TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION USING ORTHOPEDIC MOUTHGUARDS USING COMPUTER TECHNOLOGY
Keywords:
TMJ internal disorders, lower jaw articulation disorders, occlusion, muscle relaxation splints, axiographyAbstract
The aim of the study was to evaluate possible applications of muscle relaxation splints made with a milling method (with CAD/CAM technologies) for correction of the temporomandibular joint (TMJ).
Materials and Methods. We studied 47 patients with TMJ disc displacement with reduction that causes the lower jaw articulation disorders. All patients underwent axiographic investigation before, in the course of (every 3 weeks), and after the treatment. In group 1 (n=22) we used muscle relaxation splints made in a mechanical articulator, in group 2 (n=25) splints were modeled in a virtual articulator in accordance with axiographic findings.
Results. The results of treating patients with subluxation of the TMJ articular disc with muscle relaxation splints made with mechanical and virtual articulators showed that the use of a virtual articulator resulted in minimal frequency of positioning errors in the articulator interframe space. The study also revealed that higher accuracy of location of virtual models in accordance with an individual location of joint mechanisms of an articulator. We developed a method of loading individual joint trajectories of the lower jaw when the articulation of the latter is impaired. It helped to considerably reduce inaccuracies of splint modeling that occur when a standard mechanical face bow made with mechanical articulators is used.
Conclusion. For patients with TMJ disc displacement with reduction treatment with milled splints made in a virtual articulator is more preferable. The developed algorithm of loading individual joint trajectories of the lower jaw movements and occlusion contacts according to axiographic findings during the process of modeling muscle relaxation splints can enhance the quality of treating patients with dearticulation.
References
1. Алиев Н.Х., Гаффоров С.А., Идиев Г.Э. Чакка-пастки жаг бўғими меъёрий фаолияти ва патологияси механизмларини асослашнинг тамойиллари. Тиббиётда янги кун. -2020. - №1. С. 132-135
2. Алиев Н.Х. Чакка пастки жағ бўғимининг но артикуляр патологиясини ташхислаш усуллари // Тиббиёт ва спорт – Самарқанд, 2020/3. 59-62 бет.
3. Алиев Н.Х.,Гаффоров С.А., Идиев Ғ.Э. Чакка-пастки жаг бугими меъёрий фаолияти ва патологияси механизмларини асослашнинг тамойиллари // Тиббиётда янги кун – Бухоро, 1(29) 2020.- С132-135.
4. Н.Х. Алиев, ШМ Бокиев, АШ Рахимов, ФИ Ибрагимова. Ортопедическое лечение больных с деформацией челюстно-лицевой области, осложненной частичной адентией зубов // Молодежь-практическому здравоохранению 2018.-С.49-51
5. Н.Х. Алиев индивидуальная тактика диагностики и лечения пациентов с нарушениями функциональной окклюзии // barqarorlik va yetakchi tadqiqotlar onlayn ilmiy jurnali 2022/4/6 с.121-125
6. Н.Х Алиев Методы диагностики заболевание ВНЧС // Ta'lim va rivojlanish tahlili onlayn ilmiy jurnali 2022/6/10 С.282-287
7. Хватова В.А. Клиническая гнатология. М.: Медицина; 2005.
8. Лебеденко И.Ю., Арутюнов С.Д., Ряховский А.Н., ред. Ортопедическая стоматология: национальное руководство. М.: ГЭОТАР–Медиа; 2019.
9. Перегудов А.Б., Ларионов В.М., Ступинков А.А., и др. Некоторые аспекты компьютеризированной ди-агностики нарушений пространственного положения нижней челюсти у пациентов с патологией ВНЧС // Вестник Московского университета МВД России. 2015. № 4. С. 264–271.
10. Aliev N.H. Clinical and functional methods of assessment and diagnosis of the pathological condition of the temporomandibular joint // Тиббиётда янги кун – Бухоро, 1(33) 2021. Январь-Март. 375-380 бет.
11. Azimova, S. S., Saidov, A. A., & Ibragimov, F. I. (2021). Medical and Psychological Approach in the Early Diagnosis and Treatment of Cutaneous Bite in Children. Annals of the Romanian Society for Cell Biology, 16137-16142.
12. Khabilov, N. L., & Nusratov, U. G. (2019). Features dental care for patients with type 2 type depending on disturbance of Kidney function. Asian Journal of Multidimensional Research (AJMR), 8(10), 18-24.
13. Nusratov, U. G. (2020). ANALYSIS OF ORAL HEALTH AND QUALITY OF LIFE OF GROUPS OF PATIENTS WITH TYPE 2 DIABETES AND CHRONIC KIDNEY DISEASE. PalArch's Journal of Archaeology of Egypt/Egyptology, 17(6), 14385-14393.
14. Gafforov S.A., Aliev N.H. Improvement of diagnostic methods and treatment of parafunction of chewable Muscles in pain syndromes of a high-Lower jaund joint // Journal of Advanced Research in Dynamical and Control Systems. ISSN: 1943-023X. Volume 12,07- special issue. -P.2102-2110. 2020
15. Gafforov S.A., Aliev N.H. Improving the methods for the diagnosis of nonarticular pathology of the temporomandibular joint // Journal of Critical Reviews. ISSN-2394-5125. VOL 7 ISSUE 18, 2020 - P. 875-880.
16. Gafforov S.A., Aliev N.KH. Improvement of clinical and functional as-sessment methods and diagnostics of the pathological condition of the temporary - mandibular joint // ACADEMICIA: An International Multi-disciplinary Research Journal, Vol. 10, Issue-4 april 2020.-506-514 s.
17. Saidov, A. A. (2020). Hygienic condition of the oral cavity during orthodontic treatment of children with temporomandibular joint dysfunction. The Pharma Innovation Journal. Indiya, (9), 6.
18. Zhumaev, A. K. (2020). Partial defects of dental rows results of the questionnaire and clinical assessment of the condition of removable prostheses. Middle European Scientific Bulletin, 6, 94-97.
19. Zhumaev, A. K. Of Partial Defects of the Dental Rows of Dynamic Study of the State of the Mucosa of the Oral Cavity in the New Conditions of Functioning. International Journal on Integrated Education, 3(12), 61-63.
20. Wilson P., Banerjee A. Recording the retruded contact position: a review of clinical techniques // British Dental Journal. 2004. Vol. 196, № 7. P. 395–402. doi: 10.1038/ sj.bdj.4811130
