Functional state of the musculosk eletal apparatus of military servicemen with defects of the dental row

Abstract

Abstract. The peculiarities of military service conditions reduce the level of dental health of servicemen. In turn, constant combat stress, psychological and physical stress negatively affect the immune system, causing general and local immunosuppression, leading to the development of dental pathology, which often leads to the need for tooth extraction.

The purpose of the study: to assess the level of musculoskeletal dysfunction in servicemen with dentition defects. At the Department of Dentistry of Postgraduate Education of the IFNMU, a clinical examination of 64 servicemen-participants in hostilities who applied for orthopedic treatment of partial dentition defects during the first half of 2024 was conducted. To achieve the goal of the study, we conducted a clinical assessment of the musculoskeletal structures of patients using the short Hamburg test.Analyzing the results of the examination, in 12.5% of patients, the absence of signs of musculoskeletal  ysfunction (0-1 point) was established. In 32.8% of patients, the probability (2 points) was recorded, and in 54.7% – the formed musculoskeletal dysfunction (3-6 points). It should be noted that in each musculoskeletal condition, the dominant criterion is painful palpation of the masticatory muscles. At the same time, asynchrony of the occlusal sound was often recorded, which probably indicates an imbalance in the performance of function.

Conclusions. The results of the examination showed that in 54.7% of patients with dentition defects, formed musculoskeletal dysfunction was recorded. The most common positive criteria for the development of the process were painful palpation of the masticatory muscles and asynchrony of the occlusal sound. For high-quality orthopedic treatment of military personnel with dental defects and established musculoskeletal dysfunction, it is necessary to conduct a comprehensive instrumental and functional assessment of musculoskeletal structures.