Improvement of the prosthodontic treatment protocol in patients with TMD via functional diagnosis
https://doi.org/10.33925/1683-3759-2021-26-2-144-149
Abstract
Relevance. The purpose of the research is to improve the functional diagnosis protocol in prosthodontic treatment of patients with TMD.
Materials and methods. The optimal position of the mandible was determined for each patient by two methods: 1) TENS (transcutaneous electrical nerve stimulation) and 2) TENS + kinesiography. Then, the cone-beam computed tomography (CBCT) data were analyzed to determine the most physiological position of the condyles.
Results. The analysis of the CT scans of patients without TMD (control group) showed that the right and left condyles occupy an anterior or central symmetrical position relative to the glenoid fossa. In the first and second methods, the condyles occupy an anterior or central position, which is the most optimal position of the lower jaw for the manufacturing of an occlusal stabilization splint. The statistical coefficients allowed us to determine that the second method was more accurate, since the obtained values were lower than those of the first method.
Conclusion. Based on the results of this study, we can conclude that the improvement of the protocol, namely a new method for determining the optimal position of the mandible is more time-consuming, but more accurate and allows increasing the effectiveness at all stages of treatment of patients with this pathology.
About the Authors
L. V. Dubova
Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Lubov V. Dubova, Dr. Sci. (Med.), Professor, Head of the Department of Prosthodontics; Honored Doctor of the Russian Federation
Moscow
S. S. Prisyazhnykh
Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Svetlana S. Prisyazhnykh, PhD student of the Department of Prosthodontics
Moscow
N. V. Romankova
Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Natalia V. Romankova, MD, PhD, Associate professor of the Department of Prosthodontics
Moscow
D. I. Tagiltsev
Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Denis I. Tagiltsev, MD, PhD, Associate professor of the Department of Prosthodontics
Moscow
G. V. Maksimov
Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Georgii V. Maksimov, MD, PhD, Associate professor of the Department of Prosthodontics
Moscow
References
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8. Stafeev AA, Ryakhovsky AN, Petrov PO, Chikunov SO, Khizhuk AV. A comparative analysis of reproducibility of the jaws centric relation determined with the use of digital technologies. Stomatologiia. 2019;98(6):83-89. (in Russ.). http://doi.org/10.17116/stomat20199806183.
9. Henriques JCG, Fernandes NAJ, Almeida G deA, Machado NA. Cone-beam tomography assessment of condylar position discrepancy between centric relation and maximal intercuspation. Brazilian Oral Research. 2011;26(1):29-35. https://doi.org/10.1590/S1806-83242011005000017.
10. Lomas J, Gurgenci T, Jackson C, Campbell D. Temporomandibular dysfunction. Australian Journal of General Practice. 2018;47(4):212-215. https://doi.org/10.31128/AFP-10-17-4375.
11. Gazhva SI, Zyzov DM, Shestopalov SI, Kasumov NS. The prevalence of pathology of the temporomandibular joint in patients with partial loss of teeth. Sovremennye problemy nauki i obrazovaniya. 2015;6:193. (in Russ.). Avaliable from: https://www.elibrary.ru/item.asp?id=25389774.
12. Dubova LV., Stupnikov AA., Kriheli NI., Tsalikova NA., Melnik AS. Diagnostic criteria for the transition from occlusal splints to non-removable orthopedic appliances in patients with TMJ dysfunction with disc disorders. Stomatologiya. 2019;98(3):65-70. https://doi.org/10.17116/stomat20199803165.
13. Kasat V, Gupta A, Ladda R, Kathariya M, Saluja H. Farooqui A-A. Transcutaneous electric nerve stimulation (TENS) in dentistry- A review. Journal of Clinical and Experimental Dentistry. 2014;6(5):562-8. http://doi.org/10.4317/jced.51586.
14. Kandasamy S, Beddinghaus R, Kruger E. Condylar position assessed by magnetic resonance imaging after various bite position registrations. American Journal of Orthodontics and Dentofacial Orthopedics. 2013;144(4):512-517. https://doi: 10.1016/j.ajodo.2013.06.014.
15. Chisnoiu AM, Picos AM, Popa S, Chisnoiu PD, Lascu L, Picos A, Chisnoiu R. Factors involved in the etiology of temporomandibular disorders — a literature review. Clujul Medical. 2015;88(4):473-478. http://doi.org/:10.15386/cjmed-485.
16. Petersson A. What you can and cannot see in TMJ imaging — an overview related to the RDC/TMD diagnostic system. Journal of Oral Rehabilitation. 2010;37(77):771-800. https://doi.org/10.1111/j.1365-2842.2010.02108.x.
17. Stafeev AA, Ryakhovsky AN, Petrov PO, Chikunov SO, Khizhuk AV. A comparative analysis of reproducibility of the jaws centric relation determined with the use of digital technologies. Stomatologiia. 2019;98(6):83-89. (in Russ.). http://doi.org/10.17116/stomat20199806183.
18. Henriques JCG, Fernandes NAJ, Almeida G deA, Machado NA. Cone-beam tomography assessment of condylar position discrepancy between centric relation and maximal intercuspation. Brazilian Oral Research. 2011;26(1):29-35. https://doi.org/10.1590/S1806-83242011005000017.
Review
For citations:
Dubova LV, Prisyazhnykh SS, Romankova NV, Tagiltsev DI, Maksimov GV. Improvement of the prosthodontic treatment protocol in patients with TMD via functional diagnosis. Parodontologiya. 2021;26(2):144-149. (In Russ.) https://doi.org/10.33925/1683-3759-2021-26-2-144-149
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