Email this article 
Functional condition of the temporomandibular joint in civil aviation pilots and flight attendants
- Authors: Korolkova K.V.1, Bykova M.V.1, Bykov D.O.2, Parunov V.A.1
-
Affiliations:
- Peoples’ Friendship University of Russia
- Moscow State University of Medicine and Dentistry named after A.I. Evdokimov
- Issue: Vol 27, No 5 (2023)
- Pages: 443-449
- Section: Clinical Investigation
- URL: https://rjdentistry.com/1728-2802/article/view/501793
- DOI: https://doi.org/10.17816/dent501793
- ID: 501793
Cite item
Open Access
Access granted
Abstract
BACKGROUND: Civil aviation pilots are under constant psychological stress, which is chronic stress. Chronic stress and overexertion are assumed to negatively affect the entire body in general and the maxillary system in particular, changing the morphofunctional condition of maxillofacial muscles and the temporomandibular joint (TMJ).
AIM: To conduct a comprehensive comparative study of the functional state of the dental system of civil aviation pilots and flight attendants, which includes a clinical examination using a simple Hamburg test and TMJ sound vibrography.
MATERIALS AND METHODS: The study enrolled 30 pilots and 30 flight attendants in the comparison group. The standard clinical examination was performed using the Hamburg test. Vibrographic examination of the TMJ using the BioJVA device from the BioPAK complex (BioResearch, USA) was also conducted.
RESULTS: In the Hamburg test, joint clicks and traumatic eccentric occlusion were detected more often in pilots than in flight attendants. According to the results of vibrography, cases with an integral index of >80 PaHz were observed two times more often among pilots than among flight attendants. This indicates possible TMJ pathology.
CONCLUSION: Clinical examination combined with the Hamburg test and vibrography revealed that symptoms of TMJ dysfunction occur much more often among civil aviation pilots than among flight attendants.
Full Text
About the authors
Kristina V. Korolkova
Peoples’ Friendship University of Russia
Author for correspondence.
Email: drkristinavdent@gmail.com
ORCID iD: 0000-0003-2982-0830
SPIN-code: 6667-8336
Postgraduate Student
Russian Federation, 7/3 Dikkensa street, 108811 MoscowMarina V. Bykova
Peoples’ Friendship University of Russia
Email: bykova_mv@mail.ru
ORCID iD: 0000-0003-0504-7767
SPIN-code: 9380-8298
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 7/3 Dikkensa street, 108811 MoscowDenis O. Bykov
Moscow State University of Medicine and Dentistry named after A.I. Evdokimov
Email: 13dantist@mail.ru
ORCID iD: 0000-0003-4978-2608
SPIN-code: 4963-8000
MD, Cand. Sci. (Med.)
Russian Federation, MoscowVitaly A. Parunov
Peoples’ Friendship University of Russia
Email: vparunov@mail.ru
ORCID iD: 0000-0003-2885-3657
SPIN-code: 8797-6513
MD, Dr. Sci. (Med.), Professor
Russian Federation, 7/3 Dikkensa street, 108811 MoscowReferences
- Ushakov IB, Simakova TG, Soldatov SK, et al. The state of tooth solid tissues and calcium and phosphorus contents in air pilots. Military Medical Journal. 2005;326(6):51–53.
- Baldini A, Nota A, Cioffi C, Ballanti F, Tecco S. Mandibular position influence on pilots’ postural balance analyzed under dynamic conditions. Cranio. 2017;35(6):367–371. doi: 10.1080/08869634.2016.1271502
- Lurie O, Zadik Y, Einy S, et al. Bruxism in military pilots and non-pilots: tooth wear and psychological stress. Aviat Space Environ Med. 2007;78(2):137–139.
- Jacobus BB. Flying personnel and occlusal/mandibular dysfunction. Aviat Space Environ Med. 1984;55(2):141–142.
- Ahlers MO, Jakstat HA. Klinische Funktionsanalyse: interdisziplinäres Vorgehen mit optimierten Befundbögen. Hamburg: Denta Concept; 2000. (In German).
- Gupta B, Thumati P, Radke J. Temporomandibular joint vibrations from totally asymptomatic subjects. Cranio. 2016;34(3):169–175. doi: 10.1179/2151090315Y.0000000013
- Kerstein RB. Handbook of research on computerized occlusal analysis technology applications in dental medicine (2 volumes). Hershey: IGI Global; 2015. doi: 10.4018/978-1-4666-6587-3
- Gvasalia LV, Malenkina OA. Express diagnosis of diseases of the temporomandibular joint at the primary dental appointment. Dental Forum. 2011;(3):38. (In Russ).
- Fedotova TM, Parunov VA, Lebedenko IYu. State of the temporomandibular joint of professional flute players according to clinical examination and vibrography. Russian Journal of Dentistry. 2022;26(2):157–162. doi: 10.17816/1728-2802-2022-26-2-157-162
- Dubova LV, Melnik AS, Stupnikov AA, Savelyev VV. Comparative evaluation of data kineseography and electromyography at patients without signs of TMJ disorders and with. Endodontics Today. 2016;14(2):11–15.
- Ishigaki S, Bessette RW, Maruyama T. Vibration of the temporomandibular joints with normal radiographic imagings: comparison between asymptomatic volunteers and symptomatic patients. Cranio. 1993;11(2):88–94. doi: 10.1080/08869634.1993.11677948
- Becker RM. Joint Vibration Analysis (JVA). In: Information Resources Management Association, IGI Global, editors. Medical imaging: concepts, methodologies, tools, and applications. Hershey: IGI Global; 2017. P:876–931. doi: 10.4018/978-1-5225-0571-6.ch036
Supplementary files
