Tsyganok O. Tongue motility disorders of occlusal and neurological genesis and their stomatological orthopedic treatment.

Disorders of the motor function of the tongue may be a symptom of many pathological processes and deviations in the work of various body systems, which requires the development of specific methods of interaction between specialists in various fields of medicine, which are currently imperfect. The issue of timely diagnosis and targeted therapy for such violations remains insufficiently highlighted. According to the aim and objectives of the study, the study of tongue motility disorders was performed in patients with neurological, occlusal and combined pathology, which allowed supplementing some diagnostic criteria used by dentists during the dental examination of patients in this category. During the study, algorithms for detecting disorders of the motor activity of the tongue on the background of neurological pathology of central and peripheral genesis in the presence of occlusive violations have been worked out, which confirms the need for a balanced interdisciplinary approach to determine the volume of rehabilitation measures for patients with combined types of pathological processes. The device was developed and the technique of surface electromyography study of the state of the muscular system of the tongue was adapted, which allows to objectively monitoring the motor activity of the muscles of the tongue at the stages of diagnosis and treatment of its disorders.For the first time, the correlation of tongue motor disorders with occlusive pathology in patients with a neurological profile with remote consequences of acute cerebrovascular disorders, as well as those who applied directly for dental care, was statistically confirmed. Exhausted methods of treatment of patients with tongue motility disorders by a dentist in cooperation with neurologists and rehabilitation specialists, taking into account the etiological and pathogenetic mechanisms of occlusion disorders in patients with neurological diseases, which allow expanding the spectrum of multidisciplinary scheme of therapy and rehabilitation with combined pathology. The main achievement of the work is the establishment of positive results from the involvement of dental treatment in the complex assistance to patients with violations of tongue motility of mixed genesis on the basis of studying the qualitative and quantitative characteristics of electromyography (EMG) of the muscular system of the tongue of patients before and after normalization of occlusion, allowing to state the pronounced inclusion efficiency an orthopedic dental component for the comprehensive treatment of occlusive and neurological disorders of the tongue motility or a combination thereof.