TMD Exam Flashcards
What is the normal range of motion of TMJ?
40-60mm
What is the normal range of L/R lateral movement of TMJ?
9-12mm
If the opening is deviated to one side during mouth opening, which disc of TMJ is the cause?
The side to which deviation goes
Which of the following medical disorders can cause facial pain?
(Select all correct answers)
Migraine headaches
Viruses
Neurological disorders
Arthritis
Migraine headaches
Viruses
Neurological disorders
Arthritis
Orofacial Pain Disorders include all of the following EXCEPT?
Temporomandibular Disorders
Masticatory muscle disorders
Arthritis
Intracranial hypertension
Intracranial hypertension
Which of the following muscles close the mandible? (Select all correct answers)
Temporalis
Masseter
Digastric muscle
Medial pterygoid
Lateral pterygoid
Temporalis
Masseter
Medial pterygoid
Your patient comes to your office at 8 a.m. stating that she awakened with her jaw shifted to the left side and her teeth do not touch. You observe that the midline is shifted 3 mm to the left. A spasm in which muscle can cause this malocculsion?
Right lateral pterygoid
Left lateral pterygoid
Right masseter
Left masseter
Right lateral pterygoid
Which of the following is NOT a function of the articular disc of the TMJ?
Acts as a shock absorber
Limits forward movement during tranlation
Stabilizes condylar movements
Decreases wear in the TMJ
Limits forward movement during tranlation
What type of cartilage lines the mandibular fossa and the condyle?
Fibrocartilage
T/F: Hyaline cartilage lines the mandibular fossa and condyles & has the ability to repair itself.
False
T/F: A clicking noise in the TMJ indicating a disc displacement always requires treatment
False
Which nerve innervates the temporomandibular joint?
Facial
Masseteric
Auriculotemporal
Temporal
Auriculotemporal
Which of the following are TRUE regarding the temporomandibular joint? (Select all correct answers)
The condyles move synchronously
The condyles move asynchronously
Synovial fluid lubricates the TMJ
The articular disc is composed of hyaline cartilage
The mid-condyles reach the summit of the articular eminence with normal translation
The mid-condyles reach the summit of the articular eminence with normal translation
check
Synovial fluid lubricates the TMJ
check
The condyles move synchronously
check
Select all of the components of the Pain History Intake for a orofacial pain patient:
Chief compalint pertaining to pain
History of present pain illness
Range of motion
Past Medical History pertaining to pain disorders or surgery
Psychosocial History including anxiety and depression
Chief compalint pertaining to pain
check
History of present pain illness
check
Past Medical History pertaining to pain disorders or surgery
check
Psychosocial History including anxiety and depression
check
Which of the following habits should you inquire about if your patient has jaw pain?
Select all correct answers
Jaw clenching or bruxism
Biting on their fingernails
Chewing gum
Biting on pens or pencils
Cheek or lip biting especially when anxious
Jaw clenching or bruxism
check
Biting on their fingernails
check
Chewing gum
check
Biting on pens or pencils
check
Cheek or lip biting especially when anxious
check
T/F: The pain frequency and duration as well as the pain rating can give a good indication of the patient’s pain disability.
Ture
T/F: It is important to ask your patient about their Past Treatments for their jaw pain and specifically ask the name of the medication, dose and dosing to know if this is the reason why that particular medication did not help the patient’s jaw pain.
True
Which of the following questions would be helpful to ask your patient who informs you that her past occlusal night guard did not help her jaw pain?
Was it a soft or hard night guard?
Did you wear it every night?
Was it custom made by your dentist or bought in a drugstore?
Was it expensive?
Was it a soft or hard night guard?
check
Did you wear it every night?
check
Was it custom made by your dentist or bought in a drugstore?
check
What is the normal range of vertical opening for unassisted and assisted mouth opening?
20-30 mm
30-40 mm
40-50 mm
40-60 mm
60-65 mm
40-60 mm
During lateral movements your patient reports clicking noises and you measure right lateral movement at 5 mm. You would suspect an anterior disc displacement in which side?
Right TMJ
Left TMJ
Left TMJ
During mouth opening you observe that your patient’s midline deflects to the right side and does not return to the midline. Maximum assisted opening=30mm. You suspect the following:
Anterior disc displacement with reduction in the right TMJ
Anterior disc displacement with reduction in the left TMJ
Anterior disc displacement without reduction in the right TMJ
Anterior disc displacement without reduction in the left TMJ
Anterior disc displacement without reduction in the right TMJ
During the muscle palpation examination, you will tell your patient which of the following:
To rate their pain as mild, moderate or severe
To inform you if the pain immediately spreads to a different location
To inform you if the exam worsens their symptoms
To point to the location where the pain spreads to
To inform you if you are reproducing their symptoms
To rate their pain as mild, moderate or severe
check
To inform you if the pain immediately spreads to a different location
check
To inform you if the exam worsens their symptoms
check
To point to the location where the pain spreads to
check
To inform you if you are reproducing their symptoms
check
The advantage of ordering a Panoramic radiograph for your facial pain patient is that it allows visualization of the maxilla, mandible, teeth and TMJ on one film.
True
False
True
Your patient complains of sharp, electric shock like pain on the right face lasting for minutes. You should evaluate the pain distribution by performing which test(s)?
Asking your patient to frown, close their eyelids and smile
Asking the patient to clench their teeth and tell you where the pain is located
Touching the face with a cotton tipped applicator on V1-3 and ask if the sensation is the same on the right and left sides
Touching the face with a 25 guage needle on V1-3 and ask if the sensation is the same on the right and left sides
Touching the face with a cotton tipped applicator on V1-3 and ask if the sensation is the same on the right and left sides
Touching the face with a 25 guage needle on V1-3 and ask if the sensation is the same on the right and left sides