Results of complex rehabilitation patients with temporomandibular joint disease and parafunction of masticatory muscles.

Objective: Definition of the effective and appropriate essential use of myogymnastic exercises and orthopedic methods of posture correction in the complex rehabilitation of patients with TMJ pathology and parafunction of the masticatory muscles.

Methods: In the study, 63 patients (11 men and 52 women) aged from 20 to 67, with the middle age 31±2.3 were treated, 43 of them had TMJ disease. In 51 patients, parafunctions of masticatory muscles were diagnosed. The treatment was carried out with the help of uncoupling the dentition rows of the splint, made after the TENS-therapy; used medicamentation treatment, using an individual plan for myogymnastic exercises and individual insoles for correction the posture.

Results: Total effectiveness of the treatment is shown as the average of the findings. Analysis of treatment dynamics was due to only those data the results of which after treatment in the control and main groups were different. Treatment effectiveness of the main group in comparison with the control one is as follows - periodontal vessels dopplerography - 16.22%, tonus of the right chewing muscle - 11.45%, right temporal muscle tone - 4.8%, the number of hours per a day in case of increased tone of the chewing muscles - 12.9%, mouth opening amplitude - 17.1%. Thus, total treatment effectiveness in the main group was 12.49±2.18% higher than in the control group.

Conclusions: Results of complex rehabilitation, including myorelaxation procedures, medicamentation treatment, splint therapy, an individual plan of myogymnastic exercises for chewing muscles, and correction of posture using individual insoles showed its effectiveness more than 12.49±2.18% in comparison with traditional methods of treatment.