Management of TMD

Question 1

Treatment modalities

Answer 1

Conservative

Nonconservative Treatment

Question 2

what is Conservative treatment

Answer 2

Reversible, not surgical treatment

Question 3

what is nonconservative treatment

Answer 3

Irreversible, surgical treatment

Question 4

What is definitive treatment

Answer 4

Doing something by directly eliminating and altering the cause of the dissorder and consequences

Question 5

what is supportive therapy

Answer 5

Treat symptoms instead of the disease and dissorder with no effect on the cause of the disorder

Question 6

what are some types of supportive therapy

Answer 6

Pharmacologic Therapy

Physical Therapy

Question 7

Analgesics

Answer 7

Aspirin

Question 8

Anti-inflammatory drugs

Answer 8

Ibuprofen

Question 9

Muscle relaxants

Answer 9

Soma

Question 10

Anxiolytic agents

Answer 10

Valium

Question 11

Antidepressants

Answer 11

Prozac

Question 12

Anticonvulsant medications

Answer 12

Lyrica

Question 13

Types of Pharmacologic therapy

Answer 13

Analgesics
Anti-inflammatory drugs
Muscle relaxants
Anxiolytic agents
Antidepressants
Anticonvulsant medications

Question 14

what is an occlusal appliance (splint)

Answer 14

A removable device that fits over the occlusal and incisla surface of the teeeth of one arch

Question 15

what is an occlusal appliance made of

Answer 15

Usually of hard acrylic

Question 16

what does an occlusal appliance do

Answer 16

Create positive occlusal contact with the teeth in the opposing arch

Question 17

Types of Occlusal appliances

Answer 17

Bite guard
Night guard
Interocclusal appliance
Orthopedic device

Question 18

How does Root reabsorption occur

Answer 18

Occures from inside to the outside

Question 19

what is more important, good bone or good teeth

Answer 19

Good bone, because we can allways place and implant, and bone building is very tough

Question 20

Uses of Occlusal appliance

Answer 20

Temporarily proves a more ortho-pedically stable joint position
Introduce an optimum functional occlusal that reorganizes the neuro-muscular reflex activity
Protect teeth and supportive structures from abnormal forces that may create breakdown or occlusal wear

Question 21

How well do Occlusal appliance therapy reduce TMD symptoms

Answer 21

70-90% of TMD symtpoms

Question 22

what do occlusal appliances reduce

Answer 22

Reduce PArafunctional muscle activity, hence myogenous pain

reduce forces placed on the TMJs and other strucutres within the masticatory system

Question 23

what causes the symptoms of the TMJ to decrease

Answer 23

Unloading of the masticatory system

Question 24

what kind of pain do occlusal appliances not reduce

Answer 24

Myogenic pain, not arthritic pain

Question 25

what are some features to all occlusal appliance

Answer 25

``` Temporary alterations of occlusal conditions Alteration of the condylar position Increase in the vertical dimension Congitive awareness Placebo effect ```

Question 26

Types of Occlusal appliances

Answer 26

``` Stabilization appliance Anterior positioning appliance Anterior bite plane Posterior bite plane Pivoting appliance Soft (resilient Appliance) ```

Question 27

what occlusal appliance do we do most

Answer 27

Stabilization appliances

Question 28

what is the roll of soft (resilient) appliances

Answer 28

Equalize pressure temporarily