Dentist № 4 (43) – 2021, pp. 28-38                                                                                                      SCIENTIFIC PUBLICATION


Treatment of painful musculoskeletal dysfunction of the temporomandibular joint in combination with deep bite


Yu.L. Denisovaa, S.P. Rubnikovichb, I.N. Baradinac

aMD, PhD, DMSci, Professor, Belarusian State Medical University, Minsk, Belarus
bMD, PhD, DMSci, Professor, Belarusian Medical Academy of Postgraduate Education, Belarusian State Medical University, Minsk, Belarus
cMD, PhD, Associate Professor, Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus

https://doi.org/10.32993/dentist.2021.4(43).6

ABSTRACT
The aim of the study is to determine the effectiveness of the new developed method for the treatment of the syndrome of pain dysfunction of the temporomandibular joint in combination with a deep bite.
Objects and methods. The object of the study was 28 patients with skeletal asymmetry and dysfunction of the temporomandibular joint. The patients were divided into 2 groups. In the first group (14 patients), traditional combined orthodontic treatment and splint therapy were performed. In 14 patients of the second group, the proposed combined complex treatment (orthodontic, orthopedic, and therapeutic) was performed with the use of digital diagnostic methods for analyzing the TMJ, occlusal plane, and masticatory muscles. The effectiveness of the newly developed method of treating pain dysfunction of the temporomandibular joint was evaluated according to using clinical data (extra-oral and intra-oral aesthetic and functional parameters) and instrumental methods, including analysis of t-scan occlusal contacts, myography and cone-beam computed tomography (CBCT).
Results and discussion. In long-term follow-up, pain dysfunction was observed in 7 (47%) patients of the first group. All patients of the second group had good efficiency of treatment for 6 keys of Andrews occlusion.
Conclusion. For the treatment of patients with painful musculoskeletal dysfunction of the temporomandibular joint in combination with dental anomalies, a new complex of therapeutic and diagnostic measures has been developed and clinically justified with the inclusion of digital planning, splint therapy and orthodontic treatment, surpassing traditional methods of treatment in its effectiveness and allowing to significantly improve the functional and aesthetic condition of the dental system, as well as reduce the risk of complications.

Keywords: temporomandibular joint dysfunction, orthodontic treatment, splint therapy, deep bite

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