TEMPROMANDIBULAR JOIN CONSERVATIVE MANAGMENT

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HI ALL

Q62 A patient presents with a history of clicking from their temporomandibular

joint. This click occurs mid way through the opening cycle and is consistent.

There is some pre-auricular pain and the lateral pterygoid muscle on the

affected side is tender to resisted movement test. There is no trismus and the

click is not present when the patient opens from an incisor edge to edge

relationship, instead of her normal Class I occlusion. The patient would like

treatment.

The most appropriate occlusal splint for this patient would be:

A. Stabilisation splint

B. Localised Occlusal Interference Splint

C. Bite Raiser

D. Soft Bite Guard

E. Anterior Re-positioner Splint

answer

A.Stabilization Splint: mainly used for the correction of the occlsuion or

creating a perfect occlusion for patient with TMD reflected from occlusal

interference, till the muscles return to their normal tension and lengh, then

restorative or selective grinding work will b done

B. Localized occusal splints: used for clenching and bruxism, focusing the

occlusion on less number of teeth, making their propioseptive response sensetive

for biting, so the brain avoid excessive biting and then decrease the Bruxism

C.Bite Raiser: used for the raisong of the bite to relive muscle stress mainly

D. Soft Bite Guard: first line of treatment in symptomatic bruxer, act to

decrease muscle spasm and decrease the habbit.

E. Anterior repositioning splint: thats my choice in that case, it is done as we

say [to catch up the disc] as the patient doesnt experience clicking when he

opens from Edge to Edge, thats means that first stage of translation is executed

in this edge to edge movement where the condyle and the disc are aligned as in

normal position. keeping this realtion for a long time allows the retrodiscal

tissues [where pain is moderate ] to heal on this level and the pterigoid spasm

will b decreased.

BEST REGARDS

EBTISAM

[Guest guest]

THANK YOU EBTISAM but i didnt get the explanation very clearly...if it is done for a long timethen we are interfering with the patients normal occ isnt? from which book did u read this? can u explain bit more...thanks againsajitha From: ebtessam <ebtessamhamalawy@...> Sent: Friday, 23 March 2012 1:53 PM Subject: TEMPROMANDIBULAR JOIN CONSERVATIVE MANAGMENT

HI ALL

Q62 A patient presents with a history of clicking from their temporomandibular joint. This click occurs mid way through the opening cycle and is consistent. There is some pre-auricular pain and the lateral pterygoid muscle on the affected side is tender to resisted movement test. There is no trismus and the click is not present when the patient opens from an incisor edge to edge relationship, instead of her normal Class I occlusion. The patient would like treatment.

The most appropriate occlusal splint for this patient would be:

A. Stabilisation splint

B. Localised Occlusal Interference Splint

C. Bite Raiser

D. Soft Bite Guard

E. Anterior Re-positioner Splint

answer

A.Stabilization Splint: mainly used for the correction of the occlsuion or creating a perfect occlusion for patient with TMD reflected from occlusal interference, till the muscles return to their normal tension and lengh, then restorative or selective grinding work will b done

B. Localized occusal splints: used for clenching and bruxism, focusing the occlusion on less number of teeth, making their propioseptive response sensetive for biting, so the brain avoid excessive biting and then decrease the Bruxism

C.Bite Raiser: used for the raisong of the bite to relive muscle stress mainly

D. Soft Bite Guard: first line of treatment in symptomatic bruxer, act to decrease muscle spasm and decrease the habbit.

E. Anterior repositioning splint: thats my choice in that case, it is done as we say [to catch up the disc] as the patient doesnt experience clicking when he opens from Edge to Edge, thats means that first stage of translation is executed in this edge to edge movement where the condyle and the disc are aligned as in normal position. keeping this realtion for a long time allows the retrodiscal tissues [where pain is moderate ] to heal on this level and the pterigoid spasm will b decreased.

BEST REGARDS

EBTISAM