The accuracy of the alginate impression is critical to the successful delivery of the splint to the patient for treatment toward occlusal stabilization.
True
False
true
Which is not a recommended step in preparation of stone models for sending to the lab for splint fabrication?
a. Pour alginate impression in stone as soon as possible.
b. Separate impression from stone models after fully set, but before alginate has dried up.
c. Remove all positive stone nodules/bubbles from teeth on model.
d. Wrap models in bubble wrap for protection in transit to the lab.
c. Remove all positive stone nodules/bubbles from teeth on model.
The purpose of relining the splint with acrylic at delivery to the patient is to…
a. correct any rocking or instability of the fit in the mouth.
b. practice using SNAP acrylic.
c. correct occlusal contact in a single step procedure.
d. all of the above.
a. correct any rocking or instability of the fit in the mouth.
A patient presents with the chief complaint of jaw pain secondary to a sport injury to his jaw one day ago. The history indicates no prior jaw pain nor limited range of motion. Examination reveals normal joint sounds in all movements. Normal range of motion is present, but painful.
What is your recommendation for treatment?
a. Initiate splint therapy immediately.
b. Advise soft diet and non-steroidal medication as needed for pain control. Re-evaluate after two weeks.
c. Refer for surgical correction of traumatic injury.
d. Restrict the patient’s participation in all future sports activities.
b. Advise soft diet and non-steroidal medication as needed for pain control. Re-evaluate after two weeks.
A patient presents with a long standing history of non-painful clicking in the right TM joint. There is normal range of motion and muscle provocation testing reveals no muscle tenderness. The occlusion appears to be Class I and normal.
What is your treatment recommendation?
a. Refer for surgical correction of the clicking.
b. Educate the patient about non-painful clicking and recommend no treatment unless painful symptoms or locking occur.
c. Fabricate a forward positioning splint to capture the disc and stop the clicking.
d. Perform a complete equilibration to re-capture the disc.
b. Educate the patient about non-painful clicking and recommend no treatment unless painful symptoms or locking occur.
A patient presents in acute pain in the left jaw and face, limited and painful opening, lack of posterior tooth contact on the left side, and premature contact in the right canines. There is no history of clicking in either jaw joint.
What is your initial diagnosis?
a. masseter muscle spasm on the left side.
b. masseter muscle spasm on the right side.
c. lateral pterygoid muscle spasm on the right side.
d. lateral pterygoid muscle spasm on the left side.
d. lateral pterygoid muscle spasm on the left side.
A patient presents with limited inter-incisal opening of 25 mm and a prior history of clicking in the right TM joint. History includes waking up two weeks ago and unable to open mouth normally and pain in the right joint on trying to stretch or force more opening. The clicking had stopped and has not been present for two weeks. The mandibular midline deviates to the right 4mm upon attempting opening.
What is your initial diagnosis?
a. subluxation of the condyle over the articular eminence.
b. arthritic degeneration in the right TM joint.
c. dislocation without reduction of the right TM joint disc (closed lock)
d. dislocation without reduction of the left TM joint disc.
c. dislocation without reduction of the right TM joint disc (closed lock)
A patient presents with concerns about grinding or gravel-like noises in his left jaw joint. Pain in that joint is present during mastication and many jaw functions. A normal range of motion is observed, but there is some hesitancy in opening due to the pain.
What is your initial diagnosis?
a. osteoarthritis in the left TM joint.
b. recurrent disc dislocation with reduction
c. subluxation of the condyle in the affected joint
d. none of the above
a. osteoarthritis in the left TM joint.
It is not recommended to establish orthopedic stability of the masticatory system prior to performing a complete restorative rehabilitation with irreversible procedures to the patient’s teeth.
True
False
false
Which factors need to be satisfied before proceeding with treatment occlusion and full-mouth reconstructive dentistry?
a. The TM joints are comfortable, stable, and rest in the CR position.
b. Accurate diagnosis and etiology have been established.
c. Agreement has been reached regarding financial responsibilities of the patient.
d. A signed release document is completed by the patient for the recommended therapy.
e. All of the above.
g. a and b only.
e. All of the above.
