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Occlusion Lecture > GENERAL CONSIDERATIONS IN THE TREATMENT OF TEMPOROMANDIBULAR DISORDERS > Flashcards

GENERAL CONSIDERATIONS IN THE TREATMENT OF TEMPOROMANDIBULAR DISORDERS Flashcards

1
Q

What are the two categories of TMD treatments?

A
  • definitive treatments
  • supportive therapy
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2
Q

What are definitive treatments?

A
  • directed to controlling or eliminating the etiologic factors that created the disorder
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3
Q

What are supportive therapys?

A
  • treatment methods directed toward altering patient symptoms but often do not affect the etiology
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4
Q

What are common events that cause TMD?

A

local trauma or increased emotional stress

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5
Q

What is the second influencing effect of occlusion?

A

orthopedic instability

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6
Q

What are some etiologies of TMD?

A
  • local trauma
  • increased emotional stress
  • orthopedic instability
  • parafunctional activity
  • diurnal or noctural
  • bruxing or clenching
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7
Q

All initial treatments for TMD should be…

A

conservative, reversible, and noninvasive

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8
Q

What is occlusal therapy?

A

any treatment that is directed towards alterning the mandibular position and/or occlusal contact pattern of the teeth

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9
Q

What is the best type of reversible occlusal therapy?

A

occlusal appliance

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10
Q

What do occlusal appliances provide?

A

orthopedic stability

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11
Q

What is reversible occlusal therapy?

A

alters the patient’s occlusal condition only temporarily and is best accomplished with an occlusal appliance

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12
Q

What is irreversible occlusal therapy?

A

permanently alters the occlusal condition and/or manidbular position

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13
Q

What are examples of irreversible occlusal therapy?

A

selective grinding or restorative procedures

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14
Q

When a patient responds successfully to reversible occlusal therapy, these appear to be indications that ____________
__________ __________ may also be helpful.

A

irreversible occlusal therapy

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15
Q

Increased levels of emotional stress can affect…

A

muscle function by increasing the resting activity and/or increasing bruxism

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16
Q

What are the types of emotional stress therapy?

A
  • refer them to a trained therapist
  • educate the patient regarding the relationship between emotional stress, muscle hyperactivity, and the problem
17
Q

What should you tell a patient to change if they have TMD?

A
  • diet (eat softer food)
  • do not bite on objects
  • do not chew ice
  • no heavy chewing
18
Q

What are the two types of relaxation therapy?

A

substitutive
active relaxation

19
Q

What is substitutive relaxation therapy?

A
  • a substitution for stressful events or an interposition between them (activities they enjoy, exercise)
20
Q

What is active relaxation therapy?

A
  • therapy that directly reduces muscle activity (relax symptomatic muscles, biofeedback, negative biofeedback)
21
Q

An effective way to start a stress reduction therapy is to establish a _______________

A

positive doctor-patient relationship

22
Q

What should you present as a factor for TMD treatment early in the treatment plan?

A

stress and the relationship between pain, emotional stress, and dental procedures

23
Q

Should you use definitive treatment in the case of macrotrauma?

A

Nah, it would be of little use since the trauma is no longer present

24
Q

Should you use definitive treatment in the case of microtrauma?

A

Yes, it is necessary to stop the trauma (develop orthopedic stability)

25
Q

Patient education on TMD shoudl begin by informing them that the teeth should only contact during….

A

chewing, speaking, and swallowing

26
Q

What is nocturnal bruxism?

A

influenced by factors such as emotional stress levels and sleep paterns

(sometimes can be reduced with occlusal appliance therapy)

27
Q

What is supportive therapy?

A

directed towards altering the patients symptoms, often has no effect on the etiology of the disorder

  • helpful to provide immediate relief of symptoms
28
Q

What are the two types of supportive therapy?

A
  • pharmacological treatment
  • physical therapy
29
Q

What is pharmacological therapy?

A

the most common classes of pharmacologic agents used for the managment of TMDs

30
Q

What are the types of pharmacologic agents used in TMD?

A
  • analgesics
  • antiinflammatories
  • muscle relaxants
  • anxylotics
  • antidepressants
  • anticonvulsives
31
Q

What is physical therapy?

A

group of supported activites that is instituted in conjuction with definitive treatment

32
Q

What are the types of physical therapy for TMD?

A
  • thermotherapy
  • coolant therapy
  • ultrasound therapy
  • electrogalvanic therapy
  • transcutaneous electrical nerve stimulation (TENS)
  • manual techniques
  • muscle conditioning
  • assisted muscle stretching
  • acupuncture

Occlusion Lecture (17 decks)

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