opening pattern for DDwR deviation
What can be a RED flag in TMD patients?
Impairment of cranial nerves
J opening pattern
Goal of active exercise for TMD:
to maintain midline position of mandible while increasing motion
What should be cleared when assessing TMJ
Cranial nerves and C-spine
TMJ OA joint feel/sounds
Hard/cracking clicks or noises throughout motion
TMJ opening pattern for muscle dysfunction/imbalance deviation
a sign of impaired cranial nerves
TMJ: What do clicks imply?
abnormal movement between condyle, disk, and mandible
Impairment of cranial nerves indicates what in TMD pts?
how can you quickly assess TMJ opening/depression?
Explain two clicks in DDwR
- Click One: Patients can have a single click that occurs during opening
- Click Two: If they have a second click (aka reciprocal click), it occurs during closing. It may need to be auscletated to be heard.
opening pattern for DDwoR deflection
TMJ: late clicking implies ______
a chronic problem
TMJ: How does mandible move during deviation?
- Mandible will pivot around restricted joint,
- deviation is to side of restricted joint.
drooping of the corner of the mouth
A cranial nerve impariment symptom
Can have Closed lock or Open Lock:
- Closed lock (can't open). Condyle is posterior to disk
- Open Lock (can't close), 2 clicks on opening as condyle moves anterior to disk (onto disk, off other side)
TMJ Functional Opening
Five common findings of cranial nerve impairment:
- facial palsy
- difficulty swallowing
TMJ: Early clicking implies _______
a developing problem
Primary goal for TMD intervention:
Restore normal opening
TMJ Normal opening
The 3 Hallmarks of TMD:
- orofacial pain
- restricted jaw opening
- joint noise
C pattern upon opening (TMJ)
Explain single click in DDwR
Patients can have a single click that occurs during opening.
TMJ: S pattern of opening
Muscle dysfunction/imbalance deviation