TY - JOUR AU - Semenenko, Y. I. AU - Semenenko, I. P. AU - Dvornik, V. M. AU - Polyschuk, T. V. PY - 2018/03/21 Y2 - 2024/03/29 TI - THE SEQUANCE OF THE DIAGNOSTIC PROCESS DURING THE INVESTIGATION OF THE MASSETER AND TEMPORALIS MUSCLES IN PATIENTS WITH INTACT DENTAL ROWS JF - Ukrainian Dental Almanac JA - Ukr. Dent. Alm. VL - 2 IS - 3 SE - ORTHOPEDIC DENTISTRY DO - UR - https://dental-almanac.org/index.php/journal/article/view/201 SP - 58-61 AB - Research comprehensiveness is the basis of diagnosis of various diseases of the maxillofacial area. An integrated approach to the diagnostic process helps in setting the correct diagnosis for patient, evaluation and comparison of the results, and determination of the plan of the patient management. Certain diagnostic sequence enables confirmation of some research methods resulting in more accurate final diagnosis. However, before the talk about the pathology, it is necessary to examine the normal dentition.The purpose of our work is to develop a diagnostic guideline to the study of the masseter and temporalis muscles in patients with intact dental rows to obtain reliable results of dentition status and comparison of the data in various pathological conditions.The study of the issue in various literature is based on a standard outpatient dental cards makes it impossible to cover the entire scope of the study patients. Therefore, in the department of prosthodontics and implantology we have developed a proprietary guideline and a map of the orthopedic patient examination, which will be held EMG to standardize the approach to the investigation and establishment of a functional state of dentition. Survey map is based on the comprehensive study of the general state of patients, methodology of dental examination status by WHO for Eastern Europe as ORAL status was used partly - EAST for different age groups of the population (average DMF of dentition, CPI, loss of attachment of ligaments tooth, orthopedic status, the need for prosthetics under objective examination of the patient). We paid attention to the complaints, the study of the basic characteristics of neural activity by testing, which can affect the results of the study of masticatory muscles.Then conduct an objective study, which includes an external examination of the patient, a detailed review of the lower third of the face – study different positions of the jaw, determine the nature and amplitude of jaw movements, study of the temporomandibular joint and masticatory muscles; state of periodontal tissues (SPI, attaching ligaments), the state of bite and mucosa, and the presence or absence of teeth abnormalities.We recommend conducting additional diagnostic methods - recording of the occlusion, analysis of diagnostic models in articulators, X-rays when necessary.The graphic methods: one of the most available studies is electromyography (EMG) - an objective method of study of neuromuscular system by recording the electrical potentials of masticatory muscles, which allows you to evaluate the functional state of dentition. Patients have been clarified with the conditions of the study.EMG-studies were conducted by the standard method. For the standardization of diversion points, we palpate the most tensed muscle point and note it on the face with a marker in the position of the closed mouth with teeth in the central occlusion. Determine the coordinates of these points with a goniometer and put them in the examination chart for the purpose of identity detector location in repeated studies. We use EMG device "Neuro - MVP" Neurosoft company (Russia) and computer program to analyze the electromyographic recordings.General principles of analysis of EMG curve provides a qualitative and quantitative evaluation of marks, which are recorded in a special table in the survey chart for the whole period of EMG study.This card allows to standardize and to approach comprehensively to a prosthetic examination of the patient and can be used not only for EMG study but for the basic guideline of patients` examination with different pathological conditions of dentition. ER -