Tmj Tretment Flashcards
What’s Intracapsular disorders affecting the TMJ ?
articular disc disorders and degenerative joint disorders (DJD)
What’s and extracapsular disorders ?
musculoskeletal myalgia and pain myofacial pain
The need for treatment is largely based on ?
the level of pain and dysfunction and the progression of symptoms.
Diagnostic imaging using MR has identified disc displacements in about 30% of individuals who do not have temporomandibular symptoms or a TMD requiring treatment.
Difference between myalgia and myo facial pain ?
Local myalgia refers to pain that remains local to the provoked muscle, and it contrasts with
myofascial pain that can be associated with either spreading or radiating of the pain within the muscle or referral to a different structure when the muscle is stimulated during palpation.
Priority should be given to treatments that have the which characteristics ?
relatively accessible, not prohibitive due to expense, safe, and reversible. Treatments with these characteristics include: 1 education, 2 self-care, 3 physical therapy, 4 intraoral appliance therapy, 5 short-term pharmacotherapy, 6 behavioral therapy, 7 relaxation techniques Evidence suggests that combining treatments produces a better outcome.
What’s Education therapy ?
1Explanation of the diagnosis and treatment 2Reassurance about the generally good prognosis for recovery and natural course 3Explanation of patient’s and doctor’s roles in therapy Information to enable patient to perform self-care
Whats Self-care therapy ?
1 Control parafunctional oral behaviors (e.g., tooth clenching, chewing gum, bracing the jaw) 2 Provide information on jaw care associated with daily activities . A three-month study of treatment consisting of education only or education plus a home physical therapy program found that education plus home physical therapy was more effective
What’s physical therapy ?
Physical therapy 1Education regarding biomechanics of jaw, neck, and head posture and integrated movement patterns 2Passive modalities (heat and cold therapy, ultrasound, laser, and TENS) for pain 3Passive stretching and range of motion exercises 4Posture therapy sufficient to regain a neutral zone General exercise and conditioning program
What’s Intraoral appliance therapy ?
1 Cover all the teeth on the arch the appliance is seated on 2 adjust to achieve simultaneous contact against opposing teeth 3 Adjust to a stable comfortable mandibular posture 4 Does not alter mandibular position 5 Use during sleep and rely on behavioral methods for waking hours
What’s Pharmacotherapy ?
NSAIDs,acetaminophen, muscle relaxants, antianxiety agents, tricyclic antidepressants
What’s Behavioral/relaxation techniques ?
Relaxation therapy Hypnosis Biofeedback Cognitive-behavioral therapy
Trigger Point Therapy Trigger point therapy has used two modalities ?
cooling of skin over the involved muscle followed by stretching and direct injection of local anesthetic into the muscle refrigerant spray (e.g., fluoromethane
