Russian Journal of DentistryRussian Journal of DentistryРоссийский стоматологический журнал1728-28022413-2934Eco-Vector5527910.17816/1728-2802-2020-24-4-266-272ReviewsОбзорыResearch ArticleIs temporomandibular disfunction an occupational disease of flautists?Дисфункция височно-нижнечелюстного сустава — профессиональная болезнь флейтистов?ParunovV. A.ПаруновВ. А.
Russian Federation
tafedd@gmail.comFedotovaTatiana M.ФедотоваТатьяна Михайловна
Russian Federation

PhD student of the Prosthodontics Department of Medical Institute of RUDN University

аспирант кафедры ортопедической стоматологии Медицинского института РУДН

tafedd@gmail.comLebedenkoI. Y.ЛебеденкоИ. Ю.
Russian Federation
tafedd@gmail.comPeoples' Friendship University of Russia (RUDN)ФГАОУ «Российский университет дружбы народов» (РУДН)National Medical Research Centre of Dentistry and Maxillofacial Surgery, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр стоматологии и челюстно-лицевой хирургии» Минздрава России1508202024426627216122020Copyright ©; 2020, Eco-VectorCopyright ©; 2020, ООО "Эко-Вектор"2020Eco-VectorООО "Эко-Вектор"https://rjdentistry.com/1728-2802/article/view/55279

Wind instrumentalists are prone to a number of occupational hazards that can lead to occupational diseases. C. Zaza defined these diseases as playing-related musculoskeletal disorders (PRMD). Such occupational diseases are devastating for musicians in terms of psychological health and financial state.

According to various epidemiological studies, 62–86% of orchestra musicians experienced PRMD. Particularly the pressure of the mouthpiece on the lower incisors of wind instrumentalists leads to their movement and provoke periodontal diseases. Moreover, wind instrumentalists place themselves at risk of allergies and galvanism. Musicians do not seek for dental help due to the fear of spoiled embouchure (habitual position of the cheeks, tongue, and lips while playing) in spite of the range of specific oral pathologies. Flautists are of particular interest to dental practitioners because they are subjected to several risk factors; in addition to the mouthpiece pressure, they often hold instruments in an asymmetric posture, and in constrained spaces, being surrounded by the other orchestra musicians.

To learn more about the occupational hazards of flautists, we searched for the relevant literature in the central research medical library and for articles in databases eLIBRARY, PubMed, and ResearchGate using the following keywords: “wind instrumentalists”, “flute”, “temporomandibular disorders”, and “playing-related musculoskeletal disorders”.

Some studies claim that the asymmetric posture of flautist, especially in cramped conditions, affects the musician’s health and leads to PRMD. Nevertheless, this research topic has been neglected, and published studies lack a strong methodology, explaining why they fail to show a strong association between TMD and flute playing. Therefore, further research is needed.

Музыканты, играющие на духовых инструментах, подвержены ряду профессиональных вредностей, которые способствуют развитию заболеваний. В конце прошлого столетия данные заболевания были выделены как мышечно-суставные расстройства, связанные с игрой на музыкальных инструментах. Последствия таких заболеваний для музыкантов профессионалов могут быть весьма драматичными как в плане психического здоровья, так и в плане финансового положения.

По данным эпидемиологических исследований, от 62% до 86% музыкантов, играющих в оркестре, испытывали такие состояния. В частности, у музыкантов-духовиков из-за повышенного давления на нижние резцы происходит их перемещение, а также травмируется пародонт. Кроме того, имеют место аллергические заболевания и гальванизм. Несмотря на целый ряд специфический патологий, музыканты не обращаются за помощью из-за боязни потерять амбушюр (характерное привычное положение губ, щек, языка, зубов во время игры на инструменте). Особый интерес для исследования врача — стоматолога-ортопеда представляют флейтисты. Они подвержены большому количеству факторов риска: помимо удерживания мундштука в полости рта, они вынуждены удерживать инструмент в асимметричной позе.

Для изучения данной тематики авторы провели подбор литературы в Центральной научной медицинской библиотеке, осуществили поиск релевантных статей в базе eLIBRARY по ключевым словам «музыканты», «дисфункция ВНЧС», базах PubMed, ResearchGate по ключевым словам «wind instrumentalists», «flute», «temporo-mandibular disorders», «playing related musculo-skeletal disorders».

Многие исследования свидетельствуют о том, что асимметричная поза флейтиста, особенно в стесненных условиях оркестра, негативно сказывается на здоровье музыкантов и приводит к мышечно-суставным расстройствам. Тем не менее тема стоматологических заболеваний флейтистов изучена недостаточно, а опубликованные на сегодняшний день статьи неоднородны в плане методологии и не доказывают четкой взаимосвязи игры на инструменте с дисфункцией. Необходимы дальнейшие исследования в этой области.

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