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Modern technologies of disturbed masticatory rehabilitation (implantation, computer technology of dental prostheses production), provides with endless opportunities to quickly restore the function, nicely change the image of the face. However, this can create situations when the new structure is depersonalized, no longer meets the former chewing movement coordination. A person has to adapt to the distribution of altered masticatory forces. On the other hand, the coordination of chewing movements can change in the cases of a person’s active puberty, orthodontic treatment, or be damaged by injury, incorrect posture, and lifestyle in the conditions of constant stress. In this situation, the weakest link is temporomandibular joint. It is thought that up to 20 % of the population feels joint dysfunction of different intensities. The structure of temporomandibular joint is complex. It carries out rotating (yawning) and moving (moving forward or sideways) motions of the mandible of the head. Different movements are given by the cartilage disk; a healthy person has it always located between the articular surfaces of the bone. When the coordination of mandibular movement is disturbed, cartilage disc can be pushed out of the joint space, „crumpled„ in the front or inside areas. Slipping the disk out of its usual position or returning back is accompanied by the crackle which the patient feels well. The mentioned symptom clearly shows the joint dysfunction, which may eventually progress to the refractory structural changes. Therefore, in all the cases when unpleasant sensations of the joints are observed – pain, crackles, or changes in movement immediately examine the causes of joint functional disorders.
The function of the joint is evaluated recording mandibular movements with ultrasound equipment. The balance of the bite is evaluated by the dynamic occlusal Tekskan analyzer. Structural changes in the joint are assessed by the harmless magnetic resonance tests. Thanks to the above-mentioned complex studies, the actual changes are evaluated and if necessary, firstly adjusted by the temporary removable or fixed appliances, later in case of positive results of treatment – by permanent dentures.
In all the complicated cases, planning rehabilitation of the chewing system, or adjusting the ones that you already have, we offer you with the help of the advanced non-invasive technology to investigate the structure of the joint, its functional features and adjust the therapy according to the test results.
Healthy temporomandibular joint:
The slip forward of temporomandibular joint disk:
Temporary protective mouth guard for the treatment of primary functional changes:
Prepared by: Professor Ph.D. Antanas – Algimantas Šurna