Neada Hysenaj

INNOVATIVE APPROACHES ON DISC DISPLACEMENT WITH REDUCTION
Dr. Neada Hysenaj
University Dental Clinic, Faculty of Dental Medicine, Albania

Abstract
Disc displacement with reduction is a temporomandibular disorder characterized by the disc's displacement, in most cases in the anterior direction, which returns to its position when the mouth is opened. Especially in the clinical cases associated with pain, this condition reduces the quality of life of the patients and the main goal should be addressed toward pain relief. This condition can turn into a more severe form such as disc displacement without reduction. Based on clinical research, DDwR can stay stable for a long time. The retrodiscal fibrosis is one of the main physiological adoption process. In this lecture, the etiological factors, the diagnosis, and the treatment approaches of the DDwR will be discussed in detail, based on the most recent literature. It is important, to highlight the choice of conservative treatment as a first choice. Although there is no gold standard of treatment, the main modalities include patient information and education regarding the condition, advice on the diet, exercise instructions, updates on the physiotherapy process and occlusal splints. The comparison regarding the effectiveness of the different types of occlusal splints will be discussed. Cognitive-behavioral therapy (CBT) is an additional option for therapy in the relief of the symptoms. Other possibilities include mini-invasive treatments such as intraarticular injections with hyaluronic acid, platelet-rich plasma, botulinum toxin and low-level laser therapy (LLLT). The collaboration between specialists: dentists, physiotherapists, and psychologists, is important to achieve the best results.

Dr. Neada Hysenaj works as an academic researcher in the Prosthodontic Unit at the University Dental Clinic in Tirana, Albania, since 2012. She is part of the academic staff, part-time at the Faculty of Dental Medicine, UMT. Dr. Hysenaj has held lectures internationally through the ERASMUS+ program at Craiova University and Aquila University and has conducted research at the University of Heidelberg and the University of Granada under prestigious scholarships. She has trained dentists through different workshops and has participated in several prosthodontic specialization courses. Dr. Hysenaj graduated with excellent results in Dentistry from Tirana University in 2011 and holds a professional license with an exceptional score. She is the author/co-author of over 40 articles and has had over 70 presentations at national and international conferences. She is a member of the Scientific Board of the Albanian Dental Journal, an EPA member, and has contributed to organizing several scientific events. Her research work includes participation in notable projects like the READ project on CAD/CAM prosthetic materials, the NASRI project on total removable dentures, and the project supported by the Ministry of Education and Sport of Albania: Evaluation of Implant prostheses restorations. She is also part of the ERASMUS BIOSINT project focused on strengthening biomedical education. Field of Expertise: Removable prosthodontics, Fixed prosthodontics, Implant-supported prosthodontics, Temporomandibular disorders.