Preview

Parodontologiya

Advanced search

A digital workflow in the treatment of patients with temporomandibular joint disorders: a case report

https://doi.org/10.33925/1683-3759-2023-28-2-195-204

Abstract

Relevance. TMDs are frequently encountered due to the wide variety and polymorphism of clinical and morphological manifestations.

Clinical case description. The  clinical example presents an algorithm for clinical and instrumental  diagnosis of the dentoalveolar system, the stages of occlusal splint fabrication and clinical monitoring of masticatory muscles, dental occlusion and dentition, based on the application of modern digital technologies for the diagnosis of the dentoalveolar system functional status. The 28-year-old patient underwent a comprehensive diagnosis, including electronic condylography, electromyography, T-scan (digital occlusal analysis), and measurement of condylar displacement from the reference point. A follow-up examination, six weeks after treatment with a mandibular occlusal splint, showed positive changes in the therapeutic process: the absence of occlusal pressure distribution imbalance (T-scan) and symmetric work of masticatory proper and temporal muscles (EMG).

 

About the Authors

P. M. Antonik
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Pavel M. Antonik, DMD, Assistant Professor, Department of Digital Dentistry

Moscow



R. Sh. Gvetadze
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Ramaz Sh. Gvetadze, DMD, PhD, DSc, Honoured Doctor of the Russian Federation, Professor, Department of Digital Dentistry

Moscow



A. S. Oganesyan
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Artak S. Oganesyan, DMD, external PhD student, Department of Digital Dentistry

Moscow



N. G. Sarkisyan
Stavropol State Medical University
Russian Federation

Nina G. Sarkisyan, 5th-year dental student, School of Dentistry

Stavropol



References

1. Karkazi F, Özdemir F. Temporomandibular Disorders: Fundamental Questions and Answers. Turkish journal of orthodontics. 2020;33(4):246-252. doi: 10.5152/TurkJOrthod.2020.20031.

2. Nguyen MS, Saag M, Jagomägi T., Nguyen QH, Voog-Oras U. The impact of occlusal support on temporomandibular disorders: a literature review. Proceedings of Singapore Healthcare. 2022;31. doi: 10.1177/20101058211023779

3. Palmer J, Durham J. Temporomandibular disorders. BJA Education. 2021;21(2):44-50. doi: 10.1016/j.bjae.2020.11.001

4. Bozhkova T, Musurlieva N, Slavchev D. Comparative Study Qualitative and Quantitative Techniques in the Study of Occlusion. BioMed Research International. 2021;2021:1163874. doi: 10.1155/2021/1163874

5. Tekucheva SV, Ermoljev SN, Zailer AS, Persin LS, Yanushevich OO, Postnikov MA. Ultrasound structural assessment of masseter muscles in subjects with different types of craniofacial growth. Stomatologiya. 2021;100(3):72 81 (In Russ.). doi: 10.17116/stomat202110003172

6. Arutyunov SD, Brutyan LA, Antonik MM. Information significance of electromiographic research in the structure of diagnostics and orthopedic dentistry treatment of patients with highly exposed teeth. Russian Journal of Dentistry. 2017;21(4):177-180 (In Russ.). doi: 10.18821/1728-2802-2017-21-4-177-180

7. Arutyunov SD, Brutyan LA, Antonik MM, Lobanova EE. Features of correlation of electromyographicand axiographic studies in patientswith increased erasure of hard dental tissues. Russian Journal of Dentistry. 2017;21(5):244-247 (In Russ.). doi: 10.18821/1728-2802-2017-21-5-244-247.

8. Arutyunov SD, Khvatov IL, Arutyunov DS, Nabiev NV, Tuturov NS. Diagnosis of temporomandibular joint dysfunction based on graphical registration of mandibular movements. Stomatologiya. 2003;(1):27-33 (In Russ.). Available from: https://elibrary.ru/item.asp?id=46291737

9. Szyszka-Sommerfeld L, Lipski M, Woźniak K. Surface Electromyography as a Method for Diagnosing Muscle Function in Patients with Congenital Maxillofacial Abnormalities. Journal of Healthcare Engineering. 2020; 2020: 8846920. doi: 10.1155/2020/8846920

10. Gribov D, Antonik M, Butkov D, Stepanov A, Antonik P, Kharakh Y, et al. Personalized Biomechanical Analysis of the Mandible Teeth Behavior in the Treatment of Masticatory Muscles Parafunction. Journal of Functional Biomaterials. 2021;12(2):23. doi: 10.3390/jfb12020023

11. Arutyunov S, Kirakosyan L, Dubova L, Kharakh Y, Malginov N, Akhmedov G, Tsarev V. Microbial adhesion to dental polymers for conventional, computer-aided subtractive and additive manufacture: A comparative in vitro study. Journal of Functional Biomaterials. 2022;13(2):42. doi: 10.3390/jfb13020042

12. Arutyunov SD, Persin LS, Petrosyan DE, Arutyunov DS. Correlation of cephalometric parameters of the gnatic part of the skull with anthropometric indicators of dentition and data from functional studies in individuals with physiological occlusion. Stomatologiya. 2001;(5):40-46 (In Russ.). Available from: https://elibrary.ru/yqmotb

13. Patzelt SBM, Krügel M, Wesemann C, Pieralli S, Nold J, Spies BC, et al. In Vitro Time Efficiency, Fit, and Wear of Conventionally versus Digitally-Fabricated Occlusal Splints. Materials. 2022;15(3):1085. doi: 10.3390/ma15031085

14. Albagieh H, Alomran I, Binakresh A, Alhatarisha N, Almeteb M, Khalaf Y, et al.Occlusal splints-types and effectiveness in temporomandibular disorder management. Saudi Dental Journal. 2023;35(1):70-79. doi: 10.1016/j.sdentj.2022.12.013

15. Potewiratnanond P, Limpuangthip N, Karunanon V, Buritep A, Thawai A. Factors associated with the oral health-related quality of life of patients with temporomandibular disorder at the final follow-up visit: a cross-sectional study. BDJ Open. 2022;8(1):30. doi: 10.1038/s41405-022-00122-8

16. Romodanovski PO, Arutyunov SD, Tangieva TA. Assessment of adverse outcomes of dental care due to the patient's fault. Sudebno-meditsinskaya ekspertiza. 2005;(6):13-16 (In Russ.). Available from: https://elibrary.ru/item.asp?id=49343203

17. Zhang SH, He KX, Lin CJ, Liu XD, Wu L, Chen J, Rausch-Fan X. Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials. Acta Odontologica Scandinavica. 2020;78(8):580-589. doi: 10.1080/00016357.2020.1759818

18. Antonik MM, Lebedenko IY, Arutyunov SD, Kalinin YA. Analysis of static and dynamic denture occlusion using diagnostic plaster casts. Russian Journal of Dentistry. 2011;(1):4-5 (In Russ.). doi: 10.17816/dent.38826


Supplementary files

Review

For citations:


Antonik PM, Gvetadze RS, Oganesyan AS, Sarkisyan NG. A digital workflow in the treatment of patients with temporomandibular joint disorders: a case report. Parodontologiya. 2023;28(2):195-204. (In Russ.) https://doi.org/10.33925/1683-3759-2023-28-2-195-204

Views: 421


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-3759 (Print)
ISSN 1726-7269 (Online)