Cerebral circulation improvement method using boxing and orthodontic mouthguards
DOI:
https://doi.org/10.61751/bmbr.2706-6290.2023.2.39Keywords:
medical rehabilitation, orthodontics, skull bones, rheoencephalography, aligner, post-traumatic stress disorderAbstract
Due to the active hostilities in Ukraine, the rates of exacerbations of chronic diseases, trauma to the head
and spinal column due to both gunshot wounds and increased force load on the musculoskeletal system have increased
significantly. The issue of improving rehabilitation approaches is relevant due to the available statistics on cerebral blood
supply pathologies. Given the need for affordable and effective methods of musculoskeletal rehabilitation, the study
aims to investigate the effectiveness of orthodontic and boxing mouthguards on the state of cerebral blood vessels. Five
patients with a history of contusion and post-traumatic stress disorder were studied at the Kyiv Regional Centre for Mental
Health using a physical examination and rheoencephalography. The use of orthodontic and boxing mouthguards showed
positive dynamics in the restoration of maxillofacial muscles, compensation of bite height and satisfactory blood supply
to brain structures compared to the baseline data. The analysis of the encephalograms showed rheoencephalographic
signs of improvement in cerebral circulation: a decrease in spasm of the arterial walls of cerebral vessels, compensation
for blood supply deficit, improvement of blood circulation in the carotid basin and venous outflow in the deficit mode were
detected. In the examined patients with injuries, pain syndrome and constant mechanical stress on the musculoskeletal
system, a decrease in pain and improvement of muscle symmetry in the affected anatomical areas were noted while
wearing orthodontic and boxing mouthguards. The obtained results can be implemented in the rehabilitation protocols
for patients with concussion, brain concussion, and spinal and skull injuries. The availability and effectiveness of the
proposed technique allow it to be used for patients with chronic diseases of the cardiovascular system, especially with
complicated blood supply to brain structures
Received: 05.04.2023| Revised: 25.05.2023| Accepted: 26.06.2023
References
Mironyuk І, Slabkiy G, Shcherbinska О, Bilak-Lukianchuk V. Consequences of the war with the Russian Federation for the public health of Ukraine. Reprod Health Woman. 2022;(8):26–31. DOI: 10.30841/2708-8731.8.2022.273291
Kabantseva AV, Zhogina OO. In: Babov K, editor. Topical issues of organization of neurorehabilitation care in the context of information and psychological warfare; 2021 Sep 30-Oct 1; Odessa: Polygraph. Proceedings of the International Scientific and Practical Conference. Sanatorium Treatment and Rehabilitation: Modern Trends in Development; 2021. P. 75–78. Available from: https://kurort.gov.ua/wp-content/uploads/2021/10/tezy_30.09-01.10.2021.pdf
Kuchyn Y, Horoshko V. Pain syndrome in patients with gunshot wounds of the limbs and post-traumatic stress disorders. Emerg Med. 2021;17(7):24–31. DOI: 10.22141/2224-0586.17.7.2021.244591
Danchenko MV, Korzh YM. Complex program of physical therapy for participants of battle action with osteochondrosis of cervical-oral spine. In: Materials of the V All-Ukrainian remote scientific and practical Internet conference “Problems of human health and physical rehabilitation.” 2019. Sumy: Sumy State Pedagogical University named after A.S. Makarenko; 2019. P. 44–53. Available from: https://repository.sspu.edu.ua/bitstream/123456789/10290/1/Danchenko_Korzh.pdf
Steblyuk V. Problems of medical support and medical and psychological rehabilitation of ATO/JFO veterans. Health Soc. 2022;10(5):151–54. DOI: 10.22141/2306-2436.10.5.2021.275
Slukhenska R, Logush L, Zendyk O, Hulina L. Rehabilitation as an indispensable factor in the recovery of civilians and military personnel. Grail Sci. 2023;(26):430–35. DOI: 10.36074/grail-of-science.14.04.2023.076
Gavlovsky OD. Organization of physical and psychological rehabilitation of participants antiterrorist operations (ATO) in Ukraine. Bull Probl Biol Med. 2019; Issue 2 Part 1 (150):275–79. DOI: 10.29254/2077-4214-2019-2-1-150-275-279
Adel S, Zaher A, El Harouni N, Venugopal A, Premjani P, Vaid N. Robotic applications in orthodontics: Changing the face of contemporary clinical care. BioMed Res Int. 2021; e9954615. DOI: 10.1155/2021/9954615
Virdi GK, Prashar A, Kaur S. Accelerated orthodontics: Getting ahead of ourselves. Int J Health Sci. 2021;5(S1):292–5. DOI: 10.53730/ijhs.v5nS1.5645
Guideline IHT. ICH harmonised tripartite guideline: Guideline for good clinical practice. J Postgrad Med. 2001 Jul-Sep;47(3):199–3. Available from: https://pubmed.ncbi.nlm.nih.gov/11832625/
General Assembly of the World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. J Am Coll Dent. 2014 Summer;81(3):14-8. Available from: https://pubmed.ncbi.nlm.nih.gov/25951678/
Pasciuti E, Coloccia G, Inchingolo AD, Patano A, Ceci S, Bordea IR, et al. Deep bite treatment with aligners: A new protocol. Appl. Sci. 2022;12(13):6709. DOI: 10.3390/app12136709
Muro MP, Caracciolo ACA, Patel MP, Feres MFN, Roscoe MG. Effectiveness and predictability of treatment with clear orthodontic aligners: A scoping review. Int Orthod. 2023 Jun;21(2):e100755. DOI: 10.1016/j.ortho.2023.100755
Khalaf K, Kheder W, El-Kishawi M, AlQahtani HA, Ghiasi FS, Mohammad NN, et al. The role of prosthetic, orthodontic and implant-supported rehabilitation in the management of secondary malocclusion to maxillofacial trauma: A systematic review. Saudi Dent J. 2021 May; 33(4): 177–83. Published online 2020 Dec 16. DOI: 10.1016/j.sdentj.2020.12.004
Sharka R, Alamar M, Alhaider Y, Albakri F, Ezzat Y. Interdisciplinary approach of orthognathic surgery and prosthodontics for the treatment of jaw discrepancies: A report of four cases. Saudi J Oral Sci. 2022;9(3):190. DOI: 10.4103/sjoralsci.sjoralsci_43_22
Zanon G, Contardo L, Reda B. The impact of orthodontic treatment on masticatory performance: A literature review. Cureus. 2022 Oct; 14(10): e30453. Published online 2022 Oct 19. DOI: 10.7759/cureus.30453
Cheong J, Hwang YS, Jung BY. Multidisciplinary approach for full-mouth rehabilitation of an adult patient with collapsed occlusal plane and several missing teeth: A clinical report. J Prosthodont. 2019 Mar;28(3):227–33. DOI: 10.1111/jopr.12778
Domagała I, Przystupa K, Firlej M, Pieniak D, Gil L, Borucka A, et al. Analysis of the statistical comparability of the hardness and wear of polymeric materials for orthodontic applications. Materials (Basel). 2021 May 28;14(11):2925. DOI: 10.3390/ma14112925
Baxi S, Shadani K, Kesri R, Ukey A, Joshi C, Hardiya H. Recent advanced diagnostic aids in orthodontics. Cureus. 2022 Nov; 14(11): e31921. Published online 2022 Nov 26. DOI: 10.7759/cureus.31921
Kalra A, Harrington C, Minhas G, Papageorgiou SN, Cobourne MT. Wearability and preference of mouthguard during sport in patients undergoing orthodontic treatment with fixed appliances: a randomized clinical trial. Eur J Orthod. 2022 Jan 25;44(1):101–9. DOI: 10.1093/ejo/cjab062
Ressler KJ, Berretta S, Bolshakov VY, Rosso IM, Meloni EG, Rauch SL, Carlezon WA Jr. Post-traumatic stress disorder: Clinical and translational neuroscience from cells to circuits. Nat Rev Neurol. 2022;18:273–88. DOI: 10.1038/s41582-022-00635-8
Knibbe W, Lobbezoo F, Voorendonk EM, Visscher CM, de Jongh A. Prevalence of painful temporomandibular disorders, awake bruxism and sleep bruxism among patients with severe post-traumatic stress disorder. J Oral Rehabil. 2022 Nov;49(11):1031–40. DOI: 10.1111/joor.13367
Passardi S, Peyk P, Rufer M, Wingenbach TSH, Pfaltz MC. Facial mimicry, facial emotion recognition and alexithymia in post-traumatic stress disorder. Behav Res Ther. 2019 Nov;122: e103436. DOI: 10.1016/j.brat.2019.103436
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