DOI:

10.37988/1811-153X_2022_2_105

Kinesiological aspect in the correction of transversal incisor occlusion

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Authors

  • N.M. Didenko 1, PhD in Medical Sciences, assistant professor of the Prosthetic dentistry Department
    ORCID: 0000-0003-1440-2484
  • E.V. Mokrenko 1, PhD in Medical Sciences, head of the Prosthetic dentistry Department
    ORCID: 0000-0002-4286-3993
  • V.V. Gazinskiy 1, PhD in Medical Sciences, assistant professor of the Prosthetic dentistry Department
    ORCID: 0000-0002-0390-9768
  • O.N. Nikitin 1, PhD in Medical Sciences, assistant professor of the Prosthetic dentistry Department
    ORCID: 0000-0003-0737-0074
  • I.S. Goncharov 1, assistant at the Prosthetic dentistry Department
    ORCID: 0000-0001-9675-9385
  • 1 Irkutsk State Medical University, 664003, Irkutsk, Russia

Abstract

Patients with relatively correct dentition structure, who complained of an aesthetic defect, consisting in a misalignment of the midline between the antagonist incisors were observed. These patients claimed the cosmetic midline of their upper and lower teeth had matched previously. Aim - to determine the methods of correction of the transversal incisors occlusion in these category of patients.
Materials and methods.
35 patients aged from 18 to 25 years having clinical signs of transversal incisor occlusion were examined and treated. Occlusion was assessed by studying plaster models of the jaws, the state of the temporomandibular joint was assessed using Cone Beam Computed Tomography (CBCT); the function of the masticatory muscles and neck muscles was studied by the method of A.M. Puzin and A.Ya. Vyazmin (2002) and D.G. Simons, J.G. Travell. (2005). Methods of treatment included manual correction of masticatory muscle dysfunction: the technique of relaxation of the myofascial trigger points, the post-isometric relaxation, the myofascial release and the stretching-push technique.
Results.
In 100% cases, the patients complained of a misalignment of the midline between the upper and lower central incisors while teeth occlusion; in 71% cases, clicks in the temporomandibular joint region were noted; in 29% - ringing in the ears. On examination, 42% patients had difficulty mouth opening, 57% patients experienced headache in the parietal region and 29% in the temple area. In 100% patients, a narrowing of the space behind the maxillary tuber of the upper jaw, hypertonia and trigger points of the lower and upper heads of the lateral pterygoid muscle were revealed. After manual therapy of masticatory muscles, the decrease of complaints and normalization of most indicators were stated in all patients. The unilateral narrowing of the space behind the maxillary tuber of the upper jaw was observed in 14% cases only, trigger points of the lower head of the lateral pterygoid muscle - in 17% cases, the clicks in both joints were noted in 6%. These patients were referred to the clinic of manual therapy for consultation and treatment.
Conclusion.
While diagnosing and treating occlusal defects, it is necessary to pay attention not only to the position of the teeth and the temporomandibular joint elements, but also to the condition of the masticatory muscles. Special attention should be paid to the condition of the lateral wing muscles.

Key words:

lateral pterygoid muscle, transversal incisor occlusion, manual therapy

For Citation

[1]
Didenko N.M., Mokrenko E.V., Gazinskiy V.V., Nikitin O.N., Goncharov I.S. Kinesiological aspect in the correction of transversal incisor occlusion. Clinical Dentistry (Russia).  2022; 25 (2): 105—111. DOI: 10.37988/1811-153X_2022_2_105

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Received

April 14, 2022

Published on

June 1, 2022