METHOD FOR COMPLEX REHABILITATION OF PATIENTS WITH PARTIAL LOSS OF TEETH AND SYMPTOMS OF TEMPOROMANDIBULAR JOINT DYSFUNCTION, OCCLUSION PROBLEMS AND FACIAL PAIN Russian patent published in 2022 - IPC A61C7/00 

FIELD: medicine.

SUBSTANCE: invention relates to the field of medicine, namely dentistry, and can be used for the comprehensive rehabilitation of patients with partial loss of teeth and symptoms of temporomandibular joint (TMJ) dysfunction, occlusion problems and facial pain. Electroencephalography (EEG) is performed to determine the proportions of alpha and beta rhythms of the patient’s brain. Next, computed tomography (CT), magnetic resonance imaging of the temporomandibular joints (TMJ MRI) and surface electromyography (EMG) of the main muscles, involved in closing the mouth and leading directly to the closure of the teeth, are performed. When establishing the dominance of the temporal muscles over the masticatory muscles and according to the results of TMJ MRI, the presence of TMJ dysfunction, compression in the joint, a decrease in the vertical size of the joint gap, the presence of dislocation or subluxation of the disc in the joint is determined. Dental occlusion analysis and occlusogram analysis are performed. According to the results of the obtained CT, MRI and EMG data, a comparative analysis of the occlusion of the teeth, the central ratio of the jaws is carried out. With a decrease in the vertical size of the joint gap or defects in the bone elements of the joint, compression in the joint or dislocation/subluxation of the articular disc, an occlusal splint model is made for the patient with mandatory direct condylar distraction vertically for direct stretching of the condyles down from the horizon and skeletal stretching vertically to increase the size of the joint gap to 3.5-4 mm. Based on the manufactured stereolithographic 3D model, an occlusal splint is formed from a polymer material. Before installing an occlusive splint, physiotherapy sessions are performed, including transcutaneous electroneurostimulation (TENS) by transauricular transotic approach and neuromuscular electrical stimulation (NMES) of the masticatory muscles by exposing pulsed currents to the superficial masticatory and auxiliary muscles of the face and neck through the external auditory canal. One of the electrodes is installed in the external auditory canal, and the other is placed on the skin in the area of the semilunar notch of the lower jaw branch at a distance of 3-4 cm from the external auditory canal.

EFFECT: method provides anesthesia, relaxation of the lateral pterygoid muscle, skeletal extension on the mouth guard and adaptation of the patient during dental prosthetics due to a complex of diagnostic and therapeutic methods.

8 cl, 17 dwg, 2 ex