12 research outputs found

    Periodontal splinting – an adjunct to periodontal therapy

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    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

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    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 abscessβ€”the emergency in dental medicine (definition, classification, epidemiology, etiology, microbiology, pathogenesis and histopathology, pathophysiology)

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    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

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    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 sitesβ€”the 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

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    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 suchβ€”there is a compromise option involving specific resective methods

    Factors influencing postextraction alveolar ridge resorption

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    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

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    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

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    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

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    Π€ΡƒΡ€ΠΊΠ°Ρ†ΠΈΠΎΠ½Π½ΠΈΡ‚Π΅ ΠΏΠ°Ρ€ΠΎΠ΄ΠΎΠ½Ρ‚Π°Π»Π½ΠΈ Π»Π΅Π·ΠΈΠΈ сС Π΄Π΅Ρ„ΠΈΠ½ΠΈΡ€Π°Ρ‚ ΠΊΠ°Ρ‚ΠΎ Π·Π°Π³ΡƒΠ±Π° Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π½ΠΎ Π½ΠΈΠ²ΠΎ Π½Π° ΠΏΡ€ΠΈΠΊΡ€Π΅ΠΏΠ²Π°Π½Π΅ ΠΈ Π°Π»Π²Π΅ΠΎΠ»Π°Ρ€Π½Π° кост Π² ΠΈΠ½Ρ‚Π΅Ρ€Ρ€Π°Π΄ΠΈΠΊΡƒΠ»Π°Ρ€Π½Π°Ρ‚Π° област.Β  Π‘Ρ€Π΅Ρ‰Π°Ρ‚ сС ΠΌΠ½ΠΎΠ³ΠΎ чСсто Π² ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π½Π°Ρ‚Π° ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ° ΠΈ ΠΎΠ±ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΎ са Ρ€Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ ΠΎΡ‚ ΠΏΠ»Π°ΠΊ-асоциирано ΠΏΠ°Ρ€ΠΎΠ΄ΠΎΠ½Ρ‚Π°Π»Π½ΠΎ заболяванС. Π’Π΅Π·ΠΈ Π΄Π΅Ρ„Π΅ΠΊΡ‚ΠΈ са ΠΎΡ‚ ΠΈΠ·ΠΊΠ»ΡŽΡ‡ΠΈΡ‚Π΅Π»Π½Π° ваТност, Ρ‚ΡŠΠΉ ΠΊΠ°Ρ‚ΠΎ Π½Π°Π»ΠΈΡ‡ΠΈΠ΅Ρ‚ΠΎ ΠΈΠΌ промСня драстично ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π°Ρ‚Π° Π½Π° ΡΡŠΠΎΡ‚Π²Π΅Ρ‚Π½ΠΈΡ зъб, ΠΊΠ°ΠΊΡ‚ΠΎ ΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π°Ρ‚Π° ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅Ρ‚ΠΎ ΠΌΡƒ.Π”ΠΎΠ±Ρ€Π΅ описаната класификация Π½Π° Π΄Π΅Ρ„Π΅ΠΊΡ‚ΠΈΡ‚Π΅, засягащи фуркацията Π΅ Π²Π°ΠΆΠ½Π°, Ρ‚ΡŠΠΉ ΠΊΠ°Ρ‚ΠΎ тя Π±ΠΈ ΠΏΠΎΠΌΠΎΠ³Π½Π°Π»Π° Π΄Π° сС постави Ρ‚ΠΎΡ‡Π½Π° Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° Π½Π° ΡΡŠΠΎΡ‚Π²Π΅Ρ‚Π½ΠΈΡ зъб ΠΈ ΠΏΠΎ Ρ‚ΠΎΠ·ΠΈ Π½Π°Ρ‡ΠΈΠ½ Π΄Π° сС ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈ Π½Π΅Π³ΠΎΠ²Π°Ρ‚Π° ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π° ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅Ρ‚ΠΎ, ΠΊΠΎΠ΅Ρ‚ΠΎ Ρ‰Π΅ сС ΠΏΠ»Π°Π½ΠΈΡ€Π°.Π’ историчСски аспСкт са ΠΏΡƒΠ±Π»ΠΈΠΊΡƒΠ²Π°Π½ΠΈ Π½Π΅ ΠΌΠ°Π»ΠΊΠΎ класификационни систСми  Π½Π° Π΄Π΅Ρ„Π΅ΠΊΡ‚ΠΈΡ‚Π΅, засягащи фуркацията. ДнСс Π½Π°ΠΉ-чСсто ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈΡ‚Π΅ са Ρ‚Π΅Π·ΠΈ Π½Π° Hamp (1975), Ramfjord ΠΈ Ash (1979Π³.), Tarnow ΠΈ Fletcher (1984Π³.). Π’Π΅ ΠΎΠ±Π°Ρ‡Π΅ сС ΡΠ²ΡŠΡ€Π·Π²Π°Ρ‚ с Π½Π΅ ΠΌΠ°Π»ΠΊΠΎ Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΡŠΡ†ΠΈ.ΠŸΠΎΡΠ»Π΅Π΄Π½ΠΈΡ‚Π΅ Π΄Π²Π΅ ΠΏΡƒΠ±Π»ΠΈΠΊΡƒΠ²Π°Π½ΠΈ класификации (Pilloni ΠΈ Rojas, 2018Π³. ΠΈ Kolte ΠΈ Pajnigara, 2018Π³.) са ΠΏΡŠΡ€Π²ΠΈΡ‚Π΅ ΠΎΠΏΠΈΡ‚ΠΈ Π·Π° създаванС Π½Π° класификационна систСма, която ΡΠ²ΡŠΡ€Π·Π²Π°Β  стСпСнта Π½Π° Ρ…ΠΎΡ€ΠΈΠ·ΠΎΠ½Ρ‚Π°Π»Π½Π° ΠΈ Π²Π΅Ρ€Ρ‚ΠΈΠΊΠ°Π»Π½Π° Π·Π°Π³ΡƒΠ±Π° Π½Π° ΠΏΡ€ΠΈΠΊΡ€Π΅ΠΏΠ²Π°Π½Π΅ ΠΈ костна рСзорбция Π² областта Π½Π° фуркацията с Π΄ΡŠΠ»ΠΆΠΈΠ½Π°Ρ‚Π° Π½Π° корСновия трункус ΠΈ позицията Π½Π° гингивалния Ρ€ΡŠΠ±.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

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    Π£Π²ΠΎΠ΄: Заболяванията Π½Π° Ρ‚Π΅ΠΌΠΏΠΎΡ€ΠΎΠΌΠ°Π½Π΄ΠΈΠ±ΡƒΠ»Π°Ρ€Π½Π°Ρ‚Π° става (ВМБ) са голяма Π³Ρ€ΡƒΠΏΠ° ΠΎΡ‚ ΡΡŠΡΡ‚ΠΎΡΠ½ΠΈΡ, ΡΠ²ΡŠΡ€Π·Π°Π½ΠΈ с Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ, ΠΊΠ°ΠΊΡ‚ΠΎ Π½Π° самата става ΠΈ ставнитС Π΅Π»Π΅ΠΌΠ΅Π½Ρ‚ΠΈ, Ρ‚Π°ΠΊΠ° ΠΈ Π½Π° Π΄ΡŠΠ²ΠΊΠ°Ρ‚Π΅Π»Π½ΠΈΡ‚Π΅ мускули. Към Ρ‚Π°Π·ΠΈ Π³Ρ€ΡƒΠΏΠ° сС отнасят Ρ€Π΅Π΄ΠΈΡ†Π° ΡΡŠΡΡ‚ΠΎΡΠ½ΠΈΡ ΠΊΠ°Ρ‚ΠΎ остри ΠΈ Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½ΠΈ Π°Ρ€Ρ‚Ρ€ΠΈΡ‚ΠΈ, остСоартроза, Π°Π½ΠΊΠΈΠ»ΠΎΠ·Π°, ΠΊΠΎΠ½Ρ‚Ρ€Π°ΠΊΡ‚ΡƒΡ€Π°, ΠΌΠΈΠΎΠ·ΠΈΡ‚, Ρ‚Π΅Π½Π΄ΠΎΠ½ΠΈΡ‚, дискови размСствания, Π²Ρ€ΠΎΠ΄Π΅Π½ΠΈ Π°Π½ΠΎΠΌΠ°Π»ΠΈΠΈ, ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΡ‡Π½ΠΈ заболявания ΠΈ Π΄Ρ€.Π¦Π΅Π»: Π¦Π΅Π»Ρ‚Π° Π½Π° настоящата ΠΎΠ±Π·ΠΎΡ€Π½Π° статия Π΅ Π΄Π° ΠΎΠ±ΠΎΠ±Ρ‰ΠΈ ΠΈ Π°Π½Π°Π»ΠΈΠ·ΠΈΡ€Π° извСстнитС ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ Π·Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π½Π° заболяванията Π½Π° ВМБ, ΠΊΠ°ΠΊΡ‚ΠΎ ΠΈΒ  Π΄Π° Ρ€Π°Π·Π³Π»Π΅Π΄Π° ΡΡŠΠ²Ρ€Π΅ΠΌΠ΅Π½Π½ΠΈΡ‚Π΅ Ρ‚Π΅Π½Π΄Π΅Π½Ρ†ΠΈΠΈ ΠΏΡ€ΠΈ Ρ‚Π΅Π·ΠΈ ΡΡŠΡΡ‚ΠΎΡΠ½ΠΈΡ.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΈ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ: Π—Π° Ρ†Π΅Π»ΠΈΡ‚Π΅ Π½Π° настоящия ΠΎΠ±Π·ΠΎΡ€ сС ΠΈΠ·Π²ΡŠΡ€ΡˆΠΈ Ρ€Π°Π·ΡˆΠΈΡ€Π΅Π½ΠΎ Ρ‚ΡŠΡ€ΡΠ΅Π½Π΅ Π² PubMed, Scopus, Web of Science, Embase ΠΈ Google Scolar със слСднитС ΠΊΠ»ΡŽΡ‡ΠΎΠ²ΠΈ Π΄ΡƒΠΌΠΈ: (temporomandibular joint) AND (disorders) AND (treatment). Π‘Π»Π΅Π΄ Π°Π½Π°Π»ΠΈΠ· ΠΈ ΠΎΠ±ΠΎΠ±Ρ‰Π°Π²Π°Π½Π΅ Π½Π° ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½ΠΈΡ‚Π΅ Π΄Π°Π½Π½ΠΈ Π² настоящия ΠΎΠ±Π·ΠΎΡ€ сa Π²ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈ 34 статии.Π Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ΠΈ ΠΈ обсъТданС: ΠœΠ΅Ρ‚ΠΎΠ΄ΠΈΡ‚Π΅ Π·Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π½Π° уврСТданията Π½Π° ВМБ сС подраздСлят Π½Π° консСрвативни, ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈ ΠΈ ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈ. Към Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈΡ‚Π΅ сС отнасят ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎ-повСдСнчСската тСрапия, физиотСрапията, ΠΌΠ°Π½ΡƒΠ°Π»Π½Π°Ρ‚Π° тСрапия, озонотСрапията ΠΈ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΎΠ·Π½ΠΎΡ‚ΠΎ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅. Минимално ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈΡ‚Π΅ Π²ΠΊΠ»ΡŽΡ‡Π²Π°Ρ‚ артроскопия; Π°Ρ‚Ρ€ΠΎΡ†Π΅Π½Ρ‚Π΅Π·Π° с Π²ΡŠΡ‚Ρ€Π΅ΡΡ‚Π°Π²Π½Π° инстилация Π½Π° Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΈ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΈ, Ρ…ΠΈΠ°Π»ΡƒΡ€ΠΎΠ½ΠΎΠ²Π° кисСлина ΠΈ Π±ΠΎΠ³Π°Ρ‚Π° Π½Π° Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΡ†ΠΈΡ‚ΠΈ ΠΏΠ»Π°Π·ΠΌΠ°; Β Π°ΠΊΡƒΠΏΡƒΠ½ΠΊΡ‚ΡƒΡ€Π°; Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ с Π±ΠΎΡ‚ΡƒΠ»ΠΈΠ½ΠΎΠ² токсин ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ с Π»Π°Π·Π΅Ρ€ΠΈ. Π˜Π½Π²Π°Π·ΠΈΠ²Π½ΠΈΡ‚Π΅ Ρ‚Π΅Ρ…Π½ΠΈΠΊΠΈ Π²ΠΊΠ»ΡŽΡ‡Π²Π°Ρ‚ ΠΎΠΊΡ€ΠΈΡ‚ΠΈΡ‚Π΅ ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΈ Ρ‚Π΅Ρ…Π½ΠΈΠΊΠΈ ΠΊΠ°Ρ‚ΠΎ ΠΈΠ½Ρ‚Π΅Ρ€ΠΏΠΎΠ·ΠΈΡ†ΠΈΠΎΠ½Π½Π° артропластика, рСконструктивна артропластика, дистракционна остСогСнСза, артропластика с Π°Π²Ρ‚ΠΎΠ³Π΅Π½Π½ΠΈ присадки ΠΈ ΡƒΠΏΠΎΡ‚Ρ€Π΅Π±Π° алопластични ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΈ (ΠΎΡ€Ρ‚ΠΎΠΏΠ΅Π΄ΠΈΡ‡Π½ΠΈ ΠΈΠΌΠΏΠ»Π°Π½Ρ‚ΠΈ).Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅: Π˜Π½Ρ‚Π΅Ρ€Π΄ΠΈΡΡ†ΠΈΠΏΠ»ΠΈΠ½Π°Ρ€Π½ΠΈΡΡ‚ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Β  Π΅ Π½Π°ΠΉ-ΡƒΡΠΏΠ΅ΡˆΠ½Π°Ρ‚Π° стратСгия ΠΏΡ€ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π·Π° Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡΡ‚Π° Π½Π° Ρ‚Π΅ΠΌΠΏΠΎΡ€ΠΎΠΌΠ°Π½Π΄ΠΈΠ±ΡƒΠ»Π°Ρ€Π½Π°Ρ‚Π° става, ΠΊΠ°Ρ‚ΠΎ сС стартира с консСрвативнитС Ρ‚Π΅Ρ…Π½ΠΈΠΊΠΈ, ΠΏΡ€ΠΈ Π½Π΅Π·Π°Π΄ΠΎΠ²ΠΎΠ»ΠΈΡ‚Π΅Π»Π½ΠΈ Ρ€Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ΠΈ слСдва Π΄Π° сС Π²ΠΊΠ»ΡŽΡ‡Π°Ρ‚ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΈ ΠΏΡ€ΠΎΡ†Π΅Π΄ΡƒΡ€ΠΈ ΠΈ ΠΊΠ°Ρ‚ΠΎ послСдня мярка сС прибягва Π΄ΠΎ Ρ…ΠΈΡ€ΡƒΡ€Π³ΠΈΡ‡Π½ΠΈΡ‚Π΅ Ρ‚Π΅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
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