DIFFERENTIAL DIAGNOSIS OF TEMPOROMANDIBULAR DISORDERS WITH THE USE OF DEVELOPED COMPUTER PROGRAM TO DEFINE THE INDIVIDUAL RISK OF THEIR DEVELOPMENT

Urgency of an issue. Problem of diagnosis and treatment of patients with diseases of temporomandibular joint (TMJ) over the years remains relevant, due to lack of consensus on the origin, pathogenesis, differential diagnosis methods, different clinical disorders similarity. Many patients with temporomandibular disorders (TMD) do not seek for treatment. There were found some violations accidentally when visiting the dental clinic. Patients who have turned to surgeons, physicians or prosthetic dentists complaining of discomfort, pain in the jaw joint, jaw movements violations previously repeatedly appealed to the otorhinolaryngologists, neurologists and often to a neuropsychiatrist. The aim. To identify the possibilities for differential diagnosis of temporomandibular disorders using a computer program to determine the individual risk of TMD. Materials and methods. Study involved 135 patients who applied to Prosthetic Dentistry Department Danylo Halytsky Lviv National Medical University complaining specific to temporo-mandibular disorders. For diagnosis TMD classification by the B.W.Neville, D.D.Damm, C.M.Allen, J.E.Bouquot (1995) was used. In accordance to which TMD are divided into arthrogenic and myogenic. Due to the high frequency of detection to possible diagnoses included TMJ hypermobility and simulated TMD. Results. To determine the connection between the disorder and the positive or negative performance in the clinical medical recorder identified correlation was recorded. That described correlation coefficients for the pair by Spearman method. According to a survey of 135 patients with various forms of TMD or their combination the correlation coefficients for each pair of diagnosis are calculated. These indicators differ according to the power of communication but only some of them were reliable (p