DOI:

10.37988/1811-153X_2020_2_104

Interdisciplinary approach to the treatment of orophacial pain and temporomandibular joint disorders in patients with total and partial tooth loss: a review

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Authors

  • F.K. Dzalaeva 1, PhD in Medical sciences, Lecturer at the Prosthodontics department
  • S.O. Chikunov 1, 2, PhD in Medical Sciences, full professor of the Prosthodontics Department; professor of the Medical Institute
  • A.S. Utyuzh 1, PhD in Medical Sciences, full professor of the Prosthodontics Department
  • M.V. Mikhailova 1, PhD in Medical Sciences, assistant professor of the Prosthetic dentistry Department
  • M.K. Budunova 1, postgraduate at the Prosthodontics Department
  • 1 Sechenov University, 119435, Moscow, Russia
  • 2 RUDN University, 117198, Moscow, Russia

Abstract

In recent decades, there are more and more reports about the importance of the diagnosis and treatment of adentia in patients with combined pathologies, such as diseases of the temporomandibular joint, muscle and bone pathology. Aim. Justification of the need for an interdisciplinary approach to the treatment of patients with adentia based on the analysis of literature data on the relationship of the clinical manifestations of orofacial pain, myalgia, arthralgia, temporomandibular joint pathology of in patients with complete and partial absence of teeth. Materials and methods. The classification, etiology and manifestations of orofacial pain syndrome are described. Results. It is indicated that in most cases, when planning complex orthopedic rehabilitation, it is necessary to determine the central ratio of the jaws and the vertical size of the bite. To do this, it is important to assess the condition of the muscles of the maxillofacial region. The need to use an interdisciplinary approach to the dental treatment of this patient population provides, first of all, that patients with orofacial pain need a thorough comprehensive examination. In this regard, it is mandatory to assess the condition of the temporomandibular joint using a complex of clinical, functional and instrumental diagnostic methods. The importance of palpation of all the muscles of the maxillofacial region was noted, it is indicated that this element should become an obligatory part of the standard examination of this category of patients. All medical manipulations should be clinically effective and contribute to improving the functional and aesthetic characteristics of patients (speech, chewing, swallowing etc.). Conclusion. As part of a comprehensive interdisciplinary approach to the diagnosis and treatment of patients with adentia, it is necessary to use methods confirmed by the corresponding evidence base in order to verify the prevalence of pain neuromuscular or occlusal-articular syndromes, as well as assess their systemic effect on the biomechanical relationships of all elements of the maxillofacial system.

Key words:

adentia, temporomandibular joint, occlusion, orofacial pain, interdisciplinary approach

For Citation

[1]
Dzalaeva F.K., Chikunov S.O., Utyuzh A.S., Mikhailova M.V., Budunova M.K. Interdisciplinary approach to the treatment of orophacial pain and temporomandibular joint disorders in patients with total and partial tooth loss: a review. Clinical Dentistry (Russia).  2020; 2 (94): 104—109. DOI: 10.37988/1811-153X_2020_2_104

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Published on

July 25, 2020