EVALUATION OF THE THERAPEUTIC EFFICACY OF OCCLUSIVE CAPS USING TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) IN COMBINATION WITH OCCLUSION CORRECTION USING T-SCAN TECHNOLOGY
DOI:
https://doi.org/10.35220/2523-420X/2025.4.12Keywords:
temporomandibular disorders, occlusal interferences, occlusal cap, TENS, T-Scan, occlusal correctionAbstract
To assess the effectiveness of the therapeutic effect of occlusal caps using transcutaneous electrical nerve stimulation (TENS) in combination with occlusion correction using T-Scan technology compared to traditional occlusion correction using articulation paper. Materials and methods. The study included 60 patients with temporomandibular disorders, who were divided into the main and comparative groups of 30 people each. In the main group, TENS stimulation was performed before the installation of the occlusal guard, after which serial T-Scan recordings and step-by-step correction of occlusal contacts were performed. In the comparative group, correction was performed using articulation paper without the initial use of T-Scan. Results. After 3 months of treatment in the main group, the persistence of symptoms of vertebral-mandibular disorders was detected in 63,3% of patients, which is twice as high as the indicator in the equal group – 30,0%. The overall rate of positive therapeutic effect in the main group was 93,3% versus 8060% in the equal group. Analysis of the results of treatment for the treatment of nosological forms of maxillofacial disorders showed that among patients with maxillofacial disorders, the absence of symptoms in the main group was observed in 20,0% of losses, while in the group this indicator became less than 6,66%, which is 3,3 times less. Among patients with metabolic disorders, the proportion of patients in remission in the main group was also high and accounted for 20,0% versus 10,0% in the equal group. In patients with combined forms of maxillomandibular disorders, external symptoms were detected in 23,3% of the main group and in 13,8% of the equal group, which was 1,7 times less. Conclusions. The proposed method of using occlusal caps in combination with TENS and digital occlusion correction using T-Scan demonstrates higher therapeutic efficacy compared to the traditional approach based on articulation paper. The combination of neuromuscular determination of the position of the lower jaw and objective digital control of occlusal contacts contributes to faster symptom relief and increases the effectiveness of the treatment of temporomandibular disorders in all nosological groups
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