FUNCTIONAL AND PSYCHOREHABILITATION OF THE OF THE STOMATOGNATIC SISTEM ‘S DISORDERS- A NON INVASIVE TREATMENT APPROACH

Abstract

The congruence of the temporomandibular joint is influenced by the absence of odontoperiodontal units, which leads to oromaxillofacial disharmony, causing dysfunctions of the stomatognathic system concomitant with a biological imbalance. The appearance of the dysfunctional syndrome of the stomatognathic system can be avoided by a transitional medical device called a transitional morphological guard to relax the mandibular muscles, establishing the basic functions in achieving the phonetic and aesthetic objectives with the effective maintenance of the mandibulocranial relationship. Considerations regarding subsequent prosthetic treatment include either implantology as an optional option or removable prosthesis. Different interarches ratios are established by the mandible to the maxilla and define the notion of relationship or varied intermaxillary relationships which lead to the proper functioning of the functions of the stomatognathic system, the most important being mastication, thus establishing dental-dental contacts, or in other words occlusal relationships. The risk factors that negatively influence a harmonious occlusion can appear as a result of occlusal changes such as: orthodontic displacements; wear of occlusal surfaces and incisal edges; loss of a lateral tooth; the loss of posterior support (when several teeth are lost) and the vicious habits of the patients. As a result of these changes, occlusal trauma, joint, periodontal and musculo-ligamentary pain, occlusal stress, injuries, etc. may occur. Taking into account the fact that occlusion is a defined static term that describes the relationship between the antagonistic teeth in contact, as well as the movement of the antagonistic teeth (upper teeth compared to the lower ones and vice versa) during mastication, it means that normal stable occlusion together with mastication, phonation and physiognomy are acceptable if it turns out that there are no signs of dental, periodontal, muscular or joint suffering, all of which are attributed to occlusal demands in particular. In conclusion, the examination and monitoring of the intermaxillary relations are essential for a successful treatment as well as for an exceptional occlusal harmony.

Keywords

• mandibulocranial reports
• occlusal imbalance
• morphostatic occlusal transition guard