Oral Dyaesthesia & TMD Flashcards
what is oral dysaesthesia?
abnormal sensory perception in the absence of abnormal stimulus
give some examples of oral dysaesthesias:
- burning or nipping feeling
- dysgeusia (altered taste)
- paraesthesic feeling (numbness/tingling)
- dry mouth feeling
What deficiencies can predispose a patient to oral dysaesthesia?
- haematinics
- zinc
- vitamin B1 or B6
What is burning mouth syndrome most likely associated with?
haematinic deficiency
If a patient experiences “burning mouth syndrome” symptoms in the lips & tongue tip what might this actually suggest about the problem?
it is parafunction related
What is dysgeusia?
- bad taste
- bad smell
- halitosis
What ENT causes can result in Dysgeusia?
chronic sinusitis
If a patient is experiencing touch dysaesthesia what must we do?
cranial nerve tests are essential to exclude neurological disease cause
What are some potential causes of touch dysaesthesia?
- neurological cranial nerve disease
- infection
- tumours
how is oral dysaesthesia treated?
- anxiolytic based medication (somatic cause(
- neuropathic medication
What are some examples of anxiolytic medications that can help dysaesthesia?
- nortriptyline
- mirtazepine
- vortioxetine
What are some different types of TMD?
- joint degeneration
- internal derangement (locking)
- no joint pathology
Is TMD always caused by local measures?
NO
- sometimes patients have a central nervous system disorder that causes them to experience “pain” in the TMJ despite no cause (reflex activation of TMJ muscles)
What physical signs should we look for in patients with suspected TMD?
- clicking joint
- locking with reduction
- limitation of opening mouth
- tenderness of masticatory muscles
- tenderness of cervico-cranial muscles
how can TMD be managed?
- CBT
- soft diet
- bite splint
- anxiolytic medication
