Сhanges in the internal diseases picture during of the temporomandibular joint disease treatment

Abstract

The attitudes of adults suffering from various forms of diseases of the temporomandibular joint with pain syndrome to the internal picture of the disease have been studied. To determine the type of attitude of the patient to the disease, the «Type of attitude towards the disease» method was used. It was established that in patients suffering from temporomandibular joint pathology, the tolerance to chewing load was often reduced, and the morphometric index of 75,7% of the people surveyed was below 0,7 in u. e. Data on attitudes to the disease obtained prior to the treatment of persons suffering from temporomandibular joint diseases, did not show age and gender differences, as well as differences, taking into account the form of the pathology of the temporomandibular joint. It was noted that prior to the start of therapy, regardless of age and gender in persons suffering from temporomandibular joint diseases, types of attitudes toward the disease were observed, in which maladaptive behavior was observed with a predominantly intrapsychic response to the disease. Thus, among the types of attitudes towards the disease, patients suffering from temporomandibular joint diseases before treatment were more likely to have hypochondria (29,7%), melancholic (25,9%), neurasthenic (10,8%) and less often – alarming (8,1%) and apathetic (5,4%) types. At the same time, the presence in patients of mental maladjustment in connection with the pathology of the temporomandibular joint is marked primarily by an intrapsychic orientation of the response to the disease. This was manifested by characteristic reactions of the type of irritable weakness, anxious, depressed, and depressed. The treatment carried out within 30–40 days, allowed eliminating or significantly improving their condition in 94,6% of patients, but in 5,4% of patients, mild arthralgia remained in the temporomandibular joint. Patient treatment efficacy was 72,4%. Patients mostly had complaints about pain in the temporomandibular joint, including when eating and talking, and decreased sound phenomena in the temporomandibular joint when opening and closing the mouth. Comprehensive treatment with the use of behavior and nutrition, various dental treatment and preventive measures, exercise therapy exercises, as well as non-steroidal anti-inflammatory drug etoricoxib, made it possible to achieve effective treatment in 40,3% of cases. At the same time, patients suffering from the temporomandibular joint pathology were able to change inadequate reactions to the disease, eliminate the pronounced phenomena of mental maladjustment, as well as create realistic treatment settings for them, help restore broad social connections and actively participate in treatment.

Keywords

temporomandibular joint / dysfunction / arthrosis-arthritis / treatment of diseases of the temporomandibular joint / attitude to the disease / internal picture of the disease / patient’s response to the disease / dental therapeutic and preventive measures / myogymnastics / occlusive rehabilitation

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RIGHTS & PERMISSIONS

Serikov A.A., Iordanishvili A.K.