POLTAVA STATE MEDICAL UNIVERSITY, POLTAVA, UKRAINE.
Wiad Lek. 2021;74(7):1695-1698.
The aim: Is to assess the functional state of parotid glands and general secretion in patients with compression, dislocation dysfunction of TMJ, to correct the revealed disorders.
Materials and methods: We examined 46 patients with dysfunction of TMJ. Examination included TMJ zonography and salivary glands sonography. We studied the general and parotid secretion, transparency, viscosity, pH of the oral fluid and the secretions of the parotid glands before and after treatment. The treatment of dysfunction and hyposialosis included the repositioning of the articular heads of the lower jaw in the correct anatomical position, the use of a repositioning plate on the posterior teeth at the compression side of the articular head, bougienage of the duct of the parotid gland, administration of 10% magnesium-mineral solution of bischofite into the gland.
Results: In patients with TMJ dysfunction, a significant decrease in the oral fluid content was noted before treatment. The saliva transparency was reduced, the viscosity was increased, the pH was slightly acidic. A study, which was carried out a month after completion of the course of treatment showed that all the studied parameters corresponded to those in healthy individuals.
Conclusions: The study confirmed that in compression and dislocation dysfunction of TMJ, there are disorders of the functional state of the salivary glands.
评估 TMJ 压缩、脱位功能障碍患者的腮腺功能和总体分泌情况，并纠正所发现的紊乱。
我们检查了 46 例 TMJ 功能障碍患者。检查包括 TMJ 造影片和唾液腺超声检查。我们研究了治疗前后的总体和腮腺分泌、透明度、粘度、口腔液 pH 值以及腮腺分泌情况。对功能障碍和唾液分泌减少症的治疗包括将下颌关节头重新定位到正确的解剖位置、在关节头受压侧的后牙上使用复位板、腮腺导管的扩张以及将 10%的镁矿物水合硼砂溶液注入腺体。
在 TMJ 功能障碍患者中，治疗前口腔液含量明显减少。唾液透明度降低，粘度增加，pH 值略呈酸性。在完成治疗疗程一个月后进行的一项研究表明，所有研究参数均与健康个体相对应。
研究证实，在 TMJ 压缩和脱位功能障碍中，存在唾液腺功能状态紊乱。
