THE COMPENDIUM Part 5 (occlusion)

Question 1

Tall V. Short Cusp Height Allowances, the more acute the curve of _______, the shorter the cusps will need to be to avoid collisions.

Answer 1

curve of Spee

Question 2

Tall V. Short Cusp Height Allowances, The GREATER the distance between the orbiting condyle and the medial wall, the GREATER the amount _______ sideshift

Answer 2

immediate

Question 3

Tall V. Short Cusp Height Allowances, the GREATER the amount of immediate side shift, the _______ the cusps will need to be.

Answer 3

SHORTER

Question 4

Tall V. Short Cusp Height Allowances, the GREATER the amount of immediate side shift, the _______ the grooves will need to be.

Answer 4

WIDER

Question 5

Location of NON-Working Side interferences– facial inclines of maxillary posterior _______ cusps

Answer 5

lingual…(working BULL)

Question 6

Location of NON-Working Side interferences– lingual inclines of the mandibular posterior _____ cusps.

Answer 6

facial (working BULL)

Question 7

Location of NON-Working Side interferences– parallel to the _______ groove on the Maxillary 1st molars

Answer 7

distal oblique groove

Question 8

Location of NON-Working Side interferences– parallel to the _______ groove of mandibular 1st molars

Answer 8

DF developmental groove

Question 9

Location of WORKING side interferences- lingual inclines of the maxillary posterior ______ cusps.

Answer 9

facial

Question 10

Location of WORKING side interferences- facial inclines of the mandibular posterior _____ cusps

Answer 10

lingual

Question 11

Location of Protrusive interferences- ______ marginal ridges of the mandibular posterior teeth.

Answer 11

distal

Question 12

Location of Protrusive interferences- ______ marginal ridges of the maxillary posterior teeth

Answer 12

mesial

Question 13

Lateral Displacement of the Mandible, due to Occlusal Prematurities: A and C contacts will display Medial and Lateral Pterygoid contracture on the ________ side.

Answer 13

OPPOSITE

Question 14

Lateral Displacement of the Mandible, due to Occlusal Prematurities: A and C contacts- The Masseter and Posterior/Middle Temporalis are contracting on the _______ side of the interference.

Answer 14

SAME

Question 15

Lateral Displacement of the Mandible, due to Occlusal Prematurities: “B” contacts will display Medial & Lateral Pterygoid contracture on the ______ side.

Answer 15

SAME

Question 16

Lateral Displacement of the Mandible, due to Occlusal Prematurities: “B” contacts-The Masseter and Posterior/Middle Temporalis are contracting on the _______ side of the interference.

Answer 16

opposite

Question 17

_________= a deviation in position of form of the tissues WITHIN the capsular apparatus of the temporomandibular joint, essentially giving rise to an abnormal relationship of the articular disc to the condyle, mandibular fossa and/or articular eminence.

Answer 17

Internal Derangement

Question 18

_________ = problems and clinical conditions associated with the temporomandibular joint that are contained WITHIN the capsular apparatus (i.e., the immediate joint tissues)

Answer 18

Intracapsular TMD

Question 19

__________ = problems and clinical conditions associated with the temporomandibular joint that are OUTSIDE the joint (i.e., the muscles of mastication and many ligaments)

Answer 19

Extracapsular TMD

Question 20

___________ = is used to describe a number of different common painful states characterized by the presence of TRIGGER points within the affected muscle(s). This syndrome is a common source of low-back pain, neck pain, shoulder pain, chest pain, and rib pain

Answer 20

Myofascial Pain Dysfunction Syndrome (MDPS)

Question 21

___________ = physical dislocation or displacement of the articular disc, either anterior to or posterior to the head of the condyle

Answer 21

Articular Disc Displacement

Question 22

_________ = a popping sound from the articular disc, exhibited as a forceful “jumping” back or “snapping” over the head of the condyle, usually occurring during the early opening or late closing condylar movement

Answer 22

Reciprocal Clicking

Question 23

_________ = an internal derangement of the temporomandibular joint in which the articular disc is dislocated anteriorly and usually medially to the condyle. The articular disc is physically incapable of reducing or receding posteriorly into position on the head of the condyle.

Answer 23

Closed Lock

Question 24

___________= The determination of one of two or more conditions a patient is suffering from by systematically comparing and contrasting their historical and clinical findings.

Answer 24

Differential Diagnosis

Question 25

The etiology of temporomandibular dysfunction (TMD) includes 1) ________ factors: These will increase risk, 2) _______ factors: These are responsible for the onset of the disease, and 3) ________ factors: These will interfere with healing or enhance progression of the disease

Answer 25

1) Predisposing 2) Initiating 3)Perpetuating

Question 26

What are the 5 major factors for the etiology of TMD?

Answer 26

Occlusal, Trauma, Emotional Stress, Deep pain, Parafunction

Question 27

TRIGGER POINTS- Masseter

Answer 27

maxillary and mandibular posterior teeth

Question 28

TRIGGER POINTS- anterior temporalis

Answer 28

maxillary incisors

Question 29

TRIGGER POINTS- middle temporalis

Answer 29

maxillary PM's and Molars

Question 30

TRIGGER POINTS- Posterior temporalis

Answer 30

posterior cranium

Question 31

TRIGGER POINTS-medial pterygoid

Answer 31

the TMJ!!! (think thats an important one!??!?)

Question 32

TRIGGER POINTS- Lateral Pterygoid

Answer 32

zygomatic arch AND TMJ

Question 33

What are these symptoms describing? Joint sounds, limited opening with a HARD end feel, pain during loading of the TMJ, and sudden change in a patient’s occlusion

Answer 33

Intracapsular TMD = HARD end feel

Question 34

Disc Displacement with a reciprocal click: ______ click (regaining position), ______ click (articular disc pops out of position to the anterior, very near closed, and ______ click (implies that there are 2 clicks, one on opening and one on closing)

Answer 34

opening...closing...reciprocal

Question 35

Parafunctional Activities and Features: Clenching, Bruxism, parafunctional activities occur at a _________ level, occlusal prematurities do not directly cause ______ events, emotional ______ directly relates to parafunction

Answer 35

SUBCONSCIOUS...BRUXING...STRESS!!!! (in the sim clinic maybe?!?)