REVIEWS

Efficacy of autologous platelet rich fibrin in bone augmentation and bone regeneration at extraction socket
Bernard Blinstein, Stasys Bojarskas
111-118

SCIENTIFIC ARTICLES

Influence of light-curing unit on the network structure and mechanical properties of model resin cements containing diphenyliodonium compared with a commercial reference
Ailla Carla Lancellotti, Luciano Souza Gonçalves, Adriano Fonseca Lima, Alan Rodrigo Palialol, Simonides Consani
119-124

Clinical substantiation of the sparing and less invasive implant prosthetics of the edentulous lower jaw method
Vladimir Trezubov, Yuri Parshin, Roman Rozov, Alexander Simonenko
125-129

Results of complex rehabilitation patients with temporomandibular joint disease and parafunction of masticatory muscles
Roman Fadeyev, Vasiliy Parshin
130-138

The prevalence of facial and dentolabial parameters among students of the Faculty of Dentistry of Lithuanian University of Health Sciences
Eglė Mickevičiūtė, Dovilė Bitinienė, Gediminas Žekonis, Jurgina Sakalauskienė, Juozas Žilinskas
139-144

Stomatologija 2018; 20 (4): 130-8 554 KB

Results of complex rehabilitation patients with temporomandibular joint disease and parafunction of masticatory muscles

Roman Fadeyev¹, Vasiliy Parshin²

Summary

Objective. Definition of the effective and appropriate essential use of myogymnastic exercises and orthopedic methods of posture correction in the complex rehabilitation of patients with TMJ pathology and parafunction of the masticatory muscles.

Methods. In the study, 63 patients (11 men and 52 women) aged from 20 to 67, with the middle age 31±2.3 were treated, 43 of them had TMJ disease. In 51 patients, parafunctions of masticatory muscles were diagnosed. The treatment was carried out with the help of uncoupling the dentition rows of the splint, made after the TENS-therapy; used medicamentation treatment, using an individual plan for myogymnastic exercises and individual insoles for correction the posture.

Results. Total effectiveness of the treatment is shown as the average of the findings. Analysis of treatment dynamics was due to only those data the results of which after treatment in the control and main groups were different. Treatment effectiveness of the main group in comparison with the control one is as follows – periodontal vessels dopplerography – 16.22%, tonus of the right chewing muscle – 11.45%, right temporal muscle tone – 4.8%, the number of hours per a day in case of increased tone of the chewing muscles – 12.9%, mouth opening amplitude – 17.1%. Thus, total treatment effectiveness in the main group was 12.49±2.18% higher than in the control group.

Conclusions. Results of complex rehabilitation, including myorelaxation procedures, medicamentation treatment, splint therapy, an individual plan of myogymnastic exercises for chewing muscles, and correction of posture using individual insoles showed its effectiveness more than 12.49±2.18% in comparison with traditional methods of treatment.

---

¹Department of Orthopedic Dentistry, North-Western State University named after I. I. Mechnikov, St. Petersburg, Russia

²Department of Aesthetic Dentistry, Research Institute of Dentistry and Maxillofacial Surgery, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia

Address correspondence to Vasiliy Parshin, Department of Aesthetic Dentistry, Research Institute of Dentistry and Maxillofacial Surgery, Pavlov First Saint Petersburg State Medical University, Petrogradskaya quay, house 44, St. Petersburg 197101, Russia.

E-mail address: vasiliy-v-parshin@yandex.ru