Neurological status assessment in orthodontic patients with temporomandibular joint dysfunction

Abstract

Aim. To assess the neurological status of patients with malocclusion and temporomandibular joint dysfunction before and after splint therapy.Materials and methods. Clinical examination, ultrasound examination and magnetic resonance angiography of the main head and neck vessels were performed in 37 patients with temporomandibular joint dysfunction caused by malocclusion aged 18 to 44 years.Results. Physical weakness, apathy, memory impairment, sleep problems, hearing loss are markers of changes in cerebral circulation in orthodontic patients with temporomandibular joint dysfunction. The blood flow rate asymmetry along the medial cerebral arteries was found in the presence of asymmetry in the diameters of the vertebral arteries. 57.69% of patients showed vertebrogenic effects signs on the vertebral arteries in the intra vertebral segment (V2). There was no significant difference in the brain hemodynamics parameters before and after treatment with splint therapy.Conclusions. Effective temporomandibular joint dysfunction treatment requires a comprehensive interdisciplinary approach.

Keywords

• дисфункция височно-нижнечелюстного сустава
• сплинт-терапия
• ультразвуковая диагностика в стоматологии
• церебральная гемодинамика