Inicijalna terapija temporomandibularnih poremećaja stabilizacijskom udlagom

master's thesis

• Title (english): Initial treatment of the temporomandibular joint disorder with stabilization splint
• Author: Elena Štimac
• Mentor: Iva Alajbeg (mentor)
• Committee member: Iva Alajbeg (predsjednik povjerenstva)
• Committee member: Dubravka Knezović-Zlatarić (član povjerenstva)
• Committee member: Maja Žagar (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2016-09-05, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Temporomandibularni poremećaji najčešći su bolni poremećaji žvačnog sustava
nedentalnog porijekla, a zbog kompleksnosti dijagnoze, različitih etiologija te
nedovoljno istraženih terapijskih postupaka liječenje takvih poremećaja i dalje se ne
smatra dijelom opće kliničke stomatološke prakse. Bol kao glavni simptom i razlog
traženja liječničke pomoći nalazimo u svim uzrocima temporomandibularnih
poremećaja.
Etiologija TMP-a ima bitnu ulogu u daljnjoj terapiji. Najčešćim uzrokom smatra se
poremećaj u odnosu kondil-disk, gdje se uz bol pojavljuju i simptomi poput
škljocanja, šuštanja ili zakočenosti zgloba. Također, uzroci miogenih bolova ili
degenerativnih procesa slične su simptomatologije, zbog čega dolazi do izražaja
kompleksnost liječenja TMP-a. Promjena okluzije nekad se smatrala glavnim
terapijskim sredstvom koje je pacijentima davalo trenutno olakšanje, no novija
istraživanja prednost daju reverzibilnim metodama poput udlaga, farmakoloških
metoda i vježbi mišića.
Stabilizacijska udlaga često je indicirana u slučajevima boli miogenog karatkera te
parafunkcijskog škripanja zubima. Njezina je uloga smanjivanje hiperaktivnosti
mišića te stabilizacija zgloba. Riječ je o jednostavnoj metodi s visokim postotkom
uspješnosti i širokim spektrom indikacija, zbog čega se smatra metodom izbora kod
velikog broja pacijenata s TMP-om. S obzirom na kompleksnost postavljanja
dijagnoze, liječenje TMP-a treba usmjeriti k jednostavnijim, reverzibilnim
metodama, a agresivniji pristup treba izbjegavati.

Abstract (english)

Temporomandibular disorders are the most frequent painful disorders of the
masticatory system of a non-dental origin, and because of the complexity of
diagnosis, different etiologies and insufficiently researched therapeutic procedures
treating these disorders is still not considered a part of general clinical practice. Pain
as the main symptom and the reason of seeking medical help is found in all of the
causes of temporomandibular disorders.
Etiology of TMD has a significant role in further therapy. The most frequent cause is
considered to be the disorder in the condyle-disc relationship, where pain comes
along with symptoms such as clicking, rustling and joint stiffness. In addition to this,
causes of the myogenic pain manifest similarly, which emphasizes the complexity of
treating TMD. Occlusal change was once considered the main therapeutic instrument
that provided instant relief for the patients, but latest research prioritize reversible
methods like splints, pharmacological methods and muscular exercises.
Stabilization splint is indicated very often in cases of myogenic pain and
parafunctional teeth clicking. Its role is the reduction of muscular hyperactivity and
the stabilization of the joint. It is a simple method with high success rates and wide
spectrum of indications, because of which it is considered a method of choice with a
large number of patients suffering from TMD. Considering the complexity of
diagnosis, TMD treatments should be directed towards more simple, reversible
methods, while the aggressive approach should be avoided.

• Keywords: temporomandibularni zglob; poremećaji; udlage
• Keywords (english): temporomandibular joint disorders; splints
• Language: croatian
• URN:NBN: urn:nbn:hr:127:518546
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-11-14 11:37:15