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22/17-A, Konstantynovskaya str., (Podol district)
Kyiv, 04071, Ukraine,
tel: +3(044) 531-3797 |
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13, Staronavodnytskaya str., (Pechersk district)
Kyiv, 01015, Ukraine,
tel: +3(044) 451-4060 |
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In modern dentistry TMJ deceases present the most difficulty for diagnostics and treatment, so so if you feel even insignificant discomfort you should see a doctor, because deceases found at early stages are easier to diagnose and to prevent their progression.
Our clinic offers complex approach for exact diagnosis and rational plan for your treatment.

TMJ is a paired joint (right and left) that provides various movements in any planes of the lower jaw against the upper one. These complex symmetrical movements are executed when lower jaw articular heads interact with glenoid surfaces of the upper jaw.
TMJ is one of the most complex joints in human body and fulfills complicated functions. Due to its movements in several planes full chewing is achieved with any levels of masticatory stress. Complexity of TMJ structure determines the variety of possible problems as well as difficulty in diagnostics and treatment methods.

Signs of decease.
TMJ deceases are mostly connected with occlusion pathology, but their nature (etiology) may vary.
The most widespread symptom that makes patients to visit dentists is pain. The accompanying symptoms may be lower jaw locking, joint noise, clicks, teeth abrasion. In all cases when patients complain for TMJ discomfort the preliminary diagnosis is "joint and muscle dysfunction". This diagnosis is specified after additional examination. Myalgia (muscular pain) is the result of acute or inveterate microtraumas of joints and masticatory muscles, as well as of long-lasting masticatory muscles hyperactivity (bruxism), occlusional dysfunction or orthodontic pathology or grinding teeth extraction.
Treatment: as it is very difficult to determine the dysfunction cause (mostly clinical symptoms are vague and general) the treatment is symptomatic - physical therapy, analgesics (for all kinds of myalgia), resolvents and muscle relaxants (for acute muscular pain).
After painful symptom arresting the 2nd part of the treatment begins - occlusion correction and occlusal splints (i.e. occlusion restoration with special splints). Occlusion correction for patients with joints and muscle dysfunction is based on thorough analysis by a dentist. The doctor examines functional occlusion in the oral cavity as well as in the dental laboratory on stone models using articulator. After occlusion correction or on the treatment stage occlusive splints and guards are applied.

One of basic means of occlusion therapy are occlusive splints splints or guards. An occlusive splint is a detachable artificial appliance made of plastic or metal that reproduces occlusive surface. Patients wear this appliance for a certain period of time to change occlusal adjustments and functional disposition of the lower jaw.
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The main advantage of occlusal splint over other kinds of occlusal treatment is the possibility of noninvasive treatment, i.å. reversibility of occlusal changes. One can say that occlusal splint is "the glasses for teeth".
Occlusal splints are used to improve neuromuscular coordination and TMJ functions, to cure muscle pain, to increase vertical height of the occlusion, to secure lower jaw in a certain position, to change lower jaw tracing, to check accuracy of the occlusive pattern, reconstructed by the dentist, replacement of missing teeth with an occlusal splint, bruxism load distribution.
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While evaluating therapeutic outcome of the treatment it is necessary to consider that occlusal splint influences occlusion as well as blocks periodontium receptors due to its splinting effect.
Main purposes of their application are as follows:
1. Occlusion height increase;
2. Elimination of early occlusal adjustments;
3. Masticatory and neck muscles relaxation;
4. Occlusive and neuromuscular stabilization;
5. Normalization of apex location in TMJ.
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