Occlusive interference and temporomandibular joint
DOI:
https://doi.org/10.11603/2311-9624.2021.1.12041Keywords:
temporomandibular joint, temporomandibular disorder, occlusionAbstract
Summary. Nowadays there is no modern occlusal concept that would provide an answer to the development of effective technology for normalization of occlusal contacts in one or another variant of occlusion. The complexity of the situation is largely due to the existing "occlusal ambiguity", which makes it difficult to choose the optimal tactics for the treatment of occlusal interference.
The aim of the study – to analyze the sources of scientific and medical information on modern views on the impact of occlusal interference on the temporomandibular disorders.
Materials and Methods. Bibliographic analysis of the interaction of occlusion and temporomandibular joints.
Results and Discussion. Classical gnathological theory is based on the principles of the concept of the average "ideal" bite, and on the basis of which the average anatomical articulator is built, recedes into the background. Stable transverse and vertical positions of the mandible provide fissure-tubercle contacts of the masticatory teeth, which prevent the displacement of the mandible, providing "occlusive protection of the TMJ". The guide planes of the teeth in the sagittal and transverse directions affect the nature of occlusal movements of the mandible. Occlusive disorders, especially after inadequate prosthetics, can manifest themselves in temporomandibular disorders in 4-6 years, which is associated with high adaptability of both muscles and temporomandibular joints.
Conclusions. It should be noted that there is a lack of data on the patterns of occlusion in the dynamics of pathological processes on the function of the masticatory muscles and temporomandibular joints, as well as in the pre-nosological diagnosis of masticatory muscle disorders and TMJ in orthopedic dentistry.
References
Ronkin, K. (2014). Disfunktsiya VNCHS i «oklyuzionnaya nerazberikha» [Dysfunction of VNChS and "oklyuzionny confusion"]. Dentalmarket, 2, 51-56. [in Russian].
Makieiev, V.F., Telishevska, U.D., Shybinskyy, V.Y., Telishevska, O.D., & Kulinchenko, R.V. (2018). Skronevo-nyzhnioshchelepni rozlady: monohrafiia [Temporomandibular disorders: monograph]. Lviv: Kvart [in Ukrainian].
Hvatova, V.A., Kapp, N.D., & Barrett, N.V. (2005). Okklyuziya i patologiya okklyuzii [Occlusion and pathology of occlusion]. Moscow: Azbuka [in Russian].
Makieiev, V.F., & Oliinyk, M.Yu. (2018). Suchasni pohliady na etiolohichni chynnyky rozvytku skronevo-nyzhnoshchelepnykh rozladiv (ohliad literatury) [Modern views on the etiological factors of temporomandibular disorders (review of the literature)]. Ukrainskyi stomatolohichnyi almanakh – Ukrainian Dental Almanac, 2, 39-53 [in Ukrainian].
Dmitriev, M.O., Gunas, I.V., Dzevulska, I.V., & Zhulkevych, I.V. (2018). Determination of individual cephalometric characteristics of theocclusal plane in Ukrainian young men and young women with orthognatic bite. Biomedical and Biosocial Anthropology, 4 (33), 5–11.
Goncharuk-Khomyn, M., Akleyin, E., Zhulkevych, I., Nahirnyi, Y., Brekhlichuk, P., Mochalov, Y., & Stoika, O. (2020). Correspondence between dental and skeletal maturity parameters among patients with different sagittal relationships at the end of puberty period. J. Int. Dent. Med. Res., 13 (1), 223–228.
Hvatova, V.A. (2007). Clinical gnatologiya [Clinical gnathology]. Moscow: Medicine [in Russian].
Ryabov, S.V. (2007). Metodika izucheniya osobennostey stroyeniya okklyuzionnykh krivykh pri ortognaticheskom prikuse [A technique of studying of features of a structure the okklyuzionnykh of curves at an ortognatichesky bite]. Stomatologiya – Stomatology, 4, 59-66 [in Russian].
Ozhohan, R.Z. (2017). Suchasni metody diahnostyky ta likuvannia khvorykh iz defektamy zubnykh riadiv, uskladnenymy rozladamy skronevo-nyzhnoshchelepnoho suhloba [Suchasni metody diahnostyky ta likuvannya khvorykh iz defektamy zubnykh ryadiv, uskladnenymy rozladamy skronevo-nyzhnʹoshchelepnoho suhloba]. Ukrainskyi stomatolohichnyi almanakh – Ukrainian Dental Almanac, 1, 37–41 [in Ukrainian].
Bragin, E.A., Dolgalev, А.А., & Bragareva, N.V. (2015). Rol okklyuzionnyih narusheniy v razvitii zabolevaniy visochno-nijnechelyustnogo sustava, disfunktsiy jevatelnyih myishts i zabolevaniy parodonta [The role of occlusive disorders in the development of diseases of the temporomandibular joint, dysfunctions of the masticatory muscles and periodontal disease]. Nauchnoe obozrenie. Meditsinskie nauki – Scientific Review. Medical sciences, 1, 90–91 [in Russian].
Slavichek, R. (2008). Zhevatelnyy organ. Funktsii i disfunktsii [Chewing body. Functions and dysfunctions]. Moscow: Azbuka stomatologa [in Russian].
Ratdif, F.S., Becker, I.M., & Quinn, L. (2001). Type and incidence of cracks in posterior teeth. J. Prosther. Dent., 86, 168–172.
Solovev, A.A., & Abolmasov, N.N. (2013). Travmaticheskaya okklyuziya. Vozmozhnyiye faktoryi riska i yeye patogenez. Chast І i ІІ. [Traumatic occlusion. Possible risk factors and its pathogenesis]. Part I and II. Institut stomatologii – Institute of Dentistry, 4, 41–54 [in Russian].
Lepilin, A.V., Konnov, V.V., Bagaryan, E.A., & Arushanyan, A.R. (2010). Klinicheskie proyavleniya patologii visochno-nijnechelyustnyih sustavov i jevatelnyih myishts u patsientov s narusheniyami okklyuzii zubov i zubnyih ryadov [Clinical manifestations of pathology of the temporomandibular joints and masticatory muscles in patients with impaired occlusion of teeth and dentition]. Saratovskiy nauchno-meditsinskiy jurnal – Saratov Scientific Medical Journal, 6 (2), 405–410 [in Russian].
Yаkupov, B.R., & Gerasimova, L.P. (2013). Diagnostika i lechenie myishechno-sustavnoy disfunktsii visochno-nijnechelyustnogo sustava s bolevyim sindromom, svyazannoy s okklyuzionnyimi narusheniyami, s primeneniem splint-terapii [Diagnostics and treatment of musculo-articular dysfunction of the temporomandibular joint with pain associated with occlusive disorders using splint therapy]. Meditsinskiy vestnik Bashkortostana – Medical Bulletin of Bashkortostan, 4, 46–49 [in Russian].
Bumann, A., Landeweer, G.G., & Brauckmann, P. (1991). The significance of the fissurae petrotympanica, petrosquamosa and tympanosquamosa for disk displacements in the temporomandibular joint. Fortschr. Kieferorthop., 52 (6), 359-365. DOI: 10.1007/BF02166634
Mills, D.K., Fiandaca, D.J., & Scapino, R.P. (1994). Morphologic, microscopic, and immunohistochemical investigations into the function of the primate TMJ disk. J. Orofac Pain., 8, 136–154.
Okeson, G.P. (2003). Management of Temporomandibular. Disorders and Occlusion. 7th edn. Mosby (pp. 149-180).
Slavichek, R. (2011). Relationship between occlusion and temporomandibular disorders: implications for the gnatologist. Am. J. Orthod. Dentofacial. Orthop., 1 (139), 10-14. DOI: 10.1016/j.ajodo.2010.11.011
Segura-Egea, J., Jimenez-Rubio, A., Velasco-Ortega, E., & Rios-Santos, V. (2003). Talon cups causing occlusal trauma and acute apical periodontotos report of a case. Dent Traumotal., 1 (19), 55-59. DOI: 10.1034/j.1600-9657.2003.00110.x
Graff-Radford, S.B. (2004). Myofascial pain: diagnosis and management. Curr. Pain Headache Rep., 8, 463. DOI: 10.1007/s11916-004-0068-y
Miller, L. (1999). Symbosis of eathetics and occlusion: Thought and opinions of a master of sthesicdentisty. J. Esthet. Dent., 11, 155–165.
Panteleev, V.D., Roschin, E.M., & Panteleev, S.V. (2011). Diagnostika narusheniy artikulyatsii nijney chelyusti u patsientov s disfunktsiyami visochno-nijnechelyustnogo sustava [Diagnosis of articulation disorders of the mandible in patients with temporomandibular joint dysfunctions]. Stomatologiya – Dentistry, 1, 52–57 [in Russian].
Makееv, V.F., Telyshevska, O.D., & Mykhailevych, M.Yu. (2019). Vyznachennia mozhlyvykh faktoriv, yaki vplyvaiut na rozvytok skronevo-nyzhnoshchelepnykh rozladiv khvorykh za yikh anamnestychnymy danymy [Determination of possible factors influencing the development of temporomandibular disorders of patients according to their anamnestic data]. Suchasna stomatolohiia – Modern Dentistry, 4 (98), 64–67 [in Ukrainian].
Manfredini, D. (2013). Visochno-nizhnechelyustnyie rasstroystva [Temporomandibular disorders]. Moscow: Azbuka [in Russian].
Makeev, V.F., Rybert, Yu.O., Shybinskyy, V.Ya., Kliuchkovska, N.R., & Kyrmanov, O.S. (2020). Osoblyvosti okliuziinoi terapii pry funktsionalnykh rozladakh skronevo-nyzhnoshchelepnykh suhlobiv [Features of occlusal therapy in functional disorders of temporomandibular joints]. Aktualni problemy suchasnoi medytsyny: Visnyk Ukrainskoi medychnoi stomatolohichnoi akademii – Actual Problems of the Modern Medicine: Bulletin of Ukrainian Medical Dentistry Academy, 3 (71), 249–257. DOI: https://doi.org/10.31718/2077-1096.20.3.249 [in Ukrainian].
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