DOI:

10.37988/1811-153X_2022_3_48

Digital analysis of occlusion in the interdisciplinary approuch to dysfunction of the temporomandibular joint

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Authors

  • 1 Municipal dental clinic no. 3, 443030, Samara, Russia
  • 2 Dental clinic “Harmony of bite”, 443030, Samara, Russia

Abstract

Syndrome of pain dysfunction of temporomandibular joint is a multifactorial disease that requires the interdisciplinary approach. Many researches have shown the relationship between functional condition of temporomandibular joint (TMJ), occlusion and musculoskeletal system. Osteopathic doctors play an important role in the treatment of pathological conditions of the musculoskeletal system, and temporomandibular joint disfunction (TMD) is a frequent cause of complaints with which patients turn to these specialists for help. The aim of the study is analysis of occlusion at maximum intercuspation, determination of primary contact during occlusion of teeth and their changes after correction of somatic dysfunctions in patients with TMD. 35 patients with TMD were involved in the study. Patients with impaired integrity of the dentition and prosthetic structures in the oral cavity were not allowed to be examined. The T-Scan Novus computer occlusion analyzer (Tekscan, USA) was used to assess occlusal and extra-occlusive factors, the localization of the primary contact and the occlusal balance at the maximum closure. The analysis was carried out at the first appointment and after a single osteopathic correction of somatic dysfunctions, on the same day. The results were compared with each other. . All patients with TMD showed premature primary contact of occlusion. After a single osteopathic correction, 63% of patients had a change in the localization of the primary contact of occlusion. In 37% of patients, the side of premature contact has changed. In 60% of patients, the occlusal imbalance decreased at the maximum intercuspation. . Before intervention in the stomatognathic system, all patients with TMD should be referred for osteopathic diagnosis and correction of somatic dysfunctions. This preparation increases the adaptive capacity of the body, reduces extra-occlusive effects on the occlusion and allows the most correct planning of dental treatment. The use of the modern digital method for analyzing occlusion T-Scan reliably visualizes changes in occlusion and improves the quality of diagnosis.

Key words:

temporomandibular joint, somatic dysfunction, analyzer, occlusion, T-Scan, osteopathy

For Citation

[1]
Nikulina M.A. Digital analysis of occlusion in the interdisciplinary approuch to dysfunction of the temporomandibular joint. Clinical Dentistry (Russia).  2022; 25 (3): 48—53. DOI: 10.37988/1811-153X_2022_3_48

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Received

July 5, 2022

Accepted

July 16, 2022

Published on

October 30, 2022