COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY

Ekaterina Voronina

doi:10.18481/2077-7566-2022-18-2-139-147

VAK Russia 3.1 UDC 616 CSCSTI 76.29 Russian Classification of Professions by Education 31.05.03 Russian Library and Bibliographic Classification 53

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COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY

Published in Actual problems in dentistry · Volume 18, Issue 2 · Pages 139–147 · Rubric: ORTHOPEDIC DENTISTRY

DOI: https://doi.org/10.18481/2077-7566-2022-18-2-139-147

Received: 12.08.2022 Accepted: 18.08.2022 Published: 18.08.2022 Language of publication: RUS

Authors

Ekaterina Voronina

South Ural State Medical university Dentist-orthopedist · Department of Prosthetic Dentistry and Orthodontics · Russian Federation · Chelyabinsk

ABSTRACT

Introduction. Diseases of the temporomandibular joint are an acute problem for the entire dental community, so they are widely studied by various authors both in our country and abroad. This is due to the high prevalence both among patients at the dental reception (78.3–95.3%), and in the general population — up to 80% of the able-bodied population. The presence of a certain forced position of the lower jaw, in the case of a compensated state of pathology of the temporomandibular joint, during total dental treatment, can lead to a sharp decompensation of the disorders of the temporomandibular joint and the appearance of patient complaints. The purpose of the study is to identify predisposing factors for the formation of intraarticular pathology of the temporomandibular joint, which can be assessed by available diagnostic methods. Materials and methods. The object of the study was 80 patients (18 men and 62 women) aged 18 to 67 years, the average age is (45.7 ± 0.5) years: with functional disorders of the TMJ, lateral displacement of the lower jaw, condition after resection of the upper jaw and planned orthopedic and orthodontic patients without signs of intraarticular pathology of the temporomandibular joint. Research results. Based on the data of digital radiological diagnostic methods, the features of the relationship between the intraarticular structures of the temporomandibular joint in patients with lateral displacement of the lower jaw in comparison with people without the manifestation of intraarticular pathology were studied, a narrowing of the middle and distal articular gaps to (2.14 ± 0.20) and (1.74 ± 0.25) mm, respectively (norm indicators — (2.89 ± 0.30) and (2.17 ± 0.25) mm, respectively). Findings. The cone beam computed tomography (CBCT) format 17×20 in the usual bite can be used in a much wider range of diagnostics than the CBCT of the TMJ region, or CBCT of the dentition.

KEYWORDS

lateral displacement of the lower jaw, temporomandibular joint, cone beam computed tomography, forced position of the lower jaw, diagnostics

1. Golinskiy Yu.G. Standartizaciya garantiy ortopedicheskoy reabilitacii bol'nyh s defektami zubnyh ryadov : avtoref. dis. … kand. med. nauk. Sankt-Peterburg, 2000:22. [Ju.G. Golinskij. Standardization of guarantees for orthopedic rehabilitation of patients with dentition defects : abstract dis. … cand. med. sciences. St. Petersburg, 2000:22. (In Russ.)].

2. Iordanishvili A.K., Tolmachev I.A., Al'shevskiy V.V., Polens A.A., Serikov A.A. Kliniko-ekspertnye aspekty ambulatornoy diagnostiki zabolevaniy visochno-nizhnechelyustnogo sustava. Sudebno-medicinskaya ekspertiza. 2011;54(5):18-22. [A.K. Iordanishvili, I.A. Tolmachev, V.V. Al'shevskiĭ, A.A. Polens, A.A. Serikov. Clinico-expert aspects of diagnostics of temporomandibular joint disorders in out-patient medical and preventive treatment facilities. Forensic-medical examination. 2011;54(5):18-22. (In Russ.)]. https://www.elibrary.ru/item.asp?id=18167316

3. Iordanishvili A.K., Barinov E.H., Serikov A.A. Patologiya visochno-nizhnechelyustnogo sustava kak prichina konfliktov i sudebnyh razbiratel'stv v stomatologicheskoy praktike. Medicinskaya ekspertiza i pravo. 2017;(3):21-27. [A. Iordanishvili, E. Barinov, A. Serikov. Pathology of the temporomandibular joint as causes of conflict and litigation in dental practice. Medical Expertise and Law. 2017;(3):21-27. (In Russ.)]. https://www.elibrary.ru/item.asp?id=29430466

4. Kichigina K.E., Polivanaya O.D., Polivanaya A.D. Rasprostranennost' disfunkcii visochno-nizhnechelyustnogo sustava u pacientov na stomatologicheskom terapevticheskom prieme. Voprosy sovremennoy nauki: problemy, tendencii i perspektivy : materialy Mezhdunarodnoy (zaochnoy) nauchno-prakticheskoy konferencii, Nur-Sultan, 6 avgusta 2019 goda. Nur-Sultan. 2019:97-100. [K.E. Kichigina, O.D. Polivanaja, A.D. Polivanaja. Prevalence of temporomandibular joint dysfunction in patients at dental therapy appointment. Questions of modern science: problems, trends and prospects: materials of the International (correspondence) scientific and practical conference, Nur-Sultan, August 6, 2019. Nur-Sultan. 2019:97-100. (In Russ.)]. https://www.elibrary.ru/item.asp?id=39168886

5. Novik M.A., Zolotnickiy I.V. Effektivnost' ispol'zovaniya s'emnyh okklyuzionno-stabiliziruyuschih apparatov, izgotovlennyh iz otechestvennogo bezmonomernogo materiala, u pacientov s patologiey VNChS. Aktual'nye voprosy stomatologii : sbornik nauchnyh trudov, posvyaschennyy osnovatelyu kafedry ortopedicheskoy stomatologii KGMU prof. Isaaku Mihaylovichu Oksmanu. Kazan'. 2021:658-663. [M.A. Novik, I.V. Zolotnickij. Efficiency of using removable occlusion-stabilizing devices made of domestic monomer-free material in patients with TMJ pathology. Topical issues of dentistry : a collection of scientific papers dedicated to the founder of the Department of Orthopedic Dentistry of KSMU prof. Isaac Mikhailovich Oksman. Kazan. 2021:658-663. (In Russ.)]. https://elibrary.ru/item.asp?id=45687317

6. Potapov V.P., Ponomarev A.V., Zaharova E.V., Sadykov M.I., Mal'ceva A.V., Geletin P.N. Mediko-psihologicheskoe soprovozhdenie bol'nyh osteoartrozom visochno-nizhnechelyustnogo sustava. Vestnik medicinskogo instituta «REAVIZ»: reabilitaciya, vrach i zdorov'e. 2018;(5):112-117. [V.P. Potapov, A.V. Ponomarev, E.V. Zakharova, M.I. Sadykov, A.V. Maltseva, P.N. Geletin. Psychological support of patients with temporomandibular joint osteoarthritis. Bulletin of the medical institute “REAVIZ”: rehabilitation, doctor and health. 2018;(5):112-117. (In Russ.)]. https://elibrary.ru/item.asp?id=36871906

7. Rubnikovich S.P., Grischenkov A.S. Differencirovannyy psihologicheskiy podhod v diagnostike zabolevaniy visochno-nizhnechelyustnyh sustavov i zhevatel'nyh myshc. Medicinskiy zhurnal. 2019;(1):41-46. [S.P. Rubnikovich, A.S. Grishchenkov. Differentiated psychological approach to the diagnosis of diseases of the temporomandibular joints and masticatory muscles. Medical Journal. 2019;(1):41-46. (In Russ.)]. https://elibrary.ru/item.asp?id=36948211

8. Semenov R.R., Karpov S.M. Kachestvo zhizni pri sindrome bolevoy disfunkcii visochno-nizhnechelyustnogo sustava. Rossiyskiy zhurnal boli. 2017;(1):85-86. [R.R. Semenov, S.M. Karpov. Quality of life in temporomandibular joint pain dysfunction syndrome. Russian Journal of Pain. 2017;(1):85-86. (In Russ.)]. https://elibrary.ru/item.asp?id=29160212

9. Strekalova E.L., Dzhasheeva D.I., Halkecheva L.N., Strekalov A.A. Analiz epidemiologicheskih aspektov rasstroystv VNChS na pervichnom ortopedicheskom prieme. Institut stomatologii. 2021;(1):14-15. [E.L. Strekalova, D.I. Dzhasheeva, L.N. Khalkecheva, A.A. Strekalov. Analysis of epidemiological aspects of TMJ disorders at the first prosthodontic appointment. The Dental Institute. 2021;(1):14-15. (In Russ.)]. https://elibrary.ru/item.asp?id=45632811

10. Trezubov V.N., Bulycheva E.A., Posohina O.V. Izuchenie neyromyshechnyh narusheniy u bol'nyh s rasstroystvami VNChS, oslozhnennyh parafunkciyami zhevatel'nyh myshc. Institut stomatologii. 2005;(4):85-89. [V.N. Trezubov, E.A. Bulycheva, O.V. Posohina. The study of neuromuscular disorders in patients with TMJ disorders complicated by parafunctions of masticatory muscles. The Dental Institute. 2005;(4):85-89. (In Russ.)]. https://elibrary.ru/item.asp?id=15267483

11. Fadeev R.A., Parshin V.V., Prozorova N.V. Sindrom vynuzhdennogo polozheniya nizhney chelyusti - nozologicheskaya edinica zabolevaniy visochno-nizhnechelyustnogo sustava. Institut stomatologii. 2020;(3):74-75. [R.A. Fadeev, V.V. Parshin, N.V. Prozorova. Syndrome forced position of the lower jaw - nosological unit of temporomandibular joint diseases. The Dental Institute. 2020;(3):74-75. (In Russ.)]. https://elibrary.ru/item.asp?id=44076256

12. Hvatova V.A. Klinicheskaya gnatologiya. Monografiya. Moskva. 2005:294. [V.A. Hvatova. Clinical gnathology. Monograph. Moscow. 2005:294. (In Russ.)]. http://www.stomatkniga.ru/stomatall/241-hvatova/

13. Fadol Y., Leresche L., Mancl L., Heaton L., Truelove E. Referred Pain in Temporomandibular Disorders: Prevalence, Associated Factors and Effects on TMD Prognosis // Oral Surg. Oral Med. Oral Pathol. Oral Radiol. - 2018;126(4):E205-E206. https://doi.org/10.1016/j.oooo.2018.05.041

14. Klasser G.D., Manfredini D., Goulet J.P., De Laat A. Orofacial pain and temporomandibular disorders classification systems: a critical appraisal and future directions // J. Oral Rehabil. - 2018;45(3):258-268. https://doi.org/10.1111/joor.12590

15. Konnov V., Bulkina N., Arushanyan A., Pichugina E., Matitsyna T., Vorobieva M., Mukhamedov R., Khodorich A. Morpho-functional changes in temporomandibular joint in case of dental defects complicated by lower jaw distal shift // Archiv EuroMedica. - 2019;9(3):100-103. https://doi.org/10.35630/2199-885X/2019/9/3.28

16. Poluha R.L., Canales G.T., Costa Y.M., Grossmann E., Bonjardim L.R., Conti P.C.R. Temporomandibular joint disc displacement with reduction: a review of mechanisms and clinical presentation // J. Appl. Oral Sci. - 2019;27:e20180433. https://doi.org/10.1590/1678-7757-2018-0433

17. Shephard M.K., Macgregor E.A., Zakrzewska J.M. Orofacial pain: a guide for the headache physician // Headache. - 2014;54(1):22-39. https://doi.org/10.1111/head.12272

18. Tresoldi M., Dias R., Bracci A., Segù M., Guarda-Nardini L., Manfredini D. Magnetic Resonance Imaging Evaluation of Closed-Mouth TMJ Disc-Condyle Relationship in a Population of Patients Seeking for Temporomandibular Disorders Advice // Pain Res. Manag. - 2021;2021:5565747. https://doi.org/10.1155/2021/5565747

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GOST

Voronina E. A. COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY // Actual problems in dentistry. 2022. no. 2. pp. 139-147. DOI: https://doi.org/10.18481/2077-7566-2022-18-2-139-147. (Date of access 24.10.2026).

MLA

Ekaterina Voronina. "COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY." Actual problems in dentistry 18.2 (2022): 139-147. DOI: https://doi.org/10.18481/2077-7566-2022-18-2-139-147.

APA

Voronina E. A. (2022). COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY. Actual problems in dentistry, 18(2), 139-147. https://doi.org/10.18481/2077-7566-2022-18-2-139-147

Chicago

Ekaterina Voronina. "COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY." Actual problems in dentistry 18, no. 2 (2022): 139-147. https://doi.org/10.18481/2077-7566-2022-18-2-139-147.

WIKI

{{cite journal | author = Voronina E. A. | title = COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY | journal = Actual problems in dentistry | year = 2022 | volume = 18 | issue = 2 | pages = 139-147 | doi = 10.18481/2077-7566-2022-18-2-139-147 }}

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COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY

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