Temporomandibular Disorders/Facial Pain Flashcards
Intra-articular hydraulic manipulation of the temporomandibular joint is indicated for patients with: (A) internal derangement. (B) disc perforation. (C) fibrous ankylosis. (D) chronic subluxation.
(A) internal derangement.
COMSSAT: 2019
Explanation:
Source:
Ogle, O. & Hertz, M. (2000). Myofascial pain. Oral and maxillofacial surgery clinics (12(2)), (pp. 217-231).
Dimitroulis, G. The role of surgery in the management of disorders of the TMJ: A critical review of the literature Part 2. International journal of oral and maxillofacial surgery (34) (pp.231-237).
A 40 year-old female presents with 18 month history of right preauricular pain, opening click at approximately 20 mm of opening, slight deviation of the mandible to the right with maximal interincisal opening of 32 mm. Success of arthroscopic surgery in this setting is: (A) 35-45%. (B) 55-65%. (C) 75-85%. (D) 95%-100%.
(C) 75-85%.
COMSSAT: 2019
Explanation:
Source:
Ogle, O. & Hertz, M. (2000). Myofascial pain. Oral and maxillofacial surgery clinics (12(2)), (pp. 217-231).
Dimitroulis, G. The role of surgery in the management of disorders of the TMJ: A critical review of the literature Part 2. International journal of oral and maxillofacial surgery (34) (pp.231-237).
Pharmacological management of chronic myofascial pain dysfunction involving the facial musculature could include:
(A) 30 mg of amitriptyline every evening.
(B) 50 mg of dopamine twice daily.
(C) 30 mg of carbamazepine every evening.
(D) 50 mg of gabapentin twice daily.
(A) 30 mg of amitriptyline every evening.
COMSSAT: 2019
Explanation:
Source:
Hersh, E. Pharmacological management of TMD (2008). Oral and maxillofacial surgery clinics, (20(2)), (pp. 197-210).
The most important principle in total TMJ alloplastic reconstruction is:
(A) three weeks of mandibular immobilization to prevent micromotion.
(B) removing the coronoid process for improved range of motion.
(C) maintaining occlusal relationships.
(D) primary stability of the device to the native bone.
(D) primary stability of the device to the native bone.
COMSSAT: 2019
Explanation:
Source:
Mercuri, L.G. & Swift, J.Q. (2009). Consideration for the use of alloplastic temporomandibular joint replacement in the growing patient. Journal of oral and maxillofacial surgery, 67(9), (pp. 1979-1990).
Elsevier.
Mercuri, L.G. (2004). Long-term outcomes after total alloplastic temporomandibular joint reconstruction following exposure to failed materials. Journal of oral and maxillofacial surgery (62), (pp. 1088-1096).
Mercuri, L.G. (2009). Temporomandibular joint reconstruction. In Fonseca, Turvey & Marciani Oral and maxillofacial surgery (2), (pp. 956-960). Philadelphia, PA: Saunders.
Which of the following is accurate pertaining to the use of a customized alloplastic total temporomandibular joint in a patient with a failed proplast teflon implant?
(A) Contraindicated due to foreign body giant cell reactions
(B) Provides best option for anatomic reconstruction
(C) Not predictive for long-term functional stability
(D) Predictable in relieving pain and restoring function
(B) Provides best option for anatomic reconstruction
COMSSAT: 2019
Explanation:
Source:
Mercuri, L.G. & Swift, J.Q. (2009). Consideration for the use of alloplastic temporomandibular joint replacement in the growing patient. Journal of oral and maxillofacial surgery, 67(9), (pp. 1979-1990).
Elsevier.
Mercuri, L.G. (2004). Long-term outcomes after total alloplastic temporomandibular joint reconstruction following exposure to failed materials. Journal of oral and maxillofacial surgery (62), (pp. 1088-1096).
Mercuri, L.G. (2009). Temporomandibular joint reconstruction. In Fonseca, Turvey & Marciani Oral and maxillofacial surgery (2), (pp. 956-960). Philadelphia, PA: Saunders.
Lasting reduction in temporomandibular disc displacement:
(A) has not been convincingly demonstrated long-term. (B) is benefitted significantly by lower joint space lavage.
(C) depends significantly on altering synovial viscosity. (D) varies in accord with the degree of osteoarthritis.
(A) has not been convincingly demonstrated long-term.
COMSSAT: 2019
Explanation:
Source:
Dimitroulis, G. The role of surgery in the management of disorders of the TMJ: A critical review of the literature Part 2. International journal of oral and maxillofacial surgery (34) (pp.231-237).
The most common long-term complication of discectomy for the treatment of TMJ internal derangement is: (A) ankylosis. (B) facial nerve injury. (C) condylar remodeling. (D) chronic pain.
(C) condylar remodeling.
COMSSAT: 2019
Explanation:
Source:
Dimitroulis, G. The role of surgery in the management of disorders of the TMJ: A critical review of the literature Part 2. International journal of oral and maxillofacial surgery (34) (pp.231-237).
Internal derangement of the TMJ which presents as a chronic closed lock is most effectively managed by what surgical procedure?
(A) Arthrocentesis
(B) Arthroscopic lysis and lavage
(C) Arthrotomy with disc repositioning
(D) Discectomy and disc replacement with cartilage
(B) Arthroscopic lysis and lavage
COMSSAT: 2019
Explanation:
Source:
Brennan, P.A., Vellupillai, H., Madanagopalan, E. & Wilson, A.W. (2006). Arthrocentesis for temporomandibular joint pain dysfunction syndrome, temporomandibular joint arthrocentesis – more
questions than answers in clinical controversies in oral and maxillofacial surgery. Journal of oral and maxillofacial surgery (64), (pp. 949-955).
Dimitroulis, G. The role of surgery in the management of disorders of the TMJ: A critical review of the literature Part 2. International journal of oral and maxillofacial surgery (34) (pp.231-237).
The major advantage of the modified condylotomy procedure over open arthrotomy in treating internal derangements of the TMJ is that:
(A) the condylotomy procedure is more likely to reduce the disc.
(B) the condylotomy procedure is performed outside the capsule.
(C) open arthrotomy procedures require more frequent re-operation.
(D) the modified condylotomy produces a more rapid return to normal function.
(B) the condylotomy procedure is performed outside the capsule.
COMSSAT: 2019
Explanation:
Source:
Dimitroulis, G. The role of surgery in the management of disorders of the TMJ: A critical review of the literature Part 2. International journal of oral and maxillofacial surgery (34) (pp.231-237).
McKenna, S. J. (2006) Modified mandibular condylotomy. In T. Indresano, R. Haug Oral and maxillofacial surgery clinics of north America, modern surgical management of the temporomandibular joint, 1(3), (pp. 369-381).
An 18 year-old patient presents with the development of a sudden, severe limitation of opening to only 18 mm. If medications and bite splint therapy fail to alleviate the symptoms the next step to consider is: (A) arthrocentesis. (B) open arthrotomy. (C) alloplastic joint replacement. (D) physical therapy.
(A) arthrocentesis.
COMSSAT: 2019
Explanation:
Source:
Al-Belasy, F.A. (2007). Arthrocentesis for the treatment of temporomandibular joint closed lock: a review article. International journal of oral and maxillofacial surgery (36), (pp. 773-782).
