here is the English version
Signs of temporomandibular joint dysfunction in individuals with different dentition defects and unequal preservation of antagonist pairs of teeth
Redinov I.S.1, ORCID: https://orcid.org/0000-0002-5888-9725, Pylaeva Ye.A.1, Strakh O.O.1, ORCID: ttps://orcid.org/0000-0002-8371-1179, Lysenko B.A.2, ORCID: https://orcid.org/0000-0002-3980-6816
1 Federal State Budgetary Educational Institution of Higher Education “Izhevsk State Medical Academy” of the Ministry of Healthcare of the Russian Federation
Russia, 426034, Izhevsk, St. Kommunarov, 281 2 Federal State Budgetary Educational Institution of
Higher Education “Kazan Medical University” of the Ministry of Healthcare of the Russian Federation
Russia, 420012, Kazan, St. Butlerova, 49
E-mail address: Ivan.email@example.com
As a result of examination and questionnaire of 143 patients who applied for orthopedic treatment of defects of teeth and dental rows, it was found that signs of dysfunction of temporomandibular joint with preserved dental rows are diagnosed in 36—55% cases, and with defects of dental rows — in 45—90% cases.
The absence of eighth teeth in the dental row does not significantly change the functional state of the dental-jaw system. A statistically significant frequency of signs of EHS dysfunction has been identified among individuals having terminal dentition defects.In patients with terminal dentition defects, each 3rd patient is diagnosed with cochleovestibular syndrome, and in each 2nd, sounds are determined in the area of VNHS when the lower jaw moves.
It has been found that if 15—13 and 12—11 pairs of antagonist teeth are preserved, the signs of dysfunction are determined in 55—45% cases, if the number of teeth having antagonists is reduced to 10—5 (in 90.0% these are patients with preserved 7—8 pairs of antagonist teeth), then the frequency of dysfunction signs increases to
75.0% (t1-3=1.33; t2-3=2.00), in such patients significantly more often — in 75.0% of cases, mandibular deviation is diagnosed when opening and closing the mouth than in persons with a large number of preserved antagonist teeth, respectively 55.0% (t=2.66) and 45.0% (t=3.93) in 1 and 2 groups.
Thus, the identification of such signs as crunching, clicking in the joints, hearing loss or tinnitus, suggests the presence of intra-articular disorders in such patients. The deviation of the jaw from its main trajectory when opening the mouth indicates the possible involvement of the masticators muscles in the pathological process. All this requires the dentist to carry out early diagnosis and timely orthopedic treatment.
Keywords: dysfunction of temporomandibular joint, dentition defects.
For citation: Redinov I.S., Pylaeva Ye.A., Strakh O.O., Lysenko B.A. Signs of temporomandibular joint dysfunction in individuals with different dentition defects and unequal preservation of antagonist pairs of teeth. Stomatology for All / Int. Dental Review. 2021, no.2(95): 52-58 (In Russian). doi: 10.35556/idr-2021-2(95)52-58
1. Lebedenko I.Yu., Grinin V.M., Abdullaev A.A. Functional disorders of the temporomandibular joint in patients with rheumatoid arthritis against the background of partial secondary adentia. Topical problems of dentistry: A collection of works (edited by Professor I.Yu. Lebedenko). Moscow, 2002: 116—118 (In Russian).
2. Goman M.V., Zaborovets I.A. Assessment of the functional effectiveness of orthopedic treatment of patients with unilateral distal non-limited dentition defects (according to surface electromyography). Kuban Scientific Medical Bulletin. 2010, no.3—4: 49—52 (In Russian).
3. Konnov V.V., Klimov A.V., Anisimova Ya.Yu., Klenkova M.I. Results of functional analysis of maxillofacial area of patients with defects of dental rows complicated by distal occlusion. Modern problems of science and education. 2015, no.5. URL: http://www.science-education.ru/ru/ article/view?id=21653 (In Russian).
4. Lelari O.V., Pospelov A.N. Comparison of the incidence of VNHS dysfunction in unilateral and bilateral terminal defects. Bulletin of Medical Internet Conferences. 2017, 7. no.1: 402—403 (In Russian).
5. Pichugina E.N. Functional condition of the temporomandibular joint in patients with Grade I and Grade II dentition defects by Kennedy. Synergy of Sciences. 2018, no.28: 542—545 (In Russian).
6. Badanin V.V. Clinical-radiological studies and magnetic resonance imaging in the diagnosis of functional disorders of the temporomandibular joint and their orthopedic treatment: abstract. dis. … Dr. of med. sciences. Moscow,2002, 54 p. (In. Russian).
7. Mataev Z.A. Features of biomechanics of the temporomandibular joint depending on the pathology of the chewing-speech apparatus: abstract. dis… Cand of med. sciences. Stavropol, 2009, 23 p. (In Russian).
8. Ovsyannikov K.A. Assessment of the morphofunctional state of VNHS of patients with terminal defects in the dental rows. Materials of the 19th International Conference of Maxillofacial Surgeons and Dentists “New Technologies in Dentistry”. Saint Petersburg, 2014: 96—97 (In Russian).
9. Sharifov A.A., Kabanov V.Yu., Maly A.Yu., Gzyunova Yu.A. Correction of dysfunctional conditions at the stage of complex treatment of muscular-articular dysfunction of the dental system of occlusive etiology in the clinic of orthopedic dentistry. Dental Forum. 2018, no.2: 51—54 (In Russian).
10. Kuttila S., Kuttila M., Bell Le Y., Alanen P., Jouko S. Aural symptoms and signs of temporomandibular disorder in association with treatment need and visits to a physician. Laryngoscope. 1999, no.109(10): 1669—1673. Doi:10.1097/00005537-199910000-00022.
11. Boldin A.V., Agasarov A.G., Tardov M.V., Kunelskaya N.L. Role of temporomandibular joint dysfunction and occlusive disorders in the pathogenesis of somatic cochleovestibular syndrome. Almanac of Clinical Medicine. 2016, no.7(44): 798—808 (In Russian).
12. Novikov V.M., Stefan A.V. Diagnosis of the pathology of the temporomandibular joint of occlusive genesis. The list of problems biologii i medicine. 2014, Issue 2, 2(108): 49—54 (In Russian).
13. Arsenina O.I., Popova A.V., Gus L.A. Significance of occlusive disorders in dysfunction of the temporomandibular joint. Dentistry. 2014, no.6: 64—67 (In Russian).
14. Borisova I.V., Stefan A.V. The problem of planning restorative therapy and reconstruction of occlusion. Clinical dentistry. 2014, no.1: 22—26 (In Russian).
15. Segura-Egea J., Jimenez-Rubio A., Velasco-Ortega E., Rios-Santos V. Talon cups causing occlusal trauma and acute apical periodontotos report of a case. Dent Traumotal. 2003, no.1(19): 55—59.
16. Peregudov A.B., Ordzhonikidze R.Z., Muratov M.Clinical computer monitoring of occlusion. Russian Dental Journal. 2008, no.5: 52—53 (In Russian).
17. Slavichek R. Relationship between occlusion and temporomandibular disorders: implications for the gnatologist. Am. Orthod Dentofacial Orthop. 2011, no.1(139): 10—14.
18. Borisova I.V., Stefan A.V. Problem of planning of recovery therapy and reconstruction of occlusion. Wedge. stomatology. 2014; 1: 22—26. (In Russian).
19. Roshchina A.V., Panteleev V.D., Roshchin E.M. Orientation of the okklyuzionny plane at patients in the course of orthodontic treatment. Russian stomat. magazine. 2014, 3: 33—35 (In Russian).
20. Chorev O.Yu., Mayboroda Yu.N. Occlusive interference and neuromuscular dysfunction. Kuban Medical Gazette. 2017, no.24(6): 161—167 (In Russian).
21. Dzalaeva F.K., Chikunov S.O., Utuzh A.S., Mikhailova M.V., Yumashev A.V. Characterization of occlusion and retrusion stability when applying an interdisciplinary approach to dental orthopedic rehabilitation of patients with signs of dysfunction of the temporomandibular joint. Stomatology for All / Int. Dental Review. 2020, no.3: 16—21.(In Russian). doi: 10.35556/idr-2020-2(92)16-21
22. Lepilin A.V., Konnov V.V., Bagaryan E.A., Arushanyan A.R. Clinical manifestations of the pathology of temporomandibular joints and chewing muscles in patients with tooth occlusion and dentition disorders. Saratov Scientific and Medical Journal. 2010, no.2(6): 405—410(In Russian).
23. Yatsuk A.V., Sivolapov K.A. Analysis of the incidence of the muscular-articular complex of the temporomandibular joint in residents of the Kemerovo region. Institute of Dentistry. 2019, no.2: 16—17 (In Russian).
24. Gavrilov E.I., Oxman I.M. Orthopedic dentistry: textbook. Moscow: Medicine, 1978, 464 p. (In Russian).
25. Ivanova N.A. Morpho-functional changes in the elements of the temporomandibular joint in lateral defects of the dentition. absract … cand. of med sciences. Novosibirsk, 2006, 14 p. (In Russian).
26. Korobkeev A.A., Domenyuk D.A., Vedeshina E.G., Konnov V.V., Lezhnina O.Yu., Korobkeeva Ya.A. Changes in the structural elements of the temporomandibular joint in distal occlusion. Medical bulletin of the North Caucasus. 2017, no.1(12): 72—76 (In Russian).
27. Redinov I.S. Assessment of facial muscles in the treatment of patients with complete adentia. Modern issues of dentistry. Materials of the 12th interregional scientific and practical conference of dentists. Izhevsk, 2000: 293 (In Russian).
28. Gavrilov E.I. Theory and clinic of prosthetics with partial removable prostheses. Moscow: Medicine, 1973, 360 p. (In Russian).
29. Luther F. TMD and occlusion, part II Damned if we don’t? Functional occlusal problems: TMD epidemiology in a wider context. Br. Dent.J. 2007, no.202: 38—39.