DOI:

10.37988/1811-153X_2020_3_88

Physiotherapeutic treatment in complex therapy of rheumatoid arthritis of a temporomandibular joint

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Authors

  • N.V. Lapina 1, PhD in Medical Sciences, associate professor and head of the Prosthodontics Department
  • E.V. Izhnina 1, assistant at the Prosthetic dentistry department
  • V.Yu. Skorikov 1, PhD in Medical Sciences, assistant professor of the Prosthetic dentistry Department
  • S.D. Grishechkin 1, PhD in Medical Sciences, assistant professor of the Prosthetic dentistry Department
  • E.V. Kochurova 2, PhD in Medical Sciences, full professor of the Prosthetic dentistry Department
  • 1 Kuban State Medical University, 350063, Krasnodar, Russia
  • 2 Sechenov University, 119435, Moscow, Russia

Abstract

The aim — to increase the effectiveness of the complex treatment of patients with TMJ rheumatoid arthritis using physiotherapy. Material and methods. We examined and treated 61 patients aged 20 to 50 years (26 men and 35 women) with an average age of 36±9.9 years with seronegative type of rheumatoid arthritis, complaining of dysfunctional TMJ conditions. To diagnose the degree of functional disorders of the temporomandibular joint, the Helkimo dysfunction index was used. Patients were treated with General and local physiotherapy procedures. The control group consisted of 24 people with TMJ cancer aged 23 to 51 years (8 men and 16 women, average age 35±9.1 years), who were not treated with physiotherapy. The treatment was aimed at eliminating pain in the TMJ, muscle spasms, relieving inflammation, normalizing occlusal-articulatory relationships, and restoring dental defects. Results. Statistically significant differences were observed in patients of the main group in the dynamics of the Helkimo dysfunction test, due to their transition from a more severe manifestation of the disease to a lighter form. No statistically significant dynamics were observed in the control group. In the main group, significantly significant differences (p=0.001) were observed in the increase in people with no dysfunctional manifestations in the TMJ after 6 months, which cannot be said about the dynamics of the control group. The effectiveness of treatment of TMJ pathology in rheumatoid arthritis with the use of physiotherapy methods has been proved. Conclusion. The inclusion of physiotherapy methods in the complex of therapeutic and preventive measures allows you to reliably remove pain and inflammation faster, restore the function of the TMJ.

Key words:

temporomandibular joint, rheumatoid arthritis, physiotherapeutic treatment

For Citation

[1]
Lapina N.V., Izhnina E.V., Skorikov V.Yu., Grishechkin S.D., Kochurova E.V. Physiotherapeutic treatment in complex therapy of rheumatoid arthritis of a temporomandibular joint. Clinical Dentistry (Russia).  2020; 3 (95): 88—92. DOI: 10.37988/1811-153X_2020_3_88

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Published on

September 15, 2020