СНЩС. Ускладнення та їх вирішення

The human body is an ordered multi-level biosystem in which molecular, cellular, tissue, organ and system levels of organization are distinguished.

Processes occurring at all levels of a person’s organization are always consistent with each other. Such consistency and coordination occur due to the processes of regulation of the functions of the human body, and is possible only if each system separately functions correctly.

Chewing apparatus

The chewing function is performed by the masticatory organ, which consists of several components. It is a mistake to assume  that only teeth are needed for full chewing.  The chewing organ  includes –  upper and lower jaws, temporomandibular joint (TMJ), chewing muscles and muscles of the neck that move the lower jaw, teeth, gums and tongue. In general, all these organs involved in the act of chewing can be united by the concept of the chewing apparatus.

The health and functionality of the masticatory apparatus is largely dependent on the balance between the teeth, the temporomandibular joint and the masticatory muscles. When there is a balance between these components, in general, the masticatory organ can be considered healthy. As soon as an imbalance occurs in  one of the components, there will be a violation of the function of chewing and  imbalance in the whole body and human body.

Adaptation of the body

But our body has a unique ability to adapt, so we may not notice the problem. Adaptation of the body occurs constantly, for example, & nbsp; to regulate body temperature   in severe frosts in the environment. Also, the adaptation process is activated when supercontacts occur on the teeth, or disturbances in the relative position of the bones of the skull, dysfunction or dislocation of the TMJ. If the ratio of the dentition becomes incorrect, due to the loss of teeth or restorations, the lower jaw also changes its position, and after it the position in the joint also changes. The head of the joint may turn or distalize. In this case, the articular disc is compressed, and can be forced forward, contributing to the dislocation of the disc. The chewing muscles, which are in an overstrained state due to the fact that they are trying to keep the lower jaw in the “correct” position, also contribute to the dislocation of the TMJ.

Chronic dislocation of the joint

Dislocation can occur with any movement of the lower jaw – opening and closing of the mouth, thereby becoming chronic.

Typical symptoms of temporomandibular joint luxation are clicking, popping, or discomfort in front of the tragus.

The head of the joint on one or both sides moves deep into the articular cavity, starting to put pressure on the bilaminar zone of the joint, rich in blood vessels and nerves, which is no longer protected by an anteriorly dislocated disc. Pain appears .

If left untreated

If the joint is not treated in time, the disc begins to deform, fragment, and wear out. The ligament holding the disc may be torn  or stretched. After that, the process of destruction of the surface of the joint head begins, which will move without shock absorption and be damaged. Clicks at the same time are replaced by an unpleasant sensation of crunching when opening the mouth.

But it is also important that when there is a violation at the level of the TMJ, this leads to a violation of the rest of the joints below the head, they adapt to the new position of the TMJ. As a result – deterioration of blood supply, lymph outflow, pinching of nerve bundles, problems in the work of internal organs, and subsequently – problems with human health and performance. The body in space is in a forced position, and to maintain overloaded muscles & nbsp;  a lot of energy leaves the body around the joints.

Imbalance in the TMJ ligaments can cause various physical problems in the human body: hearing loss, tinnitus, headache, migraine – when the temporalis muscle is pinched; problems with vision or color perception – when the sphenoid bone is pinched; excessive compression of the jaws and tension of the masseter muscle (hypertonicity), pain in the jaw when opening or closing.

Symptoms of masticatory hypertonicity and/or TMJ disorders

  1. Tooth sensitivity
  2. Pathology of hard dental tissues.
  3. Cracks and fractures.
  4. Pathological abrasion of teeth.
  5. Pathology of the periodontium.
  6. Temporomandibular joint dysfunction (TMJ).
  7. Hypertrophy of masticatory muscles.
  8. Chambered ceramic crowns, fillings.
  9. Compensatory hypertrophy of the periosteum in the region of the angles of the lower jaw.
  10. Crunches, noises in the TMJ area.
  11. Tinnitus.
  12. Headaches.
  13. Wedge-shaped defects.

How to start dental treatment of TMJ. Shock wave therapy.

It is important to start dental treatment with relaxation and  restoration of muscle tone. Through relaxation of the masticatory muscles & nbsp; there is a powerful and at the same time soft adjustment of the temporomandibular joint. We achieve this effect with the help of shock wave therapy (SWT). SWT – in fact, is a deep massage at the cellular level. During the passage of a shock sound wave of a given frequency through soft tissues, they are first sharply compressed, and then stretched. Thanks to such a pulsating load, static tension and spasm are removed from the muscles, it relaxes, which in itself leads to relief after the first session.

SWT technique is positioned all over the world as a non-invasive biosurgery, as it allows to achieve profound changes in the structure of tissues and influence the direct cause of the pathological process. The mechanism of action of UVT on soft tissue structures is due to the fact that the permeability of cell membranes changes in the focus of inflammation. Healthy cells have an elastic membrane with normal permeability. During inflammation, the cells have a modified, tense membrane due to intracellular edema. Soft tissues, which are 80% water, transmit the energy of a focused shock wave. The elastic membranes of cells are not destroyed by the shock wave passing through them. Under the influence of high energy of a focused shock wave, a hydrostatic shock occurs in the inflamed tissues, the cell membranes changed during inflammation are destroyed – the so-called cavitation effect (collapse) occurs. The resulting substances, acting on the nerve endings, increase the breakdown of inflammatory mediators and start regenerative processes.

UHT action

  • increasing blood flow in damaged tissues and stimulating their regeneration;
  • restoration of the structure and elasticity of ligaments;
  • relaxation (relaxation of spasmodic muscles);
  • elimination of pain syndrome for a long time;
  • acceleration of metabolism, loosening of microcrystals of calcium salts and areas of fibrosis, restoration of the structure and elasticity of ligaments, elimination of marginal bone growths;
  • formation of a new capillary network – neoangiogenesis  within 96 hours after the procedure.

The result of balanced work TMJ.

A balanced TMJ has a beneficial effect on the body as a whole. With the proper functioning of the joint, problems such as headaches, migraines, insomnia, pain in the neck and back, arms, legs, knees, digestive tract disorders, allergies, arthritis, arthrosis, enuresis, dehydration of the body go away. A balanced temporomandibular joint eliminates physical tension in the muscles of the jaw, and also allows you to dispel negative emotions that have been held in the subconscious for a long time. The quality of life improves: a person achieves harmony and balance of his body, acute and chronic stress and fatigue disappear. Proper functioning of the TMJ has a beneficial and lasting effect on problems associated with pain and injury, prolonged overexertion.

Based on the above,  any dental intervention should begin with a possible global problem, not just an isolated one. That is,  to take into account the entire chewing apparatus and the body as a whole, and not just one tooth. After all, taking root in height, the number of teeth and the state of bite, we break the entire adaptation of the body and make changes to the state of the body as a whole.

Therefore, at the Prizma Medical Center, shock wave therapy is used at all stages of the complex treatment of patients. Eliminate causes of bad breath you can in dentistry on Podol “Prizma “.

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