USE OF MECHANOTHERAPY IN COMBINATION WITH ARTHROCENTESIS IN THE TREATMENT OF PATIENTS WITH INTERNAL DISORDERS OF THE TEMPOROMANDIBULAR JOINT

Vladislav Makarsky; Sergey Ivanov; Valery Beckreev; Evgeniy Belov; Vadim Trufanov; Natalia Zhusheva

doi:10.18481/2077-7566-2026-22-1-183-192

UDC

616.31

VAK Russia

3.1.7

USE OF MECHANOTHERAPY IN COMBINATION WITH ARTHROCENTESIS IN THE TREATMENT OF PATIENTS WITH INTERNAL DISORDERS OF THE TEMPOROMANDIBULAR JOINT

Published in Actual problems in dentistry · Pages 183–192 · Rubric: ORTHOPEDIC AND DIGITAL DENTISTRY. REVIEWS

DOI: https://doi.org/10.18481/2077-7566-2026-22-1-183-192

Received: 22.03.2026 Accepted: 19.04.2026 Published: 19.04.2026 Language of publication: RUS

Authors

Vladislav Makarsky

Sergey Ivanov

Valery Beckreev

Evgeniy Belov

Vadim Trufanov

Natalia Zhusheva

Vladislav Makarsky

Peoples' Friendship University of Russia named after Patrice Lumumba Department of Oral and Maxillofacial Surgery and Surgical Dentistry · Russian Federation · Moscow

Sergey Ivanov

Academic degree: doctor of medical sciences

Science rang: corresponding member author.academy_titles.32

First Moscow State Medical University named after I.M. Sechenov Head of the Department · Maxillofacial Surgery Department · Russian Federation · Moscow

Valery Beckreev

Academic degree: doctor of medical sciences

Science rang: docent

Peoples' Friendship University of Russia named after Patrice Lumumba Professor of the Department · Department of Oral and Maxillofacial Surgery and Surgical Dentistry · Russian Federation · Moscow

Evgeniy Belov

Russian Federation · Moscow

Vadim Trufanov

Academic degree: candidate of medical sciences

Peoples' Friendship University of Russia named after Patrice Lumumba Associate Professor · Department of Oral and Maxillofacial Surgery and Surgical Dentistry · Russian Federation · Moscow

Natalia Zhusheva

Peoples' Friendship University of Russia named after Patrice Lumumba Ultrasound Diagnostics Specialist · Clinical and Diagnostic Center · Russian Federation · Moscow

ABSTRACT

This article examines the use of mechanotherapy in combination with arthrocentesis to improve the effectiveness of treatment for patients with internal disorders of the temporomandibular joint (TMJ). Subject of the study: internal disorders of the temporomandibular joint (TMJ). Objective of the study:to improve the effectiveness of treatment for patients with internal TMJ disorders through the combined use of mechanotherapy and arthrocentesis. Materials and methods: at the Department of Maxillofacial Surgery of the RUDN University, 90 patients with internal TMJ disorders were examined. The patients were divided into two groups based on their diagnosis: ‘Subluxation of the articular disc’ (Group 1) and ‘Chronic dislocation of the articular disc’ (Group 2). Each group was further subdivided into two subgroup1.1 and 2.1 included patients who received a combination of a mouthguard, arthrocentesis, and mechanotherapy as treatment methods. Subgroup 1.2 and Subgroup 2.2 (control subgroups)included patients who did not receive mechanotherapy. Results. The combined use of mechanotherapy and arthropuncture has increased the effectiveness of treatment of internal TMJ disorders. In patients with articular disc subluxation, TMJ function was restored in 90 % of cases (75 % without mechanotherapy), in patients with chronic dislocation – in 88 % (68 % without mechanotherapy). No improvement was achieved in patients with articular disc subluxation in 5 % of cases with the use of mechanotherapy and in 10% of cases without the use of mechanotherapy, and in patients with chronic dislocation there was no improvement in 4 % with the use of mechanotherapy and in 8% without the use of mechanotherapy. Mechanotherapy also reduced the number of arthrocentesis to 1–6 (subluxation) and 1–7 (chronic dislocation) injections and reduced the duration of treatment by an average of 2.1 months. Conclusions. The use of mechanotherapy combined with arthrocentesis in the comprehensive treatment of patients with internal TMJ disorders demonstrated higher effectiveness in normalizing the position and function of the articular disc compared to arthrocentesis alone.

KEYWORDS

mechanotherapy, arthrocentesis, internal disorders, temporomandibular joint, subluxation of the articular disc, chronic dislocation of the articular disc

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GOST

Makarsky V. O., Ivanov S. Y., Beckreev V. V., Belov E. A., Trufanov V. D., Zhusheva N. Y. USE OF MECHANOTHERAPY IN COMBINATION WITH ARTHROCENTESIS IN THE TREATMENT OF PATIENTS WITH INTERNAL DISORDERS OF THE TEMPOROMANDIBULAR JOINT // Actual problems in dentistry. 2026. no. 1. pp. 183-192. DOI: https://doi.org/10.18481/2077-7566-2026-22-1-183-192. (Date of access 07.09.2026).

MLA

Vladislav Makarsky, Ivanov S. Y., Beckreev V. V., Belov E. A., Trufanov V. D., Zhusheva N. Y.. "USE OF MECHANOTHERAPY IN COMBINATION WITH ARTHROCENTESIS IN THE TREATMENT OF PATIENTS WITH INTERNAL DISORDERS OF THE TEMPOROMANDIBULAR JOINT." Actual problems in dentistry 22.1 (2026): 183-192. DOI: https://doi.org/10.18481/2077-7566-2026-22-1-183-192.

APA

Makarsky V. O., Ivanov S. Y., Beckreev V. V., Belov E. A., Trufanov V. D., Zhusheva N. Y. (2026). USE OF MECHANOTHERAPY IN COMBINATION WITH ARTHROCENTESIS IN THE TREATMENT OF PATIENTS WITH INTERNAL DISORDERS OF THE TEMPOROMANDIBULAR JOINT. Actual problems in dentistry, 22(1), 183-192. https://doi.org/10.18481/2077-7566-2026-22-1-183-192

Chicago

Vladislav Makarsky, Ivanov S. Y., Beckreev V. V., Belov E. A., Trufanov V. D., Zhusheva N. Y.. "USE OF MECHANOTHERAPY IN COMBINATION WITH ARTHROCENTESIS IN THE TREATMENT OF PATIENTS WITH INTERNAL DISORDERS OF THE TEMPOROMANDIBULAR JOINT." Actual problems in dentistry 22, no. 1 (2026): 183-192. https://doi.org/10.18481/2077-7566-2026-22-1-183-192.

WIKI

{{cite journal | author = Makarsky V. O., Ivanov S. Y., Beckreev V. V., Belov E. A., Trufanov V. D., Zhusheva N. Y. | title = USE OF MECHANOTHERAPY IN COMBINATION WITH ARTHROCENTESIS IN THE TREATMENT OF PATIENTS WITH INTERNAL DISORDERS OF THE TEMPOROMANDIBULAR JOINT | journal = Actual problems in dentistry | year = 2026 | volume = 22 | issue = 1 | pages = 183-192 | doi = 10.18481/2077-7566-2026-22-1-183-192 }}

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USE OF MECHANOTHERAPY IN COMBINATION WITH ARTHROCENTESIS IN THE TREATMENT OF PATIENTS WITH INTERNAL DISORDERS OF THE TEMPOROMANDIBULAR JOINT

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