Temporomandibular Disorders: A Problem-Based Approach

Description

A valuable resource on how to diagnose and treat temporomandibular disorders (TMD) The newly and thoroughly revised 2nd Edition of Temporomandibular Disorders: A Problem-Based Approach delivers a systematic and logical approach to diagnosing and treating temporomandibular disorders. Using a case-based approach to assist readers with understanding and retention, the book discusses the practical realities of managing patients and promoting effective treatment of temporomandibular disorders. Containing full colour clinical images and diagrams throughout, the chapters include practical guides on how to make splints and samples of patient information sheets which can be used as templates. Readers will get access to topics such as: The clinical aspects of anatomy, function, pathology, and classification Differential diagnosis of temporomandibular joint problems Clicking joint problems and the use of preliminary investigation in disc displacement Temporomandibular joint locking diagnosis and treatment, including final treatment plans Facial pain examinations, differential diagnosis, and questions to ask patients regarding pain in general Headaches, worn teeth, dislocated jaws, and more issues that arise in the treatment of temporomandibular joint problems Perfect for undergraduate dental students and general dental practitioners, the new edition of Temporomandibular Disorders is also useful to postgraduate dental students, academics, and researchers. Cover Title Page Copyright Contents Preface to the Second Edition Acknowledgements About the Companion Website Chapter 1 About the Book About temporomandibular disorders: what is a ‘TMD’? About the book Chapter 2: Clinical aspects of anatomy, function, pathology, and classification Chapter 3: Articulatory system examination Chapter 4: I've got ‘TMJ’ Chapter 5: I've got a clicking joint Chapter 6: I've got a locking joint Chapter 7: I've got a grating joint Chapter 8: You've changed my bite Chapter 9: I've got pain in my face Chapter 10: I've got a dislocated jaw Chapter 11: My teeth are worn Chapter 12: I've got a headache Chapter 13: I've got whiplash Chapter 14: What's of use to me in practice? Chapter 15: You and the lawyer Chapter 16: The referral letter Chapter 17: How to make a splint Chapter 18: Bruxism: Current knowledge of aetiology and management Chapter 19: Splint therapy for the management of TMD patients: An evidence‐based approach Chapter 20: Patient information Appendix I: Flowcharts Appendix II: Glossary of terms Appendix III: Short answer questions Chapter 2 Clinical Aspects of Anatomy, Function, Pathology, and Classification The joint anatomy, histology, structure, capsule, synovial membrane, and fluid, ligaments Histology The joint capsule Synovial membrane Ligaments The intra‐articular disc (meniscus) The bones of the temporomandibular joint The mandibular condyle The temporal bone Innervation of the TMJ Vascular supply to the TMJ Mandibular (jaw/masticatory) muscles Masseter muscle The temporalis muscle The lateral pterygoid muscle Medial pterygoid muscle Cervical muscles Sternocleidomastoid muscle Classification and Pathology Rare conditions Uncommon conditions Common conditions Diagnoses of TMDs GROUP I: Muscle disorders GROUP II: DDs GROUP III: Other common joint disorders Further Reading Chapter 3 Articulatory System Examination S1 Examination of the temporomandibular joints Range of movement Pathway of jaw opening Maxillary and mandibular midlines TMJ tenderness S2 and S3 Mandibular (masticatory) muscle tenderness S2 Masseter muscle Temporalis muscle Lateral pterygoid muscle Joint sounds S4 Signs of bruxism Occlusal examination S1 Centric occlusion and centric jaw relation Anterior guidance Posterior interferences Freedom in centric occlusion Record‐keeping Further Reading Chapter 4 I've Got ‘TMJ’! History Medical history Examination S1 Range of movement Joint sounds Signs of bruxism Temporomandibular joint tenderness S2 S3 Mandibular muscle tenderness S2 Occlusion S1 Intraoral examination Special tests Differential diagnosis Final diagnosis for Mrs Davies Management Explanation and reassurance Physiotherapy Soft laser Acupuncture Drug therapy Splint therapy S7 Further Reading Evidence‐based Dentistry Chapter 5 I've Got a Clicking Joint History Examination S1 Radiographs Other special tests Why do TMJs click? S4 When do TMJs click? S4 Why does the mouth deviate when opening? What preliminary investigations may you use? What is the most likely diagnosis for Mrs Smith? Is disc displacement painful? How should disc displacement with reduction be managed? Does it always need treatment? S5 Treatment Explanation and reassurance Physiotherapy Drug therapy Anterior repositioning splint S7 The patient journey History and examination S1 Special tests Diagnosis Treatment Advice and reassurance Splint treatment S7 Result Further Reading Evidence‐based Dentistry Chapter 6 I've Got a Locking Joint History Examination 1 Radiographs/Imaging Diagnosis Treatment TMJ locking S6 How important is measuring the range of movement? S6 Conclusion Further Reading Evidence‐based Dentistry Chapter 7 I've Got a Grating Joint Examination S1 Radiographic examination Diagnosis Treatment Explanation and reassurance Physiotherapy Medication Reduction of contributory predisposing factors Final treatment plan What is crepitation? S4 Is osteoarthrosis always associated with pain and crepitus? S4 Radiographic changes Treatment of pathological sequelae Further Reading Evidence‐based Dentistry Chapter 8 You've Changed My Bite History Examination S1 Special tests Treatment Discussion How can this conformative approach be adopted practically? Conclusion Further Reading Evidence‐based Dentistry Chapter 9 I've Got Pain in My Face History Examination S1 Radiographic examination Differential diagnosis Neuralgic pain Treatment Questions to ask patients regarding pain in general Site Character Severity Duration and frequency Onset and time S11 Further Reading Chapter 10 I've Got a Dislocated Jaw Examination S1 Radiographs Other special tests Likely diagnoses Management Further Reading Evidence‐based Dentistry Chapter 11 My Teeth Are Worn History Examination S1 Radiographic examination (Bitewings) Diagnosis Treatment Important considerations in tooth surface loss Abrasion Attrition Categories of tooth surface loss S9 S10 Further reading Chapter 12 I've Got a Headache Examination Radiographs Articulatory system exam S1 Which muscles are tender? Why do joints click? S4 Likely diagnosis Headache Management Patient journey Further Reading Chapter 13 I've Got Whiplash Examination S1 Radiographic examination Record‐keeping Are TMD and whiplash related? Trauma Physiological Psychological Cultural Likely diagnosis Management Drug therapy Physiotherapy Further Reading Evidence‐based Dentistry Chapter 14 What's of Use to Me in Practice? Counselling and reassurance Drug therapy Physiotherapy Splint therapy S7 Mouth prop Occlusal adjustments Does orthodontic treatment cause TMD? S12 Restorative treatment, the dentist, and TMD The use of a facebow and semi‐adjustable articulators Radiographs Further referral S13 Further Reading Evidence‐based Dentistry Chapter 15 You and the Lawyer Case scenario 1: note and record‐keeping Case scenario 2: a medical report request Do you get enough information? Have you got the necessary experience? What will you receive? You will receive a quantity of notes Doctor's records Dentist's records Walk‐in centre records Royal Infirmary records Dental hospital records Your report Case scenario 3: a disgruntled patient Particulars of claim Particulars of negligence Particulars of injury Further Reading Chapter 16 The Referral Letter Details History Medical and social history Request Further Reading Chapter 17 How to Make a Splint S7 How do you make a stabilisation splint? Facebow registration Armamentarium (Figure ) Reference plane locator Locating and marking a reference point on the patient's face Taking the facebow registration (assembling the earbow on the patient) Centric relation record Fitting a stabilisation splint How do you make an anterior repositioning splint? S7 Bite registration Fitting the ARPS Further reading Chapter 18 Bruxism: Current Knowledge of Aetiology and Management Aetiology of bruxism Definition of bruxism Bruxism and TMD Why bruxism (parafunction) is potentially damaging? How much evidence about the efficacy of botulinum toxins on bruxism? How can bruxism be managed? S8 Further reading Evidence‐based dentistry Chapter 19 Splint Therapy for the Management of TMD Patients: An Evidence‐Based Discussion Stabilisation splint (SS) S7 Are occlusal splints effective for treating sleep bruxism? Anterior repositioning splint (ARPS) S7 Do occlusal contacts change following splint therapy? Mandibular advancement/snoring appliances Further Reading Evidence‐based Dentistry Chapter 20 Patient Information Stabilisation splint S7 Anterior repositioning splint S7 Use and care of occlusal bite splint S7 General advice for patients with a TMD Exercise programme for patients with TMD Vertical movement Lateral movement Protrusive movement Appendix I Flowcharts Appendix II Glossary of Terms Further Reading Appendix III Short Answer Questions Index EULA