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Anthropometric features of the prosthetic bed and masticatory musculature in patients with complete secondary adentia based on ultrasound data

Year: 2025, volume 21 Issue: №1 Pages: 24-29
Heading: Stomatology Article type: Original article
Authors: Shkarin V.V., Makedonova Yu.A., larygina E.N., Devyatchenko L.A., Chizhikova T.V., Pavlova-Adamovich A.G.
Organization: Volgograd State Medical University
Summary:

Objective: to analyze the anthropometric features of the prosthetic bed and masticatory muscles in patients with complete secondary adentia for planning orthopedic treatment. Material and methods. 63 people participated in the examination, who, according to the inclusion/exclusion criteria, were divided into two groups: the first (n=30) — control, the second (n=33) — patients with complete secondary adentia. Ultrasound examination was used to study the structural features of the chewing muscles and prosthetic bed, and the results were compared with a group of healthy individuals. Results. In patients with complete secondary adentia, atrophy of the prosthetic bed mucosa is noted, the average blood flow rate was 9.7±0.8%, which is 2.4 times less than in the control group of 23.4±1.9% (p<0,001). A statistical difference was obtained in determining the area of the chewing muscles at rest and tension — 69.8±2.8%, which is 15.7% less than in the group of healthy people — 80.8±1.8% (p=0.03). The thickness of the prosthetic bed varied from 0.3 mm to 0.5 mm, depending on the location, so the thickness of the prosthetic bed in the anterior part was 0.363±0.01 mm, in the lateral — 0.354±0.01 mm. A2.2-fold decrease in this parameter relative to the control group indicated atrophy of the prosthetic bed mucosa (p=0.03). Conclusion. In patients with complete secondary adentia, there is a decrease in the thickness of the masticatory muscles and prosthetic bed due to the development of atrophic processes of muscle tissue against the background of a decrease in the rate of local blood flow against the background of stagnation.

Keywords: prosthetic bed, masticatory muscles, atrophy

Bibliography:
1. Galonskiy VG, Tarasova NV, Surdo ES, et al. Theoretical and practical aspects of the adaptation of patients with complete adentia to removable dentures. Dentistry is for Everyone. 2020;1 (90):34-43.
2. Makedonova YuA, Kriventsev АЕ, Veremeenko SA, Dyachenko DYu. Substantiation of a differentiated approach to orthopedic dental treatment in systemic pathology. Bulletin of the Volgograd State Medical University. 2020;3 (75):79-82.
3. Konnov VV, Pichugina EN, Arushanyan AR, et al. The effectiveness of orthopedic methods of treatment of patients with dental defects complicated by distal occlusion, depending on the topographic features of the temporomandibular joint. Modern Orthopedic Dentistry. 2017;28:39-41.
4. Shemonaev VI, MashkovAV. Analysis of biometric characteristics of occlusal morphology of lateral teeth as a criterion for the quality of dentures. Volgograd Scientific and Medical Journal. 2012;2 (34):44-7.
5. Dyachenko AYu, Makedonova YuA, Vorobyov AA, Dyachenko DYu. Method and device for tracking the movement of the mandible. Patent for invention. Application No. 2023107600, No. 2817471, dated 04.16.2024.
6. Stuginski-Barbosa J, Porporatti AL, Costa YM, et al. Agreement of the International Classification of Sleep Disorders Criteria with polysomnography for sleep bruxism diagnosis: A preliminary study. J Prosthet Dent. 2017;117 (1):61-6. DOI:10.1016/j.prosdent.2016.01.035
7. Delyagin VM. Ultrasound examination of muscles in normal and neuromuscular pathology. SonoAce Ultrasound. 2017;27:68-73.
8. Yarygina EN, Makedonova YuA, Shkarin VV, et al. Ultrasound assessment of the structure of the masticatory muscles against the background of relief of myofascial pain syndrome. Endodontics Today. 2024;22 (3):288-94. DOI:10.36377/ET-0033
9. Sierpiiiska Т, Jacunski Р, Kuc J, et al. Effect of the dental arches morphology on the masticatory muscles activities in normal occlusion young adults. Cranio. 2015;33 (2): 134-41. DOI:10.1179/2151090314Y0000000005
10. Tokarevich IV, Naumovich YuYa. Modern methods for assessing the function of chewing. Modern Dentistry. 2009;3-4:14-9.
11. Elgestad Stjernfeldt P, Sjogren P, Wardh I, Bostrom AM. Systematic review of measurement properties of methods for objectively assessing masticatory performance. Clin Exp Dent Res. 2019;5 (1 ):76-104. DOI:10.1002/cre2.154
12. Goto T, Higaki N, Yagi K, et al. An innovative masticatory efficiency test using odour intensity in the mouth as a target marker: A feasibility study. J Oral Rehabil. 2016;43 (12):883-8. DOI:10.1111/joor.12444
13. Bhoyar PS, Godbole SR, Thombare RU, Pakhan AJ. Effect of complete edentulism on masseter muscle thickness and changes after complete denture rehabilitation: An ultra-sonographic study. J Investig Clin Dent. 2012;3 (1):45-50. DOI:10.1111/j. 2041-1626.2011.0088. x

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