Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Occlusion > General Considerations in Treatment of TMD > Flashcards

General Considerations in Treatment of TMD Flashcards

1
Q

the interrelationship of various tmj disordered always needs to be considered un the

A

evaluation and tx of patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

— to any structure of the masticatory system can either cause or contribute to most tmds

A

trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

treatment of tmds

A

the tx that have been suggested vary over a great spectrum of modalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the support for the appropriate tx modalities should be found in

A

evidence based lit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

some — factors that contribute to tmds are difficult to eliminate or control

A

etiological

ex. stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

(2) therapies seem to report similar success rates on a long term basis (70-85%)

A

conservative and nonconservative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

• DEFINITIVE TREATMENTS:

A

directed to controlling or eliminating the etiological factors that created the disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

• SUPPORTIVE THERAPY:

A

treatment methods directed toward altering patient symptoms but often do not affect the etiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

tmds result when

A

normal activity is interrupted by an event

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

common events may be

A

• LOCAL TRAUMA OR INCREASE IN EMOTIONAL STRESS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

• SECOND INFLUENCING EFFECT OF OCCLUSION is through

A

ORTHOPEDIC INSTABILITY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

another common etiology of tmds is

A

• INCREASED EMOTIONAL STRESS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

any source of — may also be responsible for creating tmd

A

deep pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

the last etiology is (3)

A

PARAFUNCTIONAL ACTIVITY, DIURNAL OR

NOCTURNAL, BRUXING OR CLENCHING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ALL INITIAL TREATMENT SHOULD BE (3)

A

CONSERVATIVE, REVERSIBLE AND

NONINVASIVE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

OCCLUSAL THERAPY

A

considered to be any treatment that is directed towards altering the mandibular position and/or occlusal contact pattern of the teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

REVERSIBLE OCCLUSAL THERAPY

A

alters the patients occlusal condition only temporarily, and is best accomplished with an occlusal appliance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

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

A

orthopedic stability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

IRREVERSIBLE OCCLUSAL THERAPY

A

permanently alters the occlusal condition and or mandibular position
ex. selective grinding or restorative procedures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When a patient responds successfully to reversible occlusal therapy, these appear
to be indications that

A

irreversible occlusal therapy may also be helpful.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

DEFINITIVE THERAPIES FOR EMOTIONAL STRESS

— is one of several psychological factors that should be considered

A

• EMOTIONAL STRESS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

increased levels of emotional stress can affect muscle function by

A

increasing the resting activity, increasing bruxism or both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

other disordered that may activate the aNS: (4)

A

IBS
premenstrual syndrome
intestinal cystitis
fibromyalgia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

some evidence demonstrates that greater levels of emotional stress can created

A

increased parafunctional activity in the masticatory system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

a correlation can be drawn between

A

increased levels of anxiety, fear, frustration, and anger and muscle hyperactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

some more challenging patients are those who suffer from (4)

A

OCD
PTSD
physical/sexual abuse
depression

27
Q

when psychologic therapy is indicated the patient should be referred to a

A

properly trained therapist

28
Q

when a patient comes to the dentist with symptoms closely related to muscle hyperactivity, the first tx is to educate the patient regarding the relationship between (3)

A

emotional stress, muscle hyperactivity and the problem

29
Q

once they understand the problem,

A

anxiety will be reduced, which often reduces the pain

30
Q

a general rule is

A

• IF IT HURTS, DON’T DO IT

31
Q

• IF IT HURTS, DON’T DO IT

this usually means that the — should be altered

A

diet

the patient is encouraged to eat softer foods, take smaller bites, and chew slowly

32
Q

the patient should be instructed that any time they find their teeth contacting. other than swalling, shewing or speaking, they should

A

immediately disengage them

33
Q

other symptom such as (3) can aggravate tmd symptoms

A

BITING ON OBJECTS, CHEWING ON ICE, OR HEAVY

GUM CHEWING

34
Q

RELAXATION THERAPY: (2 types)

A

SUBSTITUTIVE

• ACTIVE RELAXATION:

35
Q

SUBSTITUTIVE

A

a sub for stressful events or an interposition between them (activities that they enjoy, regular exercise)

36
Q

ACTIVE RELAXATION

A

therapy that directly reduces muscle activity

pt is trained to relax the symptomatic muscles, biofeedback, negative biofeedback

37
Q

the evaluation of levels of – stress in a patients life is extremely difficult

A

emotional

38
Q

when high levels of emotional stress are suspected as an etiological factor contributing to a disorder,

A

stress reduction therapy should be initiated

39
Q

a very effective way of staring a stress reduction therapy is establishing a

A

positive doctor-patient relationship

40
Q

THE APPROACH SHOULD BE TO PRESENT STRESS AS A FACTOR EARLY IN THE TREATMENT
PLAN SO THE PATIENT CAN APPRECIATE THE RELATIONSHIP BETWEEN (3)

A

PAIN, EMOTIONAL

STRESS, AND THE DENTAL PROCEDURES THAT MAY BE OFFERED.

41
Q

it is very helpful to provide — that the patient can take home and read and more fully appreciate

A

written info and instruction

42
Q

macrotrauma

— therapy is of little use since the trauma is no longer present

A

definitive

43
Q

microtrauma

— is necessary to curtail the trauma.

A

definitive therapy

consist on developing orthopedic stability

44
Q

there is no correlation between the amount of bruxing activity and

A

pain

45
Q

• PATIENT EDUCATION should begin by

A

informing the patient that the teeth should only contact during chewing, speaking, and swalling

46
Q

• NOCTURNAL BRUXISM is usually influenced by factors such as (3)

A

emotional stress levels and sleep patterns

in some cases is can be reduced with occlusal appliance therapy

47
Q

SUPPORTIVE THERAPY

A

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

48
Q

SUPPORTIVE THERAPY is extremely helpful is providing

A

immediate relief to symptoms

49
Q

SUPPORTIVE THERAPY

it is only symptomatic and not a replacement for

A

definitive therapy

50
Q

• PHARMACOLOGICAL THERAPY:

the most common classes of pharmacological agents used for the management of tmds are (6)

A 
analgesics 
antiinflammatories 
muscle relaxants 
anyolitics 
antidepressents 
anticonvulsives
51
Q

• PHYSICAL THERAPY:

A

group of supported activities that is instituted in conjunction with definitive treatment

52
Q

modalities of physical therapy

A

thermotherapy

53
Q

thermotherapy

A

heat is the prime mechanism

based on the premise that it increases the circulation to the applied area

54
Q

• COOLANT THERAPY:

A

cold encourages the relaxation of muscles that are in spasm. and thus relives pain

the ice should not be left on the tissues for longer than 5-7 min

55
Q

ULTRASOUND THERAPY

A

a method of producing an increase in temp at the interface of the tissues and therefore affects deeper tissues than does surface heat

56
Q

it has been suggested that it be used in conjunction with surface heat, especially when treating a

A

post trauma patient

57
Q

ELECTROGALVANIC THERAPY

A

utilizes the principle that an electric current will cause a muscle to contract
a rhythmic electrical impulse is applied to the muscle, creating repeated involuntary contractions and relazations

58
Q

TRANSCUTANEOUS ELECTRICAL NERVE

STIMULATION

A

continuous stimulation of cutaneous nerve fibers at a subpainful level

59
Q

TRANSCUTANEOUS ELECTRICAL NERVE
STIMULATION
uses a

A

low voltage, low amerage current of varied frequency

60
Q

• SOFT TISSUE MOBILIZATION:

A

superficial and deep massage

61
Q

• JOINT MOBILIZATION:

A

gentle distraction of the joint

62
Q

MUSCLE CONDITIONING

A

exercises that can help restore normal function and range of movement

63
Q

ASSISTED MUSCLE STRETCHING

A

used when there is a need to regain muscle length

should never be sudden or forceful

64
Q

ACUPUNCTURE

A

stimulation of certain areas that causes the release of endogenous opioids which reduces painful sensations

Occlusion (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions