Comprehensive analysis of concomitant and modifying factors in patients with tmj dysfunction: a multicenter study

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Abstract

Objective. To study individual dental and general health parameters in patients with temporomandibular joint dysfunctions to improve the effectiveness of diagnosis and comprehensive treatment of patients with degenerative diseases of the craniomandibular complex.

Materials and methods. The research was conducted at 2 clinical sites: the Dental Polyclinic of Ye.A. Vagner Perm State Medical University (Perm, Perm Krai, Russia) and the Department of Maxillofacial Trauma and Orthognathic Surgery of Dental Hospital of Zunyi Medical University (Zunyi, Guizhou Province, China).
A health questionnaire was developed for the project, 2 observation groups of young and middle-aged patients (according to the WHO classification) were formed: group A comprised patients from Russia, and group B comprised patients from China.

Results. Significant differences were identified in the structure of concomitant somatic conditions among patients with TMJ dysfunction between the Russian Federation and the People`s Republic of China. A number of modifying factors that influence the development and clinical course of the primary dental disorder were determined. The study also demonstrates that implementation of a unified health questionnaire for patients with TMJ dysfunction combined with somatic pathology enables deeper analysis of individual etiopathogenetic processes, which, consequently, will improve the effectiveness of treatment and lead to stable clinical outcomes, regardless of the patient's country of residence.

About the authors

N. B. Astashina

Ye.A. Vagner Perm State Medical University

Email: martyushevamari@mail.ru
ORCID iD: 0000-0003-1135-7833

DSc (Medicine), Professor, Head of the Department of Prosthetic Dentistry

Russian Federation, Perm

M. V. Martyusheva

Ye.A. Vagner Perm State Medical University

Author for correspondence.
Email: martyushevamari@mail.ru
ORCID iD: 0000-0003-3689-6358

PhD (Medicine), Associate Professor of the Department of Prosthetic Dentistry

Russian Federation, Perm

K. R. Valiakhmetova

Ye.A. Vagner Perm State Medical University

Email: martyushevamari@mail.ru
ORCID iD: 0009-0008-1459-2066

Assistant of the Department of Prosthetic Dentistry

Russian Federation, Perm

S. V. Muravyev

Ye.A. Vagner Perm State Medical University

Email: martyushevamari@mail.ru
ORCID iD: 0000-0002-3342-4710

PhD (Medicine), Associate Professor of the Department of Physical and Rehabilitation Medicine with a course in Medical and Social Expertise

Russian Federation, Perm

N. B. Schekolova

Ye.A. Vagner Perm State Medical University

Email: martyushevamari@mail.ru
ORCID iD: 0000-0002-3911-4545

PhD (Medicine), Associate Professor of the Department of Physical and Rehabilitation Medicine with a course in Medical and Social Expertise

Russian Federation, Perm

M. A. Dvoretskaya

Ye.A. Vagner Perm State Medical University

Email: martyushevamari@mail.ru
ORCID iD: 0000-0003-3858-7276

DSc (Medicine), Professor of the Department of Traumatology, Orthopedics and Neurosurgery

Russian Federation, Perm

Cheng Man

Zunyi Medical University

Email: martyushevamari@gmail.com
ORCID iD: 0000-0001-5399-7009

DSc (Medicine), Associate Professor of the Department of Maxillofacial Trauma and Orthognathic Surgery, Chief Surgeon, Department of Oral and Maxillofacial Trauma and Orthognathic Surgery of Stomatological Hospital

China, Zunyi

Haitao Jiang

Zunyi Medical University

Email: martyushevamari@mail.ru
ORCID iD: 0009-0000-8850-4550

PhD (Medicine), ‌Associate Professor of the Department of Maxillofacial Trauma and Orthognathic Surgery, Deputy Chief Surgeon, Department of Oral and Maxillofacial Trauma and Orthognathic Surgery of Stomatological Hospital

China, Zunyi

Yingyou He

Zunyi Medical University

Email: martyushevamari@mail.ru
ORCID iD: 0009-0006-3899-5236

PhD (Medicine), Dentist, Department of Oral and Maxillofacial Trauma and Orthognathic Surgery of Stomatological Hospital

China, Zunyi

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