Analysis of the position characteristics of the mandibular ramus processes in patients with pain syndrome of temporomandibular joint dysfunction

Mykhailo  Dumenko; Valeriy  Nespryadko

doi:10.32345/USMYJ.4(150).2024.15-21

Mykhailo Dumenko Department of Prosthetic Dentistry of Bogomolets National Medical University, Kyiv, Ukraine https://orcid.org/0009-0002-9924-7697
Valeriy Nespryadko Department of Prosthetic Dentistry of Bogomolets National Medical University, Kyiv, Ukraine https://orcid.org/0000-0003-2912-1423

DOI: https://doi.org/10.32345/USMYJ.4(150).2024.15-21

Keywords: Temporomandibular Joint; Temporomandibular Joint Dysfunction Syndrome; Myofascial Pain Syndromes; Cone-Beam Computed Tomography; Diagnosis.

Abstract

temporomandibular joint dysfunction is a disorder with a difference in the size and position of the bones (condylar and coronal processes of the lower jaw). The purpose of this work is to study the anatomical features of the bone structures of TMJ in order to identify anatomical treatment predictors in patients with painful TMJ dysfunction. The research involved 168 persons, 138 patients with painful temporomandibular joint dysfunction, 30 persons - to control group. The studied population was divided into four groups according to the pain localization (the diagnostic criteria of temporomandibular disorders). All study participants underwent a standardized clinical examination with an additional cone-beam computed tomography. Patients with various clinical manifestations of painful TMJ has reliably established the presence of a number of changes in the size and position of the condylar and coronal processes of the lower jaw (mainly to increase direction). At the same time, patients with myalgia attributed to headache had the greatest anatomical parameters differences

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