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Temporomandibular Disorders: A Problem-Based Approach

ISBN: 978-1-4443-4009-9
224 pages
February 2011, Wiley-Blackwell
Temporomandibular Disorders: A Problem-Based Approach (1444340093) cover image
A quick, systematic and logical approach to diagnosing and treating temporomandibular disorders (TMD), this latest book in the Dental Update series is an essential clinical companion for dental students and practising dentists. Starting with an overview of the basic principles of TMD, such as the anatomy of the temporomandibular joint and its physiology and pathology in relation to clinical treatment, the book goes on to present the realities of managing patients, using a case-based approach to help readers understand and engage with the information. Each later chapter presents a different problem in the form of a case study, and each study features a systematic approach to aid learning.

Temporomandibular Disorders: A Problem-Based Approach promotes learning as a dynamic process of active involvement. It encourages valuation by self-assessment with questions at the end of the book, and a unique link to an online interactive quiz where readers can test their knowledge of TMD. The final chapters include practical guides of how to make splints and samples of patient information sheets that can be used as templates. The book is illustrated in full colour, with helpful clinical images and diagrams.

KEY FEATURES

  • Uses a case-based approach to promote effective management of TMD
  • Covers basic scientific background as well as clinical scenarios
  • Addresses not only ‘why’ but also ‘how’ with a highly practical focus
  • Includes a unique link to an online interactive quiz (visit www.wiley.com/go/gray)
  • Contains many full colour clinical images and diagrams
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Preface.

Acknowledgements.

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.

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.

Final treatment plan.

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 diagnoses.

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.

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 Patient Information.

Stabilisation splint.

Anterior repositioning splint.

General advice for patients with a TMD.

Exercise programme for patients with TMD.

19 Glossary of Terms.

20 Short Answer Questions.

Index.

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