Osteoarthritis of the temporomandibular joint - a diseaseassociated with defects of teeth occlusion, leading to increased pressure on the bone joint. Reducing the adaptive capacities of the joint on a background of inflammation, poor circulation, hormonal changes and pathology of metabolism contributes to the development of the disease. Jaw, rather temporomandibular arthrosis is an indication for dental consultations and subsequent orthodontic and orthopedic treatment, supplemented by conservative therapies aimed at improving the metabolic processes in the joint.
Osteoarthritis in general and mandibular arthrosis in particular, requires a comprehensive treatment, including medications, physical, surgical and other methods.
The main condition for the effective treatment of the diseaseIt is to reduce the load on the joint. The scope, contents and sequence of orthodontic and orthopedic surgery determines the dentist. The main objective of the treatment of osteoarthritis, eliminating overloading of the joint of the jaw, is solved by restoring teeth, elimination of defects of dentition and correction of their relationship.
Depending on the purposes they may be subdivided into groups.
- Normalizing the occlusal contacts of individual teeth.
- Reducing the normal closure of the dentition.
- Makes up for the defects of individual teeth and dentition.
- Normalizing movement in the joint.
Normalization of occlusal contacts with osteoarthritisaimed at unloading the jaw joint and provides improvement of the chewing surfaces by selective prishlifovyvanie, during which removed the point of premature tooth contact. After the elimination of obstacles and the creation of new points of contact physiological dentition conditions for the further treatment of osteoarthritis.
Prishlifovyvanie teeth is absolutely harmless to the health of dental system. Chewing surfaces coated with varnish resistant to caries with careful oral care.
Orthodontic events in osteoarthritis of the jawaimed at reducing the load on the temporomandibular joints by normalizing the shape of dentition. Various types of prosthetics, dental implants help to eliminate defects and evenly redistribute the load on the lower jaw.
Treatment begins with a normalization of anatomicrelations head of the mandible and the articular pits. For this purpose removable and non-removable devices: plastic mouthguards, bite block plate stops opening of the mouth, the palatal plate with an inclined plane, and coronal kappovye apparatus with an inclined plane. When pathological abrasion of teeth to increase their height plastic aligners are used for the entire dentition. The correct position of the mandible head is controlled by the X-ray. After 2-4 months of such treatment of osteoarthritis temporomandibular joint pain disappear, chewing muscles adapt to the newly formed tooth rows, then held the final prosthesis.
Prosthetic crowns, bridge installation,clasp dentures with the new interalveolar height, shape recovery chewing surfaces, relations grooves and bumps on the teeth helps to normalize occlusion dentition and create conditions for normal operation of the jaw joint.
Osteoarthritis is accompanied by violation of the mandibularthe function of the masticatory muscles. Therefore, treatment of diseases includes therapeutic exercise. A set of exercises aimed at normalizing the rate of chewing muscles and made individually for each patient.
Therapeutic exercise is supplementedphysiotherapy and massage. In the complex all activities contribute to the attenuation of degenerative processes and lead to the restoration of cartilage tissue.