scholarly journals RESULTS OF THE ELECTROMYOGRAPHIC STUDY OF MASSETERS IN PATIENTS WITH HYPERMOBILITY OF HEADS OF THE MANDIBLE BY STANDARD TREATMENT AND USING TRANSCRANIAL ELECTRICAL STIMULATION

2018 ◽  
Vol 25 (5) ◽  
pp. 93-97
Author(s):  
A. N. Sidorenko ◽  
R. A. Sidorenko ◽  
T. V. Tarasova ◽  
T. P. Starchenko
Keyword(s):  
Temporomandibular Joint ◽  
Functional State ◽  
Standard Treatment ◽  
The State ◽  
Traditional Treatment ◽  
Lower Jaw ◽  
Physiological Dormancy ◽  
Transcranial Electrostimulation ◽  
Masseter Muscles ◽  
Bioelectric Potentials

Aim. This research was designed to study the functional state of masseters in patients with hypermobility of heads of the mandible by the traditional treatment and using transcranial electrostimulation.Materials and methods. There was conducted the examination and treatment of 80 patients with hypermobility of heads of the mandible. All patients were divided into two groups: the 1st group (n=20) received standard treatment, the second group (n=60) received traditional treatment with the inclusion of myogymnastics, massage in the temporomandibular joint area, transcranial electrostimulation, use of the apparatus of A. Sidorenko that limits the movement of the lower jaw. The control group included 10 volunteers without the pathology in the temporomandibular joint. The masseters were studied by an electromyography method before the treatment, in 1 month and in 6 months after the treatment using the computer and Miokom electromyograph. The obtained results were processed with use of the "Statistica Statsoft" program version 6.1 and "Microsoft Excel 2010".Results. The analysis of the amplitude of bioelectric potentials of the masseters made it possible to establish that when using transcranial electrostimulation and the proposed intraoral apparatus of Sidorenko AN, limiting the amplitude of mouth opening, in 6 months after the end of the treatment in patients with hypermobility of the lower jaw the increased bioelectrical activity of the masseters in the state of relative physiological dormancy disappeared, the amplitude of their contractions (93.2%) normalized.Conclusion. The results of the electromyographic study of temporal and masseter muscles made it possible to conclude that use of the transcranial electrostimulation and the intraoral apparatus of Sidorenko AN, limiting the movement of the lower jaw, has a positive effect on the functional state of the muscular apparatus in patients with hypermobility of the mandible heads. In the state of relative physiological dormancy the bioelectric potentials of the temporal and masseter muscles decrease, the amplitude of the bioelectric potentials while chewing and maximum compression of the jaws increases. 

Diagnostics and treatment of temporomandibular joint dysfunctions using digital technologies

2020 ◽  
pp. 56-60
Author(s):  
T.F. Kosyreva ◽  
N.S. Tuturov ◽  
Imad Kadbekh ◽  
V.G. Lebedev ◽  
D.V. Donskov ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Digital Technologies ◽  
The State ◽  
Diagnosis And Treatment ◽  
Lower Jaw ◽  
Characteristic Features

A study of the features of diagnosis and treatment with the use of digital technologies of patients with anomalies of the dentition and dysfunction of the temporomandibular joint (TMJ) was carried out. The characteristic features of the movement of the lower jaw and dysfunction of the TMJ were revealed. The algorithm for diagnosis and treatment of this category of patients is described in detail. The advantages of using digital technologies are shown, in particular, the possibility of simultaneous correction of the state of the temporomandibular joint and the formation of occlusion.

scholarly journals RESULTS OF THE DETERMINING THE SEVERITY OF SYMPTOMS OF MUSCULOSKELETAL DYSFUNCTION IN PATIENTS WITH DENTOALVEOLAR ANOMALY USING THE M. HELKIMO METHOD

2020 ◽  
Vol 16 (3) ◽  
pp. 123-130
Author(s):  
Natalia Myagkova ◽  
Nikolay Styazhkin ◽  
Oksana Demina
Keyword(s):  
Temporomandibular Joint ◽  
Masticatory Muscles ◽  
The State ◽  
Diagnostic Methods ◽  
Temporomandibular Joint Dysfunction ◽  
Lower Jaw ◽  
Broad Term ◽  
Clinical Methods ◽  
Articulation Disorders ◽  
Contact Position

Subject. Temporomandibular joint dysfunction is a broad term used for a large number of disorders affecting the temporomandibular joint and masseter muscles. Clinical methods for assessing the state of the temporomandibular joint and masticatory muscles are subjective and do not fully assess the degree of impairment. In this regard, M. Helkimo in 1976 proposed an index of dysfunction of the temporomandibular joint to assess the severity of functional disorders, which solves the current problem of determining the degree of dysfunction of the temporomandibular joint. The aim of the study was to assess the severity of symptoms of musculo-articular dysfunction in patients with dentoalveolar anomaly using the M. Helkimo method. Methodology. A questionnaire was conducted among patients aged 18―44 years with dentoalveolar anomalies using a questionnaire and a clinical study was carried out according to a single protocol. According to the method, anamnestic, clinical, occlusal indices were determined, and the range of motion of the lower jaw was assessed. When examining the state of the temporomandibular joint and masticatory muscles, the presence of crunching, clicks in the joint, pain on palpation was revealed, the trajectory and range of movements of the lower jaw were determined. Results. Our own observations and studies in this matter have shown that the most important indicators are the presence of displacement of the mandible from the posterior contact position to the central occlusion and articulation disorders, which, in turn, can serve as early precursors of the onset of temporomandibular joint dysfunction. Conclusions. The M. Helkimo method allows the dentist to assess the degree of dysfunction of the temporomandibular joint in a patient with a dentoalveolar anomaly without using additional instrumental diagnostic methods.

FUNCTIONAL DISORDERSOF THE SALIVARY GLANDS IN PATIENTS WITH COMPRESSION AND DISLOCATION DYSFUNCTION OF THE TEMPOROMANDIBULAR JOINT AND THEIR CORRECTION

2021 ◽  
Vol 74 (7) ◽  
pp. 1695-1698
Author(s):  
Oleg V. Rybalov ◽  
Pavel I. Yatsenko ◽  
Olga Yu. Andriyanova ◽  
Elena S. Ivanytska ◽  
Maria A. Korostashova
Keyword(s):  
Parotid Gland ◽  
Salivary Glands ◽  
Functional State ◽  
Oral Fluid ◽  
Healthy Individuals ◽  
Parotid Glands ◽  
Posterior Teeth ◽  
Fluid Content ◽  
Lower Jaw ◽  
Before And After

The aim: Is to assess the functional state of parotid glands and general secretion in patients with compression, dislocation dysfunction of TMJ, to correct the revealed disorders. Materials and methods: We examined 46 patients with dysfunction of TMJ. Examination included TMJ zonography and salivary glands sonography. We studied the general and parotid secretion, transparency, viscosity, pH of the oral fluid and the secretions of the parotid glands before and after treatment. The treatment of dysfunction and hyposialosis included the repositioning of the articular heads of the lower jaw in the correct anatomical position, the use of a repositioning plate on the posterior teeth at the compression side of the articular head, bougienage of the duct of the parotid gland, administration of 10% magnesium-mineral solution of bischofite into the gland. Results: In patients with TMJ dysfunction, a significant decrease in the oral fluid content was noted before treatment. The saliva transparency was reduced, the viscosity was increased, the pH was slightly acidic. A study, which was carried out a month after completion of the course of treatment showed that all the studied parameters corresponded to those in healthy individuals. Conclusions: The study confirmed that in compression and dislocation dysfunction of TMJ, there are disorders of the functional state of the salivary glands.

The result of instrumental analysis of the amount of motion in patients with different occlusive and skeletal classes according to the condylography

2021 ◽  
Vol 1 (38) ◽  
pp. 8-13
Author(s):  
M. G. Soykher ◽  
A. V. Lepilin ◽  
M. I. Soykher ◽  
I. K. Pisarenko ◽  
G. T. Saleeva ◽  
...  
Keyword(s):  
Complex Formation ◽  
Temporomandibular Joint ◽  
Temporal Bone ◽  
Qualitative And Quantitative ◽  
Lower Jaw ◽  
Individual Function ◽  
Mandibular Fossa ◽  
Quantitative Characteristics ◽  
Mandibular Movements ◽  
Qualitative And Quantitative Characteristics

The temporomandibular joint is paired, a complex formation of an ellipsoid shape, which is formed by the articular head of the lower jaw, the mandibular fossa and the articular tubercle of the temporal bone, covered with fibrous cartilage. There are two types of movements in the temporomandibular joint: translation and rotation, which implement protrusion-retrusion, right and left mediotrusion, and opening-closing. Computerized axiography is used for assessment of the mandibular movements and the patient’s skeletal parameters. This type of examination allows you to adjust the articulator for an individual function and to study the qualitative and quantitative characteristics of the temporomandibular joint.

Study of the functional state of the only uterine tube in women after the tubal pregnancy operation

1997 ◽  
Vol 78 (5) ◽  
pp. 367-368
Author(s):  
M. I. Mazitova ◽  
I. M. Bogolyubova ◽  
I. M. Mazitov
Keyword(s):  
Functional State ◽  
Contractile Activity ◽  
The State ◽  
Tubal Pregnancy ◽  
The Other ◽  
Contraction Rate ◽  
Uterine Tube ◽  
Investigation Method ◽  
Rate Decrease

The state of the second remained tube after the- tubal pregnancy operation in 16 patients is studied by kymographic tubal insufflation. Salpingectomy is performed in 14 patients and linear salpingotomy of the only uterine tube is performed in 2 patients. The other tube is removed during the first tubal pregnancy operation. It is found that in all patients the remained tubes are permeable as this takes place permeability, contractile activity and contraction rate decrease in 7 patients (in 5 patients after salpingectomy, in 2 patients after salpingotomy). Kymographic tubal insufflation is the information investigation method of the state of the remained uterine tube after the tubal pregnancy operation.

scholarly journals Wavelet introscopy of human organism bionets

2021 ◽  
pp. 63-72
Author(s):  
Gennady M. Aldonin ◽  
◽  
Vasily V. Cherepanov ◽  
Keyword(s):  
Functional State ◽  
Human Body ◽  
Dynamic Models ◽  
Golden Ratio ◽  
The State ◽  
The Body ◽  
Human Organism ◽  
Fractal Structures ◽  
Self Similar ◽  
The Creation

In domestic and foreign practice, a great deal of experience has been accumulated in the creation of means for monitoring the functional state of the human body. The existing complexes mainly analyze the electrocardiogram, blood pressure and a number of other physiological parameters. Diagnostics is often based on formal statistical data which are not always correct due to the nonstationarity of bioprocesses and without taking into account their physical nature. An urgent task of monitoring the state of the cardiovascular system is the creation of effective algorithms for computer technologies to process biosignals based on nonlinear dynamic models of body systems since biosystems and bioprocesses have a nonlinear nature and fractal structure. The nervous and muscular systems of the heart, the vascular and bronchial systems of the human body are examples of such structures. The connection of body systems with their organization in the form of self-similar fractal structures with scaling close to the “golden ratio” makes it possible to diagnose them topically. It is possible to obtain detailed information about the state of the human body’s bio-networks for topical diagnostics on the basis of the wavelet analysis of biosignals (the so-called wavelet-introscopy). With the help of wavelet transform, it is possible to reveal the structure of biosystems and bioprocesses, as a picture of the lines of local extrema of wavelet diagrams of biosignals. Mathematical models and software for wavelet introscopy make it possible to extract additional information from biosignals about the state of biosystems. Early detection of latent forms of diseases using wavelet introscopy can shorten the cure time and reduce the consequences of disorders of the functional state of the body (FSO), and reduce the risk of disability. Taking into account the factors of organizing the body’s biosystems in the form of self-similar fractal structures with a scaling close to the “golden ratio” makes it possible to create a technique for topical diagnostics of the most important biosystems of the human body.

scholarly journals Manifestations of pain symptoms in reduced occlusion

Pain medicine ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. 74-78
Author(s):  
M Ya Nidzelsky ◽  
V M Sokolovskaya
Keyword(s):  
Temporomandibular Joint ◽  
Adaptive Capacity ◽  
Muscle Activity ◽  
The Body ◽  
Vertical Dimension ◽  
Pain Symptom ◽  
Dull Pain ◽  
Lower Jaw ◽  
Occlusal Vertical Dimension ◽  
Pain Symptoms

This article presents the analysis of the relevant literature highlighting the mechanisms of the development of malocclusion and pain symptom at the reduced occlusal vertical dimension. In this case, the key complaint presented by patients is permanent steady pain described as dull, stabbing, or compressing by its character. Most often, the pain is localized within the paratoid-masticatory area as well as buccal, temporal and frontal areas, and irradiates to the upper and lower jaw or the teeth that often leads to performing unnecessary dental manipulations; to the region of the temporomandibular joint (TMJ); to the ear that sometimes is accompanied with fullness and tingling in the ears. In some cases this pain can irradiate to the hard palate and tongue. Many patients note the growing intensity of pain when chewing. Some patients experience episodic increase in pain when there are pain attacks described as compressing or stabing in the background of steady dull pain. The pain gets more intense even at the slightest movements of the head, lower jaw, or when speaking. The duration of the pain attack is approximately 20–30 minutes. A few minutes before the onset of the attack, all patients notice the emergence of somes forerunning symptoms, e.g. hyperlsalivation, paresthesia, toothache. The attacks can be provoked by conversation, overcooling, and emotional tension. It has been experimentally proven that a prolonged muscle contraction, which is often observed during emotional stress, can cause pain in the regions mentioned above. But whether will it arise or not and to what extent, it depends on the state of adaptive capacity of the body and dentofacial system. When the adaptive capacity of the body and the dentofacial system as its part are weakened, the local background for the occurrence of pain symptoms in the maxillofacial area may be: affective states (depression, anxiety), prolonged chewing load, and prolonged neck muscle tension during dental manipulations. Among the local factors that can cause pain, malocclusions rank the leading place. For example, a hyperbalancing contact is a sign of impaired muscle activity and coordination during the maximal closure of teeth in the lateral position of the mandible, and occlusal contacts on the balancing side affect the distribution of muscle activity during parafunctional closure, and this redistribution can impact on the temporomandibular joint (Andres K. H. et al.). Occlusion abnormalities may result from reduced occlusal vertical dimension, deformation of the dentitions caused by periodontal disease, partial loss of teeth, pathological tooth wearing, as well as due to improperly inserted fillings, unfit inlays, onlays, crowns. Reduced occlusal vertical dimension can also cause otalgia and some other otorhinolaryngological problems, pathogenesis of which is quite debatable and controversial in current literature. J. S. Costen considered hearing loss, tingling and other ear symptoms are associated with pressure produced by the head of the mandible joint onto the auditory tube. Reducing the vertical occlusal dimension results in increasing pressure of the head of the mandible joint onto the subtle bone arch of the articular fossa, which separates the cavity of the joint from the dura mater; this can trigger dull pain in the spine. It is important to remember that pain is a symptom that most often makes patients to search for a dental care. Pain is one of the first clinical manifestations of the body decompensation. Patients with TMJ dysfunction who experience the pain symptom is to a greater or lesser extent make up a group of patients who require a special integrated approach in their treatment.

scholarly journals APPLICATION OF OZONE THERAPY IN THE TREATMENT OF DENTAL IMPLANTATION COMPLICATIONS

2020 ◽  
Vol 74 (2) ◽  
pp. 77-80
Author(s):  
D.V. Mikhalchenko ◽  
◽  
H.Yu. Salyamov ◽  
Yu.A. Makedonova ◽  
A.V. Mikhalchenko ◽  
...  
Keyword(s):  
Standard Treatment ◽  
Ozone Treatment ◽  
Traditional Treatment ◽  
Dental Implantation ◽  
Positive Tendency ◽  
Graft Tissue ◽  
Pathological Focus ◽  
Implant Treatment ◽  
Single Approach ◽  
Standard Treatment Regimen

The percentage of implant treatment failures is steadily increasing. This may be due to both General and local factors that lead to the development of parotid tissue inflammation. In this case, one of the signs of development postprostatectomy complications following dental implantation is bleeding, redness. Earlier detection of inflammatory phenomena of peri-graft tissue may contribute to the preservation of the tooth and the chewing function of the dentition. Currently, there is no single approach to the treatment of perimplantitis and mucositis. Traditional treatment is based on the use of anti-inflammatory gels and ointments. In this paper, a comparative analysis of the effectiveness of ozone treatment relative to the standard treatment regimen is performed. During 14 days, an examination and instrumental examination were performed to determine the hygienic indices, the bleeding index, the Svrakov iodine number, and periodontal screening. The implant stability coefficient was determined using the Osstel Mentor device. In all groups, there was a positive tendency to subside inflammatory phenomena,and in some cases, there was a complete cessation of the process, but the nature and timing were different depending on the methods of exposure to the pathological focus.

scholarly journals Experience of using an integrated approach in the diagnosis of temporomandibular joint dysfunction

2022 ◽  
pp. 98-100
Author(s):  
A. A. Sultanov ◽  
Y. Y. Pervov ◽  
A. K. Yatsenko ◽  
M. A. Sultanova ◽  
D. O. Drozdova
Keyword(s):  
Physical Examination ◽  
Temporomandibular Joint ◽  
Orthodontic Treatment ◽  
Clinical Case ◽  
Mouth Opening ◽  
Integrated Approach ◽  
Masticatory Muscles ◽  
Temporomandibular Joint Dysfunction ◽  
The Right ◽  
Masseter Muscles

The article presents a clinical case of the diagnostics and treatment of the temporomandibular joint dysfunction (TMJ) in patient after orthodontic treatment. The hypertonia of masticatory muscles, limit of mouth opening and deviation of the jawbone to the right were observed during physical examination. Adhesion of the disk to the articular tubercle of the right temporal bone was detected on MRI. Hyperrotation of the articular head and the deviation of the jawbone to the right were observed on the charts during axiography. Disappearing of the feeling of heaviness in the right TMJ, free mouth opening, absence of deviation symptom, and the reduction of the rigidity of the masseter muscles were observed on the basis of diagnostic examinations after treatment. Presented clinical experience lets us make a conclusion that it is necessary to prescribe taking axiography and MRI during diagnosing and treating temporomandibular joint dysfunction.

scholarly journals Estimation of a functional condition of a fetus at pregnancy and in delivery

2003 ◽  
Vol 52 (2) ◽  
pp. 110-115
Author(s):  
I. Y. Kogan ◽  
А. A. Poljanin ◽  
N. G. Pavlova
Keyword(s):  
Functional State ◽  
Fetal Heart ◽  
Functional Condition ◽  
The State ◽  
Heart Sounds ◽  
Pregnancy And Childbirth ◽  
Long Time ◽  
First Time

The lecture provides information on approaches to the assessment of fetal cardiotocography during pregnancy and childbirth. Assessment of the functional state of the fetus during pregnancy and childbirth remains one of the most difficult tasks of perinatology and obstetrics. The question of the state of the intrauterine fetus has been of interest to obstetricians for a long time. For the first time, the possibility of auscultation of fetal heart sounds was reported in 1818.

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