Temporomandibular Disorders A Problem-Based Approach

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.

Ziad Al-Ani is Senior Lecturer at Glasgow Dental Hospital and School in Glasgow, UK.

Robin Gray was a Specialist in Oral Surgery and Director at Manchester Dental Specialists. He was formerly Senior Lecturer and Coordinator of TMD Clinical Teaching and Research Services at the Department of Dental Medicine and Surgery, University Dental Hospital of Manchester, UK.

1 About the Book

About temporomandibular disorders: what is a ‘TMD’?

2 Clinical Aspects of Anatomy, Function, Pathology and Classification

The joint anatomy, histology, structure, capsule, synovial membrane and fluid, ligaments

The intra-articular disc (meniscus)

The bones of the temporomandibular joint

Mandibular (jaw/masticatory) muscles

Classification and Pathology                                                                               

Diagnoses of TMDs                                                                                           

Further reading

3 Articulatory System Examination

Examination of the temporomandibular joints

Mandibular (masticatory) muscle tenderness

Signs of bruxism

Further reading

4 I’ve Got ‘TMJ’!

History

Examination

Special tests

Differential diagnosis

Management

Further reading

5 I’ve Got a Clicking Joint

History

Examination

Other special tests

Treatment

The patient journey

Further reading

6 I’ve Got a Locking Joint

History

Examination

Diagnosis

Treatment

TMJ locking

Further reading

7 I’ve Got a Grating Joint

Examination

Diagnosis

Treatment of pathological sequel                                                                       

Further reading

8 You’ve Changed My Bite

History

Examination

Treatment

Discussion

Further reading

9 I’ve Got Pain in My Face

History

Examination

Differential diagnosis  

Treatment  

Questions to ask patients regarding pain in general  

Further reading  

10 I’ve Got a Dislocated Jaw  

Examination  

Likely diagnose

Management

Further reading

11 My Teeth Are Worn  

History  

Examination  

Diagnosis  

Treatment  

Important considerations in tooth surface loss  

Further reading  

12 I’ve Got a Headache

Examination  

Radiographs  

Articulatory system exam  

Likely diagnosis  

Management  

Patient journey  

Further reading  

13 I’ve Got Whiplash

Examination

Record keeping

Are TMD and whiplash related?

Likely diagnosis

Management

Further reading

14 What’s of Use to Me in Practice?

Counselling and reassurance

Drug therapy

Physiotherapy

Splint therapy

Mouth prop

Occlusal adjustments                                                                                         

Orthodontic treatment and TMD

Radiographs

Further referral

Further reading

15 You and the Lawyer

Case scenario 1: note and record keeping

Case scenario 2: a medical report request

Case scenario 3: a disgruntled patient

Further reading

16 The Referral Letter

Details

History

Request

Further reading

17 How to Make a Splint

How do you make a stabilisation splint?

Fitting a stabilisation splint

How do you make an anterior repositioning splint?

Further reading

18 Current knowledge of aetiology and management of Bruxism

Bruxism and TMD                           

The efficacy of botulinum toxins on bruxism       

Management of Bruxism

19 Splint therapy for the management of TMD patients: An evidence-based discussion 

The Effectiveness of Splint therapy for the Management of TMDs                

Stabilisation Splint (SS)                                                                                    

Occlusal splints effective for treating sleep bruxism                                        

Anterior repositioning splint (ARPS)                                                               

Qcclusal contacts change following splint therapy                                          

Mandibular advancement/snoring appliances                                                  

20 Patient Information

Stabilisation splint

Anterior repositioning splint

General advice for patients with a TMD

Exercise programme for patients with TMD

Appendix I Flowcharts                                                                                                       

Appendix II Glossary of Terms

Further reading

Appendix III Short Answer Questions

Index

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.