    ORCID: 0009-0005-3411-6022
  • V.S. Egorov 1, 5th year student at the Institute of Dentistry
    ORCID: 0009-0001-5423-4617
  • A.S. Smirnova 3, 5th year student at the Faculty of Dentistry
    ORCID: 0009-0005-9143-6217
  • A.A. Mzhelsky 3, 5th year student at the Faculty of Dentistry
    ORCID: 0009-0006-7267-1833
  • 1 Samara State Medical University, 443001, Samara, Russia
  • 2 Dental clinic “Harmony of bite”, 443030, Samara, Russia
  • 3 Medical University “REAVIZ”, 443001, Samara, Russia

Abstract

So far, it has not been possible to develop an effective algorithm for the treatment of TMJ dysfunction, which confirms the need to search for new, more effective methods. This requires an interdisciplinary approach to diagnosis and therapy to achieve stable results. Objective: to assess the effect of osteopathic treatment on the postural balance of patients with TMJ dysfunction at the stages of dental rehabilitation.
Materials and methods.
A total of 49 patients (36 women, 13 men) aged 18 to 59 years with TMJ dysfunction without damage to the integrity of the dentition were examined. The postural balance of patients was assessed at the stages of rehabilitation using a stabilometric platform.
Results.
It was established that osteopathic correction led to the elimination of the effect of tooth closure on posture. In the group where dental rehabilitation was carried out without osteopathic support, no significant changes were found. This allows us to conclude that untimely dental treatment does not affect these indicators and the effect of tooth closure on the posture remains.
Conclusion.
The conducted studies confirm the need for osteopathic correction before the start of dental treatment of patients with TMD. The elimination of extraocclusal influences reduced the level of mutual influence of the dentoalveolar and musculoskeletal systems as a whole.

Key words:

temporomandibular joint, postural balance, stabilometry, osteopathic correction

For Citation

[1]
Nesterov A.M., Nikulina M.A., Nesterov G.M., Tsymbalov E.E., Sharafutdinova A.S., Egorov V.S., Smirnova A.S., Mzhelsky A.A. Evaluation of the effect of osteopathic treatment on the postural balance of patients with temporomandibular joint dysfunction at the stages of dental rehabilitation. Clinical Dentistry (Russia).  2025; 28 (3): 6—9. DOI: 10.37988/1811-153X_2025_3_6

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Received

December 16, 2024

Accepted

May 26, 2025

Published on

September 21, 2025