CONDITION OF THE MUSCULAR SYSTEM IN PATIENTS WITH DENTOALVEOLAR PATHOLOGIES

Abstract

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Aim. Substantiation of the need for preliminary evaluation of the tone of chewing, mimic and pericranial muscles in orthodontic patients with clinical manifestations of the phenomenon of increased neuromuscular excitability or neurogenic titania. Material and Methods. In the clinic of orthodontics were examined 30 patients (18-36 years) without a somatic pathology: with the pathology of the dentoalveolar system (n=18) and without it (n=12). The tone of the masseter, temporal, SCM, m. obricularis oris was determined with the help of myotonometry. For all patient clinical examination was carried out, including assessment of occlusion, articulation, opening of the mouth and position of the tongue, swallowing test, the shape of the hard palate. To assess the increased neuromuscular excitability, the severity/presence of the Chvostek sign and the Nathan-Weisman symptom, as well as the presence of carpal and pedal spasms were evaluated. Results and Discussion. In all patients (n=18) with the pathology of the dentoalveolar system, a Chvostek 2-4 degree symptom was identified, 10 of them in the background of 3-4 degrees of the symptom of Chvostek revealed the Nathan-Weissman symptom, pedal spasms, infantile type of swallowing, Gothic sky. In patients without pathology, only 3 had a first-degree Chvostek sign on the background of autonomic lability Conclusions. The presence of patients with GAD and the phenomenon of increased neuromuscular excitability may indicate the presence of neurogenic titania within the framework of autonomic dysfunction.