INTERDISCIPLINARY ALGORITHM FOR DIAGNOSTIC AND THERAPEUTIC CARE OF PATIENTS WITH INTERMAXILLARY POSITION DISORDERS IN STOMATOGNATHIC SYSTEM DYSFUNCTION

Authors

  • V.Yu. Vovk State Non-Profit Enterprise “Danylo Halytsky Lviv National Medical University”
  • Yu.V. Vovk State Non-Profit Enterprise “Danylo Halytsky Lviv National Medical University”
  • Christian Wagner Theratecc GmbH & Co. KG

DOI:

https://doi.org/10.32782/umv-2025.1.2

Keywords:

interdisciplinary algorithm,dysfunction of the stomatognatic system, maxillomandibular position, innovative digital guide technology Centric Guide®, T-Scan III, splint therapy

Abstract

This article presents the development and implementation of an interdisciplinary diagnostic and therapeutic algorithm for patients with temporomandibular disorders (TMDs) associated with altered maxillomandibular position (MP). An innovative clinical-instrumental workflow, including the Centric Guide® system and the T-Scan III digital occlusal analysis, was used to assess functional asymmetries and deviations in mandibular positioning.A clinical case of a patient with asymmetric MP displacement and associated temporomandibular and masticatory muscle dysfunctions is presented. The treatment protocol involved splint therapy in a registered functional mandibular position (FMP), with significant clinical improvement in pain and occlusal parameters. The results confirm the effectiveness of a structured interdisciplinary approach in diagnosing and treating TMDs.

References

1. Hlushko TR. Klinichno-instrumentalne obgruntuvannia efektyvnosti reiestratsiinykh materialiv dlia vstanovlennia mizhshchelepovykh spivvidnoshen u patsientiv pry nezniimnomu protezuvanni [dissertation]. Lviv: LNMU im. Danyla Halytskoho; 2022.

2. Hlushko TR, Vovk YV, Vovk VY, Kriukov PS. Rezultaty kliniko-instrumentalnoho doslidzhennia pokaznykiv tsyfrovoi okliuzii pid chas reiestratsii mizhshchelepnoho interkuspidatsiinoho polozhennia u patsientiv z dvostoronnymy defektamy i intaktnymy zubnymy riadamy. Visnyk Stomatolohii. 2021;40(2):38–45.

3. Hlushko TR, Vovk YV, Vovk VY, Kriukov PS. Rezultaty kliniko-instrumentalnoho doslidzhennia pokaznykiv tsyfrovoi okliuzii pry reiestratsii mizhshchelepnoho interkuspidatsiinoho polozhennia u patsientiv z odnobichnymy defektamy ta intaktnymy zubnymy riadamy. Ukrainskyi Stomatolohichnyi Almanakh. 2021;3:49–61.

4. Hlushko TR, Vovk YV, Vovk VY, Kriukov PS, Lohash MV. Rezultaty klinichno-instrumentalnoho doslidzhennia porivniannia pokaznykiv tsyfrovoi okliuzii pry reiestratsii mizhshchelepnoho interkuspidatsiinoho polozhennia u patsientiv z defektamy zubnykh riadiv do ta pislia protezuvannia. Acta Medica Leopoliensia. 2022;1(28):133–46.

5. Palkov TA. Komp’iuterna otsinka yakosti preparuvannia zubiv pid povni keramychni koronky. Implantolohiia. Parodontolohiia. Osteolohiia. 2021;2(62):58–60.

6. Uhliar IM. Diahnostyka ta korektsiia okliuziinykh porushen pry protezuvanni na dentalnykh implantatakh u patsientiv iz chastkovymy defektamy zubnykh riadiv [dissertation]. Lviv; 2013.

7. Vovk V, Vovk Y, Wagner C. Therapie von Dysfunktionen des stomatognaten Systems. Quintessenz Zahntechnik. 2024;6(24):673–82.

8. Vovk VY, Ilyk RR, Vovk YV. Rezultaty zastosuvannia innovatsiinykh klinichno-instrumentalnykh pidkhodiv dlia pokrashchennia diahnostyky u khvorykh na dysfunktsiiu stomatohnatychnoi systemy. Ukrainski Medychni Visti. 2024;16(3–4):51–2.

9. Vovk VY, Vovk YV. Biometrychnyi deprogramator stomatohnatychnoi systemy khvoroho dlia kontroliu vektoru rukhiv nyzhnoi shchelepy ta vstanovlennia funktsionalnoi aktyvnosti iazyka [autorskyi tvor]. 2024.

10. Vovk VY, Vovk YV. Etiopatohenetychne obgruntuvannia zastosuvannia suchasnykh klinichno-instrumentalnykh pokaznykiv mizhshchelepovoho polozhennia patsientiv dlia diahnostyky dysfunktsii stomatohnatychnoi systemy. Zb nauk prats XXI Vseukr nauk konf “Aktualni pytannia biolohii ta medytsyny”. 2025;66–71.

11. Vovk VY, Vovk YV. Strukturno-funktsionalna model skryninku klinichno-instrumentalnykh pokaznykiv khvorykh pry dysfunktsii stomatohnatychnoi systemy. Materialy X Z’їzdu Ukrainskoi Asotsiatsii Cherepno-Shchelepono-Lytsevykh Khirurhiv. 2025;127–9.

12. Vovk Yu, Vovk V. Rezultaty vykorystannia tekhnolohii didzhytalizatsii 3D mizhshchelepovykh polozhen dlia indyvidualizovanoho likuvannia patsientiv iz dysfunktsiieiu stomatohnatychnoi systemy. Int J Oral Maxillofac Surg. 2021 Oct 1;51:E10.

13. Vovk YuV, Hlushko TR. Sposib vyznachennia mizhshchelepovykh spivvidnoshen patsientiv za tryvymirnymy pokaznykamy fiksatsii reiestratsiinykh materialiv. Kyiv; 2020. 4 p. Informatsiinyi lyst №169-2020.

14. Vovk YuV, Kriukov PS. Sposib vyznachennia okliuziinykh kontaktiv. Zaiavka № u201908241 vid 15.07.2019. Patent Ukrainy na korysnu model №140693 vid 10.03.2020. Opubl Biul №5.

15. Alkhutari AS, Alyahya A, Rodrigues Conti PC, Christidis N, Al-Moraissi EA. Is the therapeutic effect of occlusal stabilization appliances more than just placebo effect in the management of painful temporomandibular disorders? A network meta-analysis of randomized clinical trials. J Prosthet Dent. 2021;126(1):24-32.

16. de Moraes Melo Neto CL, da Silva EVF, de Sousa Ervolino IC, dos Santos DM, de Magalhães Bertoz AP, Goiato MC. Comparison of different methods for obtaining centric relation: a systematic review. Gen Dent. 2021;69(1):31-6.

17. Edelhoff D, Probst F, Ehrenfeld M, Prandtner O, Schweiger J, Liebermann A. Interdisciplinary full-mouth rehabilitation for redefining esthetics, function, and orofacial harmony. J Esthet Restor Dent. 2019;31(3):179-89.

18. Kandasamy S, Greene CS, Obrez A. An evidence-based evaluation of the concept of centric relation in the 21st century. Quintessence Int. 2018;49(9):755-60.

19. Kapos FP, Exposto FG, Oyarzo JF, Durham J. Temporo-mandibular disorders: a review of current concepts in aetiology, diagnosis and management. Oral Surg. 2020;13(4):321-34.

20. Lo Russo L, Caradonna G, Salamini A, Guida L. A single procedure for the registration of maxillo-mandibular relationships and alignment of intraoral scans of edentulous maxillary and mandibular arches. J Prosthodont Res. 2020;64(1):55-9.

21. Mehl A. Hinge axis determination of the temporomandibular joint and its interpretation: what do we really measure? Int J Comput Dent. 2018;21(4):295-303.

22. Peroz I.Das modifizierte CMD-Screening. Z Kraniomandibuläre Funktion. 2024;(3):203-6.

23. Türp JC, Schindler HJ. Screening für kraniomandibuläre Dysfunktionen/Eine sinnvolle Maßnahme? Schmerz. 2020;34(1):13-20.

24. Wagner C. Komplexversorgung vereint Handwerk, Teamwork und Digitalisierung. Anwenderbericht. ZWP Zahnarzt Wirtschaft Praxis. 2020;26(4):96-9.

Downloads

Published

2025-06-06

How to Cite

Vovk, V., Vovk, Y., & Wagner, C. (2025). INTERDISCIPLINARY ALGORITHM FOR DIAGNOSTIC AND THERAPEUTIC CARE OF PATIENTS WITH INTERMAXILLARY POSITION DISORDERS IN STOMATOGNATHIC SYSTEM DYSFUNCTION. Ukrainian Medical News, (1-2 (102-103), 13–20. https://doi.org/10.32782/umv-2025.1.2

Issue

Section

СТОМАТОЛОГІЯ

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.