RESEARCH PAPER
THE CONDITION OF THE MASTICATORY MUSCLE GROUP IN THE TREATMENT OF
PATIENTS WITH REDUCED OCCLUSION HEIGHT
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1
Institute of Health, National University of Water and Environmental Engineering, Rivne, Ukraine
2
Dentistry Department, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine
Submission date: 2021-11-20
Final revision date: 2022-03-24
Acceptance date: 2022-03-24
Publication date: 2022-06-30
Health Prob Civil. 2022;16(2):164-172
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ABSTRACT
Background:
Dysfunction of the masticatory muscle group occurs in all types of masticatory system
pathology. This is sometimes associated with changes in the musculoskeletal system, which are
manifested in hypertension and hypotonia of the masticatory group of muscles, that cause a decrease
in occlusal height.
Material and methods:
There were 123 patients enrolled, aged 35-54 years, who were made temporary
fixed, fiberglass-reinforced plastic prostheses for the upper or lower jaw. There are several methods
to improve the quality of orthopedic treatment with fixed bridges with reduced occlusal height,
considering the condition of the masticatory muscles. One is the use of temporary fixed structures that
provide a gradual increase in occlusal height, allow muscles to adapt to new conditions, and promote
restructuring of “usual” myostatic reflexes.
Results:
To examine the effect of fixed structures on the m. masseter and m. temporalis, a technology
for the manufacture of advanced temporary bridges was developed. This allowed us to study the
process of masticatory muscle group adaptation to fixed orthopedic structures kept on the abutment
teeth of patients without fractures for 6 months. In addition, it was possible to prepare the dental and
maxillofacial system for permanent orthopedic treatment.
Conclusions:
Determination of the average total values of m. masseter and m. temporalis allowed us
to establish the most effective intervention for patients with reduced occlusion height before, 1 month,
and 6 months after temporary orthopedic treatment. There was a tendency for patients of all groups to
approach the absolute symmetry.