New aspects of the clinic, pathogenesis and treatment of algesis temporal-mandibular joint dysfunction syndrome in patients with psychoemotional disorders

One of the problems brought to our attention was to study the effect of psycho-emotional state on the functional ability of the TMJ. In every separately taken case we focused our special attention on the roentgenological investigations for the structural changes of the temporal-mandibular joint. Either orthopantomo-graphy or computed tomography (CT) was mainly implemented One of the problems brought to our attention was to study the effect of psycho-emotional state on the functional ability of the TMJ. In every separately taken case we focused our special attention on the roentgenological investigations for the structural changes of the temporal-mandibular joint. Either orthopantomo-graphy or computed tomography (CT) was mainly implemented. High sensitivity of CT to the changes of the studied tissues is conditioned by the fact that unlike the ordinary roentgenological films these obtained images are not distorted b y applying other structures through which passes the X-ray bundle. One of the symptoms of TMJ dystrophy is the murmur in the joint area when opening and closing the mouth. Murmur recording is performed with the help of highly sensitive microphones attached on the surface of the skin in the joint area. The patient opens and closes the mouth at a maximum amplitude. The recording is carried out during 4 cycles and later the program analyzes by interpreting the obtained data. One of our brought up problems was to study the psycho-emotional status effect on the functional state of TMJ. Radiologic examinations, particularly CT was used to define organic-structural changes in the joint. We have modified and worked out a device for the determination of murmurs in TMJ pathologies, apparatus-electrosonography “Device for defining murmur in TMJ. Invention N.95 on 07.07.2015, which is portable, small with a corresponding (suitable) program that allows to define changes in TMJ dysfunctions during the very first approach. We think that this device will be widely used in clinical practice. Of the patients observed by us practically all of them had malocclusion, which makes us speak about the necessity to eliminate the causes preceding its development, i.e. to normalize the occlusive states and the psycho-traumatic stress-genic factor which will significantly increase the possibility to diagnose and treat painful dysfunction of TMJ.

Temporo-mandibular joint, test Spielberg and Beck