Clinical manifestations and complex reabilitation of patients with partial terminal edentitions and cranio mandibular dysfunction

Abstract

Rezumat. Au fost examinaţi şi trataţi complex 20 pacenţi(7b,13f) în vârstă de 42 68 ani cu edentaţii parţiale terminale şi disfuncţie mandibulo craniană(DMC), confirmate prin examenul clinic instrumental şi paraclinic. Manifestările clinice ale DMC sau dovedit a fi dependente de timpul ce sa scurs de la pierderea dinţilor, întinderea şi topografia breşelor arcadelor dentare, tipul de ocluzie, numărul perechilor de dinţi antagonişti etc. A fost elaborat conceptul de tratament complex etapizat care include: administrarea analgeticilor şi miorelaxantelor la indicaţii, a procedurilor fizioterapeuticeţultrasunet, miogimnastica), repoziţionarea mandibulo craniană, tratamentul protetic.Summary. 20 patients (7m, 13w) with ages between 42 68, were examined and supported complex treatment, with terminal partial edentitions and cranio mandibular dysfunction(CMD), confirmed by the clinical instrumental and paraclinical examination. Clinical manifestations of CMD proved to be depending on the time passed from teeth loss, extension and topography of dental breaches, type of occlusion, the number og antagonists etc. A concept was developed about the complex staged treatment that includes the administration og analgetics and muscle relaxants when indicated, physioterapy, mandibulo cranian reposition and prosthetic tretment