i n t r o d u C t i o nThe most common pathology in clinical orthopedics that affects adult population is dentition issues localized in various parts of the dentition [1][2][3][4][5][6]. The worst thing here -from the topography view -is freeend edentulous space, which, in case of lacking timely treatment will develop into masticatory muscle and temporomandibular joint (TMJ) pathology [7][8][9][10][11][12].
Aim of studyTo identify the major clinical symptoms of masticatory muscle and TMJ pathologies, and to determine their prevalence in patients with free-end edentulous space.
m a t e r i a l s a n d m e t h o d sThe study involved 280 patients with free-end edentulous space, of them 160 (57.1%) being females, with another 120 (42.9%) males aged 24-65. Through diagnosing the TMJ dysfunction we identified the maximum value of the mouth opening at vertical, lateral, and frontal mandibular movement; the type and the steadiness of the mandibular movement; pain symptoms in the TMJ and in the masticatory muscles at palpation and at various movements; the presence and the degree of articular noise.
r e s u l t s o f s t u d yStudying mandibular movements allowed identifying their limit at maximum mouth opening in 42.9% of the patients, while in 28.6% of them the maximum opening was reduced to 25-37 mm, and in another 14.3% of the patients that value was below 25 mm. 57.1% of the patients had mandibular vertical movements within the normal values (38-56 mm).Restricted lateral mandibular movement was registered in 42.9% of the patients, whereas 32.2% of them had lateral movements values now exceeding 5-9 mm, and in another 10.7% -less than 5 mm. In 57.1% of the patients, lateral movements were within the normal range (10-11 mm).The frontal (protrusional) movement of the mandible was restricted in 14.3% of the patients, including 10.7% of the patients who had the respective value in between 3-5 mm, while 3.6% of the patients had it below 3 mm. In 85.7% of the patients the mandibular movement forward was within the full range (5-7 mm).The asymmetric nature of the mandible movements relative to the midline at the mouth opening was observed in 21.4% of the patients. At the same time, 17.8% of the patients had the mandible shifting to the right or left in the initial phase of the mouth opening, and then returning to the midline. In 3.6%, the mandible shifted to the side without returning to the midline, and in the final phase of the mouth opening, it featured a shift to the side by more than 2 mm. In 78.6% of the patients, no mandible movements asymmetry was identified, while the mandible lateral shift did not exceed 2 mm.A pain response from the TMJ during mandibular articulation was to be observed in 17.9% of patients, while in 10.7% of the patients it was observed with one mandibular movement, and in 7.2% of the patients -with two or more movements. 81.1% of the patients manifested no pain symptoms.Pain symptoms through mandible articulation which localized in the masticatory muscles were observed in 17.9% of the patients. ...
a B s t r a C t -Microcirculatory disorders resulting from disturbed mechanisms for blood flow regulation, or developing as secondary disturbances, are the focal point within the pathogenesis of most pathological conditions in cardiology, surgery, dentistry and other areas of medicine. Aim of study: to analyze and summarize the literature data focusing on the contemporary opportunities for noninvasive correction of regional blood circulation disorders using physiotherapeutic methods. K E Y w o r d s -terahertz therapy, disturbed microcirculation.
This study aimed to examine the indicators of gum epithelial cell proliferation in patients with chronic periodontitis against gastroesophageal reflux disease (GERD). The clinical, endoscopic, immunohistological and morphological studies revealed that diseases affecting the esophagus facilitate the development and the progression of periodontal issues. Enhanced apoptosis due to insufficient proliferation of periodontal tissues contributes to the progression of inflammatory and destructive changes in the tissues, against the background of reduced regeneration due to a decrease in the Ki-67 immunopositive cells.
С целью изучения клинико-патогенетической эффективности линимента циклоферона в комплексной терапии хронического гингивита у больных с хроническими инфекционными заболеваниями (ВИЧ-инфекция, бруцеллез, гепатит С) проведено обследование и лечение 42 больных. Доказано, что применение линимента циклоферона в комплексном лечении хронического гингивита у больных с хрон ическими инфекциями позволяет уменьшить инфекционную нагрузку в пародонтальных карманах и выраженность местного воспаления, нормализовать параметры иммунитета, снизить эндотоксикоз, что обеспечивает ускорение процессов выздоровления, снижение частоты рецидивов заболеваний.
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