Occlusive splint therapy complication prevention
PATHOPHYSIOLOGY — MEDICINE
Abstract
Introduction.Currently, occlusal split therapy has become widely used in dental practice for pathology of the temporomandibular joint and/or parafunctions (hypertonia) of the masticatory muscles. At the same time, no in-depth studies on the effect of occlusal splint therapy on the condition of tooth enamel, as well as the prevention of its demineralization have been conducted so far.The aim— to study the influence of occlusal splint therapy on the state of dental enamel and also to estimate the effectiveness of using the individual oral hygienic care for remineralization of dental enamel.Materials and methods.There were 45 women aged from 19 to 44 years old being under observation for 2 months who were treated by occlusal splint therapy for temporomandibular joint and/or masticatory muscles diseases and were periodically examined once a month for 60 days to estimate functional resistance of tooth enamel by means of TER-test. The 1st, control, group consisted of 20 people, who performed their usual 2 times daily routine individual oral hygiene during occlusal splint therapy. The 2nd, main group, consisted of 25 people who additionally used ASEPTA remineralizing dental gel after oral hygiene treatment.Results.Indexes of functional resistance of tooth enamel to acid before occlusal splint therapy in the 1st and 2ndgroups patients were almost the same and comprised respectively 2,73±0,19 and 2,81±0,18 conventional units. Patients of the 1stgroup had the tendency to decrease the functional resistance of tooth enamel to 2,85±0,17 conventional units during the period of dynamic observation while the patients of the 2ndgroup had the functional resistance of tooth enamel significantly increased up to 1,02±0,18 conventional units that is the evidence of the effectiveness of the remineralizing gel for teeth during the occlusal splinting therapy. Daily use of remineralizing ASEPTA dental gel by the patients of the main study group 2 in the course of 2 months of occlusal splint therapy allowed to provide 36,3% increase of digital indices of tooth enamel resistance, which is an important factor of prevention of dental caries development.
References
1. Иорданишвили А.К., Керимханов К.А., Солдатова Л.Н. Черныш В.Ф. Гигиена полости рта, состояние тканей пародонта и пути их улучшения у молодых людей, проходящих ортодонтическое лечение. Институт стоматологии. 2015;(4):62–65. EDN: VPRHJZ.
2. Иорданишвили А.К., Сериков А.А. Заболевания височно-нижнечелюстного сустава и жевательных мышц у плавсостава. Военно-медицинский журнал. 2018;339(5):64–65. EDN: LZHTVB.
3. Солдатова Л.Н., Сериков А.А., Иорданишвили А.К. Особенности функциональных нарушений височно-нижнечелюстного сустава и жевательных мышц у молодых людей. Известия Российской военно-медицинской академии. 2020;39 (S3-5):193–197. EDN: IIMHRG.
4. Леонтьев В.К. Эмаль зубов как биокибернетическая система. М.: ГЭОТАР-Медиа; 2016. 72 с.
5. Окушко В.Р. Физиология эмали и проблема кариеса зубов. Кишинев: Щтница; 1989. 80 с.
6. Addy M. Dentine hypersensitivity: New perspectives on an old problem. Int Dent J. 2002;52(5):367–375. https://doi.org/10.1002/j.1875-595X.2002.tb00936.x.
7. Slade G.D., Diatchenko L., Ohrbach R., Maixner W. Orthodontic treatment, genetic factors, and risk of temporomandibular disorder. Semin Orthod. 2008;14(2):146–156. https://doi.org/10.1053/j.sodo.2008.02.005.
8. Иорданишвили А.К., Сериков А.А., Фаизов А.Р. Личностное реагирование на болезнь при парафункции жевательных мышц. Ученые записки СПб ГМУ им. акад. И.П. Павлова. 2017;24(2):52–58. https://doi.org/10.24884/1607-4181-2017-24-2-52-58.
9. Lovrov S., Hertrich K., Hirschfelder U. Enamel demineralization during fixed orthodontic treatment — incidence and correlation to various oral-hygiene parameters. J Orofac Orthop. 2007;68(5):353–363. https://doi.org/10.1007/s00056-007-0714-1.
10. Солдатов В.С., Солдатова Л.Н., Иорданишвили А.К. Функциональная резистентность эмали у пациентов в период ортодонтического лечения и пути ее улучшения. Институт стоматологии. 2022;4(97):50–51. EDN: WQKTTZ.
11. Орехова Л.Ю., Лобода Е.С., Нейзберг Д.М., Боева П.А., Березкина И.В. Сравнительная оценка изменений ультраструктуры поверхности эмали зубов и дентальных имплантатов при использовании воздушно-абразивных методик деконтаминации поверхности различными типами абразивов в процессе проведения профессиональной гигиены. Пародонтология. 2019;24(2):133–139. https://doi.org/10.33925/1683-3759-2019-24-2-133-139.
12. Al-Omiri M.K., Abu Alhaija E.S. Factors affecting patient satisfaction after orthodontic treatment. Angle Orthod. 2006;76(3):422–431. https://doi.org/10.1043/0003-3219(2006)076[0422:FAPSAO]2.0.CO;2.
13. Arnold W.H., Prange M., Naumova E.A. Effectiveness of various toothpastes on dentine tubule occlusion. J Dent. 2015;43(4):440–449. https://doi.org/10.1016/j.jdent.2015.01.014.
14. Trushkowsky R., Oquendo A. Treatment of dentine hypersensitivity. Dent Clin North Am. 2011;55(3):599–608. https://doi.org/10.1016/j.cden.2011.02.013.
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