Clinical reasoning of orthopaedic treatment improved diagnostic method of patients with pathological tooth wear, co-existent denture defects and dentition deformations

Abstract

Aim: to increase the efficiency of orthopaedic treatment of patients with pathological dental abrasion, co-existent denture defects and dentition deformations by restoring the reduced bite height according to the proposed method to the optimal parameters.
Materials and methods. The results of clinical examination and treatment according to the proposed method of 35 patients of different ages (from 30 to 59 years) with a generalized form of pathological abrasion of the teeth, combined with defects of the dentition and dental deformations are given in the article.
Results. In patients of the research group an objective study after the proposed method prepairing recorded the restoration of occlusal height and height of the lower third of the face, restoration of occlusal ratios of the jaws and the elimination of symptoms of muscle dysfunction. After using Cadiax Compact diagnostic system was reliably fixed normalization of data of joints movement trajectories, namely protrusive movements data — 7.24±0.21 mm to the right and 7.53±0.23 mm to the left; right mediotrusion data — 6.85±0.24 mm, left mediotrusion data — 7.04±0.2 mm, vertical movements data — 8.01±0.2 mm to the right and 8.05±0.19 mm to the left.
Conclusions. The obtained data indicate the restoration of TMJ function in patients with low occlusion height due to pathological abrasion as the result of it raising according to the proposed method to the optimal parameters.