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Tim's Cards > LOL TMD > Flashcards

LOL TMD Flashcards

1
Q

Inflammation of the capsule ligaments with Joint soreness and inflammation

A

Capsulitis

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2
Q

What is the most common TMD diagnosis?

A

Capsulitis

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3
Q

Irritation to the Synovial Fluid, similar to Capsulitis

A

Synovitis

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4
Q

Bone inflammation, wear and tear arthritis

A

Ostoearthritis

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5
Q

Osteoarthritis is the most common due to…

A

overuse

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6
Q

Clicking and Popping are due to…

A

Internal Derangement

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7
Q

Every Arthritis can be in the _____

2 most common systemic arthritis found there…

A

jaw joint

osteoarthritis/rheumatoid

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8
Q

Joint inflamed b/c of injury, auto accident, etc…

Should be evaluated for?

A

Traumatic arthritis

TMD

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9
Q

Type of pain that refers from one place to another (tender point to a distant site).

A

Myofascial pain

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10
Q

Myofascial pain is ______ and treated with what?

A

Referred

Stretching, heat, cold, rest, Muscle Relaxants

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11
Q

Localized pain, same area

A

Myalgia

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12
Q

Type of pain that is referred:

Type of pain that stays local:

A

Myofascial

Myalgia

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13
Q

Most common muscle pain is ______ and responds to ______

A

Myalgia

Stretching

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14
Q

Muscle inflamed from injury (or infection)

A

Myositis

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15
Q

Most common cause of Myositis for Dentists:

Do not…

Use what 3 Tx?

A

Wisdom tooth extraction

stretch

NSAIDS, steroids, rest

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16
Q

A Charlie Horse, forceful painful contraction, very rare (tetanus like)

A

Spasm

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17
Q

Spasms may be caused due to low ______ or other minerals/homones

could also be caused by a ____

A

K+

virus

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18
Q

Muscle tightens to protect joints or other muscles

*must find cause/what trying to protect

A

Protective Splinting

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19
Q

If body is Protective Splinting, what do?

A

Tx cause, use Muscle Relaxants

*also rest/stretching

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20
Q

Muscle that has undergone degenerative change that causes the contracted state to persist:

Usually due to _____

Calcified Contracture is _____

Can be ______

Stuck in a certain position _______

A

Myofibrotic Contracture

injury/infection

rare

hereditary

permanently

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21
Q

Anterior Temporalis refers to:

Middle Temporalis:

Posterior Temporalis:

A

Mx anteriors

Mx PM’s

Mx Molars

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22
Q

Masseter refers to what 3 areas:

A

Ear

Lower molars

Above right eye

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23
Q

SCE refers to what 4 areas?

A

Ear

above eye (may be contralateral)

occiput

eye

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24
Q

Trapezius/Posterior Cervicalis refers to what 3 areas?

A

Temple

Ear

Eye

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25
Q

Lateral Pterygoid refers to what 3 areas?

A

TMJ

Eye

Zygoma

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26
Q

Differential Diagnosis important so Tx can be focused on joint or muscle

A

True

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27
Q

Jaw pain is usually _____

A

Joint or Muscle

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28
Q

Most TMD cases area a combo of both joint and muscle

A

True

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29
Q

Important to distinguish ADD w/o reduction early

A

True

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30
Q

When opening, if a jaw deflects to _______, required immediate attention

A

one side (locked)

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31
Q

What is the most common cause of TMD probs?

A

Multifactorial

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32
Q

List 6 contributing factors for TMD:

A

extrinsic trauma

hyper function of masticatory mm

hyperextension

occlusion

systemic disease

psychosocial

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33
Q

What is the most important thing when you screen a pt?

A

Hx

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34
Q

What treats Superior Capsulitis?

What does it use?

A

Unilateral Pivot

teeter/totter effect (pulls down one side of joint, lets heal)

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35
Q

What treats Posterior Capsulitis?

A

move Forward

*heals in anterior positioning device

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36
Q

What movement can aggravate lateral capsule?

A

Lateral

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37
Q

Mx Stabilization appliance stabilizes what?

eliminates:

reduces clenching force/joint loading by ___%

A

occlusion

fulcrums/interferences

70%

38
Q

Mx Stabilization increases joint space

A

False

39
Q

Mx Stabilization appliance should cover all teeth in what positions?

should have what kind of guidance?

A

CR, CO, MI

anterior/canine

40
Q

Mn Stabilization has similar rules to Mx

A

True

41
Q

(m, joint, both) Opening Pain:

Closing Pain:

Chewing Pain:

Moving the Head:

Sharp Pain:

Dull Pain:

A

Muscle or Joint

Joint

Muscle or Joint

Meck

Joint

Muscle

42
Q

Pain associated with popping/clicking:

Side to side movement pain:

Limited opening w/o deviation

Limited opening with Deflection:

A

Joint

Joint

Muscle

Disc displaced/Joint

43
Q

___% have at least 1 sign of joint dysfunction

___% has at least 1 symptom

____% of the population needs Tx

A

75%

33%

5-7%

44
Q

Of the 5-7% of the population that need TMD Tx, % internal derangement?

arthritis:

masticatory muscle disorder?

A

31%

39%

30%

45
Q

Females outnumber Males in TMD by what ratio?

A

4-5:1

46
Q

___% of pts who come into your office have non-0tooth related pain, and we must identify these

A

40%

47
Q

Rotation happens in what Joint Compartment?

Sliding/Displacement occurs where?

A

Inferior Joint compartment

Superior Joint compartment

48
Q

The Jugular is in the TMJ

A

False

49
Q

Lateral ROM:

Protrusion:

Opening:

A

10 - 12 mm

8 - 10 mm

over 40 mm

50
Q

TMJ disc made of what?

Cartilage covering the condyle is what?

Why is this relevant?

A

Fibrous CT

Dense Fibrocartilage

healing

51
Q

Primary Tx for TMD is what 3 things?

A

non-invasive

reversible

multidisciplinary

52
Q

Tx for TMD includes dental specialist, primary care, neurologist, physical therapy, etc

A

True

53
Q

Tx for TMD should never be what 2 interventions?

A

crowns/surgery

change bite location

54
Q

Surgery/full mouth rehab is reserved for what in TMD?

A

second phase

*last option

55
Q

Anterior reposition splint, aka

A

FARRAR

56
Q

FARRAR (ant reposition splint) reduces load where?

temporarily recaptures what?

Use this device when?

A

Posterior attachment tissues

Anterior displaced disc

if disc too far forward

57
Q

Anterior Reposition Splint should be used full time

A

False

*only at night

58
Q

What is the goal of an Anterior Reposition Splint?

A

make a pseudo disc from healing

*never permanently reposition forward

59
Q

TMD is always progressive

A

False

*heals better than other joints, most adaptable

60
Q

Most common symptom of TMD is headache:

A

False

61
Q

What is the most common symptom of TMD?

A

Jaw Pain

62
Q

Most TMD cases are due to bad bite

A

False

63
Q

Bad bite causes ___% of TMD

A

15%

64
Q

Las Vegas Institute not evidence based

A

True

65
Q

Use of x-rays are the only exception for machines/instruments to use to diagnose or Tx TMD

A

True

66
Q

3 contraindications for TMD Tx

A

permanent bite changes

ortho appliance

full mouth rehab

67
Q

TMD is usually not caused by malocclusion

A

True

68
Q

6 symptoms of TMD

A

Jaw pain

Ear pain

Headaches

Ear stuffiness

Dizziness

Hearing loss

69
Q

The Intracranial exam checks for function of what?

A

Cranial nerves

70
Q

If you can’t find pain in the tooth, look where?

A

same tooth in opposing arch

71
Q

You can Tx sleep apnea, neuralgia, myalgia, movement disorders, dyskeniseas, and TMD

A

True

72
Q

An IntraOral nightguard will prevent _____ but do nothing for ______

A

wear

pain

73
Q

Nightguards and intraoral appliances look the same butthey differ how?

A

intraoral appliance is NOT an occlusal guard

*it is an Orthopedic appliance

***stabilization appliance

74
Q

Any pain in the head can refer to anywhere else, this includes the neck down to where?

A

C5

75
Q

If the pain is right below the TMJ, this could indicate…

A

neck/C1 problem

76
Q

It is well documented that a removable orthotic works for TMD

A

True

77
Q

The most common symptom of TMD is not headache, it is toothache

A

true

*although think different elsewhere

78
Q

___% of the population has popping

A

50%

79
Q

Bone to bone contact is very rare

A

True

80
Q

Most common problem we see in TMD

A

muscle pain

81
Q

Most common nerve causing pain to the TMD

A

Trigem

82
Q

Masseter origin:

insertion:

innervation:

action:

A

zygomatic arch

lateral surface ramus/coronoid

masseteric branch V3

closes jaw/elevates Mn

83
Q

Temporalis origin:

insertion:

innervation

Action:

A

tomporal fossa

coronoid process/ant Mn

V3 - deep temporal branches

elevates Mn (post fibers retract)

84
Q

Lateral Pterygoid Origin:

Insertion:

Innvervation:

Action:

A

greater wing sphenoid (upper) lateral surface lateral pterygoid plate (Lower)

neck of condyle of Mn/articular disc/capsule TMJ

Branches of V3

opens mouth/protrusion/grinding

85
Q

Medial Pterygoid Origin:

Insertion:

Innervation:

Action:

A

medial surface lateral pterygoid plate (sphenoid)/pyramidal process palatine/tuberosity Mn

lower part medial surface Mn/angle of Mn

Pterygoid branches V3

Elevates Mn/protrusion

86
Q

Depression (3 mm.):

elevation (3 mm.):

Protrusion (1 mm.):

Retrusion (2 mm.):

Lateral:

A

suprahyoid, infrahyoid, gravity

temporal, masseter, medial pterygoid

lateral pterygoid

middle/posterior temporal, deep masseter

retractors same side/protruders opposite

87
Q

TMJ is a modified…

A

Synovial Joint

88
Q

Lateral temporomandibular ligament

stylomandibular ligament

sphenomandibular ligament

A

visualize

89
Q

Intrinsic TMJ ligament:

2 Extrinsics:

A

TM-lateral ligmanet

Stylomandibular/sphenomandibular

90
Q

Sylomandibular runs from where to where?

Sphenomandibular?

A

styloid process - angle mandible

spine of sphenoid - lingula of Mn

91
Q

Opening pain can be _____

Closing pain…

A

muscle or joint

usually joint

Tim's Cards (140 decks)

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