Readings Flashcards
(48 cards)
T/F TMDs are often remitting, self-limiting or fluctuating over time and rarely result in disabling conditions.
t
Patients with pain-free TMJ clicking need treatment
F- only reassurance and education on the begnin condition
T/F Nicotine can influence TMD symptoms
t
Management of TMD is similar to what other conditions
orthopedic or rheumatologic disorders
Conservative (reversible) tx for TMD includes
- self- management
- behavior modification
- pt
- orthopedic appliances
-% of patients had relief of symptoms after conservative treatment
85-90
Success of self-management depends on
- Patient motivation
- Cooperation
- Compliance
Successful self-management should include what
- Allows healing and prevents further injury
- Rest of masticatory system
- Limitation of mandibular function
- Habit awareness and modification
- Home physiotherapy program
Describe what is meant by biobehavioral therapy
making the patient aware of their parafunctional habits and modifying overuse
The most widely used pharmacologic agents for managing TMD includes
- Analgesics
- NSAIDs
- Corticosteroids
- benzos
- muscle relaxants
- Low dose anti-depressants
T/F administrations of anti-depressants for TMD are associated with depression relief
f- treatment of chronic pain and demonstrate pain relief
Mechanism of how anti-depressants relief pain
PT helps relieve the musculoskeletal pain and restore normal function by
- Altering sensory input
- Increases ROM
- Reduces inflammation
- Decreases coordinating and strengthening of the muscle
- Promotes repair and regeneration
Exercise is recommended for patients with tmd because…
- stretches and reloveds cervical and masticatory muscles
- Mobilize and stabilize TMJ
- Increases muscle strength
- Coordination arthrokinematics
Describe how ultrasound works
-high frequency oscillations converted to heat when transmitted through tissue- can heat tissues up to 5 cm depth
Stabilization splints are used for (myogenous/arthrogenous) TMDs
both
How do splints prevent wear of opposing teeth
resin is softer than tooth structure.
Arthrocentesis involves
-Intra-articular irrigation or lavage of the TMJ with or without corticosteroids
Which is more effective arthrocentesis or arthroscopy
both are the same
What is arthroscopy
Allows direct observation and sampling of joint tissues
What is an arthrotomy
Open surgical intervention of the TMJ usually required for bony or fibrous ankylosis, neoplasia, severe chronic dislocations, and persistent painful disc derangemenet, and severe osteoarthritis
What is the model for clinical assessment and pain management
biobehavioral
Core biobehavioral principles include
multifactorial assessment
learning history
interplay between biologic and psychologic factors
Biobehavioral risk factors include
pain
distress
pain related disability
pain history for red and yellow flags for patient care
