Tver', Russian Federation
Tver', Tver, Russian Federation
Tver', Tver, Russian Federation
Tver', Tver, Russian Federation
Tver', Tver, Russian Federation
Predmet. Narushenie polozheniya tela v prostranstve i svyazannye s nim problemy obschego zdorov'ya byli upomyanuty esche v 1902 g. Mnogie sovremennye avtory podtverzhdayut, chto normalizaciya osanki vedet k miodinamicheskomu ravnovesiyu myshc chelyustno-licevoy oblasti i normalizacii okklyuzii. V literature takzhe ukazany edinichnye sluchai soprovozhdeniya ortopedicheskogo lecheniya osteopaticheskoy podgotovkoy u pacientov s disfunkciey visochno-nizhnechelyustnogo sustava (VNChS). Aktual'nost' dannogo issledovaniya obuslovlena nedostatochnym ponimaniem vzaimosvyazi avtomaticheskogo regulirovaniya polozheniya tela v prostranstve i okklyuzionnyh narusheniy u pacientov s VNChS. Cel' raboty — ob'ektivno podtverdit' dannuyu vzaimosvyaz' T-skan (komp'yuternoy sistemoy dlya klinicheskoy diagnostiki i analiza okklyuzionnyh kontaktov, razrabotannoy firmoy Tekscan (Boston,1987)). Metodologiya. Provedeno klinicheskoe nablyudenie pacienta do i posle lecheniya s ispol'zovaniem klinicheskih i sovremennyh paraklinicheskih metodov obsledovaniya. Postavlen diagnoz, zaplanirovano lechenie, kotoroe vklyuchalo ortopedicheskuyu korrekciyu okklyuzionnyh kontaktov i polozheniya chelyusti s pomosch'yu kappy na verhnyuyu chelyust' v artikulyatore, osteopaticheskoe soprovozhdenie s balansirovkoy postury, izbiratel'noe prishlifovyvanie. Dlya podtverzhdeniya ob'ektivnosti izmeneniy v chelyustno-licevoy oblasti izmerenie T-skan soprovozhdalo kazhdyy etap lecheniya (do vmeshatel'stva, cherez 10 mesyacev posle vmeshatel'stva, cherez 18 mesyacev posle obrascheniya pacienta k vrachu). V rezul'tate kompleksnogo podhoda k lecheniyu neyromuskulyarnogo disfunkcional'nogo sindroma VNChS korrekciya okklyuzionnyh vzaimootnosheniy v vide izbiratel'nogo prishlifovyvaniya (pri nachal'nom planirovanii) byla otmenena. Vyvody. Pri lechenii pacientov s neyromuskulyarnym disfunkcional'nym sindromom VNChS neobhodim kompleksnyy podhod s osteopaticheskim soprovozhdeniem.
neyromuskulyarnyy disfunkcional'nyy sindrom VNChS, postural'nyy disbalans, osteopatiya, izbiratel'noe prishlifovyvanie
1. Boldin A. V., Agasarov L. G., Tardov M. V., Kunelskaya N. L. The role of dysfunction of the TMJ and occlusive relationships in the pathogenesis of somatogenic cochleovestibular syndrome. Almanah klinicheskoy medicini = Almanac of Clinical Medicine, 2016, pp. 798-808. (In Russ)
2. Bugrovetskaya O. G., Kim K. S., Bugrovetskaya E. A., Didenko A. V. The role of occlusive disorders in the pathogenesis of tension headache. Manualnaya terapiya = Manual therapy, 2012, no. 4, pp. 33-38. (In Russ)
3. Yong-Keun Lee, Hyung-Joo Moon. Occlusion, TMJ and health in general. Dental Tribune, 2012, no. 6, pp. 1-2.
4. Kuznetsova T. E. Otsenka sostoyaniya okkluzionnyih kontaktov u patsientov s distalnoy okkluziey pri narushenii osanki: avtoreferat na soiskaniye uchenoy stepeni k. m. n. Evaluation of the occlusal contact state in patients with distal occlusion in case of postural impairment: author’s abstract for the scientific degree of candidate of medical sciences. Moscow, 2013.
5. Malanyi I. V. [Interrelation of the position of the body in space (postures) and occlusion. Ways to solve the problem. Sovremennaya ortopedicheskaya stomatologiya = Modern orthopedic dentistry, 2007, no. 7, pp. 38-40. (In Russ)
6. Ordzhonikidze R. Z. Klinicheskiy komputerniy monitoring okkluzii zubnih ryadov u patsientov s keramicheskimi restavratsiyami: avtoreferat na soiskaniye uchenoy stepeni k. m. n. Clinical computer monitoring of occlusion of occlusion in patients with ceramic restorations: abstract on the scientific degree of candidate of medical sciences. 2008, 22 p. (In Russ)
7. Peregudov A. B., Savelyev V. V., Ozhigov E. M. Influence of displacement of the center of pressure of the human body on the occlusal balance of dentition. Available at http://csfd.ru/publikatsii/stabiloplatforma-svyz-s-tskan.
8. Polma L. V., Karpova V. S., Bugrovetskaya O. G., Persin L. S., Ulyankina O. O., Tyuminskaya A. A. Posture and occlusion. Literature review. Ortodontiya = Orthodontics, 2012, no. 4, pp. 8-13. (In Russ)
9. Pronina K. S., Rodilivova I. B., Kuznetsova T. E., Ogir E. S. Evaluation of occlusal contacts of the subject with the help of an automated T-scan system. XXXI final scientific conference of young scientists of MGMSU. 2012, no. 3, pp. 84-85.
10. Khoroshilkina F. Y. Disorders of posture in bite abnormalities. Ortodent-info = Orthodent-info, 2000, no. 1, pp. 40-48. (In Russ)
11. Khudonogova E. Y. Osanka i prikus: Avtoreferat na soiskaniye uchenoy stepeni k. m. n Posture and bite: the author’s abstract on the scientific degree of candidate of medical sciences. St. Petersburg, 2006.
12. Tsimbalistov A. V., Khudonogova E. A., Lopushanskaya T. A., Chervotok A. E., Vojtyatskaya I. V. Osteopathic aspects of the condition of the musculoskeletal system in dental patients. Parodontologiya = Periodontology, 2006, no. 1, pp. 17. (In Russ)
