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Post a Comment A clinical case of treatment of temporomandibular joints disease caused by occlusive disorders
- Authors: Sharov A.M.1, Oreshaka O.V.1, Ganisik A.V.1, Dementyeva E.A.1
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Affiliations:
- Altai State Medical University
- Issue: Vol 41, No 5 (2024)
- Pages: 115-123
- Section: Clinical case
- URL: https://journals.rcsi.science/PMJ/article/view/271984
- DOI: https://doi.org/10.17816/pmj415115-123
- ID: 271984
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Abstract
A method of treatment,described in this clinicalcase, isaimedateliminatingdisorders of occlusalrelationships of the dentition, (PatentNo.2797641dated06/07/2023) contributing to the normalization of TMJ functioning.
At the first stage of treatment, a repositioning occlusal splint was used, applied to all teeth of the lower jaw, which was being corrected for six months. This stage was considered completed on the basis of the following criteria: absence of the patient`s complaints and smooth movements of the mandible without deviations and clicks on objective examination, as well as formation of symmetrical graphs of the TMJ condyles movement on axiographic examination, an optimal location of the TMJ condyles on sagittal projections of MSCT and positive changes in the bioelectric activity of the masticatory muscles, towards higher and more symmetrical values on both sides.
Further treatment was carried out by an orthodontist with a non-removable technique,using a brace system. Wearing of the occlusal splint continued until the braces system was put on the teeth of the lowerjaw. It was then replaced by composite liningsin the projection of the firstmolars of the upperjaw.
Dynamicmonitoring of thepatientforhalf ayearafter the end of the treatment indicated remission of TMJ disease.
Normalization of occlusal relationships of dentitions in intact dentitions and small defects through splint therapy followed by the use of a brace systemis a minimally invasive andeffectivemethod of treatment TMJ diseases.
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##article.viewOnOriginalSite##About the authors
A. M. Sharov
Altai State Medical University
Author for correspondence.
Email: vbfks97@mail.ru
ORCID iD: 0000-0002-9367-2337
SPIN-code: 4017-0538
Orthopedic Dentist
Russian Federation, BarnaulO. V. Oreshaka
Altai State Medical University
Email: oreshaka@ya.ru
ORCID iD: 0000-0001-7006-7268
SPIN-code: 1542-0059
DSc (Medicine), Professor of the Department of Orthopedic Dentistry
Russian Federation, BarnaulAnton V. Ganisik
Altai State Medical University
Email: ganisikanton@gmail.com
ORCID iD: 0000-0002-3126-1516
SPIN-code: 2239-4593
PhD (Medicine), Associate Professor of the Department of Orthopedic Dentistry
Russian Federation, BarnaulElena A. Dementyeva
Altai State Medical University
Email: deastom@mail.ru
ORCID iD: 0000-0003-2052-076X
SPIN-code: 6158-0083
PhD (Medicine), Associate Professor of the Department of Orthopedic Dentistry
Russian Federation, BarnaulReferences
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