Interrelation between occlusal defects and tongue motility disorders on a background of neurologic pathology in practice of orthopedic dentist

В статті вивчається взаємозв’язок між розладами моторної функції язика та порушеннями оклюзії. Виділені основні клінічні прояви порушень лінгвомоторики та їх вираженість у пацієнтів клінічної групи. Висвітлено питання розповсюдженості оклюзійних порушень серед пацієнтів з розладами моторної функції язика та їх потреба в ортопедичному лікуванні. Звертається увага на важливу роль виявлення порушень лінгвомоторики у діагностиці неврологічних хвороб. Досліджується важливість міждисциплінарного підходу у діагностиці та терапії вад рухової функції при неврологічних та оклюзійних порушеннях. В статье определяется взаимосвязь между расстройствами моторной функции языка и нарушениями окклюзии. Выделены основные клинические проявления нарушений линговомоторики и их выраженность у пациентов клинической группы. Освещен вопрос распространенности окклюзионных нарушений среди пациентов с расстройствами моторной функции языка и их нуждаемость в ортопедическом лечении. Обращается внимание на важную роль нарушений лингвомоторики в диагностике неврологических болезней. Исследуется важность междисциплинарного подхода в диагностике и терапии нарушений двигательной функции при неврологических и окклюзионных нарушениях. This paper examines interrelation of tongue disorders in motor function with disorders of occlusion. Attention is drawn to the important role of detecting violations lynhvo motor activity in the diagnosis of neurological diseases. We investigate the importance of a multidisciplinary approach to diagnosis and treatment of defects of motor function in neurological disorders and occlusion. The aim of the study was to determine the role of the dentist in the primary diagnosis of neurological disorders that appear in the tongue dysmotility. Research problems 1) Define and organize clinical signs of tongue dysmotility of the of patients with neurological disorders. 2) Determine the frequency of occlusive disease of patients with symptoms of tongue dysmotility. We have examined 350 patients of neurological hospital with acute and chronic neurological disorders. Of these, 66 patients were detected with symptoms of tongue dysmotility evidenced in speech and swallowing disorders of varying degrees. The study involved 50 patients with an average age of £51 (26 men, 24 women). 16 patients did not participate in the study (11 refused to participate in the study, five patients in critical condition were unable to be surveyed). Study participants held a full clinical examination at the time of admission to the neurological department and at the stages of treatment. During the survey attention was paid to tongue dismotility manifestations such as symptoms of aphasia, dysphonia, dysarthria, bradylaliya, nazolaliya. To detect violations of occlusive disease in the form of defects in dental rows and consequently causes of an appeal to the dentist we used Kennedy classification defects in dental rows. Kennedy classification was applied to patients with defects of unbiased dental raw. Patients who had replaced defective dentition were a separate group and they were examined in terms of non-clinical orthopedic constructions lab requirements (poorly adjusted dentures, dentures, requiring relocation, prostheses, causing mechanical stimulation of tongue tissue or prosthetic bed). Among the examined neurological patients with disorders motility tongue, we found widespread frequency of occurrence of aphasia (68%) and dysarthria (44%). Violation of swallowing — dysphagia and slow speech — bradylaliya were less frequently met, exactly 36% and 20% of cases. Bright severity of the above symptoms was met in rare cases, to an average of 6%. Most frequently authors met poorly symptoms of tongue motility on the background of neurological disorder. As a result of our research it was found that the most patients of neurological hospital with symptoms of tongue dysmotility have occlusion pathology (86%). Of these, most patients had aphasia (68%), dysarthria and dysphonia (44%), as the symptoms of motility of the tongue. Most patients had mild manifesting symptoms. Taking into account, the literature draws attention to the primacy of the emergence of symptoms of lingual motility in the development of neurological diseases we can conclude that the identification of such symptoms by dentist-orthopedist is an important part of early diagnosis