Neck and jaw
Card Set Information
Neck and jaw
neck and jaw
What are symptoms of TMJ?
clicking/popping of jaw, HA/migraines, earaches/tinnitus, neck/shoulder pain, pain behind eyes, numbness/tingling of fingers
TMD can be arthrogenous and myogenous. What are causes of TMJ?
Bad bite (from mouth breathing from allergies even), thumb sucking when younger.
Also grinding/clenching, injury, arthritis, emotional stress,
: TMD (myofascial pain and dysfunction) Etiology is multifactorial and includes malocclusion, jaw clenching, bruxism, personality disorders, increased pain sensitivity, and stress and
: most common: disk displacement. Others: DJD, polyarthritides such as
RA, ankylosis, dislocation, infection, neoplasia, and
TMJ is now known as what?
TMD (temporomandibular disorder)
. What population does TMD affect the most?
: 1:4 (male:female)
What is bruxism?
the habit of grinding the teeth, esp unconsciously
Migraines, postherpetic neuralgia, giant cell arteritis,
Labs for TMD?
CBC if infection is suspected.
Rheumatoid factor (RF), ESR, antinuclear antibody (ANA), for RA, temporal arteritis, or a connective tissue disorder is suspected.
Uric acid should be checked for gout. Pseudogout has also been reported in the TMJ. Arthrocentesis is required to demonstrate specific crystals.
What imaging studies for diagnosing TMD?
Conventional X-ray = the most utilized imaging study. It is simple, evaluates bony structures, and in most cases is sufficient.
CT scans can explore both bony structures and muscular soft tissues
MRI = study of choice if an articular or meniscal pathology is suspected and may need endoscopic/ surgery, or in the case of traumatic TMD.
Meds for TMD?
NSAIDs for pain.
Muscle relaxants (diazepam, methocarbamol, and cyclobenzaprine)
Tricyclic antidepressants, in low doses help control pain.