TMJ Conditions

Question 1

TMJ: Common Signs and Symptoms

Answer 1

• joint noise
• joint locking
• limited flexibility
• lateral deviation of mandible during depression or elevation of mandible
• decreased strength/endurance of ms mast
• tinnitus
• HA
• Forward Head posture
• p! w/ mandibular movement

Question 2

TMJ: Cervical Spine

Answer 2

must be thoroughly examined due to close biomechanical and fnx relationship bt TMJ and Cervical Region

many patients have cervical component

Question 3

TMJ: DJD - OA or RA

Answer 3

related to general pathology of OA and RA

Question 4

TMJ: Myofascial Pain

Answer 4

most common TMJD - p! w/ ms controlling jaw function as well as shoulder/neck ms

Question 5

TMJ: Internal Derrangement of Joint

Answer 5

dislocated jaw, displaced disc, or condylar injury

• loss of fnx mob 2nd to increased ms activity from stress/anxiety
• causes
  
  • trauma leading to jt edema, capsulitis, hyper/hypomobility or abnormal fxn of lig, capsule or ms
  • congenital palate malformation
  • abnormal function - chewing, paranormal breathing, forward head

Question 6

TMJ: Dx

Answer 6

plain films or MRI and clinical exam

Question 7

TMJ and PT

Answer 7

• Postural re-education w/ ant/post curv of spine
• modalities for reduction of p! and inflam (phono)
• Biofeedback to minimize the effects of stress/anxiety
• Joint mob - INFERIOR glides gap joint, stretch capsule, and allow relocation of ant. displaced disc
• flexibility and ms strength
  
  • Roccbado’s Jaw opening
  • maintaining tongue contact and isometric mandibular exercise
• Patient education/posture
• **night splints **
• Critical to normalize cervical spine posture before the patient recieves any permant dental procedure or appliance