Treatment approach to patients with distal malocclusion complicated by temporomandibular joint pain-dysfunction syndrome

Danilova M.A.

E.A. Vagner Perm State Medical University

ORCID: 0000-0002-2746-5567

Ishmurzin P.V.

E.A. Vagner Perm State Medical University

ORCID: 0000-0003-2344-1266

Treatment approach to patients with distal malocclusion complicated by temporomandibular joint pain-dysfunction syndrome

Authors:

Danilova M.A., Ishmurzin P.V.

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Journal: Stomatology. 2023;102(1): 41‑45

DOI: 10.17116/stomat202310201141

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To cite this article:

Danilova MA, Ishmurzin PV. Treatment approach to patients with distal malocclusion complicated by temporomandibular joint pain-dysfunction syndrome. Stomatology. 2023;102(1):41‑45. (In Russ.)
https://doi.org/10.17116/stomat202310201141

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OBJECTIVE

Research is effective sequencing of measures for orthodontic treatment active period and unfavorable course of retention period predictors in patients with distal malocclusion, complicated by temporomandibular joint pain-dysfunction syndrome.

MATERIAL AND METHODS

The retrospective study consists of 102 case reports of patients from 18 to 37 (average age is 26.75±3.25 years) with distal malocclusion (Angle Class II division 2 subdivision) associated with temporomandibular joint pain-dysfunction syndrome.

RESULTS

Cases of successful treatment were 30.4% (n=31), semi-successful — 42.2% (n=43), semi-unsuccessful — 18.6% (n=19), unsuccessful — 8.8% (n=9). ANOVA analysis of orthodontic treatment stages reveals main risk factors for pain syndrome recurrence in retention period. The ineffective morphofunctional compensation and unsuccessful orthodontic treatment predictors are: incomplete pain syndrome elimination, persistent masticatory muscles dysfunction, distal malocclusion recurrence, condylar process distal position recurrence, deep overbite, upper incisors retroinclination for more than 15°, single posterior tooth interference.

CONCLUSION

Thus, pain syndrome recurrence prevention in retention orthodontic treatment period includes pain and masticatory muscles dysfunction elimination in pre-treatment period, physiological dental occlusion and condylar process central position in active period.

Keywords:

distal malocclusion

temporomandibular joint pain-dysfunction syndrome

orthodontic treatment

retention period

Authors:

Danilova M.A.

E.A. Vagner Perm State Medical University

ORCID: 0000-0002-2746-5567

Ishmurzin P.V.

E.A. Vagner Perm State Medical University

ORCID: 0000-0003-2344-1266

Received:

22.02.2022

Accepted:

14.11.2022

List of references:

Arsenina OI, Danilova MA, Ishmurzin PV, Popova AV. The peculiar morphological and functional characteristics of the temporomandibular joint in the children. Rossiiskaya stomatologiya. 2017;2(10):36-40. (In Russ.). https://doi.org/10.17116/rosstomat201710236-40
Ishmurzin PV, Danilova MA. Treatment of distoocclusion combined with temporomandibular joint dysfunction. Problemy stomatologii. 2012;1:70-75. (In Russ.).
Ishmurzin PV, Danilova MA, Ubiria YuI. Compensation of occlusion anomalies combined with temporomandibular joint dysfunction: treatment results estimation in timing aspect. Institut stomatologii. 2012;2(55):40-41. (In Russ.).
Arsenina OI, Popova AV, Gus LA. The role of occlusal disorders in development of temporomandibular joint dysfunction. Stomatologiya. 2014;6(93): 64-67. (In Russ.).
Khudoroshkov YuG, Ishmurzin PV, Danilova MA. The impact of internal TMJ disorders on quality of life of patients with malocclusion. Stomatologiya. 2015;5(94):55-57. (In Russ.).
Khudoroshkov YuG, Ishmurzin PV, Danilova MA, Rogozhnikov GI. Prognosis of pterygoid muscles tonus in occlusion abnormities associated with temporomandibular joint dysfunction. Rossiiskii zhurnal biomekhaniki. 2017; 4(21):338-349. (In Russ.). https://doi.org/10.15593/RZhBiomeh/2017.4.01
Danilova MA, Ishmurzin PV, Zakharov SV. Use of maxilla, mandible and temporomandibular joint geometrical models for maxillary complex description in normal and at distal occlusion Ortodontiya. 2012;1(57):15-19. (In Russ.).
Arsenina OI, Nadtochi AG, Popova AV, Popova NV. TMJ-condition characteristics for patients with distal malocclusion before and after orthodontic treatment. Ortodontiya. 2009;2(46):39-50. (In Russ.).
Arsenina OI, Popova NV, Popova AV, Komarova AV. Analysis of functional changes in patients with TMJ dysfunction while using elastomeric mouthguard (Corrector). Klinicheskaya stomatologiya. 2014;2(70):46-51. (In Russ.).

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