Rehabilitation of patients with malocclusion
Functions of the temporomandibular joint and masticatory muscles:
- 1Ensuring the basic functions of the body: chewing, swallowing, biting, speaking, breathing.
- 2Participation in maintaining statics (balance of the pelvis and gait mechanism, cervical vertebral and muscle balance), balance.
- 3Ensuring the function of swallowing.
- 4Effects on cranial function (especially temporal bone function).
- 5Dysfunction of the nervous system.
- 6Effects on the autonomic nervous system.
- 7Influence on the function of internal organs.
- 8Influence on the endocrine system.
- 9Impact on the meridional balance.
- 10Effect on the lymphatic system.
Violation of the bite will lead to an imbalance of the maxillofacial muscles, facial asymmetry, which will affect the cervical spine, sacroiliac joint, as well as further twisting of the pelvis can lead to a change in the length of the limb.
Conversely, the masseter muscle compensates for changes in posture. Studies using electromyography have shown changes in the pulse sequence of the temporalis and masseter muscles with changes in leg length. Another study found that head position, functional blocks in the spine, and pelvic and foot imbalances cause changes in the functioning of the temporomandibular joint.
Directions of rehabilitation of patients with malocclusion
- Muscle imbalance. In case of muscle imbalance, we use massage techniques, post-isometric relaxation, dynamic retraining of the masticatory muscles, which reduces pain in the joint, makes the face more symmetrical.
- Skull (temporal bone). Premature contact on the lateral teeth affects the bones of the skull, causing chronic headache, vasospasm, and visual impairment.
- An important step is the diagnosis and treatment of the atlas (first cervical vertebra) and the second cervical vertebra. Osteopathic, soft tissue and joint techniques are used on the cervical vertebrae.
- KPS. The pelvis and sacrum may also need correction to correct temporomandibular joint problems or occlusion problems.
A short leg acts as a cause of malocclusion. Stretchen and Robinson of the Chicago College of Osteopathy observed the effect of a short leg on malocclusion for the first time. Evaluating the condition of the chewing muscles using electromyography, they reduced the heel of the standing subject by 3/8 inch and found a surge in the activity of the chewing muscles on the oscillogram when chewing after this manipulation. When the heel was removed, the muscles showed a normal occlusion pattern. In the PC, a short leg is found quite often as a result of twisting the pelvis. The leg is usually straightened when correcting the pelvis.
- Palatine tonsils – accumulations of lymphoid tissue lie on the medial pterygoid muscle, shortening of which will lead to impaired lymphatic drainage and an increase in the tonsil.
- Applied Kinesiology. At the final stage, the doctor treats the muscle chains that cover the entire body into a single musculoskeletal system.