PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE)

Mihail Postnikov; Aleksandr Nesterov; Marsel' Sagirov; Ekaterina Badyagina

doi:10.18481/2077-7566-20-17-2-143-147

UDC 61

PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE)

Published in Actual problems in dentistry · Volume 17, Issue 2 · Pages 143–147 · Rubric: ORTHOPEDIC DENTISTRY

DOI: https://doi.org/10.18481/2077-7566-20-17-2-143-147

Received: 09.08.2021 Accepted: 27.11.2025 Language of publication: RUS

Authors

Mihail Postnikov

Aleksandr Nesterov

Marsel' Sagirov

Ekaterina Badyagina

Mihail Postnikov

Academic degree: doctor of medical sciences

Science rang: professor

Samara State Medical University Associate Professor of Department · Department of Therapeutic Dentistry · Russian Federation · Samara

Aleksandr Nesterov

Samara State Medical University docent kafedry ortopedicheskoy stomatologii · Samara

Marsel' Sagirov

Academic degree: candidate of medical sciences

Samara State Medical University assistant of the department · Department of Prosthetic Dentistry · Samara

Ekaterina Badyagina

Samara State Medical University Ordinator · Department and Clinic of Therapeutic Dentistry · Russian Federation · Samara

ABSTRACT

Introduction. An actual problem of modern dentistry is the anomalies of the position of the lower jaw. The share of these diseases in the structure of requests for dental care can reach up to 27%. The most common pathology is distal occlusion, which accounts for 25 to 37% of all occlusion abnormalities. The aim of this work was to describe and demonstrate on a clinical example the method of orthopedic treatment of patients with distal occlusion proposed by the authors. Material and methods of research. The paper presents a new method of orthopedic treatment of patients with distal occlusion using a deprogrammer of the original design. Orthopedic treatment of patients was carried out on the basis of a multidisciplinary clinic of Postnikov in the city of Samara. Using the method proposed by the authors, orthopaedic treatment was performed in 36 patients with distal occlusion. For clarity, the article considers an original clinical case of treatment of a patient with distal occlusion, who was made a deprogrammer of the author's design, with a detailed analysis of each stage of diagnosis and orthopedic treatment. To confirm the effectiveness of the proposed technique, a CT scan of the patient's temporomandibular joint was performed before and after orthopedic treatment. As a result of the treatment, the patient has a decrease in the hypertonicity of the masticatory muscles, which made it possible to position the lower jaw in the position of the central ratio, which is confirmed by CT data. Conclusion. The use of a deprogrammer-mouthguard, the proposed design allows for deprogramming of the masticatory muscles and correctly determining the central ratio of the jaws, and can be used in the treatment of patients with distal occlusion.

KEYWORDS

distal occlusion, deprogrammer, kappa, central jaw ratio, temporomandibular joint CT

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GOST

Postnikov M. A., Nesterov A. M., Sagirov M. R., Badyagina E. S. PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE) // Actual problems in dentistry. 2021. no. 2. pp. 143-147. DOI: https://doi.org/10.18481/2077-7566-20-17-2-143-147. (Date of access 01.11.2026).

MLA

Mihail Postnikov, Nesterov A. M., Sagirov M. R., Badyagina E. S.. "PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE)." Actual problems in dentistry 17.2 (2021): 143-147. DOI: https://doi.org/10.18481/2077-7566-20-17-2-143-147.

APA

Postnikov M. A., Nesterov A. M., Sagirov M. R., Badyagina E. S. (2021). PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE). Actual problems in dentistry, 17(2), 143-147. https://doi.org/10.18481/2077-7566-20-17-2-143-147

Chicago

Mihail Postnikov, Nesterov A. M., Sagirov M. R., Badyagina E. S.. "PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE)." Actual problems in dentistry 17, no. 2 (2021): 143-147. https://doi.org/10.18481/2077-7566-20-17-2-143-147.

WIKI

{{cite journal | author = Postnikov M. A., Nesterov A. M., Sagirov M. R., Badyagina E. S. | title = PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE) | journal = Actual problems in dentistry | year = 2021 | volume = 17 | issue = 2 | pages = 143-147 | doi = 10.18481/2077-7566-20-17-2-143-147 }}

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PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE)

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