Prosthetic Treatment of Patients With Distal Occlusion Using a Deprogrammer (Clinical Case)

Abstract

Introduction. An actual problem of modern dentistry is the anomalies of the position of the lower jaw. The share of these diseases in the structure of requests for dental care can reach up to 27%. The most common pathology is distal occlusion, which accounts for 25 to 37% of all occlusion abnormalities. The aim of this work was to describe and demonstrate on a clinical example the method of orthopedic treatment of patients with distal occlusion proposed by the authors. Material and methods of research. The paper presents a new method of orthopedic treatment of patients with distal occlusion using a deprogrammer of the original design. Orthopedic treatment of patients was carried out on the basis of a multidisciplinary clinic of Postnikov in the city of Samara. Using the method proposed by the authors, orthopaedic treatment was performed in 36 patients with distal occlusion. For clarity, the article considers an original clinical case of treatment of a patient with distal occlusion, who was made a deprogrammer of the author's design, with a detailed analysis of each stage of diagnosis and orthopedic treatment. To confirm the effectiveness of the proposed technique, a CT scan of the patient's temporomandibular joint was performed before and after orthopedic treatment. As a result of the treatment, the patient has a decrease in the hypertonicity of the masticatory muscles, which made it possible to position the lower jaw in the position of the central ratio, which is confirmed by CT data. Conclusion. The use of a deprogrammer-mouthguard, the proposed design allows for deprogramming of the masticatory muscles and correctly determining the central ratio of the jaws, and can be used in the treatment of patients with distal occlusion.