Possibilities of osteopathic correction in complex therapy of temporomandibular joint dysfunction
https://doi.org/10.32885/2220-0975-2019-1-2-43-50
Abstract
Introduction. Dysfunction of the temporo-mandibular joint is a frequent, complex, multifactorial disease that is traditionally treated by orthodontic methods, but not always with a positive result.
Goal of research — to assess the effect of osteopathic treatment combined with orthodontic treatment on the temporo-mandibular joint dysfunction and osteopathic status of patients with TMJ disfunction.
Materials and methods. The study included 40 patients with the temporo- mandibular joint dysfunction receiving orthodontic treatment (hard and soft splints, brace system, exercises). All patients were women without severe somatic pathology divided into 2 groups: treatment group and control group. The mean (±SD) age of participants was 27,5±5,3 and 29,2±5,7 years, respectively. In both groups, osteopathic, orthodontic status have been evaluated, patients completed a questionnaire on the status of the temporo-mandibular joint. In the main group, the described orthodontic methods of treatment were supplemented by osteopathic correction.
Results. The study showed a decrease in the number of somatic dysfunctions, objective symptoms and subjective sensations arising from dysfunction of the temporo-mandibular joint. The analysis showed a greater effi cacy of combined osteopathic and orthodontic treatment in comparison with exclusively orthodontic treatment.
Conclusion. The obtained results provide possibility of further research of the effectiveness of osteopathic correction in combination with orthodontic treatment of the temporomandibular joint dysfunction.
About the Authors
Yu. A. Milutka
DMG-clinic
Russian Federation
Russian Federation
Yurii A. Milutka, osteopathic physician, neurologist
Address: DMG-clinic. 5 Ul. Lenina, St. Petersburg, 197101
I. G. Yushmanov
Mechnikov North-Western State University
Russian Federation
osteopathic physician, assistant of the department of osteopathy
Russian Federation
osteopathic physician, assistant of the department of osteopathy
A. N. Badmaeva
Orthodontic clinic «Confi dencia»
Russian Federation
orthodontic dentist
Russian Federation
orthodontic dentist
References
1. Тактика врача-остеопата при диагностике дисфункции височно-нижнечелюстного сустава: Клинические рекомендации. Общероссийская общественная организация «Российская остеопатическая ассоциация». 2015. Ссылка активна на 19.03.2019 [Taktika vracha-osteopata pri diagnostike disfunkcii visochno-nizhnechelyustnogo sustava: Kli nicheskie rekomendacii. Obshherossijskaya obshhestvennaya organizaciya «Rossijskaya osteopaticheskaya associaciya». 2015. Accessed March 19, 2019]. http://www.osteopathy-offi cial.ru/netcat_fi les/File/VNCHS.pdf.
2. Ariji Y., Nakayama M., Nishiyama W., Ogi N., Sakuma S., Katsumata A., Kurita K. and Ariji E. Potential clinical application of masseter and temporal muscle massage treatment using an oral rehabilitation robot in temporomandibular disorder patients with myofascial pain. Cranio: journal of craniomandibular & Sleep practice. 2015; 33: 256–262. https://doi.org/10.1179/2151090314Y.0000000030.
3. Гажва С. И., Зызов Д. М., Шестопалов С. И., Касумов Н. С. Распространённость патологии височно-нижнечелюстного сустава у пациентов с частичной потерей зубов. Современные проблемы науки и образования. 2015; 6. Ссылка активна на 20.03.2019. [Gazhva S. I., Zyzov D. M., Shestopalov S. I., Kasumov N. S. Rasprostranyonnost′ patologii visochnonizhnechelyustnogo sustava u pacientov s chastichnoj poterej zubov. Sovremennye problemy nauki i obrazovaniya. 2015; 6. Accessed March 20, 2019 (in russ.)]. https://science-education.ru/ru/article/view?id=23529.
4. Zhang F. Y., Wang X. G., Dong J., Zhang J. F., Lu Y. L. Effect of occlusal splints for the management of patients with myofascial pain: a randomized, controlled, double-blind study. Chin Med J. 2013; 126: 2270–2275.
5. Nagata K., Maruyama H., Mizuhashi R., Morita S., Hori S., Yokoe T., Sugawara Y. Effi cacy of stabilisation splint therapy combined with nonsplint multimodal therapy for treating RDC/TMD axis I patients: a randomised controlled trial. J Oral Rehab. 2015; 42: 890–899. https://doi.org/10.1111/joor.12332.
6. Gomes C. A., Politti F., Andrade D. V., De Sousa D. F., Herpich C. M., Dibai-Filho A. V. et al. Effects of massage therapy and occlusal splint therapy on mandibular range of motion in individuals with temporomandibular disorders: a randomized clinical trial. J Manip Physiol Ther. 2014; 37: 164–169. https://doi.org/10.1016/j.jmpt.2013.12.007.
7. Butts R., Dunning J. R., Pavkovich R., Mettille J. Conservative management of temporomandibular dysfunction: A literature review with implications for clinical practice guidelines (Narrative review part 2). J Bodyw Mov Ther. 2017 Jul 1; 21 (3): 541–548.
8. Berni K. C., Dibai-Filho A. V., Rodrigues-Bigaton D. Accuracy of the Fonseca anamnestic index in the identifi cation of myogenous temporomandibular disorder in female community cases. J Bodyw Mov Ther. 2015; 19 (3): 404–409. http://dx.doi.org/10.1016/j.jbmt.2014.08.001.
9. Pastore G. P., Goulart D. R., Pastore P. R., Prati A. J., De Moraes M. Comparison of instruments used to select and classify patients with temporomandibular disorder. Acta odontol. latinoamer. Buenos Aires abr. 2018; 31 (1).
Review
For citations:
Milutka Yu.A., Yushmanov I.G., Badmaeva A.N. Possibilities of osteopathic correction in complex therapy of temporomandibular joint dysfunction. Russian Osteopathic Journal. 2019;(1-2):43-50. (In Russ.) https://doi.org/10.32885/2220-0975-2019-1-2-43-50
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