THE QUALITY OF LIFE OF PATIENTS WITH SYMPTOMS OF TEMPOROMANDIBULAR DISORDER IN INTEGRATED DENTAL ORTHOPEDIC REHABILITATION

Abstract

Subject ― is adentia and dysfunction of the temporomandibular joint. Goal ― based on the quality of life indicators, to evaluate the efficiency of various approaches to dental orthopedic treatment of patients with adentia and temporomandibular disorder, who need a full mouth reconstruction. Methodology. A total pf 647 patients with adentia and a need for full mouth reconstruction were assigned to a comprehensive examination and treatment. Patients were divided into 3 groups. Group 1 (n = 218) was exposed to standard treatment procedures. Group 2 (n = 195) was given certain elements of the interdisciplinary approach to dental orthopedic rehabilitation. Group 3 (n = 234) was exposed to interdisciplinary approach towards dental orthopedic rehabilitation. The follow-up period was 7 years. A key step in the treatment of group 3 patients was to conduct full patient examinations sequentially. The corresponding procedures were supplemented with a temporomandibular disorder test. In treatment planning, the cause-and-effect relationships between this disorder and malocclusion were identified. Results. The improvement in temporomandibular joint after the interdisciplinary approach manifested in changes that were statistically significant (relative to those in the comparison groups). Pain sensations in the joint decreased as reported on the VAS score. The OHIP-14 subscale scores showed a downward trend that was more pronounced as compared with the standard procedure group, which indicates an improvement in the quality of life of patients. Conclusion. The use of interdisciplinary approach in dental orthopedic rehabilitation contributes to a prominent and persistent improvement in the dental quality of life of patients with adentia, who need a full mouth reconstruction.