Management of TMD Flashcards
What are the two treatment modalities in the management of TMD?
Conservative and nonconservative
Which treatment modality is reversible and noninvasive? irreversible?
conservative
nonconservative
Define definitive treatment.
Intended to directly eliminate or alter the cause of the disorder and its consequences.
___ therapy is directed toward altering the patient’s symptoms, and reducing pain and dysfunction.
Supportive
T/F. Supportive therapy usually has no effect on the cause of the disorder.
True.
What are some examples of supportive therapy?
pharmacologic and physical therapy
Define an occlusal appliance.
An occlusal appliance (splint) is a removable device, usually made of hard acrylic, that fits over the occlusal and incisal surfaces of teeth of one arch.
An occlusal appliance creates ___ (positive/negative) occlusal contact with the teeth in the opposing arch.
positive
T/F. Occlusal appliances temporarily provide a less ortho-pedically stable joint posiiton.
False, Occlusal appliances temporarily provide a moreortho-pedically stable joint posiiton.
An occlusal appliance introduces an optimum functional occlusion that reorganizes the ___-___ ___ activity.
neuro-muscular reflex
___ ___ protect teeth and supportive structures from abnormal forces that may create breakdown or occlusal wear.
Occlusal appliances
What percentage of TMD symptoms can occlusal appliances reduce?
70 - 90%
Occlusal appliances reduce ___ muscle activity, hence reducing ___ pain.
parafunctional; myogenous
T/F. Occlusal appliances reduce the forces placed on the TMJs and other structures within the masticatory system. When these structures are unloaded, the associated symptoms decrease.
True.
What are the five common features of all occlusal applicances?
- Temporary alteration of occlusal condition
- alteration of the condylar position
- increase in vertical dimension
- cognitive awareness
- placebo effect
