Diagnostic significance of computer optical posturography in dentistry

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One of the pressing issues in dentistry is the assessment of the functional state of the masticatory apparatus and the development of an individual treatment plan for various categories of dental patients. In recent years, through the collaboration of dentists with osteopaths, orthopedists, and neurologists, it has become evident that the temporomandibular joint and occlusion are functionally interconnected not only with each other but also with the musculoskeletal system as a whole. The state of the masticatory apparatus can significantly influence posture by altering the tone of muscles involved in maintaining body balance. The significant impact of dental pathology on the general state of the body justifies the need to include additional integral methods of functional diagnostics in the comprehensive examination algorithm for dental patients with concomitant general diseases. Currently, technologies have emerged that allow for a comprehensive assessment of the entire musculoskeletal system. An example of such a technology is spinal diagnostics using computer optical topography. This method is based on the principle of video raster stereography and represents three-dimensional visualization of an object based on the analysis of two or more video images taken from different angles. The study results in a three-dimensional image of the human skeleton without the use of X-ray radiation.

The article presents a clinical case demonstrating the possibility of using computer-optical topography and statodynamic balancemetry methods in dentistry to assess the influence of dental pathology on the state of the musculoskeletal system. Indicators characterizing the state of the spine (pelvic tilt and rotation, thoracic kyphosis angle, lumbar lordosis angle) that are sensitive to changes in the state of the masticatory apparatus during stress tests have been determined.

The clinical case showed that the use of computer-optical posturography and statodynamic balancemetry methods in dentistry makes it possible to assess the mutual influence of dental pathology and the state of the musculoskeletal system, as well as to increase the effectiveness of dental patient rehabilitation through the development of an individual treatment plan.

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作者简介

Roman Fadeev

North-Western State Medical University named after. I.I. Mechnikov; Saint Petersburg Institute of Postgraduate Dentistry; Yaroslav-the-Wise Novgorod State University

Email: sobol.rf@yandex.ru
ORCID iD: 0000-0003-3467-4479
SPIN 代码: 4556-5177

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Saint Petersburg; Saint Petersburg; Veliky Novgorod

Dmitriy Mokhov

North-Western State Medical University named after. I.I. Mechnikov

Email: dmitriy.mohov@szgmu.ru
ORCID iD: 0000-0002-8588-1577
SPIN 代码: 8834-9914

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Saint Petersburg

Elena Satygo

North-Western State Medical University named after. I.I. Mechnikov

Email: stom9@yandex.ru
ORCID iD: 0000-0001-9801-503X
SPIN 代码: 8776-0513

MD, Dr. Sci. (Medicine)

俄罗斯联邦, Saint Petersburg

Konstantin Ovsiannikov

North-Western State Medical University named after. I.I. Mechnikov

编辑信件的主要联系方式.
Email: kons83@mail.ru
ORCID iD: 0009-0000-9890-5884
SPIN 代码: 6477-7501

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Saint Petersburg

Konstantin Popov

North-Western State Medical University named after. I.I. Mechnikov

Email: popovko98@rambler.ru
ORCID iD: 0009-0008-4325-5480

MD

俄罗斯联邦, Saint Petersburg

Vladimir Timchenko

North-Western State Medical University named after. I.I. Mechnikov; Saint Petersburg Institute of Postgraduate Dentistry

Email: dantisst@yandex.ru
ORCID iD: 0000-0001-7039-519X
SPIN 代码: 4823-8776

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Saint Petersburg; Saint Petersburg

参考

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2. Fig. 1. Hardware-Software Complex for Computer Optical Topography of the Spine and Statodynamic Balancemetry.

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3. Fig. 2. Simulation platform: general view (a), setting options (b).

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4. Fig. 3. Dentitions of patient O. with a generalized decompensated form of increased tooth wear: frontal view (a), maxillary dentition (b), mandibular dentition (c).

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5. Fig. 4. Results of computer optical topography of the spine: digital models of parameters of the spinal axis and pelvic position (a, b), scoliosis angle in the sagittal plane (c).

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6. Fig. 5. Digital models of foot relief.

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7. Fig. 6. Results of stabilometric study.

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8. Fig. 7. Oscillation of the foot center of pressure in tests: in the position of functional rest of the masticatory muscles (a), in the position with teeth clenched (b).

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9. Fig. 8. Pressure distribution on the feet during tests: in the mandibular rest position (a), in the intercuspal position (b).

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