MANAGING TEMPOROMANDIBULAR JOINT DISORDERS: TREATMENT STAGES AND ESSENTIAL ASPECTS

Introduction. Meniscus displacement in the temporomandibular joint (TMJ) is known to provoke development of TMJ dysfunction, thereby impairing quality life. Managing disorders divided into three stages, first which intermediate determining prognosis and further tactics. The aim study evaluate effectiveness occlusal splint systems assess different stages dysfunction management. Materials methods. included 54 patients. Based on findings magnetic resonance imaging, patients were two groups: group I with dysfunctional changes (n=38), II involved joints concomitant osteoarthritic (n=16).
 Results discussion. stage treatment was carried out using a Michigan splint. During this time, myotatic reflex restructured clinical symptoms disorder disappeared. outcomes as follows: subjects 1st reported about health improvement month since started, 20 individuals 38 had no dysfunction. course these completed. other 18 referred for orthodontic treatment. After end treatment, longer than 2 weeks, bout recurrence some that indicated relapse disease; therefore, recommended continue In second we used plates lower unprepared teeth. At third radical prosthetics out, includes temporary fixation polymethyl methacrylate prototypes specially prepared teeth, then final permanent structures new medical condition jaw.
 Conclusion. Bite-sized intraoral guards allow mesialisation jaw increase height bite, particular, have been found effective appliances. Patients who only (group I) over need restructuring myotonic reflex, rather those suffer from II), therefore should undergo orthopaedic