Reabilitarea complexă morfofuncţională a pacienţilor cu edentaţii parţiale terminale bilaterale şi disfuncţii mandibulo-craniene

Abstract

Rezumat Au fost examinaţi şi trataţi complex 30 pacenţi (12b,18f) în vârstă de 42-68 ani cu edentaţii parţiale terminale şi disfuncţii mandibulo-craniene (DMC), confirmate prin examenul clinic-instrumental şi paraclinic (tomografia computerizată, electromoigrafia, condilografia, tehnica wax-up). Manifestările clinice ale DMC sau dovedit a fi dependente de timpul apariţiei breşelor arcadelor dentare şi topografia lor, tipul de ocluzie, numărul perechilor de dinţi antagonişti etc. A fost elaborat conceptul de reabilitare complexă care include: terapia analgetică şi miorelaxantă la indicaţii, a procedurilor fizioterapeutice, repoziţionarea mandibulo-craniană şi tratamentul protetic individualizat.

Summary There were 30 patients being examinated and treated completely (12 Males and 18 Females), aged between 42-68, with a partial edentulous and cranio-mandibular dysfunction (CMD), confirmed by the clinical and para clinical examination (CT, electromyographic and condylographic examination, wax-up technique). The clinical manifestation of CMD has been proven to be dependent of the period that passed from the toothloss, the area and localization of the dental arcade breach, occlusion type and the number of the antagonists tooth. Therefore, the concept of the complex rehabilitation was elaborated, wich includes the analgesic and miorelaxant therapy when it was indicated, physiotherapy procedures, craniomandibular reposition and individual prosthetic treatment.