TMJ Disorders: Surgical Interventions and Diagnosis

<p>To modify the condyle to improve joint mechanics and reduce pain. (A)</p> Signup and view all the answers

<p>Congenital hemifacial hypertrophy. (B)</p> Signup and view all the answers

<p>Prioritizing the elimination of recurrent dislocations to improve mandibular function, while addressing pain and potential morbidity. (A)</p> Signup and view all the answers

<p>Arthroscopy (A)</p> Signup and view all the answers

<p>Ankylosis (B)</p> Signup and view all the answers

<p>Progressive degenerative joint disease unresponsive to conservative treatments, leading to significant functional impairment. (A)</p> Signup and view all the answers

<p>Lysis of adhesions and lavage of the joint space to remove inflammatory mediators. (A)</p> Signup and view all the answers

<p>An equal consideration of biological, psychological, and social elements, acknowledging the complex interplay in TMD development. (D)</p> Signup and view all the answers

<p>Treatment should focus on orofacial pain education, cognitive behavioral therapy and self-management strategies. (A)</p> Signup and view all the answers

<p>It necessitates a comprehensive assessment, integrating physical, psychological, and social dimensions for accurate diagnosis. (B)</p> Signup and view all the answers

<p>Initiating stress management and ergonomic assessments for individuals in their late teens and early twenties. (D)</p> Signup and view all the answers

<p>Specific cultural norms may normalize or exacerbate parafunctional habits, influencing pain reporting and treatment-seeking behaviors. (C)</p> Signup and view all the answers

<p>Michigan splint (C)</p> Signup and view all the answers

<p>Referral for psychological support and pharmacological interventions (D)</p> Signup and view all the answers

<p>Phase 2, to correct severe skeletal discrepancies (B)</p> Signup and view all the answers

<p>Botulinum toxin injections (C)</p> Signup and view all the answers

<p>Correcting adhesions, disc perforations, and inflammatory disease (D)</p> Signup and view all the answers

<p>Deviation of the jaw upon opening alongside reciprocal clicking (A)</p> Signup and view all the answers

<p>Anterior disc displacement with reduction (B)</p> Signup and view all the answers

<p>Unilateral anterior disc displacement without reduction on the right side (D)</p> Signup and view all the answers

<p>Reduced mouth opening (D)</p> Signup and view all the answers

<p>Clicking or popping sounds in the temporomandibular joint (D)</p> Signup and view all the answers

<p>Tricyclic antidepressants are recommended due to established efficacy in modulating chronic pain pathways, whereas corticosteroids have limited evidence supporting their use for TMJ disorders. (C)</p> Signup and view all the answers

<p>CBT addresses the psychological component of chronic pain by modifying the patient's emotional and cognitive responses. (C)</p> Signup and view all the answers

<p>A soft food diet helps reduce excessive loading and strain on the TMJ, thus alleviating pain and promoting healing. (D)</p> Signup and view all the answers

<p>Reassurance can reduce anxiety and muscle tension, which can exacerbate TMJ symptoms. (D)</p> Signup and view all the answers

<p>Short-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) or paracetamol. (A)</p> Signup and view all the answers

<p>The presence of reciprocal clicking during both opening and closing movements. (D)</p> Signup and view all the answers

<p>Unilateral weakness or restriction of the right lateral pterygoid muscle. (C)</p> Signup and view all the answers

<p>Myofascial pain dysfunction syndrome affecting the muscles of mastication. (D)</p> Signup and view all the answers

<p>Presence of a linea alba and tongue scalloping, accompanied by significant tooth wear. (B)</p> Signup and view all the answers

<p>The left lateral pterygoid muscle, as it is primarily responsible for contralateral movement. (C)</p> Signup and view all the answers

Assessing TMJ pain, sounds, and mobility during movement.

Digital palpation of neck, shoulder, and masticatory muscles for tenderness or hypertrophy.

Evaluating mandibular movements and external palpation of TMJs and muscles.

Normal range for mouth opening is 35-45 mm or three-finger width.

Indicates non-functional habits, like tooth wear and cheek biting.

Surgical methods involving direct access to treat jaw issues such as disc removal or joint replacement.

A specialized surgery aimed at correcting facial and skull abnormalities, often involving osteotomies.

Surgical procedure involving cutting and repositioning bones to correct deformities.

A method that gradually lengthens bone by using a distraction device, allowing new bone to form in the gap.

A condition marked by the enlargement of the condyle, neck, ramus, and body on one side of the jaw.

Conditions affecting the growth of the lower jaw, such as ankylosis and tumors.

Conditions that can occur due to primary jaw issues, like arthritis or dislocations.

Goals of surgery in treating jaw issues: eliminate TMD manifestations, improve function, alleviate pain, prevent disability.

Minimally invasive surgical options like manipulation under anesthesia and arthrocentesis for TMD relief.

A procedure to relieve pain in the jaw by draining fluid or injecting medication.

Soft or Michigan splints worn at night to reduce habits.

Includes central sensitization and psychological conditions.

Involves psychological support and medications for management.

Includes procedures like arthrocentesis and surgery for severe cases.

Involves occlusal rehabilitation and orthodontics for severe TMD.

Malalignment of teeth resulting in improper biting.

The disc cushions the condyle and moves with it in the jaw.

Disc moves forward at rest but clicks back during opening.

Disc stays displaced, limiting jaw movement and causing deviation.

Bilateral leads to reduced mouth opening; unilateral causes jaw deviation.

Educating patients about the benign nature of TMD and self-management strategies.

Avoiding habits like gum chewing and following a soft diet to reduce TMJ strain.

Use warm/cold compresses, exercises, and physiotherapy to improve TMJ function.

Using relaxation techniques and CBT to handle chronic pain related to TMD.

Medications like NSAIDs for acute pain and tricyclic antidepressants for chronic pain management.

A term for clinical problems involving masticatory muscles and TMJ.

4-12% of the general population experience TMD pain.

1.4-7% seek treatment, with females more likely than males.

Involves biological, psychological, and social factors influencing TMD development.

Includes parafunctional habits, trauma history, and occlusion issues.