Non odontologic pain Flashcards

1
Q

How can we check if a pt has maxillary sinusitis over dental pain

A

Ask the pt if the pain is worse when they bend down eg to tie shoe lace

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2
Q

Which division is most commonly affected by trigeminal neuralgia

A

Mandibular division affecting lower lip chin and teeth on that side

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3
Q

Does burning mouth cross the midline

A

yes

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4
Q

What is a cold sore due to

A

Recurrent herpes labials

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5
Q

list some worrying symtoms

A
  1. Unexplained pain
  2. Systemic symptoms or weight loss
  3. Swellings or lumps
  4. White or red patches
  5. Ulceration
  6. Altered sensation
  7. Trismus
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6
Q

If a patient has a TMJ click what does that mean they have

A

Intra articular joint disorders- disk dispalcemtn with/ without reduction and with / without locking

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7
Q

What is myalgia

A

Pain and tension in then Muscles of mastication

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8
Q

What is myofascial pain

A

Pain spreading beyond the muscles of mastication

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9
Q

Name the most common disorder of the TMJ region

A

Myofascial pain syndrome

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10
Q

What is myofascial pain due to

A

Pain caused by muscle tension fatigue or spasm
can be related to parafuncitonal habits

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11
Q

List some signs and symptoms of myofascial pain

A

Pain and tenderness in muscles of mastication
Usually no relevant radiographic findings

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12
Q

List some symptoms of internal derangement

A

Clicking
pain from joint and or masculature
trismus or locking

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13
Q

What is internal derangement caused by

A

Displacement of disk from normal position

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14
Q

What is degernative joint disease

A

Non inflammatory process of wear and tear due to sustained micro trauma over prolonged periods
This can lead to deterioration of articular cartilage exposing bone and causing flattening of the condylar head and bony defects

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15
Q

What are some of the symptoms of degernative joint disease

A

painful crepitus and trismus but can be asymptomatic

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16
Q

List some imaging features of degernative joint disease

A
  1. Flattening of the articular surface
  2. osteophytes
  3. subchondral cysts
  4. Erosions
  5. Sclerosis
  6. Decreased joint space
    7 May be accompanied by disk displacement
17
Q

What are some indications for imaging the TMJ

A
  1. Suspected osseous abnormality
  2. Failure of conservative treatment
  3. Worsening symptoms
  4. History of trauma
  5. Significant dysfunction
  6. Alteration in range of motion
  7. Sensory or motor abnormalities
  8. Significant changes in occlusion