TMJ Flashcards by Connor Vankouwenberg

What percent of the population will suffer from one symptom associated with TMD throughout their lifetime

50-75%

How well did you know this?

Not at all

Perfectly

What percent of those with TMD symptoms will report

How well did you know this?

Not at all

Perfectly

True or False:

Facial pain usually comes and goes but can be constant

True

How well did you know this?

Not at all

Perfectly

What type of joint is the TMJ

Diarthrodial joint

How well did you know this?

Not at all

Perfectly

What is located between the temporal bone and condylar process of mandible

Fibrocartilaginous disc, ligaments, and capsule

How well did you know this?

Not at all

Perfectly

True or False:

The TMJ articular disc is biconcave

True

How well did you know this?

Not at all

Perfectly

Which portions of the disc are innervated and vascularized

Anterior and posterior

How well did you know this?

Not at all

Perfectly

What is the capsule characterized medial to lateral

Firm

How well did you know this?

Not at all

Perfectly

What is the capsule characterized anterior to posterior

Loose

How well did you know this?

Not at all

Perfectly

True or False:

The TMJ is highly vascularized and innervated

True

How well did you know this?

Not at all

Perfectly

True or False:

The TMJ has no chemoreceptors

False

How well did you know this?

Not at all

Perfectly

What is the usual cause of TMD or TMJ pain

Misalignment of the disc

How well did you know this?

Not at all

Perfectly

What motion occurs during opening and closing of the mouth at the TMJ

Rotation and translation

How well did you know this?

Not at all

Perfectly

During protrusion and retrusion what movement occurs

Translation

How well did you know this?

Not at all

Perfectly

What movement occurs during lateral excursion

Ipsilateral rotation and contralateral translation

How well did you know this?

Not at all

Perfectly

True or False:

People with TMD ot TMJ problems will come in with a lot of symptoms that don’t make sense

True

How well did you know this?

Not at all

Perfectly

Clicking, popping, and snapping usually start when

In or around time of pain

How well did you know this?

Not at all

Perfectly

Locking of the jaw is a hallmark sign of what

Anterior disc derangement

How well did you know this?

Not at all

Perfectly

What is clenching or grinding of the teeth at night called

Bruxism

How well did you know this?

Not at all

Perfectly

What is muscle spasms in the TMJ

Trismus

How well did you know this?

Not at all

Perfectly

What are parafunctional activities

Activities that the patient does that along with normal function that are bad for health

How well did you know this?

Not at all

Perfectly

What are some bad habits that lead to TMJ problems

Smoking, biting nails, and clenching

How well did you know this?

Not at all

Perfectly

True or False:

Some myofascial symptoms can refer to teeth

True

How well did you know this?

Not at all

Perfectly

What do missing teeth do to the TMJ

Change dynamics of chewing

How well did you know this?

Not at all

Perfectly

Can tinnitus be caused by medicine over dose

Yes Sir

What is BPPV

Benign Paroxysmal Positional Vertigo

What are the 5 D's

1. Diplopia 2. Dizziness 3. Disphagia 4. Drop Attacks 5. Dysarthria

What is the only difference in examination between patients with neck pain and without neck pain

No cervical spine screen

What are the steps of observation of the TMJ (10)

1. Observations 2. Postural assessment 3. AROM 4. Repeated movements 5. PROM 6. Passive accessory motion testing 7. Muscle performance testing 8. Flexibility testing 9. Special tests and neuroscreen 10. Palpation

What do you observe during the examination of the TMJ (4)

1. Head alignment 2. Cursory dental exam 3. Facial profile/alignment 4. Tongue position at rest

What is included in the cursory denal exam (3)

1. Number of teeth 2. Bite 3. Signs of clenching

What is the normal number of teeth

What type of bite do you look for

Overbite, underbite, or crossbite

What are signs of clenching

Linea alba and scalloping of tongue

What is linea alba

White scar tissue formed on the cheek formed by gnawing on cheek at night

What is scalloping of the tongue

Indentations of teeth on the tongue

Where should the tongue be at rest with mouth closed

Tip of tongue on roof of mouth

What is normal mouth opening

35-50mm

What are the types of curves that can occur with the opening/closing of the mouth

C and S

What does an S curve indicate

Muscle imbalance

What does a C curve indicate

Capsular patterns

What is an indicator that the test is done for ROM

Deflection to the side

What is functional opening of the TMJ considered

25-35 mm

What is functional opening of the TMJ in knuckles or PIPs

2 knuckles

What is normal opening of the TMJ in knuckles or PIPs

3 knuckles

What are the motions of PROM of the TMJ (3)

1. Protrusion/Retrusion 2. Opening 3. Lateral excursion

What do you assess for during PROM

End feel and patient response

What are the directions of passive motion accessory testing for TMJ (3)

1. Longitudinal distraction 2. Longitudinal distraction and anterior glide 3. Longitudinal distraction and lateral glide

What are the resisted isometric tests that can be done for TMJ (3)

1. Mandibular depression 2. Mandibular elevation 3. Lateral deviation

What are the special tests for the TMJ (2)

1. Auscultate TMJ listening for clicking | 2. Bite maneuver looking for fractures

When should the bite maneuver be performed

In the presence of trauma

What are the symptoms of disc displacement (4)

1. Acute 2. Joint sounds 3. Limited opening or closing 4. Deflections/deviations

What percent of people with disc displacements have difficulty opening mouth

90%

If the person has an anterior displacement what do they do

Deflect to the side

Open locking signifies what type of displacement

Posterior displacement

Closed locking signifies what type of displacement

Anterior displacement

What are the symptoms of myofascial problems (4)

1. Chronic 2. Limited opening 3. Deviations noted later in range 4. +or- joint sounds

What does reduction mean

Disc moved back into place

What does without reduction mean

Disc did not move back into place

What are treatment options for people with anterior derangement with reduction (5)

1. Manual therapy 2. Motor control activities 3. Stabilization exercises 4. Patient education 5. Referral to dental specialist

What does manual therapy do

Improves arthorkinematics

What are treatment options for people with anterior derangement without reduction (5)

1. Manual therapy 2. Motor control activities 3. Stabilization exercises 4. Patient education 5. Referral to specialist

What does manual therapy do for people without reduction

Hopefully recapture disc

What are the interventions for hypomobility (7)

1. Patient education 2. PROM and joint mobz 3. Soft tissue mobilization and stretching (PNF techniques) 4. AROM 5. Postural education 6. Address restrictions in cervical spine mobility 7. Motor control and muscle performance training

What are the interventions for hypermobility (5)

1. Patient education 2. Local modalities 3. Motor control activities 4. Stabilization activities 5. Address postural muscle strength/endurance

What are the interventions for inflammatory conditions (5)

1. Local modalities 2. Patient education 3. Manual therapy 4. AROM in pain free range 5. Progress towards a mobility clasification

What are ways to educate the patient with inflammatory conditions (2)

1. Activity awareness/modification/avoidance | 2. Relaxation/breathing techniques

What are interventions for myofascial conditions (4)

1. Patient education 2. Postural training 3. Address restrictions of cervical spine 4. Deep neck flexor and scapular muscle strengthening

How many cards are in this deck?!?

69!!!!!