Moskalenko P. Morphological-functional Disorders in Hypermobility of Articular Head of Lower Jaw and Techniques for Correcting Them.

The present thesis is focused on the enhancement of effectiveness of diagnostics and treatment of patients with hypermobility of articular head of lower jaw. Three degrees of pathology: light, middle-complicated and complicated, have been grounded due to the study of the peculiarities of anatomic morphological characteristics of bony tissues in temporomandibular joint, analysis of its function disorders in patients with hypermobility of articular head of lower jaw according to the clinical examination, axiography, arthrophonography, electromyography of mastication muscle, results of X-raying. The achieved results made it possible to elaborate the hypothesis of pathogenesis of hypermobility of articular head of lower jaw, based on incoordination of mastication muscles activity, cervical muscles and biomechanical disorders occlusive-compressive correlations of ligaments, muscles and joints. It all gave the opportunity to offer and introduce practically the differentiating complex of manual, physical and physio-therapeutic measures for the patients with different degree of hypermobility of articular head of lower jaw. The researcher proved that it is necessary to take into consideration all the details of pathogenesis of the disorder in patients with hypermobility of articular head of lower jaw and moreover the type of functional and morphological disorders not only in temporomandibular joint, but also of all of the adjoining tissues must be paid attention to. The analysis of the approximated results demonstrates that the application of the offered treatment schemes turned out to be effective in 86,6% of patients with light degree, 84,7% - with middle-complicated degree and 77,8% - with complicated degree of hypermobility of articular head of lower jaw.