INTERDISCIPLINARY APPROACH. MUTUAL EFFECT OF BITE ON THE FOOT, POSTURE, EMOTIONS AND BIOCHEMISTRY. CLINICAL OBSERVATION

According to the literature, up to 76% of patients who go to the dentist have complaints related to the temporomandibular joint (TMJ). TMJ dysfunction is a condition which dentist meets every year more and more often, and diagnosis and treatment of such patients at the present time is an urgent task. The lack of a unified concept in the etiology and pathogenesis of the disease has led to different approaches in the diagnosis and treatment of this pathology, especially in children.

In dental practice, it is customary to focus on the TMJ and occlusion of the teeth, without considering the variety of extra-articular factors. Understanding of the relationships of functional processes in the body prompted us to pay special attention to the foot, as an organ of proprioception. Virard in 1860 put forward the hypothesis that multimodal sensorimotor system, which provides stability of the person. In addition to the organ of vision and inner ear, it includes TMJ and skin sensitivity of the feet.

For our research we used “Integrated diagnostic chart of patients with TMJ dysfunction” (that we have developed), x-ray analysis, functional analysis of the dentition on Myotronics K7 and T-scan.

Results

TMJ dysfunction and malocclusion in 100% of cases is combined with impaired longitudinal and transverse arch of the foot.
Hollow and pseudo field foot deformities are a marker of chronic stress.
In the process of planning a comprehensive dental rehabilitation of the children, it is necessary to assess the condition of the feet.
Patients with a violation of the position of the tongue, infantile swallowing and mouth breathing should be sent to the podiatrist to exclude the pathology of the feet.
5. Flat feet, valgus feet, and other disorders of the musculoskeletal system, which the patient turns to the doctor-Podiatry, require mandatory consultation of a dentist to avoid TMJ disorders.

Maria Vassileva, PhD, Orthodontist

Dr. Maria Vasilyeva PhD, Orthodontist, Assist. of prof. of Department of pediatric dentistry and orthodontia from Peoples’ Friendship University of Russia, Moscow.

Education:

1996 DDS – Moscow Medical Stomatological Institute;

1998 MD – Departament of Orthodontics of Moscow Medical Stomatological Institute

2013 PhD – Departament of Pediatric dentistry and Orthodontia of Peoples’ Friendship University of Russia. Member of IFUNA, EOS, WFO fellow, Member of Russian Orthodontic Society.

Have few patents, articles, author’s seminars and lectures around the World . Private practice.

She is a Absoanchor Certified speaker, 3M speaker and Adenta speaker. Preferences: Functional orthodontic treatment, Osteopathy, Kinesiology, Interdisciplinary approach