employee
Moskva, Moscow, Russian Federation
employee
Peoples’ Friendship University of Russia
Moskva, Moscow, Russian Federation
employee
Moskva, Moscow, Russian Federation
employee
Moskva, Moscow, Russian Federation
graduate student
Moskva, Moscow, Russian Federation
UDK 61 Медицина. Охрана здоровья
GRNTI 76.29 Клиническая медицина
BBK 566 Стоматология
Subject. The anatomical and functional characteristics of the patient’s dentition. The goal ― the study was aimed at examining the algorithm of complex orthopedic treatment when performing dentoprosthetic rehabilitation of patients with bilateral free-end edentulous spaces. Methodology. In the framework of this research, a rehabilitation system of patients with adentia was improved. Additionally, the algorithm of diagnostic and therapeutic measures, which should include the determination of individual anatomical and physiological characteristics, using condylography and cephalometry methods, was described. Results. The clinical research reviewed the bilateral free-end saddles as a case study. The paper revealed that, during the patient's examination, a myopathic or repositioning splint with its subsequent attaching to the articulator was the best measure to determine the central ratio of the jaws. For patients with bilateral free-end edentulous spaces, it was recommended to use methods for determining the parameters of the occlusal plane applying the rules for finding active and passive dental arches when teeth overlap in the back-to-front sequence. The discrepancy between the sizes of the upper and lower jaws was recommended to be corrected by performing reverse teeth overlap, in which the support tubercles were transferred to the buccal tubercles of the maxillar molars, and the laterotrusional movement was transferred to the lingual tubercle of the first molar of the lower jaw. Conclusions. When treating patients with bilateral free-end edentulous spaces, it is necessary to use methods for determining the occlusal plane based on the rules for finding active and passive dental arches in the process of teeth overlap in the back-to-front sequence. The reasons for the development of reverse overlap should be explored to examine the structural and functional compensation mechanisms that contribute to the development of this disease.
adentia, dental orthopedic rehabilitation, dentition, free-end edentulous space, temporomandibular joint, splint therapy, bite, joint, intraarticular relationship, dysfunction
1. Arsenina, O. I., Nadtochij, A. G., Popova, A. V. et al. (2014). Sostoyanie visochno-nizhnechelyustnogo sustava u pacientov distal'noj okklyuzii zubnyh ryadov do i posle ortodonticheskogo lecheniya [The condition of the temporomandibular joint in patients with distal occlusion of the dentition before and after orthodontic treatment]. Ortodontiya [Orthodontics], 3, 47-50. (In Russ.)
2. Verbickaya, L. P., Nersesyanc, S. A., Nanavyan, L. A. (2018). Nash opyt lecheniya pacientov s patologiej visochno-nizhnechelyustnyh sustavov [Our experience in treating patients with pathology of the temporomandibular joints]. Glavnyj vrach YUga Rossii [Head physician of the South of Russia], 61, 32-36. (In Russ.)
3. Domenyuk, D. A., Davydov, B. N., Konnov, V. V., Vedeshina, E. G. (2017). Morfologiya visochno-nizhnechelyustnogo sustava pri fiziologicheskoj okklyuzii i distal'noj okklyuzii, oslozhnyonnoj defektami zubnyh ryadov (chast' 2) [Morphology of the temporomandibular joint in physiological occlusion and distal occlusion complicated by defects in the dentition (part 2)]. Institut stomatologii [Institute of Dentistry], 2 (75), 66-69.(In Russ.)
4. Iordanishvili, A. K., Serikov, A. A. (2018). O neobhodimosti standartizacii podhodov k lecheniyu i reabilitacii pacientov s patologiej visochno-nizhnechelyustnogo sustava v uchrezhdeniyah raznoj formy sobstvennosti [About the need to standardize approaches to the treatment and rehabilitation of patients with pathology of the temporomandibular joint in institutions of different ownership]. Medicinskij vestnik Severnogo Kavkaza [Medical Bulletin of the North Caucasus], 13 (1-1), 59-62. (In Russ.)
5. Kamieva, N. A., Kausova, G. K., Ruzuddinov, S. R. (2018). K voprosu nuzhdaemosti v zubnom protezirovanii lic pozhilogo vozrasta [On the issue of the need for dental prosthetics for the elderly]. Vestnik Kazahskogo Nacional'nogo medicinskogo universiteta [Bulletin of the Kazakh National Medical University], 4, 41-45. (In Russ.)
6. Karton, E. A. (2015). Organizaciya i planirovanie kompleksnoj reabilitacii pacientov s sagittal'nymi anomaliyami okklyuzii [Organization and planning of comprehensive rehabilitation of patients with sagittal occlusion anomalies]. Social'nye aspekty zdorov'ya naseleniya [Social aspects of public health], 3 (43), 8. (In Russ.)
7. Ordokova, E. R. (2018). Diagnostika i lechenie disfunkcii visochno-nizhnechelyustnogo sustava u pacientov s anomaliyami prikusa [Diagnosis and treatment of temporomandibular joint dysfunction in patients with malocclusion]. Smolenskij medicinskij al'manah [Smolensk medical almanac], 2, 55-57. (In Russ.)
8. Persin, L. S., Zajceva, M. V., Debelaya, A. N. (2019). Ocenka pokazatelej kineziografii u pacientov s naklonom okklyuzionnoj ploskosti pri transversal'noj rezcovoj okklyuzii [Assessment of kinesiography indices in patients with an inclined occlusal plane with transverse incisional occlusion]. Stomatologiya dlya vsekh [Dentistry for everyone], 4 (89), 40-45. (In Russ.)
9. Rasulov, I. M., Rasulov, M. M., Abdulmedzhidova, D. M. (2014). Ortopedicheskoe lechenie disfunkcii visochno-nizhnechelyustnogo sustava [Orthopedic treatment of temporomandibular joint dysfunction]. Institut Stomatologii [Institute of Dentistry], 6, 79-83. (In Russ.)
10. Samarina, Ya. P. (2017). Vtorichnaya adentiya zubov: posledstviya i sposoby lecheniya [Secondary adentia of teeth: consequences and methods of treatment]. Nauchnoe obozrenie. Medicinskie nauki [Scientific Review. Medical sciences], 3, 71-74. (In Russ.)
11. Semenyuk, V. M., Ahmetov, E. M., Fedorov, V. E. et al. (2017). Rezul'taty organizacii, effektivnosti ortopedicheskogo lecheniya i kachestva zubnyh protezov (dannye sociologicheskogo issledovaniya) [The results of the organization, the effectiveness of orthopedic treatment and the quality of dentures (data from a sociological study)]. Institut stomatologii [Institute of Dentistry], 1(74), 26-29. (In Russ.)
12. .Slabkovskaya, A. B., Panaiotov, I. P. (2014). Mul'tidisciplinarnoe lechenie v sovremennoj restavracionnoj stomatologii [Multidisciplinary treatment in modern restoration dentistry]. Ortodontiya [Orthodontics], 2 (66), 39-47. (In Russ.)
13. Yusupova, Yu. I., Danilevskaya, A. Ya. (2016). Anomalii razvitiya zubnyh ryadov, zubochelyustnye deformacii i metody ih korrekcii [Anomalies in the development of dentition, dentoalveolar deformities and methods for their correction]. Novaya nauka: Teoreticheskij i prakticheskij vzglyad [New Science: Theoretical and Practical View], 11-12, 31-38. (In Russ.)
14. Chatzopoulos, G. S., Wolff L. F. (2020). Symptoms of temporomandibular disorder, self-reported bruxism, and the risk of implant failure: A retrospective analysis. Cranio, 38 (1), 50-57.
15. de Barros Pascoal, A. L., de Freitas R. F. C., da Silva L. F. et al. (2020). Effectiveness of Counseling on Chronic Pain Management in Patients with Temporomandibular Disorders. J. Oral Facial Pain Headache, 34 (1), 77-82.
16. Dolce, M. C., Aghazadeh-Sanai, N., Mohammed, S. et al. (2014). Integrating oral health into the interdisciplinary health sciences curriculum. Dent. Clin. North Am., 58, 829-843.
17. Furlan, R. M., Giovanardi, R. S., Britto, A. T., Oliveira e Britto, D. B. (2015). The use of superficial heat for treatment of temporomandibular disorders: an integrative review. Codas, 27 (2), 207-212.
18. Giacobbo, L. C., Guimaraes, L. K., Fornazari, I. A. et al. (2019). Achieving Better Function through Combining Orthodontics and Restorative Dentistry in the Case of Dental Abrasions. Case Rep. Dent., 1.
19. Gil-Martinez, A., Paris-Alemany, A., Lopez-de-Uralde-Villanueva, I. et al. (2018). Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions. J. Pain Res., 11, 571-587.
20. He, H., Liu, Z. J. (2019). Risk of temporomandibular joint and its management in orthodontic treatment. Zhonghua Kou Qiang Yi Xue Za Zhi, 2, 54 (12), 808-814.
21. Hu, J. L., Dong, Y. (2019). Research progress in occlusal splint therapy for disorders. Zhonghua Kou Qiang Yi Xue Za Zhi, 54 (4), 273-277.
22. Lai, Y. C., Yap, A. U., Turp, J. C. (2020). Prevalence of temporomandibular disorders in patients seeking orthodontic treatment: A systematic review. J. Oral Rehabil., 47 (2), 270-280.
23. McSwiney, T. P., Collins, J. M., Bassi, G. S. et al. (2017). The interdisciplinary management of hypodontia patients in the UK: a national service evaluation. Br. Dent. J., 222 (1), 31-35.
24. Ohrbach, R., Dworkin, S. F. (2016). The evolution of TMD diagnosis: past, present, future. J. Dent. Res., 95, 1093-1101.
25. Paco, M., Chaves, P., Pinho, F. et al. (2018). Common symptoms of temporomandibular disorders do not mean same treatment plans: A case series. Int. Orthod., 16 (1), 174-214.
26. Saeidi Pour, R., Engler, M. L., Edelhoff, D. et al. (2018). A patient-calibrated individual wax-up as an essential tool for planning and creating a patient-oriented treatment concept for pathological tooth wear. Int. J. Esthet. Dent., 13 (4), 476-492.
27. Yau, H. T., Yang, T. J., Chen, Y. C. (2014). Tooth model reconstruction based upon data fusion for orthodontic treatment simulation. Comput. Biol. Med., 48, 8-16.
