[Clinical efficiency of occlusive splints in the treatment of patients with temporomandibular joint dysfunction complicated by bruxism].

Autor:	Borodina ID; Peoples Friendship University of Russia (RUDN University), Moscow, Russia., Apresyan SV; Peoples Friendship University of Russia (RUDN University), Moscow, Russia., Stepanov AG; Peoples Friendship University of Russia (RUDN University), Moscow, Russia., Butkov DS; Peoples Friendship University of Russia (RUDN University), Moscow, Russia., Sanosyan GV; Peoples Friendship University of Russia (RUDN University), Moscow, Russia.
Jazyk:	ruština
Zdroj:	Stomatologiia [Stomatologiia (Mosk)] 2023; Vol. 102 (5), pp. 56-60.
DOI:	10.17116/stomat202310205156
Abstrakt:	Objective: Improving the effectiveness of treatment of patients with temporomandibular joint (TMJ) dysfunction complicated by bruxism. Material and Methods: 70 patients with signs of parafunction of the masticatory muscles were selected for the clinical study. The patients were divided into 2 groups of 35 people. Splints were made for patients from the groups using 2 different 3D printing methods. The treatment was monitored using clinical and instrumental studies, electromyography of the muscles themselves and computed tomography of the TMJ after 3, 6 and 12 months. Results: The severity of hypertonicity of the masticatory muscles decreased by the end of 3 months of treatment with the help of repositioning occlusal splints. After 6 months of treatment, the mean BEA decreased in both study groups, but to a lesser extent than in the first 3 months. After wearing a splint after 12 months, the decrease in muscle tone was insignificant. Conclusion: The clinical use of positioning splints plays a crucial role in the stabilization of occlusion and is a mandatory stage of complex treatment of patients with pathology of the occlusal-musculoskeletal complex.
Databáze:	MEDLINE
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