TMJ Disorders Flashcards
What is the typical history associated with temporomandibular joint dysfunction?
Jaw pain, clicking, or locking. History of jaw clenching, teeth grinding (bruxism), or trauma. Possible headaches or ear pain.
What are the key physical examination findings in temporomandibular joint dysfunction?
Tenderness over the temporomandibular joint (TMJ). Limited jaw opening or deviation with movement. Audible clicking or popping sounds with jaw movement.
What investigations are necessary for diagnosing temporomandibular joint dysfunction?
Clinical diagnosis based on history and physical exam. Dental X-rays or MRI if structural abnormalities are suspected. Referral to a dentist or oral surgeon for further evaluation.
What are the non-pharmacological management strategies for temporomandibular joint dysfunction?
Soft diet and avoidance of chewing gum. Jaw exercises and physical therapy. Use of heat or ice packs to relieve pain.
What are the pharmacological management options for temporomandibular joint dysfunction?
NSAIDs (e.g., ibuprofen) for pain relief. Muscle relaxants for severe muscle spasms. Dental splints or mouthguards to prevent teeth grinding.
What are the red flags to look for in temporomandibular joint dysfunction patients?
Severe pain or significant jaw dysfunction. Signs of infection: fever, swelling, redness. Neurological symptoms: numbness, weakness.
When should a patient with temporomandibular joint dysfunction be referred to a specialist?
Refractory or severe TMJD not responding to initial treatment. Suspected structural abnormalities or complications. Need for advanced diagnostic evaluation or surgical intervention.
What is one key piece of pathophysiology related to temporomandibular joint dysfunction?
Dysfunction of the TMJ and surrounding muscles. Can be caused by trauma, bruxism, arthritis, or stress. Leads to jaw pain, dysfunction, and associated symptoms.
