Feasibility of preparatory measures in the orthopedic treatment of TMJ dysfunction pain syndrome in patients with occlusion and articulation disorders
DOI:
https://doi.org/10.33295/1992-576X-2024-5-54Keywords:
orthopedic treatment, TMJ dysfunction, implantation, occlusion-articulation disordersAbstract
Summary. Violations of any link of the dental-jaw system, for example, irrational reproduction of occlusion on the chewing surfaces during dental prosthetics, can disrupt its work, and as a result lead to symptomatic TMJ dysfunction, which may manifest as a headache, pain in the TMJ area with radiation in temple, occiput, neck, problems with the innervation of the facial area, and even disturbances in the work of the masticatory muscles.
Purpose: to assess influencing factors and the need for preparatory measures in the orthopedic treatment of functional disorders of the masticatory apparatus caused by occlusal and articulatory disorders.
Research materials and methods. Clinical and laboratory examination and orthopedic treatment of 150 patients with various variants of occlusal disorders were carried out, in 90 of them functional disorders of the masticatory apparatus were not accompanied by pain syndrome, in 60 patients TMJ dysfunction with pain syndrome.
Research results. When assessing the state of the oral cavity, the following factors were identified that were associated with the need for preparation for orthopedic treatment: stable functional displacement of the LV (p = 0.00002), decrease in the interalveolar height (p = 1.60542E–08), unfixed bite (p = 4.06924E–11), the presence of maxillofacial deformities (p = 2.01E–11), supracontacts (p = 0.0016), dental row defects (p = 0.0008), crown teeth defects (p = 0.003), the presence of direct and indirect restorations with irrationally modeled occlusion on the chewing surfaces of the teeth (p = 0.002), pathological types of bite (p = 0.03).
Conclusions. When planning orthopedic treatment for patients with occlusal-articulation disorders and TMJ dysfunction, 71.33% needed special preparatory measures. The choice of the preparatory measures or their combination depended on the clinical situation in the oral cavity and the choice of the occlusive therapy of TMJ dysfunction at the 1st stage of the orthopedic treatment complex.
Keywords: orthopedic treatment, TMJ dysfunction, implantation, occlusion-articulation disorders.
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References
List T, Wahlund K, Wenneberg B, Dworkin SF. TMD in children and adolescents: prevalence of pain, gender differences, and perceived treatment need. J Orofac Pain. 1999;13(1):9–20.
Magnusson T, Egermark I, Carlsson GE. A longitudinal epidemiologic study of signs and symptoms of temporomandibular disorders from 15 to 35 years of age. J Orofac Pain. 2000;14(4):310–9.
Egermark I, Carlsson GE, Magnusson T. A 20-year longitudinal study of subjective symptoms of temporomandibular disorders from childhood to adulthood. Acta Odontol Scand. 2001;59(1):40–8. DOI: https://doi.org/10.1080/000163501300035788
Plesh O, Adams SH, Gansky SA. Racial/Ethnic and gender prevalences in reported common pains in a national sample. J Orofac Pain. 2011;25(1):25–31.
Al-Jundi MA, John MT, Setz JM, Szentpe´tery A, Kuss O. Meta-analysis of treatment need for temporomandibular disorders in adult nonpatients. J Orofac Pain. 2008;22(2):97–107.
Makieiev, V. F., Telishevska, U. D., Skybinskyi, V. Ia., Telishevska, O. D., & Kulinchenko, R. V. (2018). Skronevo-nyzhnoshchelepni rozlady [Temporomandibular disorders]. Lviv. [In Ukrainian].
Daif, E. T. (2012). Correlation of splint therapy outcome with the electromyography of masticatory muscles in temporomandibular disorder with myofascial pain. Acta Odontol Scand, 1, 72–77. DOI: https://doi.org/10.3109/00016357.2011.597776
Kuzmanovic, P.J., Dodic, S., Lazic, V., Trakovis, G., Milic, N., & Milicic, B. 2017 (2017). Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects. PLoS One, 12(2), 1–21. DOI: https://doi.org/10.1371/journal.pone.0171296
Niemela, K., Korpela, M., Raustia, A., Ylostalo, P., & Sipila, K. (2012). Efficacy of stabilisation splint treatment on temporomandibular disorders. J Oral Rehabil, 39(11):799–804. DOI: https://doi.org/10.1111/j.1365-2842.2012.02335.x.
Makjejev V.F., Telishevs’ka U.D., Telishevs’ka O.D., & Olijnyk M.Ju. Suchasni tendencii’ u likuvanni skronevo-nyzhn’oshhelepnyh rozladiv. Ogljad literatury [Current trends in the treatment of temporomandibular disorders. Literature review]. Novyny stomatologii’ — Dental News. 2018. No. 2(95). С. 46–51. [Ukrainian].
Bida O, Proshchenko A, Bida O, Reshetnyk L. Deiaki aspekty zastosuvannia standartnykh ta indyvidualno modelovanykh abatmentiv pry protetychnii reabilitatsii khvorykh z chastkovoiu vtratoiu zubiv ortopedychnymy konstruktsiiamy z oporoiu na dentalni implantaty. Visnyk stomatolohii. 2024;126(1):C.156–161. DOI: https://doi.org/10.35220/2078-8916-2024-51- 1.26
Demir MG. The Effect of Arthrocentesis Treatment for Maximum Mouth Opening and Pain in Temporomandibular Joint Diseases and the Effect of Splint, Drug, and Physical Therapy on This Treatment. Medicina (Kaunas, Lithuania). 2023 Oct;59(10):1767. DOI: https://doi.org/10.3390/medicina59101767
dos Santos Marsico V, Lehmann RB, de Assis Claro CA, Amaral M, Vitti RP, Neves ACC, da Silva Concilio LR. Three-dimensional finite element analysis of occlusal splint and implant connection on stress distribution in implant–supported fixed dental prosthesis and peri-implantal bone. Materials Science and Engineering: C. 2017;80:141–148. DOI: https://doi.org/10.1016/j.msec.2017.05.071
Elboraey AN, Dehis WM, Eissa SM, El-Hotieby MM, Abdelkader OK. Occlusal equilibration and muscle activity in fixed versus removable mandibular implant supported overdenture. Clinical Oral Investigations. 2024 Feb;28(3):160. DOI: https://doi.org/10.1007/s00784-024-05558-w
Fabbri G, Sorrentino R, Cannistraro G, Mintrone F, Bacherini L, Turrini R, Bombardelli T, Nieri M, Fradeani M. Increasing the Vertical Dimension of Occlusion: A Multicenter Retrospective Clinical Comparative Study on 100 Patients with Fixed Tooth-Supported, Mixed, and Implant-Supported Full-Arch Rehabilitations. Int J Periodontics Restorative Dent. 2018 May/Jun;38(3):323–335. DOI: https://doi.org/10.11607/prd.3295
Fouda AAH. No evidence on the effectiveness of oral splints for the management of temporomandibular joint dysfunction pain in both short and long-term follow-up systematic reviews and meta-analysis studies. J Korean Assoc Oral Maxillofac Surg. 2020 Apr 30;46(2):87-98. DOI: https://doi.org/10.5125/jkaoms.2020.46.2.87
Gao J, Jiang L, Zhao B. Median mandibular flexure-the unique physiological phenomenon of the mandible and its clinical significance in implant restoration. Frontiers in Bioengineering and Biotechnology. 2023;11:1238181. DOI: https://doi.org/10.3389/fbioe.2023.1238181
Proshchenko, A. M., Proshchenko, N. S., Shemelko, M. L., Reshetnyk, L. L., Chervonna, N. V., & Sorokina, K. O. (2024). Otsinka yakosti likuvannia patsiientiv z funktsionalnymy rozladamy zubo-shchelepnoho aparatu, poiednanykh z dentoalveoliarnoiu formoiu hlybokoho prykusu. Klinichna ta profilaktychna medytsyna, (4), 26-32. DOI: https://doi.org/10.31612/2616-4868.4.2024.04
Hwang HJ, Lee SJ, Park EJ, Yoon HI. Assessment of the trueness and tissue surface adaptation of CAD-CAM maxillary denture bases manufactured using digital light processing. J Prosthet Dent. 2019 Jan;121(1):110–117. DOI: https://doi.org/10.1016/j.prosdent.2018.02.018
Ivanyuta OP, Al-Harasi G, Kuleshov DA. Modification of the dental arch shape using graphic reproduction method and its clinical effectiveness in patients with occlusion anomalies. Archiv EuroMedica. 2020;10(4):181. Available at: http://journalarchiveuromedica.eu/archiv-euromedica_04_2020/archiv_euromedica_04_2020_maket_17_12_2020_READY_42.pdf
Joy AM, Malavika RS, Dinesh N, Sudeep S. Virtual articulators. President’s Message. 2018;8(4):120. Available at: https://www.idaattingalbranch.org/publications/Impressions_Vol8-Issue4-Dec-2018.pdf#page=13
Kanazawa M, Iwaki M, Arakida T, Minakuchi S. Digital impression and jaw relation record for the fabrication of CAD/CAM custom tray. J Prosthodont Res. 2018 Oct;62(4):509-513. DOI: https://doi.org/10.1016/j.jpor.2018.02.001
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