TEMPOROMANDIBULAR DISC RECAPTURE AND ITS EFFECT ON THE TMJ BONE ELEMENTS
DOI:
https://doi.org/10.35220/2523-420X/2024.4.13Keywords:
temporomandibular disc reposition, reposition splint, cone-beam computed tomography, magnetic resonance tomographyAbstract
The aim of the study: to show the effectiveness of the sequential use of two techniques (the author’s technique for the manufacture of a deprogramming device on the upper jaw and the manufacture of a reposition splint on the upper jaw) for the treatment of the temporomandibular joint (TMJ) by its reposition, and to assess their long-term effectiveness in the remodeling of bone and soft tissue elements of the TMJ by conducting control diagnostic cone-beam computed tomography TMJ (TMJ CBCT) and TMJ magnetic resonance imaging (TMJ MRI) before and after DMJ reposition. Materials and methods: The examinee applied to the Department of Orthopedic Dentistry, Digital Technologies and Implantology, Faculty of Dentistry of the Shupyk National Health University of Ukraine. In the process after filling out the normative consent and familiarizing himself with the examination plan (approved by the Commission on Ethics and Academic Integrity of the Shupyk National Health University of Ukraine (protocol No. 13/10), a clinical examination of the patient was carried out with TMJ CBCT, TMJ MRI, the manufacture of a deprogramming device for a period from 7 to 10 days (wearing mode: 2-3 hours a day). Scientific novelty: The study proposes a new comprehensive approach to the treatment of DDWR, based on deprogramming the masticatory muscles before the use of anterior reposition devices (ARA). This method provides a reduction in symptoms and a significant improvement in the structural characteristics of the joint, which is presented in this clinical case. Reduction of pain, discomfort and other symptoms associated with DDWR. The technique also helps to restore the physiological position of the disc and reduce degenerative changes in the joint. Long-term treatment results have been confirmed by numerous clinical studies and MRI diagnostics, indicating sustained improvements in the condition of patients with DDWR. Conclusions: The study confirmed the high efficiency of the sequential use of two techniques for the treatment DDWR of the TMJ. The use of our proposed method of treatment with the sequential use of a deprogramming device and a repon guard on the upper jaw contributed to the reduction of the dTMJ and the improvement of bone and soft tissue elements of the TMJ. Control and diagnostic images using cone-beam computed tomography (CBCT) and magnetic resonance imaging (MRI) confirmed the long-term effectiveness of the methods used. The treatment effectively reduced pain, discomfort and other symptoms associated with the TMJ and contributed to the restoration of the physiological position of the dTMJ, as well as the reduction of degenerative changes in the joint.
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