Chapter 10 Flashcards Preview

Pathology Exam 3 > Chapter 10 > Flashcards

Flashcards in Chapter 10 Deck (58)
Loading flashcards...
1

What is characterized by an unexplained and usually continuous burning sensation of the oral soft tissues?

Burning Mouth Disorder

2

What usually causes burning mouth disorder?

a neuropathic etiology or systemic condition

3

Burning Mouth Syndrome

-Onset is usually spontaneous
-Evaluation involves a careful work up
-Laboratory testing may identify undiagnosed systemic diseases such as anemia and diabetes mellitus.
-Treatment:Neuropathic Pain Meds.

4

What is a pathologic condition involving the fifth cranial nerve (Trigeminal Nerve)?

Trigeminal Neuralgia

5

How is Trigeminal Neuralgia characterized?

Unilateral sharp, shooting, knifelike, or electric shock-type pain.

6

Trigeminal Neuralgia

-Etiology unknown
-Diagnosis is based on history and onset of pain, and associated clinical symptoms.
-One of the newest procedures (gamma radio surgery) has shown promising results.

7

What is Bell's Palsy?

An acute, self-limiting loss of muscle control on one side of the face.

8

When is the clinical diagnosis of Bell's Palsy made?

after excluding other causes of facial paralysis.

9

When does Bell's Palsy usually occur?

in people of all ages; mostly between ages 14 and 45

10

Treatment of Bell's Palsy?

Variety of treatments used in management

11

Bell's Palsy

-Inability to wrinkle eyebrow
-Drooping eyelid: inability to close eye
-Inability to puff cheeks: no muscle tone
-Drooping mouth: inability to smile or pucker.

12

Disorders of the TMJ include what?

-Myofascial pain (Muscle and fascia)
-Dysfunction
-Internal derangement syndrome
-osteoarthritis
-rheumatoid arthritis
-Benign and malignant tumors.

13

The TMJ is a articulation between what?

the condyle of the mandible and the glenoid fossa of the temporal bone.

14

What covers the bony articulating surfaces?

Fibrocartilage

15

What type of movement is in the TMJ?

Ginglymoarthrodial movement

16

What divides the spaces in the the TMJ?

An articular disk

17

Nerve Fiber of TMJ

Avascular and devoid

18

What provides nourishment and lubrication for the TMJ?

Synovial fluid

19

Muscles of Mastication

-Masseter
-Temporalis
-Medial Pterygoid
-Lateral Pterygoid
-Anterior Digastric
-Mylohyoid

20

Evaluation of the muscles of mastication may be done to determine what?

Whether muscle pain or dysfunctional muscle activity is occurring.

21

In the position of maximal occlusal contact, the mandibular condyle rests within what?

the glenoid fossa

22

TMDs are caused by what?

abnormalities in the function of either the joint itself or associated structures.

23

TMDs (Temporomandibular Disorders)

-More common in females.
-Female sex hormones play a role
-Depression
-Rheumatoid Arthritis
-Chronic Fatigue Syndrome
-Chronic Headache
-Fibromyalgia
-Sleep Disturbance
-Irritable bowel syndrome

24

Pathophysiology of TMDs

-Trauma
-Psychosocial factors
-Dentofacial deformities
-May be associated with disorders in growth and development as in condylar hyperplasia or hypoplasia
-Abnormalities are associated with systemic diseases
-Female sec hormones
-Iatrogenic cause

25

Dysfunction may be caused by what?

disorders of muscles of mastication or by internal derangements of components of the joints.

26

Evaluation involves a comprehensive history and thorough clinical examination by doing what?

-Chief complaint
-History: Chief complaint, medical, dental
-Examination
-Imaging

27

How can you manage TMDs?

-Reduce mouth opening
-Shorter appointments
-Pain control

28

What are the three cardinal features on TMDs?

-Pain during mandibular function
-Joint noise
-Restricted jaw function

29

History

-Ask Questions
-Medical/dental history
-location of pain
-Precipitating events
-What makes the pain better or worse
-Is there any time of the day when the pain is better or worse?
-Previous treatment
-Do you have pain in any other joint?
-Onset and progression of symptoms.

30

Symptoms of TMDs

-Joint symptoms (clicking or popping)
-Pain
-Problems with mastication
-Trismus
-malocclusion
-parafunctional habits (bruxin g or clenching)
-Extensive dental or orthodontic treatment
-History of surgical treatment of the jaws.