The dissertation presents a new solution to the actual problem of modern medicine, namely, to increase the efficiency of treatment of patients with dysfunctional conditions of the TMJ in the form of auricular disk displacements by improving diagnostics and introducing new steps in the examination and further treatment.
It was determined that the reduction of the interdental space in the dental rows in persons was more significant than in the dental rows of the control group on the upper jaw by 3,5 mm, and on the lower jaw by 3 mm, when comparing the results of the measurements using "Method for determining the length of the dental row on jaw models" in persons with unilateral anterior auricular disk displacements and in the control group.
Comparing the results of the measurements in persons with unilateral anterior auricular disk displacements before treatment and in persons in the control group, a significant deterioration in the average perception of the overall quality of life and health (G) was observed (1.6 times). After treatment, this value changed to 17.43 points, which corresponded to a good state. Thus, the overall quality of life and health (G) in persons after treatment improved by 1.4 times compared with the state before treatment.
There were no signs of clinical symptoms that occurred before the start of treatment and the overall health status was satisfactory at the end of treatment (six months later), in all persons with unilateral anterior auricular disk displacements.
Comparing the results of the measurements on "Method for determining the length of the dental row on jaw models" it was established that in persons with bilateral anterior auricular disk displacements, the interdental space in the dental rows on the upper jaw was increased by 3.2 mm, and on the lower jaw by 3.6 mm than in the dental rows of persons in the control group.
In persons with bilateral anterior auricular disk displacements, the articular disks on right-side before treatment with a closed mouth are longer by 0.18 mm and narrower by 0.04 mm than with an open mouth; on the left side with a closed mouth longer by 0,14 mm and narrower by 0,01 mm than with an open mouth. After the analyses of the data of the average size of the articular disks, it can be stated that in persons with bilateral anterior auricular disk displacements, the articular discs before treatment with closed mouth are longer and narrower than those with open mouth on both sides.
Comparing the results of the measurements in persons with bilateral anterior dislocation of the disks before treatment and in persons in the control group, a significant deterioration in the average perception of the overall quality of life and health (G) was observed (1.9 times). After treatment, this value changed to 17.24 points, which corresponded to a good state. Thus, the overall quality of life and health (G) in persons after treatment improved by 1.7 times compared with the state before treatment.
There were no signs of clinical symptoms that occurred before the start of treatment and the overall health status was satisfactory at the end of treatment (six months later), in all persons with bilateral anterior auricular disk displacements.
A complex of diagnostic measures for patients with unilateral and bilateral auricular disk displacements, which are connected with the change in the size of the interdental space in intact dental rows, with the additional inclusion of the questionnaire «WHOQoL-100» for assessing the quality of life of the above-mentioned patients was suggested. It allows for selecting an optimal strategy to plan prosthetic treatment.
The diagnostic feasibility of using the method of determining the length of the dental row on jaw models (Authors' certificate No. 81134) was proved.
The connection between the topographic and anatomical state of the disks with deficiency or excess of interdental space in the patients without TMJ pathology and patients with unilateral and bilateral auricular disk displacements was established.
The rationality of the application of the method of assessing the quality of life of "WHOQoL-100" in the dynamics of treatment of unilateral and bilateral auricular disk displacements for determining the effect on the quality of life of patients was proved.
