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Volume 48S Number 2

Volume 48S Number 2

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Improving the effectiveness of treatment based on an interdisciplinary approach of specialists to the diagnosis of temporomandibular joint dysfunction

Gayrat Elmurodovich Idiev^a

 
ABSTRACT:     Using electromyography of the masticatory muscles, the muscle balance in patients with TMJ dysfunction was effectively evaluated and differentiated by recording [2.4]. Also, the possibility of diagnosing the state of the masticatory and temporal muscles using a computer neuromyographic analyzer in persons with TMJ pathology is justified. The purpose of the study. To determine the effectiveness of diagnosis and treatment on the etiopathogenetic mechanism of TMJ pathology based on the approaches of specialists of an interdisciplinary relationship. Determination of the dental status of patients was carried out on the basis of a comprehensive examination, including generally accepted in-depth clinical methods; survey, examination, palpation, percussion, probing. Early signs of dysfunction included: deviation of the n / h when opening the mouth to the right or left side of more than 5 mm, zigzag movement of the n / h when opening the mouth, restriction of opening the mouth to 3 cm, increased fatigue of the masticatory muscles. In the study, according to modern ideas about the etiopathogenesis of neuropsychiatric disorders, the diagnosis of the condition of the examined patients was considered by us from the point of view of the participation in the development of the disease of both biological, psychological and social factors; therefore, on the basis of the formulation of clinical, psychological and social diagnoses, the parameters of the neurological and mental state of the patient, his psychological characteristics, as well as important characteristics of society were determined. The conducted study indicates a high prevalence of signs of TMJ BSD: 46.1% had complaints of clicks in the TMJ area when opening and/or closing the mouth (including clicks when opening the mouth on the right – in 45 (15.84%); on the left – in 80 (28.57%); painful sensations in the TMJ area 49.5%, discomfort when closing teeth, occlusion violation in 53.1%, restriction of opening the mouth experienced in 29.6% of the examined

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Received 7 Jan 2021, Accepted 26 Apr 2022