TMD Flashcards

1
Q

Orofacial pain 2 classifications

A

International classification of headache disorders
itnernational classification of orofacial pain

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2
Q

TMD noises

A

clicking, snapping, popping, crepitus
on jaw movement
in past 30 days

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3
Q

TMD co-morbidities

A

firbomyalgia
chronic pain
pschological factors

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4
Q

TMJ examination

A

palpate lateral pole
3 repitions of opening, closing, laterla and protrusive movements
palpations of temporalis and masseter

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5
Q

how to palpate temporalis

A

palpate when teeth clenched abover the ear and forwards above the eye

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6
Q

how to palpate masseter

A

bimanual palpation

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7
Q

TMD diagnosis

A

pain related TMDs
Intra-articular TMDs

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8
Q

Pain related TMDs

A

myalgia
arthralgia - headache related

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9
Q

Intra-articular TMDs

A

disc displacement with reduction
disc displacement without reduction with limited opening
degenerative joint disease
subluxation

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10
Q

what is myalgia

A

pain in the temporalis or massetter muscle

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11
Q

myalgia sub types

A

local myalgia
myofascial pain
myofascial pain with referral

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12
Q

what is arthralgia

A

pain of joint origin affected by jaw movement, function or parafunction and replcated by provocation testing of TMJ

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13
Q

what is disc displacement with reduction

A

clicking popping or snapping during opening and closing movements

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14
Q

what is disc displacement without reduction with limited opening

A

maximum assisted opening movement less than 40mm including vertical incisal overlap

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15
Q

what is degenerative joint disease

A

degenerative joint disorder involving the joint characterised by deterioration of articular tissue with concomitant osseous changes in the condyle and/or articular eminence

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16
Q

Degenerative joint disease see on examination

A

crepitus detected with palpation during movement

17
Q

what is subluxation (open lock)

A

hypermobility disorder involving the disc condyle complex and the aritular eminence

18
Q

TMD managment

A

rest and relaxation
modify diet
avoid wide mouth opening
regular application of gentle heat - chronic conditions
regular application of cold pack
jaw exercises
NSAIDs
muscle spasm or disc displacement without reduction with limited opening - diazepam