Possibilities and organizational problems of diagnostics and treatment of patients with the syndrome of temporomandibular joint pain dysfunction

Abstract

The relevance of research in the field of organization and provision of medical care to patients with the temporomandibular joint pain dysfunction syndrome (TMJ PDS) is determined by the prevalence of this disease not only among the pathologies of the maxillofacial region, but also among the pathologies of other organs and systems in general. Patients with the pathology of this joint are treated by doctors of various specialties. Therefore, there is often inconsistency not only in diagnostic algorithms, comprehensive examination and organization of medical care, but also in the terminological aspects of the TMJ PDS. The purpose of this review is to systematize the existing methods of diagnostics and treatment of TMJ PDS and to formulate possible options of osteopathic correction inclusion in the complex treatment of patients with this pathology. The review of literature sources on the problem of diagnosis and organization of treatment of TMJ PDS and masticatory muscle dysfunctions showed, on the one hand, a scientifically grounded spectrum of diagnostic and therapeutic capabilities of modern medicine, a trend in the development of highly informative digital technologies for diagnostic purposes, the development of various diagnostic and treatment protocols, a desire for an integrated approach involving specialists of different profiles. On the other hand, there is disunity between doctors of different specialties and the absence of a single algorithm for the diagnosis and treatment of TMJ PDS. Due to the variety of etiopathogenetic mechanisms of this disease development, further in-depth study of this issue is promising.