COMPLEX TREATMENT OF PATIENTS WITH OSTEOARTHRITIS OF THE TEMPOROMANDIBULAR JOINT

This article describes the methods of treatment of patients with osteoarthritis of the temporomandibular joint (TMJ OA) on the example of the study of 63 patients. Aim - development of an algorithm for complex treatment of patients with OA of the TMJ. Materials and methods. All patients were examined by the scheme, which included a survey, inspection, making diagnostic models, checking occlusal contacts, recording mandibular movement, electromyographic study of masticatory muscles, and CT scan of the TMJ. Results. All patients were divided into 3 groups. The treatment of patients of the first subgroup included selective polishing of the teeth, the use of non-narcotic analgesics, nonsteroidal anti-inflammatory preparations and physiotherapy The patients of the second subgroup received medical-diagnostic mouthguards, and the third subgroup of patients was treated by successive disocclusion of the teeth in combination with massage, physiotherapy and myogymnastics. Conclusions. Treatment of OA of the TMJ should be comprehensive and include orthopedic treatment, the use of drugs, physical therapy, massage and myogymnastics