Preface Introduction Initial Evaluation Patient Interview Review of the "Initial Patient Questionnaire" Clinical Examination Range of Motion TMJ

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Reynard Willis Shaw
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1 Preface Introduction Initial Evaluation Patient Interview Review of the "Initial Patient Questionnaire" Clinical Examination Range of Motion TMJ Noise TMD Palpations Intraoral Examination Occlusal Changes TMD Pain Caused by a Tooth Tooth Pain without Local Pathology Additional Evaluations Imaging Plain Radiographs Panoramic Radiograph Axially Corrected Sagittal Tomography Computed Tomography Cone Beam Computed Tomography Magnetic Resonance Imaging Arthrography High-Resolution Ultrasound Imaging Strategies Imaging Recommendations TMD Diagnostic Categories TMJ Articular Disorders Disc Displacement Disorders Dislocation (Also Known as Subluxation) Inflammatory Disorders Osteoarthritis Ankylosis Fracture Congenital or Developmental Disorders Masticatory Muscle Disorders Myofascial Pain Myositis Myospasm Myofibrotic Contracture Centrally Mediated Myalgia Local Myalgia

2 Neoplasia Contributing Factors Common Acute TMD Conditions and Treatments TMD Secondary to Trauma TMD Secondary to Dental Treatment Preventing Aggravation from Dental Treatment Medial Pterygoid Muscle Pain Inability to Close into Maximum Intercuspation Occlusal Interference Sequelae Obstructive Sleep Apnea Appliances Lateral Pterygoid Myospasm Acute TMJ Disc Displacement without Reduction TMJ Dislocation Occlusal Appliance Therapy Stabilization Appliance Mandibular Positions and Interocclusal Record Physical Variables Full or Partial Coverage Maxillary or Mandibular Hard, Intermediate, or Soft Material Thick or Thin Appliance or Wire Retention Summary of Physical Variables Appliance Adjustments Internal Adjustments Internal Reline External Adjustments External Reline Appliance Repair Appliance Examples Pressure-Cured Mandibular Acrylic Stabilization Appliance Maxillary Acrylic Stabilization Appliance Hard Thermoplastic Stabilization Appliance Impak Stabilization Appliance Dual Laminate Thermoplastic Stabilization Appliance Soft Thermoplastic Stabilization Appliance Appliance Management Anterior Positioning Appliance Mandibular Position and Interocclusal Record Design and Adjustments Appliance Management

3 Multidisciplinary Treatment Approach Self-Management Therapy Self-Management Instructions Closure Muscle-Stretching Exercise Lateral Pterygoid Muscle-Stretching Exercise Posture Exercises Breaking Daytime Habits Physical Medicine Muscle Massage Yoga Trigger-Point Compression Trigger-Point Injection Physical Therapy Acupuncture Chiropractics Magnetic Therapy Cognitive-Behavioral Intervention Breaking Daytime Habits Relaxation Hypnotherapy Biofeedback Stress Management Pharmacological Management Analgesics Anti-inflammatory Medications Nonsteroidal Anti-inflammatory Drugs Steroidal Anti-inflammatory Drugs Muscle Relaxants Tricyclic Antidepressants Topical Medications Nutritional Supplements Other Dental Procedures Occlusal Equilibration Orthodontic-Orthognathic Therapy Prosthodontic Therapy TMJ Surgery and TMJ Implants Integrating Multidisciplinary Therapies Treatment Summaries and Clinical Implications Occlusal Appliances Self-Management Therapy Lateral Pterygoid Muscle-Stretching Exercise

4 Closure Muscle-Stretching Exercise Posture Exercises Massage and Trigger-Point Compression Yoga Trigger-Point Injections Physical Therapy Acupuncture Chiropractics Magnetic Therapy Breaking Daytime Parafunctional, Muscle-Tightening, or Fatiguing Habits Relaxation Hypnotherapy Biofeedback with Relaxation Stress Management Pharmacological Management Occlusal Therapy TMJ Surgery Integrating Conservative Therapies TMD Refractory to Initial Therapy Long-Term Management Case Scenarios Pulpal Pathosis Mimicking TMD Symptoms Chronic Sinusitis Chronic Forehead Pain Referred from the Neck Myofascial Pain Secondary to Nocturnal Parafunctional Habits Tooth Attrition-No Pain Myofascial Pain Secondary to Daytime Parafunctional Habits Medial Pterygoid Myospasm Tense, Depressed, and Poor Sleep as Contributing Factors Fibromyalgia as a Contributing Factor TMJ Disc Displacements and When to Treat It-No Pain TMJ Inflammation Intermittent Acute TMJ Disc Displacement without Reduction Acute TMJ Disc Displacement without Reduction-Unlocked Acute TMJ Disc Displacement without Reduction-Not Unlocked Osteitis Causing Inability to Open Wide Lateral Pterygoid Myospasm Acute Exacerbation of TMD Multiple Forms of Head and Neck Pain after Crown Insertion Appliance that Positioned Condyles into Their "Proper Position," Fundamentals of Clinical Studies

5 Designs of and Advice for Performing Clinical Studies Literature Review Study Population Institutional Review Board (IRB) Approval Developing Study's Parameters Strengthening Study Writing and Submitting Manuscript Practice-Based Research Prominent Clinical Study Designs Case Report Case Series Study Cross-Sectional Study Case-Control Study Cohort Study Nonrandomized Clinical Trial Randomized Controlled Trial Parallel-Group Randomized Clinical Trials Cross-Over Randomized Clinical Trials Other Types of Publications You May Want to Consider Literature Reviews Meta-analyses Systematic Reviews Considerations in Assessing Clinical Trials Conclusions Appendices Referral Criteria for Hygienists Initial Patient Questionnaire TMJ Disc Displacements TMD Self-Management Therapies Occlusal Appliance Care Instructions Closure Muscle-Stretching Exercise Posture Improvement Exercises Laboratory Occlusal Appliance Instructions Example of Dental Record Entries Examples of Physical Therapy Consultations Examples of Psychology Consultations Working with Insurance Companies Sources for Additional TMD Information Glossary Index Files on Accompanying CD

6 Appendices Referral Criteria for Hygienists.doc Initial Patient Questionnaire.doc TMJ Disc Displacements.doc TMD Self-Management Therapies.doc Occlusal Appliance Care Instructions.doc Closure Muscle-Stretching Exercise.doc Posture Improvement Exercises.doc Laboratory Occlusal Appliance Instructions.doc Example of Dental Record Entries.doc Examples of Physical Therapy Consultations.doc Examples of Psychology Consultations.doc Working with Insurance Companies.doc Sources for Additional TMD Information.doc Appendices in Spanish in Spanish.doc (Initial Patient Questionnaire) in Spanish.doc (TMD Self-Management Therapies) in Spanish.doc (Occlusal Appliance Care Instructions) in Spanish.doc (Closure Muscle-Stretching Exercise) TMD Course Material Part I.ppt Part II.ppt Part III.ppt Part IV.ppt Part V.ppt TMD Course Manual.doc Table of Contents provided by Blackwell's Book Services and R.R. Bowker. Used with permission.

Initial Doctor Questionnaire

Initial Doctor Questionnaire DO NOT enter the patient in this study: if your patient does not have a TMD pain diagnosis if your patient does not need treatment at this time if you are not going to treat