employee
Perm, Perm, Russian Federation
Perm', Russian Federation
employee
Perm, Perm, Russian Federation
student
Perm, Perm, Russian Federation
employee
Moscow, Moscow, Russian Federation
Diseases of the temporomandibular joint (TMJ), manifested in the form of "dysfunctional disorders", are socially significant and are quite common. Purpose of the study: to find correlations between postural and neuropsychiatric disorders in patients with dysfunctional disorders of the TMJ to improve diagnosis, treatment and follow-up. Materials and research methods. In the period from 2015 to 2021, 63 patients with a dysfunctional condition of the temporomandibular joint were examined, including 10 men (15.87%) and 53 women (84.13%) aged 18 to 79 years (average age 43.58). A statistical analysis of the results of the examination of patients with a dysfunctional state of the TMJ was carried out using a visual analogue scale, the Spielberger–Hanin test, the depression scale of the Center for Epidemiological Studies and the Kerdo vegetative index. At the first stage, the results of the questionnaire data, subjective and objective examination were processed, which included an assessment of the function of the dental system, determination of postural status and identification of neuropsychiatric disorders. At the second stage, a correlation analysis was carried out between the results obtained. Results of own researches. In the course of the study, statistical data on 6 parameters of the Hamburg test were revealed. Correlations were found for the prevalence of nosological forms and pathological changes in the examined patients. The study found patterns of postural and neuropsychiatric disorders. Conclusion. Based on the correlation analysis, it was proved that postural imbalance has a more pronounced effect on the formation of dysfunctions of the ventricular system than neuropsychiatric disorders. Defects of the dentition, increased wearing of the hard tissues of the teeth and secondary deformities, accompanied by a decrease in the height of the lower part of the face, mutually load each other and distort the clinical picture of TMJ dysfunction at the stage of diagnosis, treatment and follow-up.
temporomandibular joint, postural disorders, neuropsychiatric disorders, Hamburg test, correlation analysis
1. Gandylyan K.S., Karpov S.M., Puzin M.N. Patogeneticheskie mehanizmy formirovaniya hronicheskih neparoksizmal'nyh prozopalgiy na primere visochno-nizhnechelyustnogo sustava (obzor literatury). Mezhdunarodnyy zhurnal eksperimental'nogo obrazovaniya. 2014;3:39-45. [K.S. Gandylyan, S.M. Karpov, M.N. Puzin. Pathogenetic mechanisms of the formation of chronic non-paroxysmal prosopalgia on the example of the temporomandibular joint (literature review). International Journal of Experimental Education. 2014;3:39-45. (In Russ.)]. https://www.elibrary.ru/item.asp?id=21373378
2. Koterov A.N., Ushenkova L.N., Zubenkova E.S., Kalinina M.V., Biryukov A.P., Lastochkina E.M., Molodcova D.V., Vaynson A.A. Sila svyazi. Soobschenie 2. Gradacii velichiny korrelyacii. Medicinskaya radiologiya i radiacionnaya bezopasnost'. 2019;6(64):12-24. [A.N. Koterov, L.N. Ushenkova, E.S. Zubenkova, M.V. Kalinina, A.P. Biryukov, Ye.M. Lastochkina, D.V. Molodtsova, A.A. Vaynson. The power of communication. Message 2. Gradations of the correlation value. Medical radiology and radiation safety. 2019;6(64):12-24. (In Russ.)]. DOIhttps://doi.org/10.12737/1024-6177-2019-64-6-12-24
3. Li Yong-Keun, H'yung-Dzhu Mun. Okklyuziya, visochno-nizhnechelyustnoy sustav i zdorov'e organizma v celom. Dental Tribune Russia. 2012;06:1-2. [Li Yong-Keun, Khʹyung-Dzhu Mun. Occlusion, temporomandibular joint and the health of the body as a whole. Dental Tribune Russia. 2012;06:1-2. (In Russ.)]. https://ru.dental-tribune.com/e-paper/dental-tribune-editions/
4. Martyusheva M.V., Schekolova N.B., Astashina N.B. Obosnovanie neobhodimosti ocenki kliniko-funkcional'nogo sostoyaniya oporno-dvigatel'noy sistemy u pacientov s patologiey visochno-nizhnechelyustnogo sustava. Ural'skiy medicinskiy zhurnal. 2020;9(192):86-89. [M.V. Martyusheva, N.B. Shchekolova, N.B. Astashina. Substantiation of the need to assess the clinical and functional state of the musculoskeletal system in patients with pathology of the temporomandibular joint. Ural Medical Journal. 2020;9(192):86-89. (In Russ.)]. DOIhttps://doi.org/10.25694/URMJ.2020.09.17.
5. Mingazova L.R., Orlova O.R., Soyher M.G., Soyher M.I., Fedyushina E.Yu. Trigeminal'nye boli: topicheskaya diagnostika, klinicheskie proyavleniya. Russkiy medicinskiy zhurnal. 2017;24:1745-1749. [L.R. Mingazova, O.R. Orlova, M.G. Soykher, M.I. Soykher, Ye.Yu. Fedyushina. Trigeminal pain: topical diagnosis, clinical manifestations. Russian Medical Journal. 2017;24:1745-1749. (In Russ.)]. https://www.rmj.ru/articles/bolevoy_sindrom/Trigeminalynye_boli_topicheskaya_diagnostika_klinicheskie_proyavleniya/?ysclid=laicvs3i7u937150069
6. Pod redakciey Kalivradzhiyana E.S., Lebedenko I.Yu., Bragina E.A., Ryzhovoy I.P. Ortopedicheskaya stomatologiya. Moskva : GEOTAR-Media. 2018:800. [Eds. E.S. Kalivradzhiyan, I.YU. Lebedenko, Ye.A. Bragina, I.P. Ryzhova. Orthopedic dentistry. Moscow : GEOTAR-Media. 2018;800. (In Russ.)]. https://www.elibrary.ru/item.asp?id=41602322&ysclid=laid0fadeq437415432
7. Petrosov Yu.A. Diagnostika i ortopedicheskoe lechenie zabolevaniy visochno- nizhnechelyustnogo sustava. Krasnodar : Sovet. Kuban'. 2007:304. [Yu.A. Petrosov. Diagnosis and orthopedic treatment of diseases of the temporomandibular joint. Krasnodar : The Council. Kuban. 2007:304. (In Russ.)]. https://elibrary.ru/item.asp?id=19539749
8. Razakov D.H., Timofeev D. A., Konnov V. V., Proshin A. G., Klimov A. V., Pylaev E.V. Psihofiziologicheskoe soprovozhdenie ortopedicheskogo lecheniya bol'nyh s zuboal'veolyarnoy formoy deformaciy zubnyh ryadov i prikusa. Saratovskiy nauchno-medicinskiy zhurnal. 2013;3:456-459. [D.Kh. Razakov, D.A. Timofeyev, V.V. Konnov, A.G. Proshin, A.V. Klimov, E.V. Pylayev. Psychophysiological support of orthopedic treatment of patients with dental alveolar deformities of dentition and bite. Saratov Scientific and Medical Journal. 2013;3:456-459. (In Russ.)]. https://www.elibrary.ru/item.asp?id=21156639&ysclid=laidf0zt5u808219878
9. Romanov A.S., Geletin P.N., Morozov V.G. Sochetannoe primenenie stabilometricheskogo i elektromiograficheskogo issledovaniya dlya diagnostiki funkcional'nyh narusheniy u pacientov s povyshennym stiraniem zubov. Vestnik Smolenskoy gosudarstvennoy medicinskoy akademii. 2018;3:131-135. [A.S. Romanov, P.N. Geletin, V.G. Morozov. Combined use of stabilometric and electromyographic studies for the diagnosis of functional disorders in patients with increased tooth erasure. Bulletin of the Smolensk State Medical Academy. 2018;3:131-135. (In Russ.)]. https://www.elibrary.ru/item.asp?id=35722153&ysclid=laidhqxsly451194906
10. Skvorcov D.V. Ob'ektivnaya ocenka postural'noy funkcii. Vestnik vosstanovitel'noy mediciny. 2016;4(74):96-104. [D.V. Skvortsov. Objective assessment of postural function. Bulletin of Restorative Medicine. 2016;4(74):96-104. (In Russ.)]. https://www.elibrary.ru/item.asp?id=26716421
11. Tatincyan L.V. Novye aspekty kliniki, patogeneza, lecheniya sindroma bolevoy disfunkcii visochno-nizhnechelyustnogo sustava u bol'nyh, obuslovlennye psihoemocional'nymi narusheniyami. Vestnik RUDN. Seriya: Medicina. 2016;4:48-53. [L.V. Tatintsyan. New aspects of the clinic, pathogenesis and treatment of algesis temporal-mandibular joint dysfunction syndrome in patients with psychoemotional disorders. Bulletin of the RUDN. Series: Medicine. 2016;4:48-53. (In Russ.)]. https://www.elibrary.ru/item.asp?id=27438074
12. Fedin A.I. Dorsopatii (klassifikaciya i diagnostika). Nervnye bolezni. 2002;2:2-8. [A.I. Fedin. Dorsopathy (classification and diagnosis). Nervous diseases. 2002;2:2-8. (In Russ.)]. https://cyberleninka.ru/article/n/dorsopatii-klassifikatsiya-i-diagnostika?ysclid=laij3p5gsb177506780
13. Hvatova V.A. Gnatologicheskie principy v diagnostike i lechenii patologii zubochelyustno-licevoy sistemy. Novoe v stomatologii. 2001;1:96. [V.A. Khvatova. Gnathological principles in the diagnosis and treatment of pathology of the maxillofacial system. New in Dentistry. 2001;1:96. (In Russ.)]. https://www.elibrary.ru/contents.asp?id=44032614
14. Horev O.Yu., Mayboroda Yu.N. Okklyuzionnye interferencii i neyromyshechnaya disfunkciya. Kubanskiy nauchnyy medicinskiy vestnik. 2017;6:161-167. [O.Yu. Khorev, Yu.N. Mayboroda. Occlusive interferences and neuromuscular dysfunction. Kuban Scientific Medical Bulletin. 2017;6:161-167. (In Russ.)]. DOI:https://doi.org/10.25207/1608-6228-2017-24-6-161-167
15. Shemonaev V.I., Mihal'chenko D.V., Kuznecova O.A., Klimova T.N., Poroshin A.V. Stomatologicheskaya reabilitaciya pacientov s sochetannoy patologiey okklyuzii i disfunkciey visochno-nizhnechelyustnogo sustava. Volgogradskiy nauchno-medicinskiy zhurnal. 2013;2:47-50. [V.I. Shemonayev, D.V. Mikhalʹchenko, O.A. Kuznetsova, T.N. Klimova, A.V. Poroshin. Dental rehabilitation of patients with combined pathology of occlusion and dysfunction of the temporomandibular joint. Volgograd Scientific and Medical Journal. 2013;2:47-50. (In Russ.)]. https://www.elibrary.ru/item.asp?id=22022533&ysclid=laijbeq9do809837303
16. Ahlers M.O., Jakstat H.A. Durchführung der klinischen Funktionsanalyse. Klinische Funktionsanalyse // Interdisziplinäres Vorgehen mit optimierten Befundbögen. - 2000;2:119-224. https://www.dentaconcept.de/Verlag/Newsletter.shtml
17. Okeson J.P. The Management of Temporomandibular Disorders and Occlusion. Mosby. 2007:685. https://www.elsevier.com/books/management-of-temporomandibular-disorders-and-occlusion/okeson/978-0-323-58210-0
