Open AccessThe effectiveness of the surgical correction of the temporomandibular joint intracapsular disorders
Author(s) -
Ilya N. Lyashev,
Ляшев Илья Николаевич,
A.M. Dybov,
Дыбов Андрей Михайлович,
Polina V. Kholmogorova,
Холмогорова Полина Вячеславовна
Publication year - 2019
Publication title -
kliničeskaâ praktika
Language(s) - English
Resource type - Journals
eISSN - 2618-8627
pISSN - 2220-3095
DOI - 10.17816/clinpract1026-13
Subject(s) - medicine , temporomandibular joint , rehabilitation , tmj disorders , splint (medicine) , orthopedic surgery , conservative treatment , joint disease , physical therapy , orthodontics , dentistry , surgery , osteoarthritis , alternative medicine , pathology
Background. The prevalence of temporomandibular joint diseases covers about 40% of the population. The main place (from 70 to 82%) among these diseases is occupied by the so-called intracapsular disorders of the temporomandibular joint (TMJ). The lack of consensus on the use of treatment methods and clear protocols for the rehabilitation of patients with intracapsular TMJ disorders was the basis for the conduct of this study.
Objective. The purpose of the study was to analyze the treatment effectiveness in patients with intracapsular disorders of the temporomandibular joint using the complex of pathogenetically substantiated conservative and surgical methods. Methods. The research included 43 patients with complaints to pains and dysfunction of TMJ. Everything fulfilled the uniform protocol of inspection. Depending on disease degree to patients were assigned or a course of conservative treatment with use splint therapy, or surgical correction of defect.
Results. After analyzing the dynamics of patient treatment in the framework of this study, it was found that surgical correction of intracapsular disorders of the temporomandibular joint was effective in all patients examined by us.
Conclusion. To maintain a long-term stable result, this group of patients is shown orthodontic-orthopedic rehabilitation, with the goal of creating and maintaining correct occlusal relationships.