Manual of Temporomandibular Disorders

ISBN-13: 9781119548843 / Angielski / Miękka / 2019 / 416 str.

Edward F. Wright; Gary D. Klasser

Spis treści

Preface xiiiAbout the Companion Website xvIntroduction 1References 3Part I Initial Evaluation 5References 71 Patient Interview 9Summary 25References 252 Review of the "Initial Patient Questionnaire" 293 Clinical Examination 353.1 Range of Motion 363.2 TMJ Noise 393.3 TMD Palpations 403.4 Intraoral Examination 573.4.1 Occlusal Changes 573.4.2 Temporomandibular Disorder Pain Caused by a Tooth 583.4.3 Tooth Pain Without Local Pathology 613.5 Additional Evaluations 63References 654 Imaging 694.1 Plain Radiographs 704.2 Panoramic Radiograph 704.3 Axially Corrected Sagittal Tomography 714.4 CT 714.5 CBCT 724.6 MRI 724.7 Arthrography 724.8 Ultrasound 724.9 Imaging Strategies 734.10 Imaging Recommendations 73References 765 TMD Diagnostic Categories 795.1 TMJ Disorders 805.1.1 Joint Pain 805.1.1.1 Arthralgia 805.1.1.2 Arthritis 805.1.2 Joint Disorders 805.1.2.1 Disc-Condyle Complex Disorders 805.1.2.2 Other Hypomobility Disorders 855.1.2.3 Hypermobility Disorders 865.1.3 Joint Diseases 875.1.3.1 Degenerative Joint Disease 875.1.3.2 Condylysis/Idiopathic Condylar Resorption 875.1.3.3 Osteochondritis Dissecans 875.1.3.4 Osteonecrosis 875.1.3.5 Systemic Arthritides 875.1.3.6 Neoplasm 885.1.3.7 Synovial Chondromatosis 885.1.4 Fractures 885.1.5 Congenital/Developmental Disorders 885.1.5.1 Aplasia 885.1.5.2 Hypoplasia 885.1.5.3 Hyperplasia 885.2 Masticatory Muscle Disorders 885.2.1 Muscle Pain Limited to the Orofacial Region 885.2.1.1 Myalgia 885.2.1.2 Tendonitis 895.2.1.3 Myositis 895.2.1.4 Spasm 905.2.2 Contracture 905.2.3 Hypertrophy 915.2.4 Neoplasm 915.2.5 Movement Disorders 915.2.5.1 Orofacial Dyskinesia 915.2.5.2 Oromandibular Dystonia 915.2.6 Masticatory Muscle Pain Attributed to Systemic/Central Disorders 915.2.6.1 Fibromyalgia 915.3 Headache Disorders 915.3.1 Headache Attributed to TMD 915.4 Associated Structures 915.4.1 Coronoid Hyperplasia 91References 926 Contributing Factors 95References 99Part II Common Acute TMD Conditions and Therapies 1017 TMD Secondary to Trauma 103References 1068 TMD Secondary to Dental Treatment 1078.1 Preventing Aggravation from Dental Treatment 1108.2 Medial Pterygoid Muscle Pain 1128.3 Inability to Close into MI 1148.4 Occlusal Interference Sequelae 1168.5 OSA Appliances 118References 1199 Lateral Pterygoid Spasm 123References 12710 Intermittent and Continuous Forms of TMJ Disc Displacement Without Reduction with Limited Opening 12910.1 Intermittent Disorder (Disc Displacement with Reduction with Intermittent Locking) 13110.2 Continuous Disorder (Disc Displacement Without Reduction with Limited Opening, Also Known as Closed Lock) 134References 14011 TMJ Subluxation and Luxation 145References 148Part III Occlusal Appliance Therapy 149References 15112 Stabilization Appliance 15312.1 Mandibular Positions and Interocclusal Record 15512.2 Physical Variables 15912.2.1 Full or Partial Coverage 15912.2.2 Maxillary or Mandibular 16012.2.3 Hard, Intermediate, or Soft Material 16212.2.4 Thick or Thin 16812.2.5 Appliance or Clasp Retention 16912.2.6 Summary of Physical Variables 17012.3 Appliance Adjustments 17112.3.1 Internal Adjustments 17112.3.2 Internal Reline 17412.3.3 External Adjustments 17612.3.4 External Reline 18212.3.5 Appliance Repair 18512.4 Appliance Examples 18812.4.1 Pressure-Cured Mandibular Acrylic Stabilization Appliance 18812.4.2 Maxillary Acrylic Stabilization Appliance 19112.4.3 Hard Thermomolded Stabilization Appliance 19212.4.4 Impak Stabilization Appliance 19512.4.5 Dual Laminate Thermomolded Stabilization Appliance 19612.4.6 Soft Thermomolded Stabilization Appliance 19712.5 Appliance Management 200References 20513 Anterior Positioning Appliance 20913.1 Mandibular Position and Interocclusal Record 21113.2 Design and Adjustments 21213.3 Appliance Management 213References 216Part IV Multidisciplinary Management Approach 219References 22114 Self-Management Therapy 22314.1 Self-Management Instructions 22414.2 Closure Muscle-Stretching Exercise 23014.3 Lateral Pterygoid Muscle-Stretching Exercise 23114.4 Posture Exercises 23314.5 Controlling Awake Behaviors 234References 23815 Physical Medicine 24115.1 Muscle Massage 24215.2 Yoga 24215.3 Trigger-Point Compression 24315.4 Trigger-Point Injection 24315.5 Botulinum Toxin Injections 24415.6 Physical Therapy 24415.7 Acupuncture 24815.8 Chiropractics 249References 25016 Cognitive-Behavioral Intervention 25516.1 Controlling Awake Behaviors 25916.2 Relaxation 26116.3 Hypnotherapy (Hypnosis) 26216.4 Biofeedback-Assisted Relaxation 26316.5 Stress Management 264References 26517 Pharmacological Management 26917.1 Analgesics 27017.2 Anti-inflammatory Medications 27117.2.1 Nonsteroidal Anti-inflammatory Drugs (Ingested Form) 27117.2.2 Steroidal Anti-inflammatory Drugs 27317.3 Muscle Relaxants 27417.4 Anticonvulsant 27517.5 Tricyclic Antidepressants 27617.6 Topical Medications 27817.6.1 OTC Topical Medications 27817.6.2 Prescription Topical Medications 28017.7 Nutritional Supplements 283References 28518 Other Dental Procedures 29118.1 Occlusal Equilibration 29418.2 Orthodontic-Orthognathic Therapy 29618.3 Prosthodontic Therapy 29718.4 TMJ Surgery and Implants 299References 30319 Integrating Multidisciplinary Therapies 30919.1 Management Summaries and Clinical Implications 31019.1.1 Self-Management Therapy 31019.1.2 Massage and Trigger-Point Compression 31019.1.3 Lateral Pterygoid Muscle-Stretching Exercise 31019.1.4 Closure Muscle-Stretching Exercise 31019.1.5 Posture Exercises 31119.1.6 Occlusal Appliances 31119.1.7 Physical Therapy 31119.1.8 Yoga 31219.1.9 Trigger-Point Injections 31219.1.10 Acupuncture 31219.1.11 Chiropractics 31219.1.12 Controlling Awake Parafunctional, Muscle-Tightening, or Fatiguing Behaviors 31319.1.13 Relaxation 31319.1.14 Hypnotherapy (Hypnosis) 31319.1.15 Biofeedback-Assisted Relaxation 31419.1.16 Stress Management 31419.1.17 Pharmacological Management 31419.1.18 Occlusal Therapy 31519.1.19 TMJ Surgery 31519.2 Integrating Conservative Therapies 31619.3 TMD Refractory to Initial Therapy 32019.4 Long-Term Management 321References 322Part V Case Scenarios 327V.1 Case 1: Symptomatic Irreversible Pulpitis Mimicking TMD Symptoms 329V.2 Case 2: Tooth Pain: No TMD Pain 331V.3 Case 3: Chronic Sinusitis 332V.4 Case 4: Chronic Forehead Pain Referred from the Neck 333V.5 Case 5: Myalgia Secondary to Sleep Parafunctional Behaviors 335V.6 Case 6: Tooth Attrition: No Pain 336V.7 Case 7: Myalgia Secondary to Awake Parafunctional Behaviors 337V.8 Case 8: Medial Pterygoid Spasm 338V.9 Case 9: Personal Stressors and Sleep Disturbances as Contributing Factors 339V.10 Case 10: Fibromyalgia as a Contributing Factor 340V.11 Case 11: TMJ Disc-Condyle Complex Disorders and When to Provide Therapy: no Pain 341V.12 Case 12: TMJ Arthralgia 342V.13 Case 13: TMJ Disc Displacement with Reduction with Intermittent Locking 343V.14 Case 14: TMJ Disc Displacement Without Reduction with Limited Opening: Unlocked 345V.15 Case 15: TMJ Disc Displacement Without Reduction with Limited Opening: Not Unlocked 346V.16 Case 16: Osteitis Causing Inability to Open Wide 348V.17 Case 17: Lateral Pterygoid Spasm 350V.18 Case 18: Acute Exacerbation of TMD 352V.19 Case 19: Multiple Forms of Head and Neck Pain After Crown Insertion 354V.20 Case 20: Appliance That Positioned Condyles into Their "Proper Position" 355References 357Part VI Fundamentals of Clinical Studies 359VI.1 Prominent Clinical Study Designs 359VI.1.1 Case Report 359VI.1.2 Case Series Study 360VI.1.3 Cross-Sectional Study 361VI.1.4 Case-Control Study 362VI.1.5 Cohort Study 362VI.1.6 Nonrandomized Clinical Trial 363VI.1.7 Randomized Controlled Trial (RCT) 365VI.2 Other Types of Publications 367VI.2.1 Literature Reviews 367VI.2.2 Systematic Reviews 367VI.2.3 Meta-Analyses 367VI.2.4 Clinical Practice Guidelines 368VI.3 Considerations in Assessing Clinical Trials 368VI.4 Conclusions 368References 369Glossary 373Index 377

O autorze

The AuthorsEdward F. Wright, DDS, MS, is a Professor in the Department of Comprehensive Dentistry at the University of Texas Health Science Center-San Antonio (UTHSCSA) in San Antonio, Texas, USA.Gary D. Klasser, DMD, is a Professor in the Department of Diagnostic Sciences at Louisiana State University, School of Dentistry, as well as the Director of the LSU Orofacial Pain Continuum in New Orleans, Louisiana, USA.