Intro to TMDs Flashcards

1
Q

T/F: TMD is specifically a dental problem.

A

FALSE

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2
Q

What is the common set of symptoms involved with TMDs?

A

Pain and jaw dysfunction

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3
Q

T/F: All TMDs share a similar etiology?

A

FALSE

Similar symptoms; different etiologies

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4
Q

What are the two major divisions of TMDs?

A
  1. Extracapsular (non-joint related)

2. Joint related (true TMJ disease)

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5
Q

What system is used to define pain clinically? (LIQ ORA AA)

A
  1. Location
  2. Intensity
  3. Quality (burning, pulsing, ache)
  4. Onset
  5. Radiation of pain
  6. Associated system
  7. Alleviating factors
  8. Aggravating factors
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6
Q

What is a good way to know if a patient has a joint or muscle problem?

A

If the patient can specifically localize the pain to a point directly in front of the ear, likely joint.

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7
Q

What is local myalgia?

A

Simply muscle pain

Stiff and sore from overuse

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8
Q

Describe myofascial pain?

A

Aching pain on the face with trigger points.

Predictable pain referral with trigger point palpation.

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9
Q

What is a myospasm?

A

Sudden cramping of a muscle

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10
Q

What is centrally mediated myalgia?

A

Chronic continuous pain with no clinical inflammation

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11
Q

T/F: The TMJ is a load bearing joint.

A

TRUE

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12
Q

T/F: The articular disk can also be called a meniscus.

A

FALSE

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13
Q

What disorder is fairly common and often asymptomatic?

A

Anterior disc displacement

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14
Q

T/F: Anterior disk displacement must be fixed to avoid problems.

A

FALSE

Can become pathological but often not a problem

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15
Q

How can anterior displaced disk cause locking in the TMJ?

A

The condyle cannot slide forward under the disk

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16
Q

T/F: TMJ disease is purely a mechanical problem.

A

FALSE

Inflammation and osteoarthrosis also play a role

17
Q

What can be some consequences of reduced TMJ mobility?

A
  1. Reduced disk movement
  2. Reduced mandibular movement
  3. Poor synovial fluid circulation
  4. Ultimately declining joint health and function
18
Q

What are the treatment options for TMJ disorders?

A
  1. Counseling
  2. Anti-inflammatory meds
  3. Occlusal orthotics
  4. Physical therapy

*Least invasive surgery if none of this works

19
Q

What factors make a good treatment option for TMJ disorders?

A
  1. Research based
  2. Non-invasive
  3. Reversible
20
Q

T/F: Occlusal orthotics for TMD should not alter jaw position or occlusion.

A

TRUE