A Comprehensive Approach to Treatment of Neuromuscular Dysfunctional Syndrome of the Temporal Mandibular Joint (Tmj). Clinical Observation

Background. Body malposition and somatic problems were earlier mentioned in 1902. Contemporary authors confirm that normalization of posture leads to miodinamic balance of maxillofacial muscles and normalization of occlusion. The strong relevance for the present research is better understanding of the interrelation of the body posture self-control and occlusal violations in patients with temporal mandibular joint (TMJ) malfunction. Objectives . The aim of the study was to confirm the referred interrelation with the T-SCAN computer-assisted diagnostics of occlusal relationships. Methods. Clinical observation of the patient before and after treatment, using clinical and modern paraclinical methods of examination. The diagnosis was made. The treatment is planned, which includes: prosthodontic correction of occlusal contacts and jaw position with the help of a mouthpiece to the upper jaw in the articulator, osteopathic accompaniment with balancing postures, selective polishing. Measurement of T-scan accompanied each stage of treatment (before intervention, 10 months after the intervention, 18 months after the patient initial treatment) to confirm the objectivity of changes in the maxillofacial area. Results. The result of the comprehensive approach to treatment of neuromuscular dysfunctional syndrome of temporal mandibular joint (TMJ) was the cessation of selective abrading as the method of occlusal contacts correction. Conclusions. It was concluded that in treatment of patients with neuromuscular dysfunctional syndrome a comprehensive approach with osteopathic pretreatment and osteopathic support is advisable.