TMJ problems- signs, symptoms, causes and surgery Flashcards

1
Q

Describe the anatomy of the TMJ?

A
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2
Q

What are the symtoms of TMJ problems?

A

Pain may arise from the joint capsule, ‘retrodiscal’ tissues or associated muscles such as the lateral pterygoid or massetter.

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3
Q

What are the signs of TMJ problems?

A
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4
Q

What images can be used to visualise the TMJ

A

Plain film only gievs a 2d representation so cannot be used.

MRI is more frequently used.

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5
Q

What are the positions of the TMJ in jaw closed and jaw open?

A
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6
Q

What is TMJPDS? The signs and symptoms and clinical features?

A

Temporomandibular joint pain dysfunction syndrome

o pain

o joint noise

o restricted movement

o mouth opens in a straight line or deviates with jerky movements.

o normal painless maximal opening should be around 40-55 mm

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7
Q

What are the clinical features of TMJPDS?

A
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8
Q

What would the Differetial diagnosis be for TMJPDS?

A
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9
Q

What is the non surgical treatment of TMJPDS?

A
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10
Q

What is internal derangement?

A

A localised mechanical fault in the joint which interferes with it smooth action.

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11
Q

What are the symptoms of osteoartihritus?

A
  • crepitus
  • difficultyinchewing
  • reduced mouth opening

• chronicpain

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12
Q

What are the symptoms of infective arthritis?

A
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13
Q

What is ankylosis of the TMJ?

A
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14
Q

What are the causes of extracapsular ankylosis?

A
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15
Q

Causes of intracapsular ankylosis?

A
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16
Q

What splint therapy can be used?

A

Soft- bite raising appliance

Hard occlusal splint

17
Q

What are the currently used TMJ operations?

A
18
Q

What are the effects of a condylar fracture?

A

Facial weakness (rare)

chin laceration / preauricular swelling

With unilateral fracture the midline will shift to fractures side.

With effusion or heamarthrosis then midline deviates away from effusion?