12 research outputs found
Periodontal splinting β an adjunct to periodontal therapy
Progressive loss of clinical level of attachment and bone destruction,Β which often are result of spent periodontal disease,Β inevitably leadΒ to increased mobility of the teeth.Β Other causes of tooth mobility are occlusion trauma, atypical root system, iatrogenic shortened roots after an apical osteotomy, excessive strain during orthodontic treatment and root resorption.Β Increased tooth mobility adversely affects the patient's function, aesthetics and comfort.Β Splints are used to overcome these problems
Application of autogenous platelet-rich plasma in periodontology
INTRODUCTION:Autogenous platelet-rich plasma (PRP) is a platelet-rich substance obtained after specific processing of peripheral blood.AIM:The purpose of the present study is to describe and examine the autogenous platelet-rich plasma and its application in periodontology.DISCUSSION:In the last decade, PRP has gained wide popularity and is used in a variety of fields of medicine. The implementation of PRP is basically a regenerative procedure using an autogenous graft. Therefore, it is believed that there is no danger of genetic interference, sensitization, or any kind of disease transmission. Platelet-rich plasma therapy is a safe and effective option with no known risks or side effects. In the last decade or two, the amount of published studies focused on the joined use of barrier membranes and bone repair materials with PRP has increased. One of the main benefits of using PRP to administer damaged tissues is that it activates and releases growth factors, which can enhance collagen and elastin formation by fibroblasts, boost blood supply and metabolism in the affected area, as well as help promote angiogenesis (the formation of new blood vessels). In this way, PRP therapy can effectively restore lost tissue.CONCLUSION:The presented study shows that the implementation of autogenous PRP is an innovative method for periodontal regenerative therapy based on the fact that regenerative therapy methods show different success rates and different long-term results, depending on the materials that are used
Periodontal abscessβthe emergency in dental medicine (definition, classification, epidemiology, etiology, microbiology, pathogenesis and histopathology, pathophysiology)
INTRODUCTION:Periodontal abscesses are the third most common dental emergency, following periapical and pericoronary abscesses. They are of utmost importance based on the need for urgent medical intervention, the deteriorating prognosis of the tooth involved, and the potential of rapid spread of infection. Β AIM:The purpose of this study is to summarize the current information in the published literature regarding the definition, classification, epidemiology, etiology, microbiology, pathogenesis and histopathology, and pathophysiology of periodontal abscesses.DISCUSSION:The periodontal abscess is an acute localized infection due to invasion of pyogenic bacteria. Periodontal abscesses are classified based on their location (gingival and periodontal), duration of persistence (acute and chronic), and their number (single and multiple). This condition is more common in patients suffering from periodontitis, but a periodontal abscess can also occur in areas where periodontal pockets are not present, i.e., the cause of its development is different. The main microorganisms that are present are gram-negative anaerobic bacteria. Their invasion into the soft wall of the periodontal pocket is the beginning leading to the formation of a periodontal abscess. The majority of periodontal abscesses occur due to disruption of periodontal pocket drainage, which can occur in a variety of situations.CONCLUSION:In conclusion, we can summarize that periodontal abscesses are of utmost importance based on the need for urgent medical intervention, the deteriorating prognosis of the tooth involved, and the potential of rapid spread of infection. Considering that it occurs relatively frequently in the clinical practice, it is necessary for dentists to be thoroughly familiar with the diagnosis of periodontal abscess.
Comparison of soft tissue grafts harvested from the maxillary tuberosity and the hard palate: A review
INTRODUCTIONAutologous soft tissue grafts were first used for keratinized tissue (KT) augmentation around teeth. They have been considered an excellent alternative to tissue regeneration materials for their stable, long-term results.AIMThis review aims to compare soft tissue grafts harvested from two different donor sitesβthe maxillary tuberosity and the hard palate, evaluate their advantages and disadvantages, and summarize the indications and limitations for their use.MATERIALS AND METHODSAn electronic search using PubMed, Web of Science, Scopus, and Google Scholar databases was conducted until June 2024. This review includes 32 articles. It summarizes the knowledge on soft tissue grafts harvested from the hard palate and maxillary tuberosity.RESULTS AND DISCUSSIONThe palate and the maxillary tuberosity are the most common donor sites for soft tissue grafting in the oral cavity. They have various applications, such as soft tissue augmentation around teeth and implants, treatment of gingival recessions, and peri-implant dehiscence, and recently they have been suggested as a method for alveolar ridge preservation. The main differences between these grafts are their availability and structural and histological features.CONCLUSIONThe present review summarizes the advantages, disadvantages, applications, and limitations of soft tissue grafts harvested from the palate and the maxillary tuberosity. Various clinical assessments and histological and molecular analyses have highlighted their differences in structure and behavior
Current approaches to the treatment of teeth with furcation defects
INTRODUCTION: When the bifurcations and trifurcations of multirooted teeth are invaded by a periodontal disease process, it is referred to as furcation involvement. The treatment of these defects is extremely complex but determines the prognosis and survival of the teeth with affected furcation.AIM: The aim of this study is to specify current treatment approaches for different types of furcation defects.DISCUSSION: Today, we are familiar with the fact that teeth with furcation defects are considered teeth with a doubtful prognosis or non-rational for treatment in periodontal therapy. Because of their morphological features, accessibility, and the complexity of the healing, furcation defects pose a challenge to doctors. Over the years, a variety of studies have been conducted regarding the treatment of teeth with affected furcation. Non-surgical periodontal therapy has repeatedly been shown to lead to unsatisfactory results in these teeth (the exception being isolated cases of teeth with class 1 furcation defects). The reason for this lies in the inability to perform adequate debridement in relation to the anatomy of the furcation. Based on numerous studies and their results, nowadays it is clear that for teeth with a furcation defect (mostly class 2 and less often class 1) the most used methods are those of regenerative therapy. Class 3 furcation defects are the ones where the teeth are indicated for resective surgery or extraction with subsequent implant placement in the area.CONCLUSION: The presented study shows that presently in class 1 furcation defects, emphasis is placed on non-surgical periodontal therapy. In class 2 furcation defects, particular attention is paid to regenerative treatment methods, and in class 3 furcation defects, if radical actions are chosen, such as tooth extraction and implant placement afterwards, or if there are contraindications for suchβthere is a compromise option involving specific resective methods
Factors influencing postextraction alveolar ridge resorption
INTRODUCTIONPostextraction resorption is an irreversible process that causes a reduction in alveolar ridge width and height and, thus, can pose functional and aesthetic challenges for future implant and prosthetic rehabilitation. The resorption rate varies between individuals and between different time intervals within the same individual. Various factors have been reported to influence the resorption process.AIMThis review aims to discuss the factors influencing postextraction alveolar bone resorption and compare their significance.MATERIALS AND METHODSAn electronic search using Web of Science, PubMed, Scopus, and Google Scholar databases was conducted until May 2024. This review includes 40 articles. It summarizes the scientific evidence on the reviewed topic.RESULTSPostextraction resorption depends on numerous system and local factors, the most common of which are the extent of surgical trauma, morphological features of the socket, presence of infection, type and position of the tooth, periodontal biotype, type and time of prosthetic treatment, and some metabolic disorders and bad habits, such as smoking.Further research is necessary to determine how the knowledge of the factors influencing postextraction resorption can be used as a predictive factor for the expected amount of bone loss, and the exact methods that can prevent such resorption, such as ridge preservation, immediate implant placement, etc.CONCLUSIONPostextraction alveolar ridge resorption is an inevitable process that can hinder the implant and prosthetic rehabilitation of the dentition. Understanding the factors influencing this process can assist ridge preservation after tooth loss and the rehabilitation of the dentition
Foreign bodies in the maxillary sinus: a review
Reports of foreign bodies in the maxillary sinus have existed for many years. The most common iatrogenic causes are related to dental procedures. Foreign bodies enter the sinus primarily through two mechanisms: apical migration of tooth roots, fragments, or dental materials and as a result of trauma to the maxillofacial region. Patients are often asymptomatic, and the finding is frequently discovered incidentally on X-ray examination. In over 60% of cases, unilateral maxillary sinusitis or aspergillosis occurs. Sinusitis caused by a foreign body does not clinically differ from odontogenic maxillary sinusitis, and there is no specific symptom that points to this diagnosis. Methods for the removal of foreign bodies from the maxillary sinus vary depending on the size and location of the object. These methods can be categorized as follows: alveolar access, the Caldwell-Luc approach, and functional endoscopic sinus surgery (FESS) via nasal or oral access.Reports of foreign bodies in the maxillary sinus have existed for many years. The most common iatrogenic causes are related to dental procedures. Foreign bodies enter the sinus primarily through two mechanisms: apical migration of tooth roots, fragments, or dental materials and as a result of trauma to the maxillofacial region. Patients are often asymptomatic, and the finding is frequently discovered incidentally on X-ray examination. In over 60% of cases, unilateral maxillary sinusitis or aspergillosis occurs. Sinusitis caused by a foreign body does not clinically differ from odontogenic maxillary sinusitis, and there is no specific symptom that points to this diagnosis. Methods for the removal of foreign bodies from the maxillary sinus vary depending on the size and location of the object. These methods can be categorized as follows: alveolar access, the Caldwell-Luc approach, and functional endoscopic sinus surgery (FESS) via nasal or oral access
The correlation between periodontology and pregnancy
Pregnancy is a special period in a woman's life, characterized by increased plasma levels of sex hormones (estradiol, estriol, and progesterone). The prevalence and severity of periodontal disease intensify during pregnancy, making pregnant women particularly vulnerable to developing periodontal problems.It is now clear that periodontal disease can cause adverse consequences for both the pregnant woman and the baby. Both of these possibilities are serious topics for current and future research, as pregnant women are considered an important and susceptible population regarding their periodontal status.At this stage, the relationship between periodontal disease and pregnancy is relatively poorly documented due to conflicting evidence. This article aims to summarize the recent evidence for this correlation.Pregnancy is a special period in a woman's life, characterized by increased plasma levels of sex hormones (estradiol, estriol, and progesterone). The prevalence and severity of periodontal disease intensify during pregnancy, making pregnant women particularly vulnerable to developing periodontal problems.It is now clear that periodontal disease can cause adverse consequences for both the pregnant woman and the baby. Both of these possibilities are serious topics for current and future research, as pregnant women are considered an important and susceptible population regarding their periodontal status.At this stage, the relationship between periodontal disease and pregnancy is relatively poorly documented due to conflicting evidence. This article aims to summarize the recent evidence for this correlation
Classifications of defects affecting furcation
Π€ΡΡΠΊΠ°ΡΠΈΠΎΠ½Π½ΠΈΡΠ΅ ΠΏΠ°ΡΠΎΠ΄ΠΎΠ½ΡΠ°Π»Π½ΠΈ Π»Π΅Π·ΠΈΠΈ ΡΠ΅ Π΄Π΅ΡΠΈΠ½ΠΈΡΠ°Ρ ΠΊΠ°ΡΠΎ Π·Π°Π³ΡΠ±Π° Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½ΠΎ Π½ΠΈΠ²ΠΎ Π½Π° ΠΏΡΠΈΠΊΡΠ΅ΠΏΠ²Π°Π½Π΅ ΠΈ Π°Π»Π²Π΅ΠΎΠ»Π°ΡΠ½Π° ΠΊΠΎΡΡ Π² ΠΈΠ½ΡΠ΅ΡΡΠ°Π΄ΠΈΠΊΡΠ»Π°ΡΠ½Π°ΡΠ° ΠΎΠ±Π»Π°ΡΡ.Β Π‘ΡΠ΅ΡΠ°Ρ ΡΠ΅ ΠΌΠ½ΠΎΠ³ΠΎ ΡΠ΅ΡΡΠΎ Π² ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π°ΡΠ° ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° ΠΈ ΠΎΠ±ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΎ ΡΠ° ΡΠ΅Π·ΡΠ»ΡΠ°Ρ ΠΎΡ ΠΏΠ»Π°ΠΊ-Π°ΡΠΎΡΠΈΠΈΡΠ°Π½ΠΎ ΠΏΠ°ΡΠΎΠ΄ΠΎΠ½ΡΠ°Π»Π½ΠΎ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½Π΅. Π’Π΅Π·ΠΈ Π΄Π΅ΡΠ΅ΠΊΡΠΈ ΡΠ° ΠΎΡ ΠΈΠ·ΠΊΠ»ΡΡΠΈΡΠ΅Π»Π½Π° Π²Π°ΠΆΠ½ΠΎΡΡ, ΡΡΠΉ ΠΊΠ°ΡΠΎ Π½Π°Π»ΠΈΡΠΈΠ΅ΡΠΎ ΠΈΠΌ ΠΏΡΠΎΠΌΠ΅Π½Ρ Π΄ΡΠ°ΡΡΠΈΡΠ½ΠΎ ΠΏΡΠΎΠ³Π½ΠΎΠ·Π°ΡΠ° Π½Π° ΡΡΠΎΡΠ²Π΅ΡΠ½ΠΈΡ Π·ΡΠ±, ΠΊΠ°ΠΊΡΠΎ ΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π°ΡΠ° ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ΡΠΎ ΠΌΡ.ΠΠΎΠ±ΡΠ΅ ΠΎΠΏΠΈΡΠ°Π½Π°ΡΠ° ΠΊΠ»Π°ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ Π½Π° Π΄Π΅ΡΠ΅ΠΊΡΠΈΡΠ΅, Π·Π°ΡΡΠ³Π°ΡΠΈ ΡΡΡΠΊΠ°ΡΠΈΡΡΠ° Π΅ Π²Π°ΠΆΠ½Π°, ΡΡΠΉ ΠΊΠ°ΡΠΎ ΡΡ Π±ΠΈ ΠΏΠΎΠΌΠΎΠ³Π½Π°Π»Π° Π΄Π° ΡΠ΅ ΠΏΠΎΡΡΠ°Π²ΠΈ ΡΠΎΡΠ½Π° Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° Π½Π° ΡΡΠΎΡΠ²Π΅ΡΠ½ΠΈΡ Π·ΡΠ± ΠΈ ΠΏΠΎ ΡΠΎΠ·ΠΈ Π½Π°ΡΠΈΠ½ Π΄Π° ΡΠ΅ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈ Π½Π΅Π³ΠΎΠ²Π°ΡΠ° ΠΏΡΠΎΠ³Π½ΠΎΠ·Π° ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ΡΠΎ, ΠΊΠΎΠ΅ΡΠΎ ΡΠ΅ ΡΠ΅ ΠΏΠ»Π°Π½ΠΈΡΠ°.Π ΠΈΡΡΠΎΡΠΈΡΠ΅ΡΠΊΠΈ Π°ΡΠΏΠ΅ΠΊΡ ΡΠ° ΠΏΡΠ±Π»ΠΈΠΊΡΠ²Π°Π½ΠΈ Π½Π΅ ΠΌΠ°Π»ΠΊΠΎ ΠΊΠ»Π°ΡΠΈΡΠΈΠΊΠ°ΡΠΈΠΎΠ½Π½ΠΈ ΡΠΈΡΡΠ΅ΠΌΠΈΒ Π½Π° Π΄Π΅ΡΠ΅ΠΊΡΠΈΡΠ΅, Π·Π°ΡΡΠ³Π°ΡΠΈ ΡΡΡΠΊΠ°ΡΠΈΡΡΠ°. ΠΠ½Π΅Ρ Π½Π°ΠΉ-ΡΠ΅ΡΡΠΎ ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈΡΠ΅ ΡΠ° ΡΠ΅Π·ΠΈ Π½Π° Hamp (1975), Ramfjord ΠΈ Ash (1979Π³.), Tarnow ΠΈ Fletcher (1984Π³.). Π’Π΅ ΠΎΠ±Π°ΡΠ΅ ΡΠ΅ ΡΠ²ΡΡΠ·Π²Π°Ρ Ρ Π½Π΅ ΠΌΠ°Π»ΠΊΠΎ Π½Π΅Π΄ΠΎΡΡΠ°ΡΡΡΠΈ.ΠΠΎΡΠ»Π΅Π΄Π½ΠΈΡΠ΅ Π΄Π²Π΅ ΠΏΡΠ±Π»ΠΈΠΊΡΠ²Π°Π½ΠΈ ΠΊΠ»Π°ΡΠΈΡΠΈΠΊΠ°ΡΠΈΠΈ (Pilloni ΠΈ Rojas, 2018Π³. ΠΈ Kolte ΠΈ Pajnigara, 2018Π³.) ΡΠ° ΠΏΡΡΠ²ΠΈΡΠ΅ ΠΎΠΏΠΈΡΠΈ Π·Π° ΡΡΠ·Π΄Π°Π²Π°Π½Π΅ Π½Π° ΠΊΠ»Π°ΡΠΈΡΠΈΠΊΠ°ΡΠΈΠΎΠ½Π½Π° ΡΠΈΡΡΠ΅ΠΌΠ°, ΠΊΠΎΡΡΠΎ ΡΠ²ΡΡΠ·Π²Π°Β ΡΡΠ΅ΠΏΠ΅Π½ΡΠ° Π½Π° Ρ
ΠΎΡΠΈΠ·ΠΎΠ½ΡΠ°Π»Π½Π° ΠΈ Π²Π΅ΡΡΠΈΠΊΠ°Π»Π½Π° Π·Π°Π³ΡΠ±Π° Π½Π° ΠΏΡΠΈΠΊΡΠ΅ΠΏΠ²Π°Π½Π΅ ΠΈ ΠΊΠΎΡΡΠ½Π° ΡΠ΅Π·ΠΎΡΠ±ΡΠΈΡ Π² ΠΎΠ±Π»Π°ΡΡΡΠ° Π½Π° ΡΡΡΠΊΠ°ΡΠΈΡΡΠ° Ρ Π΄ΡΠ»ΠΆΠΈΠ½Π°ΡΠ° Π½Π° ΠΊΠΎΡΠ΅Π½ΠΎΠ²ΠΈΡ ΡΡΡΠ½ΠΊΡΡ ΠΈ ΠΏΠΎΠ·ΠΈΡΠΈΡΡΠ° Π½Π° Π³ΠΈΠ½Π³ΠΈΠ²Π°Π»Π½ΠΈΡ ΡΡΠ±.Furcation periodontal lesions are defined as clinical loss of attachment and alveolar bone in the interradicular region. They are very common in clinical practice and usually result from plaque-associated periodontal disease. These defects are of utmost importance as their presence dramatically alters the prognosis of the tooth in question as well as its diagnosis and treatment.A well-described classification of defects affecting the furcation is important, as it helps to make an accurate diagnosis of the tooth concerned and thus determine its prognosis and the treatment to be planned.Historically, several classification systems of defects affecting the furcation have been published. The most commonly used today are those of Hamp (1975), Ramfjord and Ash (1979), and Tarnow and Fletcher (1984). However, they have several drawbacks.The most recent classifications, published by Pilloni and Rojas (2018) and Kolte and Pajnigara (2018), are the first attempts to establish a system that relates the degree of horizontal and vertical attachment loss and bone resorption in the furcation area to the length of the root trunk and the position of the margo gingivalis
Treatment of temporomandibular joint disorders: a review article
Π£Π²ΠΎΠ΄: ΠΠ°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡΡΠ° Π½Π° ΡΠ΅ΠΌΠΏΠΎΡΠΎΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ½Π°ΡΠ° ΡΡΠ°Π²Π° (Π’ΠΠ‘) ΡΠ° Π³ΠΎΠ»ΡΠΌΠ° Π³ΡΡΠΏΠ° ΠΎΡ ΡΡΡΡΠΎΡΠ½ΠΈΡ, ΡΠ²ΡΡΠ·Π°Π½ΠΈ Ρ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ, ΠΊΠ°ΠΊΡΠΎ Π½Π° ΡΠ°ΠΌΠ°ΡΠ° ΡΡΠ°Π²Π° ΠΈ ΡΡΠ°Π²Π½ΠΈΡΠ΅ Π΅Π»Π΅ΠΌΠ΅Π½ΡΠΈ, ΡΠ°ΠΊΠ° ΠΈ Π½Π° Π΄ΡΠ²ΠΊΠ°ΡΠ΅Π»Π½ΠΈΡΠ΅ ΠΌΡΡΠΊΡΠ»ΠΈ. ΠΡΠΌ ΡΠ°Π·ΠΈ Π³ΡΡΠΏΠ° ΡΠ΅ ΠΎΡΠ½Π°ΡΡΡ ΡΠ΅Π΄ΠΈΡΠ° ΡΡΡΡΠΎΡΠ½ΠΈΡ ΠΊΠ°ΡΠΎ ΠΎΡΡΡΠΈ ΠΈ Ρ
ΡΠΎΠ½ΠΈΡΠ½ΠΈ Π°ΡΡΡΠΈΡΠΈ, ΠΎΡΡΠ΅ΠΎΠ°ΡΡΡΠΎΠ·Π°, Π°Π½ΠΊΠΈΠ»ΠΎΠ·Π°, ΠΊΠΎΠ½ΡΡΠ°ΠΊΡΡΡΠ°, ΠΌΠΈΠΎΠ·ΠΈΡ, ΡΠ΅Π½Π΄ΠΎΠ½ΠΈΡ, Π΄ΠΈΡΠΊΠΎΠ²ΠΈ ΡΠ°Π·ΠΌΠ΅ΡΡΠ²Π°Π½ΠΈΡ, Π²ΡΠΎΠ΄Π΅Π½ΠΈ Π°Π½ΠΎΠΌΠ°Π»ΠΈΠΈ, ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ ΠΈ Π΄Ρ.Π¦Π΅Π»: Π¦Π΅Π»ΡΠ° Π½Π° Π½Π°ΡΡΠΎΡΡΠ°ΡΠ° ΠΎΠ±Π·ΠΎΡΠ½Π° ΡΡΠ°ΡΠΈΡ Π΅ Π΄Π° ΠΎΠ±ΠΎΠ±ΡΠΈ ΠΈ Π°Π½Π°Π»ΠΈΠ·ΠΈΡΠ° ΠΈΠ·Π²Π΅ΡΡΠ½ΠΈΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄ΠΈ Π·Π° Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π½Π° Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡΡΠ° Π½Π° Π’ΠΠ‘, ΠΊΠ°ΠΊΡΠΎ ΠΈΒ Π΄Π° ΡΠ°Π·Π³Π»Π΅Π΄Π° ΡΡΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΈΡΠ΅ ΡΠ΅Π½Π΄Π΅Π½ΡΠΈΠΈ ΠΏΡΠΈ ΡΠ΅Π·ΠΈ ΡΡΡΡΠΎΡΠ½ΠΈΡ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΈ ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ: ΠΠ° ΡΠ΅Π»ΠΈΡΠ΅ Π½Π° Π½Π°ΡΡΠΎΡΡΠΈΡ ΠΎΠ±Π·ΠΎΡ ΡΠ΅ ΠΈΠ·Π²ΡΡΡΠΈ ΡΠ°Π·ΡΠΈΡΠ΅Π½ΠΎ ΡΡΡΡΠ΅Π½Π΅ Π² PubMed, Scopus, Web of Science, Embase ΠΈ Google Scolar ΡΡΡ ΡΠ»Π΅Π΄Π½ΠΈΡΠ΅ ΠΊΠ»ΡΡΠΎΠ²ΠΈ Π΄ΡΠΌΠΈ: (temporomandibular joint) AND (disorders) AND (treatment). Π‘Π»Π΅Π΄ Π°Π½Π°Π»ΠΈΠ· ΠΈ ΠΎΠ±ΠΎΠ±ΡΠ°Π²Π°Π½Π΅ Π½Π° ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΡΠ΅ Π΄Π°Π½Π½ΠΈ Π² Π½Π°ΡΡΠΎΡΡΠΈΡ ΠΎΠ±Π·ΠΎΡ Ρa Π²ΠΊΠ»ΡΡΠ΅Π½ΠΈ 34 ΡΡΠ°ΡΠΈΠΈ.Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π°Π½Π΅: ΠΠ΅ΡΠΎΠ΄ΠΈΡΠ΅ Π·Π° Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π½Π° ΡΠ²ΡΠ΅ΠΆΠ΄Π°Π½ΠΈΡΡΠ° Π½Π° Π’ΠΠ‘ ΡΠ΅ ΠΏΠΎΠ΄ΡΠ°Π·Π΄Π΅Π»ΡΡ Π½Π° ΠΊΠΎΠ½ΡΠ΅ΡΠ²Π°ΡΠΈΠ²Π½ΠΈ, ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈ ΠΈ ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈ. ΠΡΠΌ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈΡΠ΅ ΡΠ΅ ΠΎΡΠ½Π°ΡΡΡ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΠΎ-ΠΏΠΎΠ²Π΅Π΄Π΅Π½ΡΠ΅ΡΠΊΠ°ΡΠ° ΡΠ΅ΡΠ°ΠΏΠΈΡ, ΡΠΈΠ·ΠΈΠΎΡΠ΅ΡΠ°ΠΏΠΈΡΡΠ°, ΠΌΠ°Π½ΡΠ°Π»Π½Π°ΡΠ° ΡΠ΅ΡΠ°ΠΏΠΈΡ, ΠΎΠ·ΠΎΠ½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΡΡΠ° ΠΈ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΎΠ·Π½ΠΎΡΠΎ Π»Π΅ΡΠ΅Π½ΠΈΠ΅. ΠΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈΡΠ΅ Π²ΠΊΠ»ΡΡΠ²Π°Ρ Π°ΡΡΡΠΎΡΠΊΠΎΠΏΠΈΡ; Π°ΡΡΠΎΡΠ΅Π½ΡΠ΅Π·Π° Ρ Π²ΡΡΡΠ΅ΡΡΠ°Π²Π½Π° ΠΈΠ½ΡΡΠΈΠ»Π°ΡΠΈΡ Π½Π° ΡΠ°Π·Π»ΠΈΡΠ½ΠΈ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΈ, Ρ
ΠΈΠ°Π»ΡΡΠΎΠ½ΠΎΠ²Π° ΠΊΠΈΡΠ΅Π»ΠΈΠ½Π° ΠΈ Π±ΠΎΠ³Π°ΡΠ° Π½Π° ΡΡΠΎΠΌΠ±ΠΎΡΠΈΡΠΈ ΠΏΠ»Π°Π·ΠΌΠ°; Β Π°ΠΊΡΠΏΡΠ½ΠΊΡΡΡΠ°; Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Ρ Π±ΠΎΡΡΠ»ΠΈΠ½ΠΎΠ² ΡΠΎΠΊΡΠΈΠ½ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Ρ Π»Π°Π·Π΅ΡΠΈ. ΠΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈΡΠ΅ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ Π²ΠΊΠ»ΡΡΠ²Π°Ρ ΠΎΠΊΡΠΈΡΠΈΡΠ΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΈ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ ΠΊΠ°ΡΠΎ ΠΈΠ½ΡΠ΅ΡΠΏΠΎΠ·ΠΈΡΠΈΠΎΠ½Π½Π° Π°ΡΡΡΠΎΠΏΠ»Π°ΡΡΠΈΠΊΠ°, ΡΠ΅ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠ²Π½Π° Π°ΡΡΡΠΎΠΏΠ»Π°ΡΡΠΈΠΊΠ°, Π΄ΠΈΡΡΡΠ°ΠΊΡΠΈΠΎΠ½Π½Π° ΠΎΡΡΠ΅ΠΎΠ³Π΅Π½Π΅Π·Π°, Π°ΡΡΡΠΎΠΏΠ»Π°ΡΡΠΈΠΊΠ° Ρ Π°Π²ΡΠΎΠ³Π΅Π½Π½ΠΈ ΠΏΡΠΈΡΠ°Π΄ΠΊΠΈ ΠΈ ΡΠΏΠΎΡΡΠ΅Π±Π° Π°Π»ΠΎΠΏΠ»Π°ΡΡΠΈΡΠ½ΠΈ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΈ (ΠΎΡΡΠΎΠΏΠ΅Π΄ΠΈΡΠ½ΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠΈ).ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅: ΠΠ½ΡΠ΅ΡΠ΄ΠΈΡΡΠΈΠΏΠ»ΠΈΠ½Π°ΡΠ½ΠΈΡΡ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄Β Π΅ Π½Π°ΠΉ-ΡΡΠΏΠ΅ΡΠ½Π°ΡΠ° ΡΡΡΠ°ΡΠ΅Π³ΠΈΡ ΠΏΡΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π·Π° Π½Π°ΡΡΡΠ΅Π½ΠΈΡΡΠ° Π½Π° ΡΠ΅ΠΌΠΏΠΎΡΠΎΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ½Π°ΡΠ° ΡΡΠ°Π²Π°, ΠΊΠ°ΡΠΎ ΡΠ΅ ΡΡΠ°ΡΡΠΈΡΠ° Ρ ΠΊΠΎΠ½ΡΠ΅ΡΠ²Π°ΡΠΈΠ²Π½ΠΈΡΠ΅ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ, ΠΏΡΠΈ Π½Π΅Π·Π°Π΄ΠΎΠ²ΠΎΠ»ΠΈΡΠ΅Π»Π½ΠΈ ΡΠ΅Π·ΡΠ»ΡΠ°ΡΠΈ ΡΠ»Π΅Π΄Π²Π° Π΄Π° ΡΠ΅ Π²ΠΊΠ»ΡΡΠ°Ρ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈ ΠΏΡΠΎΡΠ΅Π΄ΡΡΠΈ ΠΈ ΠΊΠ°ΡΠΎ ΠΏΠΎΡΠ»Π΅Π΄Π½Ρ ΠΌΡΡΠΊΠ° ΡΠ΅ ΠΏΡΠΈΠ±ΡΠ³Π²Π° Π΄ΠΎ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ½ΠΈΡΠ΅ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ.Introduction: Temporomandibular joint disorders (TMDs) are a diverse group of conditions associated with the impairment of the joint and adjacent masticatory muscles. This group includes numerous conditions, such as acute and chronic arthritis, osteoarthritis, ankylosis, contracture, myositis, tendonitis, disc displacement, congenital anomalies, and oncological diseases.Aim: This review article aims to summarize and analyze the management methods of TMDs and examine the current trends in treating these conditions.Materials and Methods: An extensive search was performed in PubMed, Scopus, Web of Science, Embase, and Google Scholar databases, using the following keywords: temporomandibular joint, disorders, and treatment. After analyzing the obtained data, 34 articles were included in this review.Results and Discussion: Treatment methods for TMJ injuries are divided into conservative, minimally invasive, and invasive. Non-invasive methods include cognitive-behavioral therapy, physical therapy, manual therapy, ozone therapy, and drug treatment. Minimally invasive techniques include arthroscopy, arthrocentesis with intra-articular instillation of various medications, hyaluronic acid, and platelet-rich plasma, acupuncture, injections of botulinum toxin, and laser treatment. Invasive approaches include open surgery techniques such as interposition arthroplasty, reconstructive arthroplasty, distraction osteogenesis, and arthroplasty with autogenous grafts and alloplastic materials (orthopedic implants).Conclusion: An interdisciplinary approach is the most successful treatment strategy for TMDs, starting with conservative approaches. When these are unsatisfactory, minimally invasive procedures are considered, with open surgery techniques as a final step