occlusion and TMD

Question 1

what are Temporomandibular disorder a subgroup of

Answer 1

Orofacial pain disorders

Question 2

Types of TMD

Answer 2

Myogenous TMD (muscles)
Arthrogenous TMD (Joint/bone/cartilage)

Question 3

where are the blood vessels of the TMJ

Answer 3

behind the Condyle

Question 4

where is the Postglenoid process

Answer 4

above the bloodvessels behind the joint disk

Question 5

what is the basis of accurate diagnosis

Answer 5

Good history taking

Question 6

what is taken during history taking of disease

Answer 6

take the patient’s word and look at the root causes

Question 7

Cardinal criteria(Red flags) to be considered for diagnosis

Answer 7

Pain
Limitation of function
Limitation of movement
Physical changes
Altered jaw relationshsips
Temporomandibular sounds that have been increasing in intensity and frequency

Question 8

what leads to TMD symptoms

Answer 8

Normal function+ event leads to physiologic tolerance that leads to TMD symptoms

Question 9

what are the etiologic factors of TMD

Answer 9

Predisposing Factors
Initiating factors
Perpetuating factors

Question 10

what are factors that increase the risk for TMD

Answer 10

Predisposing factors

Question 11

what are factors that cause TMD

Answer 11

Initiating factors

Question 12

what are factors that enhance the progression of TMD

Answer 12

Perpetuating factors

Question 13

what are some examples of predisposing factors of TMD

Answer 13

Systemic-arthritis
occlusion- interferences
loss of posterior teeth

Question 14

what are some examples of Initiating factors for TMD

Answer 14

Trauma

Parafunctional habits-> nonfunctional habits

Question 15

what are examples of Perpetuating factors of TMD

Answer 15

Behavioral, social, and emo stress

Question 16

Factors associated with TMD

Answer 16

Occlusal condition
Trauma
Emotional stress
Deep pain input
Parafunctional activities

Question 17

how is occlusion related to TMD

Answer 17

bringint teeth together into MI are reflected in meeth

once teeth in occlusion, problems in loading the masticatory strucures are reflected in the joints

Question 18

How does Occlusion possibly lead to TMD

Answer 18

Introduction of an acute condition

PResence of orthopedic Instability

Question 19

what is orthopedic stabilisht

Answer 19

when the stable MI posisiton of the teeth is in harmony with the musculoskeletally stable position of the condyles in their fossae

Question 20

Functional activities of the Masticatory system

Answer 20

Chewing, eating, and swallowing

Question 21

Diunrnal Parafunctional activity of the masticatory system

Answer 21

Clenching and grinding
Cheek and tongue biting
Finger and thumn sucking

Question 22

Nocturnal parafunctional activity

Answer 22

Bruxing

Question 23

Types of parafunctional activity

Answer 23

Diurnal and Nocturnal

Question 24

how can you tell if someone is bruxing

Answer 24

Listen while they sleep
If hypersensitive
lots of wear on the teeth

Question 25

How would Dentistry be the main provider of care for many TMDs

Answer 25

If Occlusal interferences create muscle symptoms

Question 26

What should a Dentist do if occlusal interferences are not related to TMD symptoms

Answer 26

should not provide dental therapies

Question 27

when to use prosthetic rehab for TMD

Answer 27

to stabilize the occlusal when patients have occlusal instability and recurrent symptoms

Question 28

when should Prosthetic treatment in TMD be carried out

Answer 28

Only after reversible therapy has result in relief of pain and the normaliziation of function