Observational analysis identifies effective diagnostic methods in patients with dental anomalies, indicating potential for improved orthodontic treatment algorithms.
INTRODUCTION. Anomalies of the maxillary system belong to the group of major dental manifestations, which occupy one of the first places in terms of prevalence among diseases of the maxillofacial region and lead to aesthetic and functional disorders, changing the quality of life of patients. AIM. Improvement of the set of diagnostic methods appropriate for determining the tactics and comprehensive treatment of patients with dental anomalies. MATERIALS AND METHODS. 200 patients aged 18 to 44 years with sagittal maxillary anomalies were examined. The study included 138 people, including 97 women (70.3%) and 41 men (29.7%). All patients underwent a diagnostic complex, including basic and additional examination methods. RESULTS AND DISCUSSION. The position of the jaws and their relationship correlate with various signs that confirm the presence of severe cranio-mandibular dysfunction, such as sleep disorders, pain, and anxiety. The choice of an algorithmic method of orthodontic treatment of patients showed the presence of direct and inverse correlations. Direct connections reflect pain and muscle (musculotonic and myofascial disorders) involvement in the clinical picture, while the reverse links reflect muscle motor activity (hyperkinetic oromotor phenomenon) and features of the soft tissues of the face. The examination methods used by us make it possible to clarify the individual characteristics of patients with sagittal occlusion anomalies, thereby detailing the diagnosis and optimizing their orthodontic treatment. CONCLUSION. The obtained patterns allow us to form an interdisciplinary concept of managing comorbid and multimorbid patients at a modern level with the involvement of a neurologist and conducting comprehensive diagnostics and treatment of such patients.
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Fokina et al. (2025) studied this question.
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