Psychoneurological and degenerative-dystrophic disorders in patients with pathology of the temporomandibular joint

Shchekolova N.B.

Perm state medical University named after academician E.A. Wagner

Astashina N.B.

Perm State Medical University named after academician E.A. Wagner of the Ministry of Healthcare of the Russian Federation

Martyusheva M.V.

Perm state medical University named after academician E.A. Wagner

Mudrova O.A.

Perm state medical University named after academician E.A. Wagner

Malginov N.N.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Arutyunov A.S.

Central Research Institute of Dentistry and Maxillofacial Surgery

Psychoneurological and degenerative-dystrophic disorders in patients with pathology of the temporomandibular joint

Authors:

Shchekolova N.B., Astashina N.B., Martyusheva M.V., Mudrova O.A., Malginov N.N., Arutyunov A.S.

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Journal: Stomatology. 2022;101(5): 37‑42

DOI: 10.17116/stomat202210105137

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To cite this article:

Shchekolova NB, Astashina NB, Martyusheva MV, Mudrova OA, Malginov NN, Arutyunov AS. Psychoneurological and degenerative-dystrophic disorders in patients with pathology of the temporomandibular joint. Stomatology. 2022;101(5):37‑42. (In Russ.)
https://doi.org/10.17116/stomat202210105137

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OBJECTIVE

The aim of the study is to detail neuropsychiatric and degenerative-dystrophic disorders in patients with dysfunctional TMJ syndrome and develop principles for their correction.

MATERIAL AND METHODS

84 patients with complaints of impaired TMJ function were examined: 14 men (16.67%) and 70 women (83.33%) aged 18 to 74 years. The average age of the patients was 63.22±18.82 years. The analysis of the dental status was carried out, the state of the musculoskeletal system and somatic status in patients with dysfunctional TMJ syndrome was studied. Methods of diagnosis of autonomic dysfunction syndrome were used to assess the state of neuropsychiatric status. Occlusive disorders were evaluated in relation to the peculiarities of maintaining posture and autonomic joint dysfunction.

RESULTS

Occlusive disorders were assessed in relation to the peculiarities of posture maintenance and autonomic dysfunction of the joint. Pathology of the temporomandibular region was accompanied by psychovegetative disorders in 80% of patients. At the same time, autonomic dysfunction was diagnosed with pathological changes in the autonomic index, the formation of anxiety and depression.

CONCLUSION

The adequacy of rehabilitation measures was associated with the preparation of rehabilitation programs, considering the severity of dental pathology, the state of the somatic and emotional-volitional spheres. Elimination of musculo-articular dysfunctions and pain syndrome was of leading importance in the rehabilitation of patients.

Keywords:

temporomandibular joint

postural disorders

autonomic dysfunction

Authors:

Shchekolova N.B.

Perm state medical University named after academician E.A. Wagner

Astashina N.B.

Perm State Medical University named after academician E.A. Wagner of the Ministry of Healthcare of the Russian Federation

Martyusheva M.V.

Perm state medical University named after academician E.A. Wagner

Mudrova O.A.

Perm state medical University named after academician E.A. Wagner

Malginov N.N.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Arutyunov A.S.

Central Research Institute of Dentistry and Maxillofacial Surgery

Received:

23.08.2021

Accepted:

13.12.2021

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