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Flashcards in Temporal Mandibular Dysfunction Deck (11)
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Definition of Tmj

Disorder with the muscles of mastication


Where is the mandible

The mandible hangs in a ligament and muscular sling that is influenced by the position of the head, neck and rest of body.

The position of your body directly effects this


Contributing factors
- what is the difference between intrinsic extrinsic

Intrinsic- Genetic development of muscles,lig, and bone
( what your born with )

Extrinsic- trauma (to head and neck)


Contributing factors
- tissue alteration

Tooth loss
Cranial bone misalignment
Hyper mobility of joints


Contributing factors
- stress

Increase tone in jaw
Bruxism (grinding)
Gum chewers


Contraindications of TMJ

Don't compress carotid artery
Unilateral work only (one side at a time)
Avoid deep work over styloid process
Do not compress the joint superiorly


History questions for TMJ

-Dental work, grinding, trauma, whiplash, location & type of pain
-where is the pain
-does the pain get worse, protraction/retraction, opens/closes, chewing, swallowing
-are their popping, clicking noises
- has the jaw ever locked
- headaches
- are they a mouth breather
- do they smoke
- what are activities of daily living


Observations and palpations

- full postural assessment
- palpate muscles of mastication
-active rom to the mandible
*lateral deviation


-a C wobble indicates

A C wobble indicates a capsular source on the Side the jaw deviates towards


- an S wobble indicatesn

An S wobble indicates a muscular source such as trigger points


Treatment plan for TMJ

-decrease sympathetic nerve firing w/ rocking, shaking, effleurage
-work muscles of mastication and expression
-work on postural imbalances
-ischemic compressions (don't push superiorly)
-attachment work on hyoids with scooping and striping (work whole muscle)
-muscle rolling on scm (picking up and rolling muscle)