Our study, a clinic experiment type, was developed on a sample of 77 patients, aged between 60 and 74 years, taken into study and investigated from an electromyographic point of view, which presented the affliction of muscular activity as a result of decreasing or increasing of muscular tonus, or as a result of muscular contraction alterations. We have applied: occlusal trays (28 days) in all of the patients, aerosols therapy in 28 (36.4%) patients and tolperison hydrochloride (50 mg x 3/day, 28 days) in 27 (35.06%) patients. Also, we have applied occlusal trays and tray to be protective with the composite restoration of patients. The effect of augmentation on the local metabolic processes, the analgesia of painful zones and muscular relaxation have positive effects on long and short term. After applications with aerosols, we recorded amelioration in all patients: the absence of pain and the substantial amelioration of pain perception. Conclusions. Physical kinetic therapeutic methods aim at muscular relaxation, the toning up or the decrease of muscular tonus, improvement in mandible functionality, improvement in functionality at the level of temporomandibular joints and improvement in local circulation. The tolperison hydrochloride treatment was used as symptomatic treatment for muscular relaxation with positive results.

Hypertonias, observed at stomatognatique level, pathologic expressions of striated musculature may have the opportunity of a large palette of therapeutical ways, so clasics as drugs therapy, and so well the modern therapy injection with botulinic toxin, type A Dysport. The choice upon the type of myorelaxation treatment proper to each case depends upon the severity of manifestations at muscular level, frequently a mixed therapy being the option of choice, based on the superposition of different treatment means. The use of botulinic toxin in the treatment of stomatognatic system dysfunctions is without the morphological impact quickly installed therapeutic effect and it has only short term effects.

Techniques of balneo-physio-kinetotherapy and complex oral rehabilitation are general measures approach, which are addressed to all patients for maintaining the homeostasis of the whole body and also of the cephalic extremity, as well as specific measures, targeted in our case at the level of the stomatognathic system. These kind of appoach treatments are in accordance with an individualized therapeutical scheme and gradually complying with the principles and concepts of complex oral rehabilitation. Infrared radiation and masotheraphy is a form of balneo-physiotheraphy medicine in adjuvant and incresed results of benefits of clasic treatment in temporo-mandibular disorders. The association of these treatments, is favorited above monotherapy.

Periodontal diseases generally correspond to a disturbance in the balance between the host’s defense and the micro-organisms colonizing the periodontal environment. The exact mechanisms underlying the destruction of the periodontium remain to be fully elucidated. Our study aims to quantify the main bacteria pool involved in periodontal pathology and associate it with other factors involved in the onset of periodontal disease so that an accurate diagnosis with profound implications for the therapeutic algorithm can be developed. Micro-Ident tests, based on the polymerase chain reaction (PCR) technique, were used for the study group, chosen for their high specificity in identifying periodontopathogenic bacteria and determining their relative numbers. The results of our study indicate an increased concentration of 4.50 (number of strains) for Capnocytophaga, followed by Tannerella forsythia, in a concentration of 3.50; the next highest concentration percentages are for Treponemei denticola, and Prevotela intermedia, low concentrations were found for Fusobacterium nucleatum and Porphyromonas. The concentration of each type of bacteria is reflected in the clinical picture and constitutes the starting point for a targeted antibiotic therapy. Following the effects of antibiotic-targeted therapy obtained from the evaluation of the micro-IDent B test results on the periodontium of the supporting teeth, we observed that the values of the periodontal indices change slightly at 3-month intervals with a predominance of plaque, bleeding, and gingival indices, and less in the indices concerning the depth of the probing pocket and the loss of attachment on the buccal and oral surfaces. In conclusion, our study emphasizes a direct relationship between the subgingival tartar presence and the patients age, gingival recession, presence of periodontal pockets, dental mobility, as well as the periodontal indexes: plaque index, bleeding index, and gingival index. The correlation of negative values of periodontal indices with the nature of the involved bacteria materializes in relevant starting points in the elaboration of the periodontal diagnosis of the therapeutic plan and predictability of the prognosis of oral rehabilitation.

In the cranio-mandibular malrelation, the TMJ can be affected primarly or may occur as a consequence of imbalance, especially at a functional level, with an important biochemical component, of the other components of the stomatognathic system. The patient with its own pathology and therefore individualisation and specificity of the treatment is the first motto of the physician in establishing the treatment plan for TMDs with craniomandibular malrelation and in the same time the importance regarding the interrelations between clinical and biochemichal parameters in polytherapy treatment of temporomandibular disorders. The research aim was to study the TMDs therapeutic possibilities and the biochemical impact of drug treatment at pacients diagnosed with TMDs and cranio-mandibular malrelationand and we applied various methods of treatmenton study group, comprised 88 (18.92%) patients in single/or multiple therapy, addressed to patients diagnosed with TMDs and craniomandibular malrelation. We consider a relevant good answer from effectiveness treatment point of view results.