Melnyk V. L., Shevchenko V. K., Sylenko Y. I., Kostyrenko O. P.

ARCHITECTONICS OF BONE TISSUE OF THE ALVEOLAR PROCESS OF THE MANDIBULAR IN A PATIENT WITH DEFORMATIVE ARTHROSIS OF THE TEMPOROMANDIBULAR JOINT, CHRONIC PERIODONTITIS ON THE BACKGROUND OF POLYARTHROSIS (CLINICAL CASE)

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About the author:

Melnyk V. L., Shevchenko V. K., Sylenko Y. I., Kostyrenko O. P.

Heading:

DENTISTRY

Type of article:

Scientific article

Annotation:

This article considers the problem of diagnosing the density of bone tissue of the alveolar process of the mandible, its architectonics in a patient with deforming arthrosis of the temporomandibular joint, chronic periodontitis on the background of polyarthrosis . The density of the alveolar bone of the mandible was determined in the areas of the corners of the alveolar bone of the TMJ heads and frontal teeth. The results were evaluated in units of the Hounsfield scale (UH) using the classification of bone tissue types according to C. E. Misc. They indicate that in the area of healthy periodontal tissue the bone type is D2. In chronic generalized periodontitis of the II degree of severity. in the area of teeth 4.3, 4.2, 4.1, 3.1, 3.2, 3.3 bone type – D3. Bone density in the area of incisors – D2 bone type. According to CT – 3D density of the alveolar process in the areas of the corners of the lower jaw – right bone type – D2, left – bone type D2. Density indicators in the areas of the articular heads: right and left correspond to D 4 type of bone tissue, which is characteristic of osteoporosis. The frontal area of the alveolar process near teeth 31, 32, 33 is bone type D3, located under the periodontal pockets. The specified diagnostic algorithm was carried out by us for the necessary individual planning of appropriate stages of treatment for the patient.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», Issue 2,177, 518-526 pages, index UDC 616.716.4-001.5-002:611.018.4-092:616.314.17-002

DOI:

10.29254/2077-4214-2025-2-177-518-526