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in this study we focused on investigating the etiological factors that contribute to the development of temporomandibular joint dysfunction (TMD) following reconstructive changes in occlusion in patients. Our goal was to identify and assess pathological changes occurring in temporomandibular joint (TMJ) after reconstructive occlusal treatment, as well as to determine possible causes of these changes. In order to achieve this goal, we applied various diagnostic methods, such as collecting and analyzing patient complaints, clinical examination, palpation of muscles and temporomandibular joint, occlusal analysis using an intraoral scanner, radiographic examination and axiography. The study involved 28 patients who had previously undergone reconstructive occlusal treatment and reported complaints related to temporomandibular disorders. Most patients experienced pain in the joint and muscles, had jaw movement limitations and chewing function disturbances. Radiographic studies showed pathological changes in the structure of the temporomandibular joint. The study revealed that reconstructive occlusal changes in patients can lead to various pathological changes in temporomandibular joint. It was found that the majority of participants experienced painful sensations and jaw movement limitations, as well as changes in joint structure according to radiographic studies. Disorders in the anatomical structure and function of TMJ were also identified. Conducting comprehensive examination and timely correction considering the identified disorders are important in order to prevent mistakes in patient treatment and achieve positive treatment outcomes.
Naumovich et al. (Thu,) studied this question.