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ChiroBoards3:DDXTMJ
ChiroBoards3:Hit list for TMJ (Thompson List)
Question | Answer |
---|---|
Patient unable to close mouth, hypermobility or trauma allows condyle to displace anterior to articular surface, previous wide open mouth occurrences, muscle spasm and pain, palpatory tenderness | ACUTE OPEN LOCK |
patient with exertional cardiac problems may also present with jaw pain | ANGINA PECTORIS |
patients with rheumatoid arthritis or osteoarthritis sometimes becomes symptomatic at the temperomandibular joint. | ARTHRITIDES |
aka facial palsy occurs when the nerve controlling facial muscles becomes compressed, inflamed or swollen. This leads to facial paralysis, or palsy, and weakness in the muscles controlling facial expressions and movement. The paralysis or weakness often s | BELLS PALSY |
Poor occlusion from chewing, dental work, chewing etc usually not traumatic, pain, tender with forward or lateral protrusion, chewing opposite side, wide mouth opening, altered mandibular gait, especially on affected side, painful lateral deviation with m | CAPSULITIS |
patients who have cancer existing either at or juxtaposing the temperomandibular joint will express jaw pain. | CARCINOMA |
Hypermobility usually trauma such as whiplash, patient cannot fully open mouth, joint tenderness, no popping, end feel soft x-ray may show djd with long standing problem | CLOSED LOCK |
patient either before or after dental issues such as caries, infection and/or novacaine injection may also express jaw pain. | DENTAL PROBLEMS |
Patient will have history of dysfunction of the temperomandibular joint due to exposure to toxic or allergic substance such as heavy metal. | METABOLIC DYSFUNCTION |
patient with sinus problems may also present with jaw pain. | SINUS INFECTION |
Patient will have history of acute or chronic clenching of jaw through mechanical means such as dental work or nighttime bruxism. | STRESS/TENSION DYSFUNCTION |
Acute direct trauma or chronic malposition, loss of vertical teeth height, anterior disc, hypertonic temporalis muscle, palpatory tenderness at EAM, full closure causes posterior displacement of jaw on ipsilateral side, pop or click on opening means anter | SYNOVITIS |
aka lock jaw a rare disease caused by chemicals which are produced by a bacterium (clostridium tetani) and are toxic to the nerves. The infection usually occurs when the bacteria enter the body through a deep wound: these bacteria are anaerobic and hence | TETANUS |
aka Trigeminal neuralgia is a chronic pain condition that causes extreme, sporadic, sudden burning or shock-like face pain that lasts anywhere from a few seconds to as long as 2 minutes per episode. The intensity of pain can be physically and mentally in | TIC DELOUROUX |