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TMJ Flashcards

1
Q

Pain Complaint of Pt

A

facial pain, jaw discomfort, ear discomfort

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2
Q

Hard crepitus

A

walking on gravel
arthritic changes

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3
Q

Soft crepitus

A

rubbing knuckles
symptomless

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4
Q

Early Clicking

A

developing

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5
Q

Late Clicking

A

chronic

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6
Q

Disc Displacement with Reduction

A

closing

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7
Q

Reciprocal Clicking

A

opening and closing

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8
Q

Causes of Clicking

A

adhesions: bruxism
uncoordinated muscle action: lateral pterygoids
soft or popping clicks: ligament movement/ soft tissues behind condyle
hard or cracking clicks: joint pathology

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9
Q

Lock Jaw

A

restrictions upon opening and closing

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10
Q

Closed Lock

A

mouth does not fully open
d/t anterior displacement of disc, inert tissue tightness, muscle spasm
athletes hit by a ball/ opponent’s limb

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11
Q

Open Law

A

mouth does not fully close
two clicks felt on the disc
>posterior rim
>anterior rim

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12
Q

Ruling out Cervical

A

vestibular systems
vertebrobasilar artery
cerebral spine affectation
muscle imbalance from spinal malalignment

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13
Q

Functional Limitations

A

eating (soft, hard), biting, laughing, smiling, yawning, talking, shouting, chewing on L and R/ both

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14
Q

Partial Edentulism

A

loss of one or more teeth causing others to shift to fill the space leading to malalignment

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15
Q

Bruxism

A

grinding/ clenching of teeth especially when sleeping
headaches in the morning
hypertrophy
facial, jaw, or tooth pain

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16
Q

Periodontist

A

specializes in the study of tissues around the teeth and diseases

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17
Q

Orthodontist

A

correction or prevention of irregularities of teeth (retainers, invisaligns, etc.)

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18
Q

Endodontist

A

treatment of diseases of tooth pop, root canal, and perapical areas

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19
Q

Review of Systems

A

hearing loss
ear ache
dizziness
ringing
blocking
inner ear, cervical spine, vestibular problems

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20
Q

Related Psychosocial Issues

A

anxiety or depression
drug abuse
failure of conventional therapies
secondary pain
major life events causing stress
stress due to pain greater than 6 months
stress related disorders
inconsistency in response to drugs
inconsistent, inappropriate, and vague reports of pain
overdramatization
symptoms that vary with life events

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21
Q

Underbite

A

mandibular teeth in buccoversion (lie anterior to maxilla)

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22
Q

Overbite

A

maxillary teeth extend to anterior mandibular teeth

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23
Q

Normal Dental Occlusion

A

small overbite (1-2 mm); most common position

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24
Q

Overjet

A

distance between maxillary incisors to mandibular incisors when the jaw is closed (2-3 mm)

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25
Q

Occlusal Interference

A

premature contact of teeth; deflect lateral/ anterior

26
Q

Crossbite

A

mandible are lateral to upper teeth of one side and medial to the opposite side

27
Q

Malocclusion

A

any deviation of normal occlusion

28
Q

Class I Malocclusion

A

slight modifications
normal AP

29
Q

Class II Malocclusion

A

overbite
mandibular teeth it posterior

30
Q

Class II Division 1 Malocclusion

A

significant overjet of maxillary incisors
large/ horizontal overlap

31
Q

Class II Division 2 Malocclusion

A

non significant overjet of maxillary incisors (lateral flaring)
deep/ vertical overlap

32
Q

Class III Malocclusion

A

underbite
mandibular teeth are anterior

33
Q

Orthognathic Profile

A

normal straight jawed

34
Q

Retrognathic Profile

A

chin behind the vertical line
receeding chin

35
Q

Prognathic Profile

A

chine in front of the vertical line
protruded chin

36
Q

Tongue Movement

A

limited by lingual frenulum

37
Q

Tongue Thrusting

A

forward movement of the tongue pushing against teeth

38
Q

Swallowing

A

tongue moves forward
protruson of head

39
Q

Cervical Flexion

A

mandible goes anteriorly and superiorly

40
Q

Cervical Extension

A

mandible goes posteriorly and inferiorly

41
Q

Cervical Side Bending or Rotation

A

maximum occlusion on ipsilateral side

42
Q

Functional Opening of the Jaw

A

place 2-3 PIPs joints or knuckles with mouth open

43
Q

Endfeel

A

tissue stretch

44
Q

MMT Grading

A

f- functional
wf- weak functional
nf- non-functional
0

45
Q

Eating and Closing Mouth CN

46
Q

Feeding CN

47
Q

Swallowing CN

48
Q

CN V

A

muscles of mastication

49
Q

CN VII

A

moving eyebrows up and down, pursing of lips, showing teeth

50
Q

CN VIII

A

eyes closed have pt repeat words

51
Q

CN IX, X

A

swallowing

52
Q

CN XI

A

contract SCM

53
Q

CN XII

A

stick tongue out (move it left and right)

54
Q

Sensory Assessment

A

facial and trigeminal nerve
CN 3

55
Q

Reflex Testing

A

jaw reflex (CN V)

56
Q

Masseter Referral Pattern

A

cheek, mandible, forehead/ ear

57
Q

Temporalis

A

maxilla to forehead and side of head above ear

58
Q

Medial Pterygoid

A

posterior mandible to TMJ

59
Q

Lateral Pterygoid

A

cheek to TMJ

60
Q

Digastric

A

lateral cervical spine to posterolateral skull

61
Q

Occipitofrontal

A

above eye, over eyelid, and up over lateral aspect of skull

62
Q

OMTs

A

research diagnostic criteria for TMJ disorder
TMJ scale

MSK (7 decks)

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