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Occlusion > Signs and Symptoms of TMD > Flashcards

Signs and Symptoms of TMD Flashcards

1
Q

What are the 3 major sites of potential breakdown?

A

Muscles
TMJs
Dentition

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2
Q

An objective clinical finding revealed during examination

A

Signs

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3
Q

A description or complaint by the Patient

A

Symptom

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4
Q 
The following are \_\_\_\_ of TMD:
•Limited opening
•Enlarged muscles
•Deviated opening
•Clicking
•Crepitis
•Acute malocclusion (bite changes
A

Signs of TMD

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5
Q 
The following are \_\_\_\_ of TMD:
•Facial pain
•Headache
•Tinnitus
•Ear fullness
•Pain with function
•vertigo
A

Symptoms of TMD

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6
Q

In a study done by professors at UMKC, it showed that symptoms were more prevalent for people under the age of ____

A

45

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7
Q

What are the 2 most common TMD complaints?

A

PAIN (most common) and Dysfunction

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8
Q
  • Most common complaint
    • Ranges from
    • Slight tenderness
    • To extreme discomfort
A

Pain

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9
Q
  • Pain felt in muscle tissue

* Often arises from increased levels of muscular activity

A

Myalgia

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10
Q

What is the most likely etiology of TMD?

A

Parafunctional activity

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11
Q

Origin of Muscle pain

•Related to vasoconstriction of relevant nutrient arteries

A

vasoconstriction

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12
Q

Origin of Muscle pain •Accumulation of ________ in the muscle tissue•

A

waste products

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13
Q

Origin of Muscle pain:

______ substances released causing muscle pain

A

Algogenic

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14
Q

______ (complaint of TMD):
•Decrease in the range of mandibular movement
•Muscle overuse will result in pain from an contraction or stretching

A

Dysfunction

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15
Q

Type of dysfunction: Patient will restrict his/her movements within a range that does not increase pain levels

A

inability to open wide

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16
Q

type of dysfunction:

•Any sudden change in the occlusal position that has been created by a disorder

A

Acute Malocclusion

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17
Q 
The following are classified as \_\_\_\_\_\_\_ disorders:
•Co-contraction (muscle splinting)
•Local muscle soreness
•Myofacial pain (trigger point myalgia)
•Myospasm
•myositis
A

Masticatory muscle disorders

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18
Q

____ is a reflexive contraction of adjacent muscles to prevent movement or stabilize the tissue, resulting from noxious stimuli of a sensory field of a joint, soft tissue, or other structure

A

Protective splinting of muscles

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19
Q

_____
Can result from prolonged protective co-contraction
•Clinically muscles are tender
•Due to excessive use or local trauma

A

Local muscle soreness

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20
Q
  • Another disorder
  • Resulting from prolonged protective co-contraction
  • Characterized by local areas of firm hypersensitive bands of muscle tissue
A

Myofacial pain

21
Q
  • Inflammatory muscle condition

* Chronic result from prolonged protective co-contraction

A

Myositis

22
Q
  • Involuntary muscle spasm
  • A CNS response to local conditions
  • A Condition of relatively short duration
A

Myospasm

23
Q 
\_\_\_\_\_ factors
•Acutely  alter sensory  or  proprioceptive input
•Fracture of a tooth
•New restoration
•Trauma to local structures
•Anesthesia injection
•Intubation
•Chewing unusually hard
A

Local factors

24
Q

______ Factors
•Emotional stress!!!
•Acute Illnesses
•Viral infections

A

Systemic Factors

25
Q

When an acute myalgic disorder is not resolved It may progress into a _____ pain disorder

A

chronic pain disorder

26
Q

______ ______ Factors
•Protracted cause
•Recurrent cause
•Therapeutic mismanagement

A

Local Perpetuating Factors

27
Q

______ cause

•If a clinician fails to eliminate and acute myalgia disorder•A more chronic condition can develop

A

•Protracted

28
Q
  • Protracted cause

* If a clinician fails to eliminate and acute myalgia disorder•A more _____ condition can develop

A

chronic condition

29
Q

_____ Cause
•Bruxism
•Repeated Trauma

A

Recurrent cause

30
Q 
\_\_\_\_\_\_\_ factors
•Continued emotional stress
•Constitutional factors
•Sleep disturbances
•Learned behavior
•Secondary gain
•Depression
•Psychological intensification
A

Systemic perpetuating factors

31
Q

________ Can perpetuate or advance an acute condition to a more chronic pain disorder

A

Continued emotional stress•

32
Q 
\_\_\_\_\_\_ factors
•Ability of a patient to respond to local or systemic events
•influenced by
   •Nutrition
   •Physical fitness
   •metabolism
A

Constitutional factors

33
Q
  • People learn to be sick rather than well

* Need to receive therapy to promote wellness behavior

A

Learned behavior

34
Q
  • Chronic pain can produce _______ for patients
    • Excuse to avoid work
    • Attention from family and friends
A

secondary gains

35
Q
  • A common finding in patients with chronic pain

* Elimination of pain may not eliminate this

A

depression

36
Q

______ describes
•The longer the patient suffers
•The greater the paini ntensification
•Thus perpetuates the problem

A

Psychogenic intensification

37
Q

Functional disorders of the _______:
•Derangements for the condyle-disc complex
•Structural incompatibility of the articular surfaces
•Inflammatory joint disorder

A

TMJ

38
Q

The ______ muscle as it works to keep the disc between the condyle and the articular eminence, can actually pull the disc forward, if the posterior retrodiscal ligament gets stretched and cannot pull the disc back into the proper position. This can lead to function on the posterior border of the disc, where the disc can become flattened

A

superior lateral pterygoid

39
Q

•The posterior border of the disc becomes thinned, the disc can be displaced further into the discal space so the condyle becomes positioned on the posterior border of the disc.

A

Disc Displacement

40
Q

When the disc is replaced to normal position, it is said to be reduced. Thus if the condyle will move off the disc, but the disc will return back to its original position, the condition is referred to as __________

A

Disc Displacement with reduction

41
Q

Pull of the superior lateral pterygoid as the patient moves into protrusive, will become more _____ in it’s pull.

A

medial

42
Q

The disc can be displaced _______ with the lateral pole being exposed first

A

anteriomedially

43
Q

If the disc moves off the condyle, and becomes displaced to the anterior of the condyle, and does not return back to the head of the condyle, the derangement is known as ________

A

disc displacement without reduction.

44
Q

Function on the ________ can be painful for the patient. Despite the discomfort, with time, these tissues will begin to turn into fibrous tissue, and function will be altered, but will become pain free.

A

retrodiscal tissues

45
Q

In a healthy joint the articular surfaces are _____ and ____

A

firm and smooth

46
Q

What is the term used to describe the mandible being locked in place?

A

Sublaxation

47
Q

How do you fix sublaxation?

A

Push down and back on posterior teeth

48
Q

_______ disorder is characterized by the following:
•Constant dull ache
•Osteoarthritis
•Degenerative Joint disease

A

Inflammatory joint disorder

Occlusion (13 decks)

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