Read more
Fully updated with the latest information in the field, this comprehensive book provides a practical guide to diagnosing and managing temporomandibular disorders in the dental practice. Written in an accessible, user-friendly style, it offers a simplified approach to the basic concepts and management decision points for the most commonly observed temporomandibular conditions, integrating the latest advances and advice throughout. Quick Consult, Focal Point, and Technical Tip boxes provide quick access to relevant information, and study results are summarized in graphs for ease of comprehension.
Manual of Temporomandibular Disorders, Fourth Edition examines an array of medical and dental conditions that affect the temporomandibular joint (TMJ), masticatory muscles, and contiguous structures. It presents evidence-based, clinically practical information to help dentists diagnose TMD accurately, rule out disorders that mimic TMD, and provide effective therapy for most patients.
Special features include:
* Frequently Asked Questions
* Quick Consults, Technical Tips, and Focal Points
* Information on disorders that mimic TMD and factors that warrant referral
* Extensive color photographs and line drawings
* A companion website providing helpful examples and patient handouts
Manual of Temporomandibular Disorders, Fourth Edition is a must-have how-to manual for general dentists, dental students, and residents involved in this area of practice.
List of contents
Preface xiii
About the Companion Website xv
Introduction 1
References 3
Part I Initial Evaluation 5
References 7
1 Patient Interview 9
Summary 25
References 25
2 Review of the "Initial Patient Questionnaire" 29
3 Clinical Examination 35
3.1 Range of Motion 36
3.2 TMJ Noise 39
3.3 TMD Palpations 40
3.4 Intraoral Examination 57
3.4.1 Occlusal Changes 57
3.4.2 Temporomandibular Disorder Pain Caused by a Tooth 58
3.4.3 Tooth Pain Without Local Pathology 61
3.5 Additional Evaluations 63
References 65
4 Imaging 69
4.1 Plain Radiographs 70
4.2 Panoramic Radiograph 70
4.3 Axially Corrected Sagittal Tomography 71
4.4 CT 71
4.5 CBCT 72
4.6 MRI 72
4.7 Arthrography 72
4.8 Ultrasound 72
4.9 Imaging Strategies 73
4.10 Imaging Recommendations 73
References 76
5 TMD Diagnostic Categories 79
5.1 TMJ Disorders 80
5.1.1 Joint Pain 80
5.1.1.1 Arthralgia 80
5.1.1.2 Arthritis 80
5.1.2 Joint Disorders 80
5.1.2.1 Disc-Condyle Complex Disorders 80
5.1.2.2 Other Hypomobility Disorders 85
5.1.2.3 Hypermobility Disorders 86
5.1.3 Joint Diseases 87
5.1.3.1 Degenerative Joint Disease 87
5.1.3.2 Condylysis/Idiopathic Condylar Resorption 87
5.1.3.3 Osteochondritis Dissecans 87
5.1.3.4 Osteonecrosis 87
5.1.3.5 Systemic Arthritides 87
5.1.3.6 Neoplasm 88
5.1.3.7 Synovial Chondromatosis 88
5.1.4 Fractures 88
5.1.5 Congenital/Developmental Disorders 88
5.1.5.1 Aplasia 88
5.1.5.2 Hypoplasia 88
5.1.5.3 Hyperplasia 88
5.2 Masticatory Muscle Disorders 88
5.2.1 Muscle Pain Limited to the Orofacial Region 88
5.2.1.1 Myalgia 88
5.2.1.2 Tendonitis 89
5.2.1.3 Myositis 89
5.2.1.4 Spasm 90
5.2.2 Contracture 90
5.2.3 Hypertrophy 91
5.2.4 Neoplasm 91
5.2.5 Movement Disorders 91
5.2.5.1 Orofacial Dyskinesia 91
5.2.5.2 Oromandibular Dystonia 91
5.2.6 Masticatory Muscle Pain Attributed to Systemic/Central Disorders 91
5.2.6.1 Fibromyalgia 91
5.3 Headache Disorders 91
5.3.1 Headache Attributed to TMD 91
5.4 Associated Structures 91
5.4.1 Coronoid Hyperplasia 91
References 92
6 Contributing Factors 95
References 99
Part II Common Acute TMD Conditions and Therapies 101
7 TMD Secondary to Trauma 103
References 106
8 TMD Secondary to Dental Treatment 107
8.1 Preventing Aggravation from Dental Treatment 110
8.2 Medial Pterygoid Muscle Pain 112
8.3 Inability to Close into MI 114
8.4 Occlusal Interference Sequelae 116
8.5 OSA Appliances 118
References 119
9 Lateral Pterygoid Spasm 123
References 127
10 Intermittent and Continuous Forms of TMJ Disc Displacement Without Reduction with Limited Opening 129
10.1 Intermittent Disorder (Disc Displacement with Reduction with Intermittent Locking) 131
10.2 Continuous Disorder (Disc Displacement Without Reduction with Limited Opening, Also Known as Closed Lock) 134
References 140
11 TMJ Subluxation and Luxation 145
References 148
Part III Occlusal Appliance Th
About the author
The Authors
Edward 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.
