Functional interaction of chewing muscles in children with dentoalveolar system anomalies

2021 ◽  
Vol 25 (2) ◽  
pp. 136-146
Author(s):  
I. V. Kosolapova ◽  
E. V. Dorokhov ◽  
M. E. Kovalenko ◽  
R. V. Lesnikov
Keyword(s):  
Correlation Analysis ◽  
Dental Treatment ◽  
Statistical Processing ◽  
Bioelectric Activity ◽  
Microsoft Excel ◽  
Lower Jaw ◽  
Muscle Groups ◽  
Dental Apparatus ◽  
The Right ◽  
Distal Occlusion

Relevance. The focus of modern dental treatment not only on the elimination of aesthetic, but also functional disorders requires an understanding of the functional conjugation of the chewing muscles, the possibility of interprognosis of parameters. Objective. Assess the functional relationship between the tone of the chewing muscles proper and the bioelectric activity of the temporal and sublingual muscle groups in children with anomalies of the dentoalveolar system. Materials and Methods. The study involved 36 patients of Childrens Clinical Dental Clinic No. 2 of Voronezh, aged 6 to 12 years, who had not previously received orthodontic treatment and had distal occlusion anomalies. Evaluation of the bioelectric activity of temporal and sublingual muscles was carried out using surface electromyography on the Electromyograph Dental apparatus (Taganrog, Russia), the Chewing General sample. Evaluation of the tone of the chewing muscles proper was carried out using the Mioton-3C device in a state of physiological rest of the lower jaw. Statistical processing was carried out using Microsoft Excel, version 7.0 and the statistical programs SPSS Statistics 21 and STATISTICA 7. Results and Discussion. Correlation analysis revealed the presence of 4 weak positive, 2 weak negative, 14 moderate positive, 3 moderate negative, and 1 noticeable positive correlation between the tone of the right chewing muscle proper and the parameters of the bioelectric activity of the right and left temporal and sublingual muscles. Correlation analysis revealed the presence of 5 weak positive, 7 weak negative, 9 moderate negative correlations between the tone of the left chewing muscle proper and the parameters of bioelectric activity of the right and left temporal and sublingual muscles. Conclusion. A greater effect of the tone of the right chewing muscle on the bioelectric activity of temporal and sublingual muscles was found compared to the tone of the left chewing muscle itself. 27 equations have been derived that can be used as predictive models for calculating the tone of right and left chewing muscles proper depending on the indicators of bioelectric activity of temporal and sublingual muscles.

scholarly journals ASSESSMENT OF BONE QUALITY IN THE FRONTAL PART OF MANDIBLES IN FEMALE PATIENTS OF VARIOUS AGES USING CONE-BEAM COMPUTED TOMOGRAPHY

2020 ◽  
Vol 16 (3) ◽  
pp. 83-89
Author(s):  
Natal'ya Nurieva ◽  
Irina Shelegova ◽  
Dar'ya Vazhenina
Keyword(s):  
Bone Density ◽  
Optical Density ◽  
Cone Beam ◽  
Microsoft Excel ◽  
Female Patients ◽  
Lower Jaw ◽  
Frontal Part ◽  
Age Related ◽  
The Right ◽  
Symmetrical Points

Thing. The optical density of the lower jaw in the frontal part of female patients was studied, age-related differences in the optical density of the lower jaw were revealed. The aim is to reveal the variability of the values of optical density of the lower jaw in the anterior region in female patients. Methodology. Computed tomograms of the lower jaws of 26 patients were analyzed. The optical density of the bone was assessed using the method of computer densitometry in Hounsfield arbitrary units, measurements were carried out in the area of the root apexes of the lower canines. Statistical analysis was carried out using Microsoft Excel, Windows 9. Results. In 84.6 % of cases, the optical density of bone tissue in the area of 3.3 and 4.3 teeth is within the same class according to the Misch classification. In this group, 72.7 % of patients had class D2, 18.18 ― D1, 9 ― D3; in 15.4 %, the bone density on the right and left sides of the mandible belongs to D2 and D3. The optical density between two relatively symmetrical points is in the range from 2 to 238 units, between the right and left sides it is 129.66 HU. In the group of 30―39 (n = 6) years, in 50 % of cases, bone density belongs to class D2, in 33.33 ― D1, in 16.66 ― D3; 40―49 (n = 8) years in 87.5 % of cases ― D2, in 12.5 ― D1; 50―59 (n = 6) years at 50 % ― D2 and at 50 ― D3; 60―68 (n = 6) years at 50 % ― D2 and at 50 ― D3. Conclusions. With increasing age of patients, there is a decrease in bone density in the lower jaw in the canine area.

Successful radiation therapy for primary cutaneous follicle center lymphoma

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Takashi Matsushita ◽  
Tomoyasu Kumano ◽  
Kazuhiko Takehara
Keyword(s):  
Radiation Therapy ◽  
Skin Biopsy ◽  
B Cell ◽  
B Cell Lymphomas ◽  
Solitary Lesion ◽  
Lower Jaw ◽  
First Choice ◽  
The Right

Primary cutaneous follicle center lymphoma (PCFCL) accounts for the majority of primary cutaneous B-cell lymphomas. We report a 60-year-old womanwith PCFCL. She had a red nodule (25 × 25 mm) on the right side of the lower jaw. She was diagnosed with PCFCL by skin biopsy. And then, she was treated with radiation therapy (total 30.6 Gy), which completely eliminated the nodule. Our case suggests that radiation therapy may be a first choice for PCFCL patients with a solitary lesion or localized lesions.    

Comparison of the efficiency of the indexes of Pont and Korkhause with Kernott technique in patients with narrowing of maxilla

2020 ◽  
Vol 20 (3) ◽  
pp. 199-203
Author(s):  
O. I. Admakin ◽  
I. A. Solop ◽  
A. D. Oksentyuk
Keyword(s):  
Dental Treatment ◽  
Standard Analysis ◽  
Clinical Hospital ◽  
Control Models ◽  
Diagnostic Models ◽  
Left And Right ◽  
The Asymmetry ◽  
The Right ◽  
The University ◽  
Medical University

Relevance. The narrowing of the maxilla is one of the most common pathologies in orthodontics. Recent studies show that the narrowing is always asymmetric which is connected to the rotation of the maxilla. To choose the treatment correctly one need a calculation that reveals the asymmetry, which is impossible with using standard indexes.Purpose – to compare efficiency of indexes of Pont and Korkhause with the Kernott's method in patients with narrowing of the maxilla.Materials and methods. The study involved 35 children aged from 8 to 12 years old undergoing dental treatment in the University Children's Clinical Hospital of the First Moscow State Medical University with no comorbidities. For every patient a gypsum model was prepared and after that to carry out the biometrical calculation. In this study two indexes were used: Pont's index and Korkhause's; using this standard analysis the narrowing of the maxilla was revealed. After using Pont's Index and Korkhaus analysis all the models were calculated by the method of Kernott with Kernott's dynamic pentagon.Results. As a result of the analysis of the control diagnostic models a narrowing of the maxilla in 69% of cases (n = 24) was revealed in all cases, the deviation of the size of the dentition was asymmetric. Thus, 65% of the surveyed models showed a narrowing on the right. This narrowing was of a different severity and averaged 15 control models.Conclusions. This shows that for the biometrics of diagnostic models it is necessary to use methods that allow to estimate the width of the dentition rows on the left and on the right separately. To correct the asymmetric narrowing of the dentition, it is preferable to use non-classical expanding devices that act equally on the left and right sides separetly.

ASSESSMENT OF PHYSIOLOGICAL PARAMETERS OF THE TRIGEMINAL AND COCHLEOVESTIBULAR SYSTEMS IN TEMPOROMANDIBULAR JOINT PAIN DYSFUNCTION

2020 ◽  
Vol 17 (2) ◽  
pp. 110-120
Author(s):  
N.D. Sorokina ◽  
◽  
L.R. Shahalieva ◽  
S.S. Pertsov ◽  
L.V. Polma ◽  
...  
Keyword(s):  
Nervous System ◽  
Evoked Potentials ◽  
Temporomandibular Joint ◽  
Differential Diagnostics ◽  
Autonomous Nervous System ◽  
Dental Diseases ◽  
Grade Ii ◽  
The Right ◽  
Distal Occlusion ◽  
The Brain

One of the most common causes of chronic pain in the facial region, including in the trigeminal nerve link, which is not associated with dental diseases, is pain dysfunction of the temporomandibular joint. At the same time, there is evidence in the literature that there are relationships between pain dysfunction of the temporomandibular joint, abnormal occlusion, cervical-muscular tonic phenomena, postural disorders, dysfunction of the Autonomous nervous system and cochleovestibular manifestations. At the same time, neurophysiological indicators of functional disorders in the maxillofacial region and intersystem interactions in pain dysfunction of the temporomandibular joint are insufficiently studied.Goal. The aim of the work is to evaluate the neurophysiological features of trigeminal afferentation in terms of trigeminal somatosensory evoked potentials (TSWP) and the auditory conducting system of the brain in terms of acoustic stem evoked potentials (ASVP) in distal occlusion of the dentition with pain dysfunction of the temporomandibular joint (TMJ) in comparison with physiological occlusion in students 18-21 years old. Material and methods. The main study included 41 students with distal occlusion (21 girls and 20 boys), (grade II Engl, symmetrically right and left in 14 people, and grade II Engl on the left and grade I on the right in 12 people, grade I on the left and grade II on the right in 15 people). All respondents with distal occlusion and who were practically healthy signed an informed consent to participate in the study. We used complex orthodontic methods of examination, subjective degree of severity and intensity of pain in the TMJ, assessment of the Autonomous nervous system (samples and tests), and neurophysiological methods for assessing TSVP and ASVP. Results. Significant differences in ASEP parameters were found in the group of respondents with distal occlusion in the form of a decrease in the latency period of peak I, III, and V compared to physiological occlusion, that correlated with the subjective assessment (in points) of cochleovestibular disorders. According to the TSVP study, a decrease in the duration of latent periods was found, which indicates an increased excitability of non-specific brain stem structures at the medullo-ponto-mesencephalic level compared to the control group. Conclusions. The results obtained are supposed to be used for differential diagnostics, including such dental diseases as TMJ pain dysfunction, occlusion abnormalities accompanied by pain syndrome. Additional functional diagnostics of multi-modal VP of the brain (acoustic evoked potentials, trigeminal evoked potentials) can be performed in conjunction with indicators of autonomic nervous system dysfunction, with parameters of severity of clinical symptoms of cochleovestibular disorders, musculoskeletal dysfunction the maxillofacial area, with indicators of pain, which will determine the tactics and effectiveness of subsequent treatment.

Improvement of the prosthodontic treatment protocol in patients with TMD via functional diagnosis

2021 ◽  
Vol 26 (2) ◽  
pp. 144-149
Author(s):  
L. V. Dubova ◽  
S. S. Prisyazhnykh ◽  
N. V. Romankova ◽  
D. I. Tagiltsev ◽  
G. V. Maksimov
Keyword(s):  
Treatment Protocol ◽  
Cone Beam ◽  
Control Group ◽  
Central Position ◽  
Optimal Position ◽  
Electrical Nerve Stimulation ◽  
Functional Diagnosis ◽  
Stabilization Splint ◽  
Lower Jaw ◽  
The Right

Relevance. The purpose of the research is to improve the functional diagnosis protocol in prosthodontic treatment of patients with TMD.Materials and methods. The optimal position of the mandible was determined for each patient by two methods: 1) TENS (transcutaneous electrical nerve stimulation) and 2) TENS + kinesiography. Then, the cone-beam computed tomography (CBCT) data were analyzed to determine the most physiological position of the condyles.Results. The analysis of the CT scans of patients without TMD (control group) showed that the right and left condyles occupy an anterior or central symmetrical position relative to the glenoid fossa. In the first and second methods, the condyles occupy an anterior or central position, which is the most optimal position of the lower jaw for the manufacturing of an occlusal stabilization splint. The statistical coefficients allowed us to determine that the second method was more accurate, since the obtained values were lower than those of the first method.Conclusion. Based on the results of this study, we can conclude that the improvement of the protocol, namely a new method for determining the optimal position of the mandible is more time-consuming, but more accurate and allows increasing the effectiveness at all stages of treatment of patients with this pathology.

scholarly journals Experimental Study on Strength Evaluation Applied for Teeth Extraction: An In Vivo Study

2013 ◽  
Vol 7 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Marco Cicciù ◽  
Ennio Bramanti ◽  
Fabrizio Signorino ◽  
Alessandra Cicciù ◽  
Francesco Sortino
Keyword(s):  
Strain Measurement ◽  
In Vivo Study ◽  
Microsoft Excel ◽  
Premolar Extraction ◽  
Lower Jaw ◽  
System Data ◽  
Computerized System ◽  
Teeth Extraction

Purpose: The aim of this work was to analyse all the applied movements when extracting healthy upper and lower jaw premolars for orthodontic purposes. The authors wanted to demonstrate that the different bone densities of the mandible and maxilla are not a significant parameter when related to the extraction force applied. The buccal and palatal rocking movements, plus the twisting movements were also measured in this in-vivo study during premolar extraction for orthodontic purposes. Methods: The physical strains or forces transferred onto the teeth during extraction are the following three movements: gripping, twisting, and traction. A strain measurement gauge was attached onto an ordinary dentistry plier. The strain measurement gauge was constituted with an extensimetric washer with three 45º grids. The system operation was correlated to the variation of electrical resistance. Results: The variations of resistance (∆R) and all the different forces applied to the teeth (∆V) were recorded by a computerized system. Data results were processed through Microsoft Excel. The results underlined the stress distribution on the extracted teeth during gripping, twisting and flexion. Conclusions: The obtained data showed that the strength required to effect teeth extraction is not influenced by the quality of the bone but is instead influenced by the shape of the tooth’s root.

scholarly journals Post-anaesthetic myelomalacia in a horse : clinical communication

2005 ◽  
Vol 76 (1) ◽  
Author(s):  
K.E. Joubert ◽  
N. Duncan ◽  
S.E. Murray
Keyword(s):  
Peripheral Nerves ◽  
Voluntary Movement ◽  
Rare Complication ◽  
Neurological Complication ◽  
Pain Response ◽  
Sitting Position ◽  
Axonal Swelling ◽  
Clinical Communication ◽  
Muscle Groups ◽  
The Right

This article describes a rare neurological complication of anaesthesia in a 2 year-old Clydesdale colt undergoing castration. Anaesthesia was induced with glyceryl guaiacol ether and ketamine and maintained with halothane. Following an uneventful anaesthetic of 40 minutes, the horse recovered from anaesthesia in a padded recovery stall. After approximately 70 minutes in the recovery stall, the horse attempted to stand and adopted a dog sitting position. One hundred and fifty minutes later, the horse became distressed and was sedated with xylazine. Clinical examination of the horse did not reveal any evidence of myositis or fractures. A neurological examination revealed an intact anal reflex, deep pain response in the hind legs, tail tone and voluntary movement of the hind legs was possible. The horse deteriorated neurologically over the next 24 hours and was euthanased on humane grounds. The horse was submitted for necropsy. Gross pathology was unremarkable except for a small amount of haemorrhage around the right kidney. Histopathology revealed no abnormalities in any muscle groups or peripheral nerves. Congestion and axonal swelling of the spinal cord was evident from T16 to S1. Ischaemic neurons were evident from L 1 to L 6. The most prominent lesions were at L4 and L5. A diagnosis of myelomalacia was made. This is a rare complication of anaesthesia in horses with 9 case studies appearing in the literature since 1979. This is the 1st case to be reported in South Africa. The speculated pathophysiology and risk factors for this complication are discussed.

Viscerosomatic interaction induced by myocardial ischemia in conscious dogs

2007 ◽  
Vol 103 (2) ◽  
pp. 511-517 ◽  
Author(s):  
Patricia A. Gwirtz ◽  
Jerry Dickey ◽  
David Vick ◽  
Maurice A. Williams ◽  
Brian Foresman
Keyword(s):  
Myocardial Ischemia ◽  
Contractile Function ◽  
Muscle Tone ◽  
Muscle Tension ◽  
Left Ventricular ◽  
Diagnostic Potential ◽  
Myocardial Contractile ◽  
Muscle Groups ◽  
The Right ◽  
Somatic Response

Studies tested the hypothesis that myocardial ischemia induces increased paraspinal muscular tone localized to the T2–T5 region that can be detected by palpatory means. This is consistent with theories of manual medicine suggesting that disturbances in visceral organ physiology can cause increases in skeletal muscle tone in specific muscle groups. Clinical studies in manual and traditional medicine suggest this phenomenon occurs during episodes of myocardial ischemia and may have diagnostic potential. However, there is little direct evidence of a cardiac-somatic mechanism to explain these findings. Chronically instrumented dogs [12 neurally intact and 3 following selective left ventricular (LV) sympathectomy] were examined before, during, and after myocardial ischemia. Circumflex blood flow (CBF), left ventricular contractile function, electromyographic (EMG) analysis, and blinded manual palpatory assessments (MPA) of tissue over the transverse spinal processes at segments T2–T5 and T11–T12 (control) were performed. Myocardial ischemia was associated with a decrease in myocardial contractile function and an increase in heart rate. MPA revealed increases in muscle tension and texture/firmness during ischemia in the T2–T5 segments on the left, but not on the right or in control segments. EMG demonstrated increased amplitude for the T4–T5 segments. After LV sympathectomy, MPA and EMG evidence of increased muscle tone were absent. In conclusion, myocardial ischemia is associated with significant increased paraspinal muscle tone localized to the left side T4–T5 myotomes in neurally intact dogs. LV sympathectomy eliminates the somatic response, suggesting that sympathetic neural traffic between the heart and somatic musculature may function as the mechanism for the interaction.

scholarly journals Combined surgical treatment of arteriovenous malformation of the lower jaw

2020 ◽  
Vol 34 (4) ◽  
pp. 95-104
Author(s):  
D.V. Shchehlov ◽  
V.M. Zahorodnii ◽  
I.V. Altman ◽  
N.V. Kiselyova ◽  
I.I. Kashkish
Keyword(s):  
Arteriovenous Malformation ◽  
Cerebral Angiography ◽  
Combined Treatment ◽  
The Body ◽  
Facial Artery ◽  
External Carotid ◽  
Maxillary Artery ◽  
Terminal Branch ◽  
Lower Jaw ◽  
The Right

The objective – to presents the observation of combined treatment of a patient with arteriovenous malformation of the lower jaw.A man, 21 years old, was hospitalized in the Scientific-Practical Center of Endovascular Neuroradiology NAMS of Ukraine with complaints of bleeding from a tooth socket after an attempt to remove the 6th tooth (first painter) of the lower jaw on the left. According to the performed survey radiography of the lower jaw, an aneurysmal bone cyst was revealed in the body of the lower jaw on the left, corresponding to the localization of bleeding. According to cerebral angiography, an arteriovenous malformation of the lower jaw was revealed on the left, the afferent arteries of which were: the right facial artery (a branch of the right external carotid artery (ECA)), the left facial artery (a branch of the left ECA), the lower alveolar artery, the superior-posterior alveolar artery (branches of the maxillary artery ‒ the terminal branch of the left ECA) with drainage into a vein, which was located in the body of the lower jaw. In order to exclude the malformation from the bloodstream and prevent bleeding, a controlled embolization of the malformation was performed using non-spherical emboli – polyvinyl alcohol (PVA) particles from Cook, USA. Using a transfemoral approach, a guide catheter was inserted into the orifice of the ECA, then a Headway 27 microcatheter (Microvention, USA) was passed through it along a Traxes 14 guide wire (Microvention, USA), the afferent arteries of the malformation were selectively cathete-rized in turn, and embolization was performed after superselective angiography. The patient was discharged in a satisfactory condition. Two weeks after the operation, the bleeding resumed. The performed control cerebral angiography revealed a relapse of the malformation with a change in its angioarchitectonics ‒ the filling of the malformation in the late arterial and venous phases of cerebral blood flow was noted. Re-embolization was performed using PVA emboli (Cook), which was supplemented by transcutaneous puncture of the drainage vein in the mandible and its embolization with histoacryl (B. Braun, Germany) and lipiodol (Guerbet, France) in a 1 : 1 ratio. Results. As a result of using this technique, it was possible to turn off the malformation completely. For 6 months from the moment of surgery, no bleeding was noted, and subsequently the patient had a tooth removed without complications.Conclusions. The proposed method for treating arteriovenous malformation of the lower jaw, proposed in this case, showed the effectiveness of a combination of endovascular embolization in combination with transcutaneous embolization of the draining vein and can be successfully used to treat this pathology.

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