Temporomandibular Joint Disorder Flashcards

1
Q

what part of the joint feels pain

A

bilaminar zone which gets compressed by the condyle

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2
Q

what are the causes of TMD

A

myofascial pain
disc displacement
degenerative disease
chronic recurrent dislocation
ankylosis
hyperplasia
neoplasia
infection

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3
Q

what are the types of disc displacement

A

anterior with reduction
anterior without reduction

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4
Q

what is anterior with reduction disc displacement

A

it can slip back to its place

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5
Q

what is anterior without reduction disc displacement

A

it cannot slip back

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6
Q

what localised degenerative disease causes TMD

A

osteoarthritis

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7
Q

what generalised degenerative disease causes TMD

A

rheumatoid arthritis

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8
Q

how do you treat chronic recurrent dislocation

A

put thumbs on the buccal sulcus and push down and back

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9
Q

how can you tell if a patient has hyperplasia of the condyles

A

one grows more than the other and there will be facial asymmetry with the jaw pointing away from where it is happening

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10
Q

what is the pathogenesis of TMD

A

inflammation of muscles of mastication
trauma
stress
psychogenic
occlusal abnormalities

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11
Q

what are you looking for when examining the TMJ

A

clicks and crepitus

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12
Q

what does crepitus indicate

A

arthritic change

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13
Q

what is assessed intraorally

A

interincisal mouth opening
signs of parafunctional habit
MoM

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14
Q

what are the signs of parafunctional habit

A

cheek biting
linea alba
tongue scalloping
occlusal non-carious tooth surface loss

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15
Q

what radiographs can be used for TMD

A

OPT
CT
MRI
TRANSCRANIAL VIEW
NUCLEAR IMAGING
ARTHROGRAPHY
ULTRASOUND

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16
Q

what are the clinical features of TMD

A

female
18-30yrs
intermittent pain of months/years
muscle/joint/ear pain on wakening
trismus/locking
clicking/popping noises
headache
crepitus

17
Q

what are the differential diagnoses for TMD

A

dental pain
sinusitis
ear pathology
salivary gland pathology
referred neck pain
headache
atypical facial pain
trigeminal neuralgia
angina
condylar feature
temporal arteritis

18
Q

what patient education is given for TMD

A

counselling
avoid chewy foods, soft food diet, gum shields
electromyographic recording
jaw exercises

19
Q

what medication can be given for TMD

A

NSAIDs
muscle relaxants
tricyclic antidepressants
botox
steroids

20
Q

what counselling is given to the patient for TMD

A

reassurance
soft diet
masticate bilaterally
no wide opening
no chewing gum
dont incise food
cut food into small pieces
stop parafunctional habits
support mouth on opening

21
Q

what physical therapy can given for TMD

A

physiotherapy
massage/heat
acupuncture
relaxation
ultrasound therapy
TENS
hypnotherapy

22
Q

what splints can be given for TMD

A

wenvac splint
hard acrylic lower jaw splint
anterior repositioning splint

23
Q

what are the functions of bite raising appliances

A

stabilise occlusion and improve function of masticatory muscles thereby decreasing abnormal activity

24
Q

what irreversible treatment can be done for TMD

A

occlusal adjustment
TMJ surgery

25
Q

why does the joint click

A

due to lack of coordinated movement between the condyle and articular disc

26
Q

what are the signs of disc displacement

A

jaw tightness and mandible deviation to affected side

27
Q

how do you treat disc displacement

A

counselling
limit mouth opening
bite raising appliance
surgery

28
Q

what is therabite

A

jaw motion rehabilitation system

29
Q

what is treatment for trismus

A

physiotherapy
jaw screw