NATURE AND FEATURES OF OCCLUSIVE INTERFERENCES IN PATIENTS WITH TEMPOMANDIBULAR DISORDERS AND STRATEGIC APPROACHES TO THEIR TREATMENT
Based on the presented retrospective and modern literature data on the stages of development of the theory of temporomandibular disorders, methods of diagnosis and treatment of patients with this pathology, it is evident that there is a need to develop an algorithm for the examination of patients,...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Poltava State Medical University
2024-10-01
|
| Series: | Український стоматологічний альманах |
| Subjects: | |
| Online Access: | https://dental-almanac.org/index.php/journal/article/view/683 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Based on the presented retrospective and modern literature data on the stages of development of the theory of temporomandibular disorders, methods of diagnosis and treatment of patients with this pathology, it is evident that there is a need to develop an algorithm for the examination of patients, with the aim of identifying the general picture of the pathology, which makes it possible to assess the condition and functioning of all the main anatomical formations of the chewing apparatus.
Such a conceptual approach is necessary to answer the following questions, at which stage of the pathological process of temporomandibular disorder is the patient, what will be the tactics and methods of treatment that will allow to eliminate these changes with a vision of the final picture of the rehabilitation of this group of patients.
Aim of the study. To determine the peculiarities of the pathologies of occlusal relationships in patients with temporomandibular disorders and develop strategies for providing them with orthopedic care.
Materials and methods of research. The total group of such diagnosed patients was 151 persons, including 36 men and 115 women.
Results. It was found that among patients with temporomandibular disorders and occlusal interferences (with dentition defects, excessive wear of teeth, poor-quality previous restorations and prosthetics, orthodontic pathology and combined occlusal pathology) there was a significant predomimamce of women (76,16% of women versus 23,84 % men, p<0.05), and more than half of the patients (53,64%) were aged 31-40.
It was determined that in the case of muscular forms of temporomandibular disorders, such variants of occlusal disorders as "dental defects" (37,84±7,97%) and "poor-quality restorations and prosthetics" (29,73±7,51%) were more characteristic, which together made up almost 70% of the examined with the predominance of women over men almost twice.
It was determined that among patients with articular forms of temporomandibular disorders, patients with poor-quality restorations and prosthetic structures significantly predominated, which was 44,94±5,27%, with a significant predominance of women over men by six times. Occlusal pathology such as "dental defects" (24,72±4,57%) was found in second place, with almost equal distribution between women and men.
Conclusions. A diagnostic and therapeutic scheme, tailored to the diagnosed forms of temporomandibular disorders, has been developed and proposed.
|
|---|---|
| ISSN: | 2409-0255 2410-1427 |