DOI:

10.37988/1811-153X_2021_4_100

Prosthetic treatment of patients with distal occlusion using a deprogrammer: A clinical case

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Authors

  • M.A. Postnikov 1, PhD in Medical sciences, associate professor of the Dentistry Department
    ORCID: 0000-0002-2232-8870
  • A.M. Nesterov 1, PhD in Medical Sciences, associate professor and head of the Prosthodontics Department
    ORCID: 0000-0002-4187-4375
  • M.I. Sadykov 1, PhD in Medical Sciences, full professor of the Prosthodontics Department
    ORCID: 0000-0003-1986-8996
  • M.R. Sagirov 1, PhD in Medical Sciences, assistant professor of the Prosthetic dentistry Department
    ORCID: 0000-0002-3506-056X
  • E.S. Badyagina 1, resident at the Dentistry Department of the Institute of professional education
    ORCID: 0000-0003-3952-4330
  • 1 Samara State Medical University, 443001, Samara, Russia

Abstract

The actual problem of modern dentistry is anomalies of the position of the lower jaw. The share of these diseases in the structure of requests for dental care can reach up to 27%. The most common pathology is distocclusion, which accounts for 25 to 37% of all occlusion anomalies. The purpose of this work was to describe the method of prosthetic treatment of patients with distocclusion proposed by the authors. As part of the study, prosthetic treatment of 32 patients with distocclusion was performed, to whom a deprogrammer of the proposed design was manufactured. The effectiveness of the proposed technique was evaluated using modern diagnostic methods, which included computed tomography and electromyographic examination before and after orthopedic treatment. The examination, diagnosis and prosthetic treatment of patients was carried out on the basis of the Postnikov multidisciplinary clinic in Samara. As a result of the treatment, patients have a decrease in the hypertonicity of the masticatory muscles, which made it possible to position the lower jaw in the position of the central ratio, which is confirmed by CT data.

Key words:

distocclusion, deprogrammer, central ratio of the jaws

For Citation

[1]
Postnikov M.A., Nesterov A.M., Sadykov M.I., Sagirov M.R., Badyagina E.S. Prosthetic treatment of patients with distal occlusion using a deprogrammer: A clinical case. Clinical Dentistry (Russia).  2021; 24 (4): 100—104. DOI: 10.37988/1811-153X_2021_4_100

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Received

March 10, 2021

Accepted

November 26, 2021

Published on

December 1, 2021