PROCESSING OF THE STRATEGIC SEQUENCE OF DIAGNOSTIC PATIENTS WITH TEMPOMANDIBULAR DISORDERS AND OCCLUSIVE INTERFERENCES

Abstract

Temporomandibular joint pathology in combination with the development of pathological processes in the muscles and cranial dysfunction manifests as a complicated clinical picture, which leads to difficulties in diagnostic. In the diagnostics of disorders of the neuromuscular apparatus and the temporomandibular joint, modern clinical, instrumental, functional and radiological examination methods are widely used with biomechanical digital analysis, which require systematization. The aim of the study was development of a strategic structured sequence of diagnostic of patients with temporomandibular disorders and occlusal interferences. The highest percentage of diagnosed joint and combined (joint + muscle) disorders, both among men and among women, namely: joint in 114 patients (38,65 %) and combined in 97 patients (32,89 %), which together made up 71,54 %, and this is exactly the kind of pathology that, in combination with occlusal interferences, is the most difficult in the treatment process. Among confirmed temporomandibular disorders accounted only muscle disorders in 12,88 % (4,07 % in men and 8,81 % in women). The number of women who applied for help is in 2,3 times higher than the number of men, and 81,75% of patients who applied for help were aged from 21 to 50 years, that is, the most productive period of a person's life. Among the pathologies that imitated temporomandibular disorders (more than 10 %) prevailed: osteochondrosis of the cervical spine (17,39 %), contracture of masticatory muscles (post-injection, traumatic) (13,04%) and neuropathology (10,87%). The diagnosis of temporomandibular disorders was rejected in 15,59 % of observations, which indicates the need for a thorough examination of such patients and the involvement of specialists for additional consultation, such as in the field of dentistry (for example, an orthodontist or maxillofacial surgeon), or in the field of general medicine ( psychologist, neurologist, rheumatologist, otolaryngologist, etc.).