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presenter ABDULLAH RAAFIC
TEMPROMENDIBULAR JOINT DISORDERS
Face book page:
Dr. ABDULLAH ABDUKADIR YUSUF
duceysane
TEMPROMENDIBULAR JOINT DISORDERS
Definition:
is the generic term used for
any problem concerning the
jaw joint.
Epidemiology:
 TMD is seen most
commonly in people b/w
the age of 20-40 years.
 females are more common
then male.
Common TMJ
disorders
Pain
dysfunction
syndrome
Internal
derangement
Arthritis
Traumas
TEMPROMENDIBULAR JOINT DISORDERS
Disc displacement
• Disc displacement is disorder characterized by an abnormal
relationship b/w the articular disc and mandibular condyle.
Disc
displacement
Anatomical
classification
Rotetional Sideways
Functional
classifications
Medial
Lateral
Anterior
DD with
reduction
DD without
reduction acute
phase
Antero-medial
Antero-distal
DD without
reduction
chronic phase
• Pathogenesis :
inability to slide smoothly
due to increase friction.
Increased friction in upper
joint compartment,
Activation of various Para
functions include:
 Clenching
 Compromises the lubrication
system in upper TMJ
compartment
TEMPROMENDIBULAR JOINT DISORDERS
• Etiology:
– Trauma
– Functional overload
– masticatory muscle spasm
– increased friction
TEMPROMENDIBULAR JOINT DISORDERS
Sing and symptoms :
• Disc displacement with reduction
҉ pain
҉ joint sound
҉ catching sensation during mouth open
҉ deviation in open pathway
• Disc displacement without reduction
҉ limited mandibular opening
҉ joint sound
҉ deflection
TEMPROMENDIBULAR JOINT DISORDERS
 Diagnose:
-clinically evaluation
o History
o physical examination
-Radiographic evaluation
o MRI
TEMPROMENDIBULAR JOINT DISORDERS
mild
Moderate
severe
TEMPROMENDIBULAR JOINT DISORDERS
Management
• Mild
 Self care
 physical therapy
 open the mouth
 moist heat
 soft diet
 sleep on one side
• Moderate
 Technique
 splint
 pharmacologic agents
 NSAID
 Low dose tricyclic's
TEMPROMENDIBULAR JOINT DISORDERS
• severe
 Injunction corticosteroid
Surgery
 Arthrocentesis
 Arthroscopy
 Discectomy
 joint replacement
TEMPROMENDIBULAR JOINT DISORDERS
Dentist prescription:-
 vitamin D3: 2000-10,000 IU p/d
 doxycycline: 50mg/d
 omega3: 2.6mg/d
 glucosamine:1500mg/d
TEMPROMENDIBULAR JOINT DISORDERS
Tmj disorders

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Tmj disorders