The effectiveness of the surgical correction of the temporomandibular joint intracapsular disorders

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Abstract

Background. The prevalence of temporomandibular joint diseases covers about 40% of the population. The main place (from 70 to 82%) among these diseases is occupied by the so-called intracapsular disorders of the temporomandibular joint (TMJ). The lack of consensus on the use of treatment methods and clear protocols for the rehabilitation of patients with intracapsular TMJ disorders was the basis for the conduct of this study.

Objective. The purpose of the study was to analyze the treatment effectiveness in patients with intracapsular disorders of the temporomandibular joint using the complex of pathogenetically substantiated conservative and surgical methods. Methods. The research included 43 patients with complaints to pains and dysfunction of TMJ. Everything fulfilled the uniform protocol of inspection. Depending on disease degree to patients were assigned or a course of conservative treatment with use splint therapy, or surgical correction of defect.

Results. After analyzing the dynamics of patient treatment in the framework of this study, it was found that surgical correction of intracapsular disorders of the temporomandibular joint was effective in all patients examined by us.

Conclusion. To maintain a long-term stable result, this group of patients is shown orthodontic-orthopedic rehabilitation, with the goal of creating and maintaining correct occlusal relationships.

About the authors

Ilya N. Lyashev

Clinical Centre of Otorhinolaryngology of Federal Medical Biological Agency of Russia

Author for correspondence.
Email: mfsurg@gmail.com
ORCID iD: 0000-0001-7173-3111

Maxillofacial surgeon

Russian Federation, Moscow

Andrey M. Dybov

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: andybov@gmail.com
ORCID iD: 0000-0002-2932-168X

assistant professor, Candidate of Medical Sciences, ortodontist

Russian Federation, Мoscow

Polina V. Kholmogorova

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: kholmogorova.polina@bk.ru
ORCID iD: 0000-0003-4647-1345

ординатор кафедры стоматологии детского возраста и ортодонтии

Russian Federation, Мoscow

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Supplementary files

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1. JATS XML
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2. Fig. 1. The position of the articular head with closed (a) and open (b) mouth

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3. Fig. 2. Conservative treatment using distraction diagnostic and diagnostic mouthguards

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4. Fig. 3. Stage of surgical correction of the position of the disc with open access: control of the reposition of the disc when closing (a) and opening (b) the mouth

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5. Fig. 4. Dynamics of the functional state of the temporomandibular joint during treatment

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Copyright (c) 2019 Lyashev I.N., Dybov A.M., Kholmogorova P.V.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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