14 final Flashcards
all treatment methods used for TMDs can be categorized into 2 groups:
definitive treatments and supportive therapy
directed to controlling or eliminating the etiologic factor that created the disorder
definitive treatment
treatment methods directed toward altering patient symptoms but often do not affect the etiology
supportive therapy
common etiology events may be local trauma or increase in emotional stress
definitive treatment
parafunctional activity
diurnal or nocturnal
bruxing or clenching
definitive treatment
all initial definitive treatment should be
conservative
reversible
noninvasive
considered to be any treatment that is directed towards altering the mand position and/or occlusal contact pattern of teeth
occlusal therapy (definitive therapy)
alter’s the patient’s occlusal condition only temporarily and is best accomplished with an occlusal appliance
reversible occlusal therapy
in reversible occlusal therapy, when the occlusal appliance is worn, an occlusal contact pattern is established that is in harmony with the optimum condyle-disc fossa relationship. therefore it provides
orthopedic stability
permanently alters the occlusal condition and/or mand position
(selective grinding or restorative procedures)
irreversible occlusal therapy
when patients responds well to reverible occlusal therapy
a correlation can be drawn between increased levels of anxiety, fear, frustration, and anger and
muscle hyperactivity
-greater levels of emotional stress can cause increased activity of muscle hyperactivity
two types of relaxation therapy
substitutive- substitution for stressful events or an interposition between them (activities they enjoy, regular excerise)
active relaxation- therapy that directly reduces muscle activity
in the case of MACROTRAUMA, definitive therapy is:
little use since trauma is no longer present
in case of microtrauma, definitive therapy is
necessary to curtail the trauma
would consist on developing orthopedic stability
this is extremely helpful in providing immediate relief of the symptoms
supportive therapy