A COMPREHENSIVE APPROACH TO TREATMENT TEMPOROMANDIBULAR PAIN-DYSFUNCTION SYNDROME AGAINST THE BACKDROP OF CERVICAL OSTEOCHONDROSIS

Melnik V. L., Shevchenko V. K., Shevchenko E. V., Melnik I. V.

CONTENTS

Scentific article

According to the literature in present Ukraine, 80% of young people aged 18 to 39 years diagnosed osteochondrosis. This is primarily manifested by dizziness, headache in the occipital region, tinnitus. With head-turning set of symptoms may increase and sharp movement often leads to loss of consciousness. Such symptoms manifested by temporomandibular pain-dysfunction syndrome, which is characterized by the presence of trigger points of muscles of the head, headache different nature and location of pain in the neck, ears, in the joints, tooth-ache, cracking and crunching during opening or closing the mouth. This condition conducive to long monotonous working at the computer, the same type of movements of the head and neck associated with the profession. In these cases, there are destructive changes of cartilage with subsequent salt deposits, deteriorating shock absorbing properties of intervertebral discs having pain and discomfort. Concomitant factors that accelerate the development of disease is dynamic and static overloading, back injury, vibration. Therefore, the aim of our study was to: 1. Create a new algorithm for the treatment of patients with temporomandibular pain-dysfunction syndrome against the backdrop of cervical osteochondrosis; 2. Verification of the effectiveness of methods of anesthesia in patients with temporomandibular pain-dysfunc-tion against the backdrop of cervical osteochondrosis in applying acupuncture and light therapy; 3. Esteem the effectiveness of the proposed algorithm for treatment. Clinical observations were carried out in 5 patients (3 men and 2 women aged 20 to 37 years). Diagnosis and treatment of these patients was carried out jointly with the osteopath, and prosthodontist. The specificity of the treatment effect was in pain components in patients in problem areas right and left temporomandibular joint and cervical spine using non-traditional methods (methods for acupuncture analgesia Peking school, phototherapy – blue light (B2 mode) apparatus LuxDent «UFL 122» use applicator Lyapko, methods of Chi Kung therapy). We proposed treatment algorithm included: 1. Eliminating pain component in the region of the right and left temporomandibular joint and cervical spine (osteopaths, Chi Kung Therapy, acupuncture analgesia, blue light (B2) apparatus LuxDent «UFL 122». 2. Prevention complications of occlusion (making a orthopedic mouthguards for temporary fixation of prosthetic occlusion followed if necessary). 3. Fixing the outcome – the central bite= central occlusion. 4. Prevention of complications (patients individual work at home Chi Kung – therapy, massage, exercises of recreational gymnastics). 5. Consummation stabilization process based performance of individual rehabilitation program prepared for each patient. As a result of applying our proposed algorithm of treatment in this group of patients over a period of 2 to 4. 5 months of positive results to help you believe this algorithm is effective when used in integrated multidisciplinary approach to treating patients with temporomandibular pain-dysfunction against the backdrop of cervical osteochondrosis. The feasibility of using our proposed treatment of clinical and paraclinical research results.

temporo-mandibular pain-dysfunction, cervical ostoochondrosis, acupuncture, chi kung therapy, phototherapy

• Бугровецкая О. Г. Мануальная диагностика и мануальная терапия при дисфункции височно-нижнечелюстного сустава / О. Г. Бугровецкая, В. В. Юров // Рефлексотерапия. – 2003. – №3. – С. 13–15.
• Мельник В. Л. ЦИГУН-терапия. Оздоровительная гимнастика / В. Л. Мельник, П. П. Кицько. – Полтава, 2009. – 48 с. 3. Мирза А. И. Реабилитация пациентов с болевым синдромом ВНЧ суставов / А. И. Мирза, Г. И. Лютик. – Код досту-
• па http://www. stom. by/specialists/stomatology/ortodont/index. php?r=8 http://www. edentworld. ru/cgi-bin/info/lib. pl?cid=&DocID=1211.
• Шевченко В. К. Використання спектрів світла в діагностиці та лікуванні стоматологічних захворювань апаратом «UFL-122» / В. К. Шевченко, В. Л. Мельник // Стоматолог. Журнал практикующего врача. – 2011. – №9. – С. 12-15.
• Яковлева А. Гипермобильный синдром / А. Яковлева. – Мед. газета. – 25 февраля 2000. – С. 8-9.

«Bulletin of problems biology and medicine» Issue 2 part 2 (108), 2014 year, 009-012 pages, index UDK 616. 724-002-08