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ASSESSMENT OF THE REHABILITATION EFFICIENCY OF PATIENTS WITH A TEMPOROMANDIBULAR JOINT DYSFUNCTION REQUIRING A FULL-MOUTH RECONSTRUCTION: CONDILOGRAPHY AND ELECTRONEUROMYOGRAPHY METHODS

The subject ― is the total restoration of the dentition. The goal ― the study was aimed at evaluating clinical effectiveness of orthopedic dental treatment for patients requiring full-mouth rehabilitation on the basis of the functional state of the muscles in the maxillofacial area. Methodology. Within the research, a thorough examination and treatment of 647 patients with adentia requiring full-mouth rehabilitation were performed. Patients were distributed to three groups. The treatment of the first group (218 people) included standard orthopedic dentistry techniques. During the provision of medical care to the second group (195 people), several elements of an interdisciplinary approach to orthopedic dental rehabilitation were applied. In the third group (234 patients), only the multidisciplinary approach to orthopedic dental rehabilitation was proposed. The patient monitoring process was carried out for seven years. Results. It was discovered that the application of the integrated multidisciplinary approach contributes to the reduction of pain during palpation of the postural muscles and muscles of the maxillofacial area already in a year after the start of treatment. It was also remarked that the improvement of the temporomandibular joint (TMJ) condition during the implementation of the interdisciplinary approach manifested in significant improvement of several indicators. In particular, among patients lessening of pain in the joint area, better results of radiological diagnostics, condylography, electromyography, and retrusive stability were noted. Conclusions. As part of a set of measures to orthopedic dental rehabilitation of patients with adentia, it is necessary to assess the condition of the muscles in the maxillofacial area and the severity of TMJ dysfunction. The most important stage in the implementation of the proposed approach is a complete and consistent screening of patients requiring a full-mouth rehabilitation, with the addition of a clinical examination through radiation diagnostics, condylography, and electromyography.