Systematization of ethiopathogenetic factors of muscle and joint dysfunction development of the temporomandibular joint
DOI:
https://doi.org/10.15587/2519-4798.2018.143171Keywords:
temporomandibular joint, muscle and joint dysfunction, ethiopathogenetic factors, generalization, systematizationAbstract
The aim: to substantiate the concept of the system approach for generalization and regulation of ethiopathogenetic factors of muscle and joint dysfunction development of the temporomandibular joint to propose schemes for factors structuring based on the analysis of scientific sources and the authors' own clinical studies and to provide methodological and practical assistance to physicians in studying this pathology in order to improve efficiency and quality diagnosis and treatment.
Materials and methods: As a materials for the study were taken modern native and foreign scientific sources on the etiology and pathogenesis of the muscle and joint dysfunction of the temporomandibular joint, as well as the authors' own clinical observations. The retrospective analysis of a representative sample consisting of 306 dental patients cards was conducted (men – 90 (29.4 %), women – 216 (70.6 %) aged 16 to 74, the average age was 38.07±1. 97 years) taken from the database of the Republican Center of Dental Implantation (Kharkov), which were diagnosed and treated for muscle and joint dysfunction of the temporomandibular joint during 2010–2017 years. During the research, the system approach, methods of analysis, synthesis and generalization, structural decomposition were used.
Results of the study: the concept of generalization and integration on a single system basis of various approaches presented in scientific sources to the ethiopathogenetic factors structuring that can lead to the development of muscle and joint dysfunction was suggested. As the result of the study, a unified structured complex of pathogenetic factors is presented, the composition of local factors (dental genesis) and general factors (associated with diseases of various organs and systems of the body, traumas, stresses, etc.) which can be the cause of the temporomandibular joint pathology development and act as predisposing, trigger (provoking) or supporting factors.
Conclusions: the presented results allow expanding and systematizing the knowledge of practicing dentists, as well as doctors of other specialties, family doctors, interns, students of dental faculties about the ethiopathogenetic factors of the muscle and joint dysfunction development of temporomandibular joint in order to direct their attention to multifactorality and polygenic of this disease, which has great practical importance. The results of the research show that for quality diagnosis and the appointment of an adequate rational treatment for dysfunction, a system, multidisciplinary approach is needed with active and motivated involvement of the patient in order to identify, if possible, the majority of the active negative factors that led this particular patient to this pathology
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