LAURA CHECHERITA, L. S. BURLEA, O. STAMATIN, D. MANUC IMPACT OF IBRUPROFEN MEDICATION AND PROSTHETIC ESTHETICAL TREATMENT IN ELDERLY PATIENTS WITH TEMPORAL MANDIBULAR JOINT DISORDERS AND DEPPRESION Affections of temporomandibular joint (TMJ) can lead to imbalances and disfuntions named temporomandibular desorders (TMDs). Elderly people with TMDs are experiencing more severe phenomena due to instability centric relationship, edentation, hypotonia, and cranio-mandibular malrelations, neurologic and chronic diseases. The aim of this study is to investigate the efficiency of the anti-inflamatory treatment followed by prosthetic, estethic and gnathologic treatment in elderly. This is a prospective study, based on data obtained from 410 elderly people, 74 female and 33 male gender subjects. In the studied group we found a high prevalence of pain (42.99%) and articular affectation (25.23%) which is due both to the grade of edentation and to complications of it, also the muscular affectation, headache, modification of the cranial-mandibular relations, psychological affectation. The prevalence of depressive manifestations was high (35.51%) and after the ibuprofen treatment in association with prosthetic treatment was completed decreased (at 23.36%) in the elderly subjects. In conclusion, the anti-inflamatory treatment followed by prosthetic treatment and also esthetical one determined the improved outcomes of the TMDs in elderly patients, not only in terms of pain and depression but also clinically, meaning at the TMJ function and in all the intraoral and facial aspects.
Keywords: public health, dysfunctional syndrome of stomatognatic system (SDSS), the temporal-mandibular joint (TMJ), prosthetic treatment, temporomandibular disorders (TMDs)