TMJ

Question 1

Pain Complaint of Pt

Answer 1

facial pain, jaw discomfort, ear discomfort

Question 2

Hard crepitus

Answer 2

walking on gravel
arthritic changes

Question 3

Soft crepitus

Answer 3

rubbing knuckles
symptomless

Question 4

Early Clicking

Answer 4

developing

Question 5

Late Clicking

Answer 5

chronic

Question 6

Disc Displacement with Reduction

Answer 6

closing

Question 7

Reciprocal Clicking

Answer 7

opening and closing

Question 8

Causes of Clicking

Answer 8

adhesions: bruxism
uncoordinated muscle action: lateral pterygoids
soft or popping clicks: ligament movement/ soft tissues behind condyle
hard or cracking clicks: joint pathology

Question 9

Lock Jaw

Answer 9

restrictions upon opening and closing

Question 10

Closed Lock

Answer 10

mouth does not fully open
d/t anterior displacement of disc, inert tissue tightness, muscle spasm
athletes hit by a ball/ opponent’s limb

Question 11

Open Law

Answer 11

mouth does not fully close
two clicks felt on the disc
>posterior rim
>anterior rim

Question 12

Ruling out Cervical

Answer 12

vestibular systems
vertebrobasilar artery
cerebral spine affectation
muscle imbalance from spinal malalignment

Question 13

Functional Limitations

Answer 13

eating (soft, hard), biting, laughing, smiling, yawning, talking, shouting, chewing on L and R/ both

Question 14

Partial Edentulism

Answer 14

loss of one or more teeth causing others to shift to fill the space leading to malalignment

Question 15

Bruxism

Answer 15

grinding/ clenching of teeth especially when sleeping
headaches in the morning
hypertrophy
facial, jaw, or tooth pain

Question 16

Periodontist

Answer 16

specializes in the study of tissues around the teeth and diseases

Question 17

Orthodontist

Answer 17

correction or prevention of irregularities of teeth (retainers, invisaligns, etc.)

Question 18

Endodontist

Answer 18

treatment of diseases of tooth pop, root canal, and perapical areas

Question 19

Review of Systems

Answer 19

hearing loss
ear ache
dizziness
ringing
blocking
inner ear, cervical spine, vestibular problems

Question 20

Related Psychosocial Issues

Answer 20

anxiety or depression
drug abuse
failure of conventional therapies
secondary pain
major life events causing stress
stress due to pain greater than 6 months
stress related disorders
inconsistency in response to drugs
inconsistent, inappropriate, and vague reports of pain
overdramatization
symptoms that vary with life events

Question 21

Underbite

Answer 21

mandibular teeth in buccoversion (lie anterior to maxilla)

Question 22

Overbite

Answer 22

maxillary teeth extend to anterior mandibular teeth

Question 23

Normal Dental Occlusion

Answer 23

small overbite (1-2 mm); most common position

Question 24

Overjet

Answer 24

distance between maxillary incisors to mandibular incisors when the jaw is closed (2-3 mm)

Question 25

Occlusal Interference

Answer 25

premature contact of teeth; deflect lateral/ anterior

Question 26

Crossbite

Answer 26

mandible are lateral to upper teeth of one side and medial to the opposite side

Question 27

Malocclusion

Answer 27

any deviation of normal occlusion

Question 28

Class I Malocclusion

Answer 28

slight modifications normal AP

Question 29

Class II Malocclusion

Answer 29

overbite mandibular teeth it posterior

Question 30

Class II Division 1 Malocclusion

Answer 30

significant overjet of maxillary incisors large/ horizontal overlap

Question 31

Class II Division 2 Malocclusion

Answer 31

non significant overjet of maxillary incisors (lateral flaring) deep/ vertical overlap

Question 32

Class III Malocclusion

Answer 32

underbite mandibular teeth are anterior

Question 33

Orthognathic Profile

Answer 33

normal straight jawed

Question 34

Retrognathic Profile

Answer 34

chin behind the vertical line receeding chin

Question 35

Prognathic Profile

Answer 35

chine in front of the vertical line protruded chin

Question 36

Tongue Movement

Answer 36

limited by lingual frenulum

Question 37

Tongue Thrusting

Answer 37

forward movement of the tongue pushing against teeth

Question 38

Swallowing

Answer 38

tongue moves forward protruson of head

Question 39

Cervical Flexion

Answer 39

mandible goes anteriorly and superiorly

Question 40

Cervical Extension

Answer 40

mandible goes posteriorly and inferiorly

Question 41

Cervical Side Bending or Rotation

Answer 41

maximum occlusion on ipsilateral side

Question 42

Functional Opening of the Jaw

Answer 42

place 2-3 PIPs joints or knuckles with mouth open

Question 43

Endfeel

Answer 43

tissue stretch

Question 44

MMT Grading

Answer 44

f- functional wf- weak functional nf- non-functional 0

Question 45

Eating and Closing Mouth CN

Answer 45

CN V

Question 46

Feeding CN

Answer 46

CN VII

Question 47

Swallowing CN

Answer 47

CN IX-XII

Question 48

CN V

Answer 48

muscles of mastication

Question 49

CN VII

Answer 49

moving eyebrows up and down, pursing of lips, showing teeth

Question 50

CN VIII

Answer 50

eyes closed have pt repeat words

Question 51

CN IX, X

Answer 51

swallowing

Question 52

CN XI

Answer 52

contract SCM

Question 53

CN XII

Answer 53

stick tongue out (move it left and right)

Question 54

Sensory Assessment

Answer 54

facial and trigeminal nerve CN 3

Question 55

Reflex Testing

Answer 55

jaw reflex (CN V)

Question 56

Masseter Referral Pattern

Answer 56

cheek, mandible, forehead/ ear

Question 57

Temporalis

Answer 57

maxilla to forehead and side of head above ear

Question 58

Medial Pterygoid

Answer 58

posterior mandible to TMJ

Question 59

Lateral Pterygoid

Answer 59

cheek to TMJ

Question 60

Digastric

Answer 60

lateral cervical spine to posterolateral skull

Question 61

Occipitofrontal

Answer 61

above eye, over eyelid, and up over lateral aspect of skull

Question 62

OMTs

Answer 62

research diagnostic criteria for TMJ disorder TMJ scale