CC BY
17ISSN 2223-4047
BecmnuK Maeucmpamypu. 2022. № 5-1 (128)
M.H. Marupova, A.S. Kubaev, A.I. Khazratov
DIAGNOSIS AND TREATMENT OF PAIN SYNDROME TEMPOROMANDIBULAR JOINT DYSFUNCTION SYNDROME
Diseases of the temporomandibular joint TMJ) include internal disorders of the temporomandibularjoint (TMJ), abnormalities of the masseter muscles and adjacent TMJ structures, and TMJ-related headaches. For all TMJD manifestations, the main adverse effects patients experience include restriction of jaw movement and, of course, mild to severe head and neck pain. TMJD includes pain in the TMJ and facial region, including soreness when touching the facial muscles (especially the chewing muscles and TMJ), uncoordinated jaw movements, and the presence of articular noise.
Key words: temporomandibular joint, pain syndrome. facial muscles.
Introduction. While many studies have evaluated dietary problems during postoperative follow-up of patients after TMJ-related surgery, some studies have also looked at dietary intake before and after treatment of both non-surgical and surgical TMJ patients in the context of jaw movement and pain levels experienced by the patient. Despite the use of different types of occlusal splints made of various soft and hard materials, the most common splint used for TMJ treatment, the stabilizing splint, remains an acceptable option widely agreed upon among practitioners. According to the literature review, splints of varying thicknesses from 1 to 15 mm have been used to treat TMJ, and a three-point contact is preferred along with convenient alternatives. Stabilizing splints usually reduce the pain symptoms of TMJD caused by internal disorders or myofascial origin, improving jaw mobility and overall health. They also improve dietary performance and improve disc displacement without reduction with splint therapy (e.g., people who previously could only eat liquid foods can switch to a regular diet, including solid foods, after splint therapy). The temporomandibular (temp-puh-roe-man-DIB-u-lur) joint (TMJ) acts as a sliding hinge, connecting the jawbone to the skull. You have one joint on each side of your jaw. TMJ disorders, a type of temporomandibular disorder or TMJD, can cause pain in the jaw joint and in the muscles that control jaw movement. The exact cause of an individual's TMJ disorder is often difficult to determine. Your pain may be caused by a combination of factors, such as genetics, arthritis or jaw injury. Some people with jaw pain also tend to clench or grind their teeth (bruxism), although many people usually clench or grind their teeth and never develop TMJ disorders. In most cases, the pain and discomfort associated with TMJ disorders are temporary and can be alleviated with self-treatment or non-surgical treatment. Surgery is usually the last resort after conservative measures have failed, but some people with TMJ disorders may benefit from surgical treatment.
Symptoms:
Signs and symptoms of TMJ disorders may include:
- Pain or tenderness in your jaw
- Pain in one or both temporomandibular joints
- Aching pain in and around your ear
- Difficulty chewing or pain during chewing
- Bearing facial pain
- Blockage of the joint, making it difficult to open or close the mouth
TMJ disease can also cause a clicking sound or friction sensation when you open your mouth or chew. But if there is no pain or restriction of movement associated with a clicking jaw, you probably don't need treatment for TMJ disorder.
The temporomandibular joint combines articulation with gliding movements. The parts of the bones that interact in the joint are covered by cartilage and separated by a small cushioning disc, which normally keeps the movements smooth. Painful TMJ disorders can occur if:
- The disc wears out or shifts out of proper alignment
- The cartilage of the joint is damaged by arthritis
- The joint is damaged by a blow or other impact
However, in many cases, the cause of TMJ disorders is not clear.
Factors that may increase the risk of developing TMJ disorders include:
- Various types of arthritis, such as rheumatoid arthritis and osteoarthritis
- Trauma to the jaw.
Prolonged (chronic) grinding or clenching of teeth
© M.H. Marupova, A.S. Kubaev, A.I. Khazratov, 2022.
ISSN 2223-4047
Вестник магистратуры. 2022. № 5-1 (128)
Conclusions: Thus, certain connective tissue diseases causing problems that can affect the temporomandib-ular joint. The treatment of patients with pain dysfunction syndrome also remains one of the most complex and pressing problems of modern dentistry. Most of the proposed therapies are symptomatic, recommendatory in nature and are not effective enough. This situation leads to the fact that the arsenal of medications and other methods of treatment of patients with this disease is constantly increasing, creating difficulties in the choice of tactics for the practitioner. Therefore, the development of simple, but effective ways to improve the effectiveness of treatment of patients with pain dysfunction syndrome, taking into account the causal mechanisms of disease development and using a comprehensive individual approach, based on the results of the examination, is a reasonable and necessary measure in modern conditions.
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MARUPOVA MADINA HIKMATULOEVNA - Resident of master's degree in stomatology, Samarkand State Medical University.
KUBAEVAZIZ SAIDOLIMOVICH - Assistant Professor of the chair of maxillofacial surgery, Samarkand State Medical University.
KHAZRA TOVALISHER ISSAMIDINOVICH- Head of the Department of Surgery and Oral cavity, Samarkand State Medical University.
