Gradation of the severity of hypertonicity of the masticatory muscles
Yu. A. Makedonova,
E. N. Iarygina,
A. V. Alexandrov,
T. М. Chizhikova,
L. A. Devyatchenko,
O. N. Filimonova https://doi.org/10.36377/ET-0006
Abstract
INTRODUCTION. For the correct diagnosis of hypertonicity of the chewing muscles, it is necessary to take into account the nature of pain, the restriction of opening the oral cavity and the data of additional research methods.
AIM. The aim is to develop a gradation of the severity of hypertonicity of the masticatory muscles based on clinical parameters and data from additional research methods – myotonometry, ultrasound and electromyography.
MATERIALS AND METHODS. 127 patients who sought dental care were examined, and the patients did not complain about the symptoms of myofascial pain syndrome. The diagnosis of masticatory muscle hypertonicity was verified in 90 people.
RESULTS. When studying the results obtained, statistically significant differences were revealed, which made it possible to develop a gradation of the severity of the above pathology into mild, moderate and high (grade I, grade II and grade III).
CONCLUSION. The application of the developed gradation will allow the dentist to develop a patient-oriented approach to the relief of muscle hypertension, depending on its severity, which, in turn, will improve the quality of life of this category of patients and reduce the cost of patients for muscle relaxant therapy.
About the Authors
Yu. A. Makedonova
Volgograd State Medical University; Russian Federation; Volgograd Medical Scientific Center
Russian Federation
Competing Interests:
Russian Federation
Yuliya A. Makedonova – MD, Professor, Head of the Department of Dentistry; Senior Researcher at the Laboratory of Innovative Methods of Rehabilitation and Habilitation
1 Pavshih Borcov Sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
E. N. Iarygina
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Elena N. Iarygina – Candidate of Medical Sciences, Associate Professor, Head of the Department of Surgical Dentistry and Maxillofacial Surgery
1 Pavshih Borcov Sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
A. V. Alexandrov
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Alexander V. Alexandrov – Postgraduate Student of the Department of Dentistry
1 Pavshih Borcov Sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
T. М. Chizhikova
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tatyana V. Chizhikova – Associate Professor of the Department of Dentistry
1 Pavshih Borcov Sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
L. A. Devyatchenko
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Lilia A. Devyatchenko – Associate Professor of the Department of Dentistry
1 Pavshih Borcov Sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
O. N. Filimonova
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Oksana N. Filimonova – Associate Professor of the Department of Dentistry
1 Pavshih Borcov Sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
References
1. Beddis H., Pemberton M., Davies S. Sleep bruxism: An overview for clinicians. Br Dent J. 2018;225(6):497–501. https://doi.org/10.1038/sj.bdj.2018.757
2. Ella B., Ghorayeb I., Burbaud P., Guehl D. Bruxism in Movement Disorders: A Comprehensive Review. J Prosthodont. 2017;26(7):599–605. https://doi.org/10.1111/jopr.12479
3. Türp J.C., Kuhn M. Risk factors for bruxism. Swiss Dent J. 2018;128(2):118–124. https://doi.org/10.61872/sdj-2018-02-369
4. Gouw S., de Wijer A., Creugers N.H., Kalaykova S.I. Bruxism: Is there an indication for muscle-stretching exercises? Int J Prosthodont. 2017;30(2):123–132. https://doi.org/10.11607/ijp.5082
5. Vavrina J, Vavrina J. Bruxismus: Einteilung, Diagnostik und Behandlung. Praxis (Bern 1994). 2020;109(12):973–978. https://doi.org/10.1024/1661-8157/a003517
6. Ohlmann B., Waldecker M., Leckel M., Bömicke W., Behnisch R., Rammelsberg P., Schmitter M. Correlations between sleep bruxism and temporomandibular disorders. J Clin Med. 2020;9(2):611. https://doi.org/10.3390/jcm9020611
7. Cavallo P., Carpinelli L., Savarese G. Perceived stress and bruxism in university students. BMC Res Notes. 2016;9(1):514. https://doi.org/10.1186/s13104-016-2311-0
8. Iordanishvili A.K., Ovchinnikov K.A., Soldatova L.N., Serikov A.A., Samsonov V.V. Optimization of diagnosis and assessment of effective treatment of diseases of the temporomandibular joint and masticatory muscles in dental practice. Herald of North-Western State Medical University named after I.I. Mechnikov. 2015;7(4):31–37. (In Russ.) https://doi.org/10.17816/mechnikov20157431-37
9. Soyer S.M., Kudryashova V.A., Oganesyan M.V., Rizaeva N.A. Chewing muscle dysfunction: anatomical basics in etiopathogenesis. In: Esaulenko I.E. (ed.). Morphology to science and practical medicine conference. Voronezh: Nauchnaya kniga; 2018, pp. 331–336. (In Russ.).
10. Gridina V.O., Karakulova Ju.V., Shuliatnikova O.A., Rogozhnikov G.I. Method of bruxism early diagnosis. In: Orlov O.A., Koryukina I.P. (eds). Oncology – 21st century: materials of the 22nd International Scientific Conference on Oncology, 8nd Italian-Russian Scientific Conference on Oncology and Endocrine Surgery, 22nd International Scientific Conference. Podgorica, Montenegro, April 29 – May 5, 2018. Perm: Knizhnyi format; 2018, pp. 41–44. (In Russ.).
11. Dworkin S.F., LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(4):301–315. Available at: https://pubmed.ncbi.nlm.nih.gov/1298767/ (accessed: 27.02.2024).
12. Castroflorio T., Bargellini A., Rossini G., Cugliari G., Deregibus A. Sleep bruxism and related risk factors in adults: A systematic literature review. Arch Oral Biol. 2017;83:25–32. https://doi.org/10.1016/j.archoralbio.2017.07.002
13. Gridina V.O., Karakulova Yu.V., Shulyatnikova O.A., Rogozhnikov G.I. Method of bruxism early diagnosis. In: Tatarenko S.A., Ponomareva G.L. (eds). Topical Issues of Neurology: Proceeding of the interregional Scientific and Practical Conference of Neurologists and Neurosurgeons, Kirov, May 18, 2018. Kirov: Kirov State Medical University; 2018, pp. 9–12. (In Russ.)
14. Klimova T.N., Stepanov V.A., Shemonaev V.I., Osokin A.V., Klimova N.N. Features of integrated miorelaxation therapy of patients with dysfunction of the temporomandibular joint complicated by the masticatory muscles’s hypertonus. Sovremennaya Ortopedicheskaya Stomatologiya. 2017;28:9–12. (In Russ.)
15. Синицина Т.М., Шахметова О.А. Комплексный подход к лечению мышечно-суставной дисфункции ВНЧС с выраженной болевой симптоматикой. Институт стоматологии. 2015;(4):108–109. Sinitsina T.M., Shakhmetova O.A. An integrated approach to the treatment of temporo-mandibular disorder with severe pain symptoms. Institut Stomatologii. 2015;(4):108–109. (In Russ.)
16. Bohannon R.W., Smith M.B. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67(2):206–207. https://doi.org/10.1093/ptj/67.2.206
17. Olesov E.Е., Ekusheva E.V., Ivanov A.S., Olesova V.N., Zaslavsky R.S., Popov A.A. Features of the results of electromyography of muscles of the maxillofacial region and psychological examination in persons of stressed professions. Clinical Dentistry (Russia). 2020;(3):108–112. (In Russ.) https://doi.org/10.37988/1811-153X_2020_3_108
18. Vologina M.V., Pudikova O.P., Ivanov N.A. Evaluation of the results of surface electromyography of the masters in patients with physiological occlusion. In: Correlation interaction of science and practice in the new world: Proceeding of the international scientific and practical conference, St. Petersburg, December 25–26, 2020. St. Petersburg: St. Petersburg State Economic University; 2020, pp. 99–103. (In Russ.)
19. Stuginski-Barbosa J., Porporatti A.L., Costa Y.M., Svensson P., Conti P.C.R. Agreement of the International Classification of Sleep Disorders Criteria with polysomnography for sleep bruxism diagnosis: A preliminary study. J Prosthet Dent. 2017;117(1):61–66. https://doi.org/10.1016/j.prosdent.2016.01.035
20. Szyszka-Sommerfeld L., Machoy M., Lipski M., Woźniak K. The diagnostic value of electromyography in identifying patients with pain-related temporomandibular disorders. Front Neurol. 2019;10:180. https://doi.org/10.3389/fneur.2019.00180
21. Makedonova Yu.A., Vorobyev A.A., Alexandrov A.V., Osyko A.N., Pavlova-Adamovich A.G. Electromyographic indicators of masticatory muscles in children with cerebral palsy. Certificate of state registration of the database No. RU2021621050 dated 21.05.2021 (In Russ.).
22. Butova A.V., Itskovich I.E., Silin A.V., Sinitsina T.M., Maletskiy E.Yu., Kakheli M.A. MRI possibilities of the masticatory muscles alteration diagnostics at musculoarticular temporomandibular joint dysfunction. Herald of North-Western State Medical University named after I.I. Mechnikov. 2016;8(3):13–18. (In Russ.)
Review
For citations:
Makedonova Yu.A., Iarygina E.N., Alexandrov A.V., Chizhikova T.М., Devyatchenko L.A., Filimonova O.N. Gradation of the severity of hypertonicity of the masticatory muscles. Endodontics Today. 2024;22(1):80-85. (In Russ.) https://doi.org/10.36377/ET-0006
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