Martits Y. Ethiopathogenetic substantiation of complex treatment of bruxism among young people.

In the dissertation is presented decide actual problem of the contemporary dentistry, that is improvement results of treatment of bruxism of the juvenile age persons from the Ternopil region, throught implementation of differential methods to diagnostic and complex treatment. It was ascertained the bruxism in 100% persons. When conducting a cluster analysis of the etiology of bruxism 81 indicators were allocated to three groups of subjects, depending on the prevailing factor. On the basis of statistical analysis, three groups of patients with a verified diagnosis of bruxism were identified and treatment regimens developed based on the etiological factor, in particular, for the first group - treatment of orthodontic pathology and removal of supracontents, for the second group - the normalization of the tone of chewing muscles and the elimination of manifestations of pathology temporomandibular joints, for the third - correction of psycho-emotional states. With the prevalence of CNS pathology with high reliability (r = 0,98, p <0,05), the normalization of the tone of chewing muscles and the elimination of manifestations of the pathology of the temporomandibular joints is effective, which is confirmed by the results of palpation of masticatory muscles after 12 months - insignificant the painfulness of the posterior bundles of the temporal muscle to the right, and the lateral pole of the left temporomandibular joint and the deep palpation of the chewing muscle to the right (Ck = 0.86, p <0.05), which is confirmed by the normalization of the electromyography of the masticatory muscles from the primary indicators (p <0,05). With the predominance of psycho-emotional factor in the etiology of bruxism (r = 0,97, p <0,05), its medication correction is effective, which in 12 months leads to the disappearance of manifestations of bruxism and the normalization of psycho-emotional state (p <0,05).