Week 13 - Management of TMD Flashcards
Conservative treatment
Reversible, noninvasive
Nonconservative treatment
Irreversible
Who can do conservative treatment
General dentist
Who can do nonconservative treatment
Oral surgeon
Supportive therapy
Directed toward altering the patient’s symptoms and reducing pain and dysfunction.
Usually has no effect of the cause of the disorder
Definitive Treatment
Intended to directly eliminate or alter the cause of the disorder and its consequences
What are the different types of supportive therapy?
Pharmarcologic therapy
Physical therapy
Occlusal appliance therapy definition
A removable device, usually made of hard acrylic, that fits over the occlusal and incisal surfaces of the teeth of one arch.
Creates positive occlusal contact with the teeth in the opposing arch
Occlusal appliance therapy examples
Bite guard
Night guard
Interocclusal appliance
Orthopedic appliance
Uses of occlusal appliances
Temporarily provides more orthopedically stable joint position
To introduce an optimum funcitonal occlusion that reorganizes the neuro-muscular reflex activity
To protect teeth and supportive structures from abnormal forces that may create breakdown or occlusal wear
T/F - Occlusal appliance therapy is successful in reducing 100% of TMD symptoms
False - 70-90%
T/F - Occlusal appliances reduce parafunctional arthrogenous function.
False - They reduce parafunctional myogenous function.
T/F - Occlusal appliances reduce the forces placed on TMJ and other structures within the masticatory system
True
Common features to all occlusal appliances
Temporary alteration of occlusal condition Alteration of the condylar position Increase in vertical dimension Cognitive awareness Placebo effect
Types of occlusal appliances
Stabilizaiton appliance Anterior positioning appliance Anterior bite plane Posterior bite plane Pivoting appliance Soft (resilient) appliance
