Occlusion Final Flashcards

1
Q

Tempromandibular disorders (TMD) are a common subgroup of what disorders?

A

orofacial pain disorders

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2
Q

what are the two basic types of TMDs?

A
  • Myogenous TMD (muscles related)
  • Arthrogenous TMD (joint related)

*pain is the same but the treatment is different so it is important to diagnose correctly

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3
Q

where is the dis innervated?

A

back of the disc (retrodisc)

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4
Q

what is the basis for accurate diagnosis

A

good history taking

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5
Q

what are the three types of ETIOLOGY factors?

A

-predisposing factors (inc risk for TMD)
-initiating factors (cause TMD)(ex. trauma)
-perpetuating factors (enhance progression of TMD)
(exbehavioral, social, or emotional stress)

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6
Q

problems in bringing the teeth together into MI are reflected in the ____

A

muscles

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7
Q

once the teeth are in occlusion, problems in LOADING THE MASTICATORY STRUCTURES are reflected in the ____

A

joints

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8
Q

when the stable MI position of teeth is in harmony with the musculoskeletally stable position of the condyles in their fossae (anterior and superior)

A

orthopedic stability

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9
Q

chewing, eating, and swallowing are all considered what?

A

FUNCTIONAL activities of the masticatory system

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10
Q

what is dinural parafuncitonal activity?

A

clenching during in the day

also cheek and tongue biting, and finger and thumb sucking

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11
Q

what is nocturnal parafunctional activity?

A

bruxism

same as dinural but at night

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12
Q

prosthetic treatment in TMD patients should only be carried out after what?

A

after REVERSIBLE therapy has resulted in RELIEF of pain and the NORMALIZATION of function

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13
Q

type of treatment of TMD that is intended to directly eliminate or alter the cause of the disorder and its consequences

A

definitive treatment

actually treat the problem

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14
Q

type of treatment of TMD that is directed toward altering the patient’s symptoms, and reducing pain and dysfunction

A

supportive therapy

*usually has no effect on the cause of the disorder

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15
Q

what are the two types of supportive therapy?

A
  • pharmacologic therapy (drugs)

- physical therapy

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16
Q

what is the pharmacologic family for analgesics (pain killers)

A

aspirin

17
Q

what is the pharmacologic family for anti-inflammatorys

A

ibuprofen

18
Q

what is the pharmacologic family for muscle relaxants

A

soma

19
Q

what is the pharmacologic family for anxiolytics (makes you calm down)

A

valium

20
Q

what is the pharmacologic family for antidepressants

A

prozac

21
Q

what is the pharmacologic family for anticonvulsants

A

lyrica

22
Q

three uses of occlusal appliances

A
  • temporarily provides a more ortho-pedically stable joint position
  • to introduce an optimum functional occlusion that reorganizes the neuromuscular reflex activity
  • to protect teeth and supportive structures from abnormal forces that may create breakdown or occlusal wear
23
Q

occlusal appliances reduce what type of m activity?

A

parafunctional

24
Q

a stabilization appliance is generally fabricated for the ____ arch and provides an ____ ____ occlusion for the patient

A
  • maxillary

- optimum functional occlusion

25
Q

the primary treatment goal for stabilization appliances is to eliminate what?

A

any orthopedic instability

*when patient wears it, problem is solved. but when they take it out, the problem returns

26
Q

indirect techniques for stabilization are done where?

A

in the lab

direct are done chair side