SYNDROME OF TEMPOROMANDIBULAR JOINT DYSFUNCTION AND ITS COMPLEX TREATMENT

The most diverse factors affect the origin and development of the temporomandibular joint pathology. Psycho-emotional state of patients, maxillofacial injuries and dental defects, resulting in impaired function of mastication, the presence of fillings and dentures in the mouth, abnormal abrasion of teeth hard tissues and bad habits. Pain is one of the symptoms of the disease. It may be so significant that patients feel dysfunction of chewing, swallowing and speech. The aim of this study was to develop and implement a comprehensive treatment of temporomandibular joint dysfunction syndrome complicated by pain. For relief of pain symptoms in TMJ we used TENS. This method was applied not only to nor malize the functional state of the muscles, but also as a method of exerting a positive influence on the psycho-emotional state of patients, due to the release of endorphins and enkephalins. The criterion for treatment effectiveness was the reduction in in tensity or complete disappearance of pain in the TMJ, increased sensitivity to pain, and absence of pain when chewing. According to our data, the adequate anesthesia by transcutaneous electric nerve stimulation can be achieved in 90,3 % of cases.