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PATHOLOGY
PATHOLOGY CHAPTER 10
41
Dentistry
Undergraduate 1
05/03/2014

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Term
ARTHROCENTESIS
Definition
•SURGICAL PUNCTURE OF A JOINT FOLLOWED BY LAVAGE OF THE JOINT SPACE
Term
ARTHROGRAPHY
Definition
•RADIOGRAPHY OF A JOINT AFTER INJECTION OF OPAQUE CONTRAST MATERIAL
Term
ARTHROSCOPY
Definition
•METHOD FOR EVALUATING AND MANIPULATING A JOINT VIA THE INSERTION OF A CAMERA AND INSTRUMENTS
Term
AUSCULTATION
Definition
•LISTENING TO SOUNDS WITHIN THE BODY, USING A STETHOSCOPE
Term
CREPITUS
Definition
•DRY, CRACKLING SOUND
Term
MAGNETIC RESONANCE IMAGING
Definition
•MRI
•USES RADIO WAVES TO PRODUCE COMPUTERIZED IMAGES OF INTERNAL BODY TISSUES
Term
SIGN
Definition
•OBJECTIVE EVIDENCE OF A DISEASE
•CAN BE OBSERVED
Term
SYMPTOM
Definition
•SUBJECTIVE EVIDENCE OF A DISEASE
•OBSERVED ONLY BY THE PATIENT
Term
TRISMUS
Definition
•INABILITY TO FULLY OPEN THE MOUTH
Term
GINGLYMOARTHRODIAL
Definition
•ROTATIONAL AND TRANSLATIONAL MOVEMENT
Term
BLOODLESS
Definition
•FLUID ONLY
Term
THE ARTICULAR DISK IS ATTACHED TO
Definition
•LATERAL AND MEDIAL ASPECTS OF THE CONDYLE
•SUPERIOR BELLY OF THE LATERAL PTERYGOID BODY
•JOINT CAPSULE
Term
HINGE
Definition
•ROTATIONAL
Term
SLIDING
Definition
•TRANSITIONAL
Term
THE ARTICULATING DISK IS BETWEEN:
Definition
•THE CONDYLE, GLENOID FOSSA, AND THE ARTICULATING EMINENCE
Term
TMD
Definition
•ABNORMALITIES IN FUNCTION OF EITHER THE JOINT, OR ASSOCIATED STRUCTURES
Term
WHAT PERCENTAGE OF THE POPULATION DOES CLINICALLY SIGNIFICANT TMD RELATED JAW PAIN AND DYSFUNCTION AFFECT?
Definition
•5%
Term
WHAT IS THE MOST COMMON CAUSE OF TMD?
Definition
•TRAUMA (ASSAULT, WHIPLASH, PARAFUNCTIONAL HABITS)
Term
SYSTEMIC CONDITIONS SUCH AS ________________ AND ________________ CAN CAUSE TMD
Definition
•RHEUMATOID ARTHRITIS AND OSTEOPOROSIS
Term
TEMPOROMANDIBULAR DYSFUNCTION MAY BE CAUSED BY:
Definition
•DISORDERS OF MUSCLES OF MASTICATION OR INTERNAL DERANGEMENTS OF COMPONENTS OF THE JOINTS
Term
WHAT DOES EVALUATION OF THE TMJ CONSIST OF
Definition
•HISTORY, EXAMINATION, IMAGING (X-RAYS)
Term
WHAT TO CHECK IN THE MEDICAL HISTORY WHEN EVALUATING TMD?
Definition
•JOINT SYMPTOMS
•PAIN
•PROBLEMS CHEWING
•TRISMUS
•MALOCCLUSION
•PARAFUNCTIONAL HABITS
•DENTAL SYMPTOMS
Term
WHAT TO LOOK FOR IN AN EXAMS WHEN EVALUATING TMD?
Definition
•PALPATE
•ASSESS OCCLUSION
•JOINT NOISES
Term
WHAT IMAGING SHOULD YOU USE WHEN EVALUATING TMD?
Definition
•PANO
•TRANSCRANIAL
•TOMOGRAPHY
•COMUTED TOMOGRAPHY
•MRI (SOFT TISSUES)*
•ARTHROGRAPHY
Term
WHAT ARE THE TYPES OF TMD?
Definition
•MYOFASCIAL PAIN AND DYSFUNCTION
•INTERNAL DERANGEMENT
•ARTHRITIS
•HYPERMOBILITY DISORDERS
•ANKYLOSIS
•NEOPLASIA
Term
MYOFASCIAL PAIN AND DYSFUNCTION
Definition
•50% OF TMD PATIENTS HAVE THIS
•DYSFUNCTIONAL MUSCLE HYPERACTIVITY WITH PAIN
Term
INTERNAL DERANGEMENTS
Definition
•DISK DISPLACEMENT
•ANKYLOSIS
•HYPERMOBILITY DISORDERS
Term
MOST TMJ DISLOCATIONS OCCUR _______________
Definition
•SPONTANEOUSLY WHEN OPENING THE MOUTH
Term
ANKYLOSIS
Definition
•FIBROUS OR BONY UNION BETWEEN ARTICULATING SURFACES
•JOINT INFECTION AFTER TRAUMA (50% OF PATIENTS)
Term
HYPERMOBILITY DISORDERS
Definition
•DISLOCATION - CONDYLE TRANSLATES ANTERIOR TO ARTICULATING CONDYLE
•SUBLUXATION - RELOCATION OF THE MANDIBLE BACK INTO THE GLENOID FOSSA
Term
OSTEOARTHITIS
Definition
•AKA: DEGENERATIVE JOINT DISEASE
•MOST COMMON DISEASE AFFECTING THE TMJ
•PAIN, LIMITED OPENING, CREPITUS
Term
RHEUMATOID ARTHRITIS
Definition
•INFLAMMATORY AUTOIMMUNE DISORDER OF THE JOINTS
•50-75% OF PATIENTS HAVE TMJ INVOLVEMENT
Term
1ST PHASE OF NONSURGICAL TREATMENT OF TMJ DISORDERS
Definition
•PHARMALOGICAL THERAPY
•MOIST HEAT
•PHYSICAL THERAPY
Term
2ND PHASE OF NONSURGICAL TREATMENT OF TMJ DISORDERS
Definition
•OCCLUSAL APPLIANCES
Term
STABILIZATION APPLIANCES
Definition
•OCCLUSAL APPLIANCE USED TO TREAT TMJ DISORDERS
•WORKS BY RELAXING THE MUSCLES, •PROTECTING THE DENTITION
•STABILIZING AND PROTECTING THE JOINT
•REDISTRIBUTING OCCLUSAL FORCES
•MAKING PATIENT AWARE OF BRUXING HABITS
Term
ANTERIOR REPOSITIONING APPLIANCES
Definition
•OCCLUSAL APPLIANCE MADE FOR PATIENTS WITH PAINFUL CLICKING OR FREQUENT LOCKING
•NEEDS CAREFUL MONITORING BECAUSE OF POSSIBLE IRREVERSIBLE CHANGES TO THE OCCLUSION
Term
WHAT ARE THE DIFFERENT TYPES OF SURGICAL PROCEDURES FOR TMJ DISORDERS?
Definition
•ARTHROCENTESIS
•ARTHROSCOPY
•OPEN JOINT SURGERY
•CONDYLECTOMY
Term
ARTHROCENTESIS
Definition
•RINSING OUT THE JOINT
•SUCCESS RATE 83%
Term
ARTHROSCOPY
Definition
•CLOSED JOINT PROCEDURE
•ALLOWS DIRECT VISUALIZATION AND MANIPULATION OF THE JOINT
Term
ARTHROTOMY
Definition
•AKA: OPEN JOINT SURGERY
•DISK REPOSITIONING, REPLACEMENT OR EXCISION, OR TOTAL JOINT RECONSTRUCTION
Term
WHAT ARE THE MOST COMMON TUMORS HAT ARISE IN THE CONDYLE?
Definition
•OSTEOCHONDROMA - BENIGN TUMOR OF CARTILAGE AND BONE
•OSTEOBLASTOMA
•CHONDROBLASTOMA
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