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 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">Actual problems in dentistry</journal-id>
   <journal-title-group>
    <journal-title xml:lang="en">Actual problems in dentistry</journal-title>
    <trans-title-group xml:lang="ru">
     <trans-title>Проблемы стоматологии</trans-title>
    </trans-title-group>
   </journal-title-group>
   <issn publication-format="print">2077-7566</issn>
   <issn publication-format="online">2412-9461</issn>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="publisher-id">55058</article-id>
   <article-id pub-id-type="doi">10.18481/2077-7566-2022-18-3-149-153</article-id>
   <article-categories>
    <subj-group subj-group-type="toc-heading" xml:lang="ru">
     <subject>СТОМАТОЛОГИЯ ДЕТСКОГО ВОЗРАСТА, ПРОФИЛАКТИКА И ОРТОДОНТИЯ</subject>
    </subj-group>
    <subj-group subj-group-type="toc-heading" xml:lang="en">
     <subject>PEDIATRIC DENTISTRY, PROPHILAXIS AND ORTODONTICS</subject>
    </subj-group>
    <subj-group>
     <subject>СТОМАТОЛОГИЯ ДЕТСКОГО ВОЗРАСТА, ПРОФИЛАКТИКА И ОРТОДОНТИЯ</subject>
    </subj-group>
   </article-categories>
   <title-group>
    <article-title xml:lang="en">METHOD OF DIAGNOSING TEMPORO-MANDIBULAR JOINT DYSFUNCTION IN PATIENTS WITH DENTOALVEOLAR ANOMALY</article-title>
    <trans-title-group xml:lang="ru">
     <trans-title>СПОСОБ ДИАГНОСТИКИ МЫШЕЧНО-СУСТАВНОЙ ДИСФУНКЦИИ ВНЧС У ПАЦИЕНТОВ С ЗУБОЧЕЛЮСТНЫМИ АНОМАЛИЯМИ</trans-title>
    </trans-title-group>
   </title-group>
   <contrib-group content-type="authors">
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Мягкова</surname>
       <given-names>Наталья Викторовна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Myagkova</surname>
       <given-names>Natalia V.</given-names>
      </name>
     </name-alternatives>
     <email>marybel@bk.ru</email>
     <bio xml:lang="ru">
      <p>доктор медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>doctor of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Стяжкин</surname>
       <given-names>Николай Владимирович</given-names>
      </name>
      <name xml:lang="en">
       <surname>Styazhkin</surname>
       <given-names>Nikolay Vladimirovich</given-names>
      </name>
     </name-alternatives>
     <email>nikolayvlad@list.ru</email>
     <xref ref-type="aff" rid="aff-2"/>
    </contrib>
   </contrib-group>
   <aff-alternatives id="aff-1">
    <aff>
     <institution xml:lang="ru">Уральский государственный медицинский университет</institution>
     <city>Екатеринбург</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Ural State Medical University</institution>
     <city>Ekaterinburg</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-2">
    <aff>
     <institution xml:lang="ru">Уральский государственный медицинский университет</institution>
     <city>Екатеринбург</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Ural State Medical University</institution>
     <city>Ekaterinburg</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <pub-date publication-format="print" date-type="pub" iso-8601-date="2022-11-23T21:53:19+03:00">
    <day>23</day>
    <month>11</month>
    <year>2022</year>
   </pub-date>
   <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2022-11-23T21:53:19+03:00">
    <day>23</day>
    <month>11</month>
    <year>2022</year>
   </pub-date>
   <volume>18</volume>
   <issue>3</issue>
   <fpage>149</fpage>
   <lpage>153</lpage>
   <history>
    <date date-type="received" iso-8601-date="2022-11-13T00:00:00+03:00">
     <day>13</day>
     <month>11</month>
     <year>2022</year>
    </date>
   </history>
   <self-uri xlink:href="https://dental-press.ru/en/nauka/article/55058/view">https://dental-press.ru/en/nauka/article/55058/view</self-uri>
   <abstract xml:lang="ru">
    <p>Предмет. Аномалии зубочелюстной системы и деформации зубных рядов у взрослых пациентов часто сопровождаются нарушениями в височно-нижнечелюстном суставе (ВНЧС). В настоящее время возможности диагностики заболеваний ВНЧС значительно возросли благодаря появлению и использованию современных инструментально-технических методов. Однако данные об оптимальном выборе методов исследования, их объеме и последовательности выполнения у пациентов с заболеваниями ВНЧС в литературе не представлены. Лечение пациентов с зубочелюстными аномалиями (ЗЧА), сочетающимися с функциональными нарушениями ВНЧС, по мнению многих авторов, представляет значительные трудности. В настоящее время проблема эффективной диагностики пациентов с ЗЧА и функциональными нарушениями ВНЧС остается актуальной проблемой стоматологии. &#13;
Цель исследования — разработать способ диагностики пациентов с ЗЧА и функциональными нарушениями ВНЧС на основе метода M. Helkimo.&#13;
Методология. Проведено анкетирование и клиническое обследование 150 пациентов 18–44 лет с зубочелюстными аномалиями и симптомами дисфункции височно-нижнечелюстного сустава. Согласно предложенному способу диагностики, определяли признаки дисфункции ВНЧС: суставные, мышечные, неврологические и окклюзионные. При выявлении окклюзионных и мышечных признаков дисфункции проводили углубленное исследование по предложенной схеме. &#13;
Результаты. Собственные наблюдения и исследования показали, что система признаков дисфункции височно-нижнечелюстного сустава может применяться как схема первичного обследования пациента с зубо-челюстными аномалиями и функциональными нарушениями ВНЧС на приеме врача-стоматолога.&#13;
Выводы. Предложенный способ диагностики позволяет врачу-стоматологу на первичном приеме без использования дополнительных инструментальных методов диагностики определить объем необходимых исследований пациентам с наличием зубочелюстных аномалий и функциональных нарушений ВНЧС.</p>
   </abstract>
   <trans-abstract xml:lang="en">
    <p>Subject. Anomalies of the dentition and deformities of the dentition in adult patients are often accompanied by disorders in the temporomandibular joint (TMJ). At present, the possibilities of diagnosing TMJ diseases have increased significantly due to the emergence and use of modern instrumental and technical methods. However, data on the optimal choice of research methods, their scope and sequence of execution in patients with TMJ diseases are not presented in the literature. The treatment of patients with dentoalveolar anomalies (DA), combined with functional disorders of the TMJ, according to many authors, presents significant difficulties. Currently, the problem of effective diagnosis of patients with AF and functional disorders of the TMJ remains an urgent problem in dentistry.&#13;
The aim of the study to develop a method for diagnosing patients with AF and functional disorders of the TMJ based on the method of M. Helkimo.&#13;
Methodology. Questioning and clinical examination of 150 patients aged 18–44 years with dentoalveolar anomalies and symptoms of temporomandibular joint dysfunction were carried out. According to the proposed diagnostic method, signs of TMJ dysfunction were determined: articular, muscular, neurological and occlusive. When identifying occlusal and muscle signs of dysfunction, an in-depth study was carried out according to the proposed scheme.&#13;
Results. Own observations and studies have shown that the system of signs of dysfunction of the temporomandibular joint can be used as a scheme for the initial examination of a patient with dento-maxillary anomalies and functional disorders of the TMJ at the dentist's appointment.&#13;
Conclusions. The proposed diagnostic method allows the dentist at the initial appointment, without using additional instrumental diagnostic methods, to determine the amount of necessary research for patients with dento-maxillary anomalies and functional disorders of the TMJ.</p>
   </trans-abstract>
   <kwd-group xml:lang="ru">
    <kwd>функциональные нарушения</kwd>
    <kwd>височно-нижнечелюстной сустав</kwd>
    <kwd>окклюзия</kwd>
    <kwd>парафункции жевательных мышц</kwd>
    <kwd>зубочелюстные аномалии</kwd>
   </kwd-group>
   <kwd-group xml:lang="en">
    <kwd>functional disorders</kwd>
    <kwd>temporomandibular joint</kwd>
    <kwd>occlusion</kwd>
    <kwd>parafunction of the masticatory muscles</kwd>
    <kwd>dentoalveolar anomalies</kwd>
   </kwd-group>
  </article-meta>
 </front>
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