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THE EFFECTIVENESS OF OSTEOPATHIC CORRECTION IN THE COMPLEX REHABILITATION OF PATIENTS WITH TEMPOROMANDIBULAR JOINT
T Makichyan1, E Gusakova2, Z Khabadze3
11Medical Clinic «Osteopolyclinic», Moscow, Russia.
Georgian Medical News
|July 22, 2025
Summary
Osteopathic correction integrated with dental treatment significantly improved temporomandibular joint dysfunction (TMJD) symptoms. This comprehensive approach enhanced patient outcomes compared to dental treatment alone for TMJD patients with extraocclusive disorders.
Area of Science:
- Osteopathic manipulative medicine
- Dental rehabilitation
- Biomechanical disorders
Background:
- Temporomandibular joint dysfunction (TMJD) is a common condition causing pain, restricted jaw movement, and muscle issues.
- Current dental rehabilitation often uses Transcutaneous Electrical Nerve Stimulation (TENS) for muscle relaxation.
- Osteopathic correction addresses broader somatic dysfunctions impacting mandibular function, an area underexplored in TMJD dental rehabilitation.
Purpose of the Study:
- To evaluate the effectiveness of incorporating osteopathic correction into comprehensive dental rehabilitation for TMJD patients.
- To assess the impact of osteopathic treatment on extraocclusive disorders and somatic dysfunctions contributing to TMJD.
Main Methods:
- A study involving 90 TMJD patients (aged 19-61) with extraocclusive disorders from January 2024 to March 2025.
- Patients were divided into two groups: one receiving combined dental and osteopathic treatment, the other receiving dental treatment only.
- Efficacy was measured using the Hamburg test, electromyography (EMG), osteopathic examination, and Visual Analog Scale (VAS) for pain, with all patients performing myohymnastics.
Main Results:
- The group receiving combined dental and osteopathic treatment showed statistically significant improvements (p<0.05) after 8 weeks.
- These improvements were observed in Hamburg test scores, EMG results, and reduced frequency and severity of somatic dysfunctions.
- VAS scores for pain also indicated significant improvement in the combined treatment group.
Conclusions:
- Osteopathic correction is a valuable addition to the interdisciplinary rehabilitation protocol for TMJD patients.
- Combining dental and osteopathic care offers superior outcomes for TMJD patients, particularly those with co-existing extraocclusive disorders.
- This integrated approach should be considered for comprehensive TMJD management.
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