Malgorzata Pihut
Jagiellonian University, Poland
Title: Rehabilitation of patients with pain form of temporomandibular joint dysfunction
Biography
Biography: Malgorzata Pihut
Abstract
Temporomandibular joints dysfunctions are functional disorders consisting in abnormal functioning and pain of the mastication’s muscles, temporomandibular joints involved in dynamic movements of the mandible and surrounding structures, often associated with abnormal tooth occlusion in opposite arches. Main etiologic factors are; chronic excessive stress, parafunctional activity (teeth clenching, grinding-muscle hyperactivity) and occlusive abnormalities. Dysfunctions do not include all diseases related to the musculoskeletal system in the chewing organ, such as inflammation, degenerative states and joint tumors, as well as muscle lesions (multiple sclerosis, dermatomyositis, and fibromyalgia). The aim of the presentation is to discuss general principles of staged prosthetic treatment and supportive physiotherapeutic treatment, used in therapy of pain form of temporomandibular joint dysfunction. The use of relaxation and repositioning splints together with the principles of their use and devices used in the treatment of dysfunctions during orthodontic treatment will be presented. Intramuscula injection with botulinum toxin type A are often used to relax the chewing muscles as well. The aim of physiotherapeutic procedures is to reduce muscle and joint pain and restore the proper mobility of the mandible. Among physiotherapeutic methods often are used; manual therapy, kinesiotherapy, laser biostimulation, ultrasound therapy and soft tissue mobilization.