TMJ Flashcards
1
Q
What is the peak incidence for TMJ?
A
Age 20-40
2
Q
Which gender is TMJ more prevalent in?
A
Women, 4:1 ratio
3
Q
What are some factors for TMJ issues?
A
- Trauma
- Habits such as nail biting, gum chewing, teeth clenching
- Psychosocial factors
- Cervical pathology
- Systemic disease
4
Q
What are the three diagnostic criterion for TMJ disorders?
A
- Myofascial pain
- Disc displacement
- Arthralgia
5
Q
What are signs of myofascial disorder?
A
- Muscular pain
- Discomfort with muscle palpation
- Increases with use
- No evidence
6
Q
List some conditions to screen for when suspecting TMJ
A
- Systemic disease
- Infections
- Tumors
- Adverse Medication reactions
- Headaches
- Musculoskeletal
- Pain system dysfunction
7
Q
What are some history considerations for examination when suspecting TMJ?
A
- Trauma
- Habits that stress jaw
- Motion Liomitations
- Clicking/crepitus
- Neck/Upper Thoracic symptoms
- Locking/instability
- Headache
- Recent dental work
8
Q
What areas should you screen during exam?
A
- Cervical
- Shoulder
- Neuro
9
Q
What are normal ROMs for opening, lateral, and protrusion?
A
- 50mm for opening
- 11mm for lateral
- 10mm for protrusion
10
Q
What are some surgical treatments for TMJ?
A
- Injection
- Arthrocentesis (washing out)
- Arthroscopic
- Open
11
Q
What are nonsurgical treatments for TMJ?
A
- Joint manipulation
- Soft Tissue
- Exercises
- Modalities
- Education
- Dentistry
- Medication
12
Q
What are the two treatment categories for TMJ?
A
- Motor Control
- Pain Modulation
13
Q
What does the evidence show for TMJ treatment?
A
- Manual therapy has a large short term effect on ROM and pain
- Exercise combined with manual therapy is highly promising.
- Mixed results from Botox
- Arthroscopy may be superior to arthrocentesis
- Injections effective for internal derrangementsfo
