of the North Caucasus
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About the necessity of standardization of approaches to treatment and rehabilitation of patients with temporomandibular joint pathology in the institutions with different forms of property
[Stomatology]
Andrey Iordanishvili; Anton Serikov;
The analysis of 365 cases of treatment and rehabilitation of 219 men and 146 women (aged 18–72 years) with dysfunction of temporomandibular joint (TMJ), temporomandibular arthrosis, arthrosis-arthritis and painful musculo-articular dysfunction at inpatient (96 cases) and out-patient (269 cases) clinics with different forms of ownership has been carried out. In all health facilities there were cases of poor quality medical documentation. In all clinics, there have been cases of poor quality medical documentation regarding the rationale for treatment, describing the dynamics of symptoms during treatment, evaluating the effectiveness of therapy. The cases of lack of recommendations on the behavior regimen, use of miogym and orthopedic aids have been revealed. Dental prosthetics, as the final stage of dental rehabilitation of patients with TMJ pathology, is rare in public institutions. The above worsens the longterm prognosis and creates an opportunity for relapse of the disease. The need for developing patient management and rehabilitation protocols, as well as for standardization of pharmacotherapy taking into account the severity of TMJ pathology has become obvious.
References:
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2. Gayvoronskiy I. V., Serikov A. A., Iordanishvili A. K. Visochnonizhnechelyustnoy sustav: morfologiya I klinika disfunktsii. SPb.: «Elmor»; 2013.
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6. Iordanishvili A. K., Udal’tsova N. A., Ryzhak G. A. Lecheniye zabolevaniy visochno-nizhnechelyustnogo sustava u lyudey pozhilogo i starcheskogo vozrasta. SPb.: «Nordmedizdat»; 2012.
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8. Kozitsina S. I. Professional’nyye oshibki I otvetstvennost’ meditsinskogo personala na stomatologicheskom priyome. SPb.: «SpetsLit»; 2008.
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10. Ahn S. J., Lee S .J., Kim T. W. Angle Orthod. 2007;77(2):288-295.
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12. Slade G. D. Seminars in Orthodontics. 2008;14(2):146- 156.
Keywords: temporomandibular joint, dysfunction, dental rehabilitation, treatment
Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy