Wright: Manual of Temporomandibular Disorders 2nd Edition

Temporomandibular disorder (TMD) is a collective term used for a number of clinical problems that involve the masticatory muscle, temporomandibular joint (TMJ), and/or associated structures. It has plagued humanity throughout history, and treatment has been reported even during the time of the ancient Egyptians. The cardinal signs and symptoms for TMD are pain in the masseter muscle, TMJ, and/or temporalis muscle regions; mouth - opening limitation; and TMJ sounds. TMD pain is by far the most common reason patients seek treatment.

 

The book attempts to simplify the complexities of TMD for ease of clinical understanding and application, in addition to integrating the scientific literature, clinical trials, and clinical experiences into an effective strategy. To the degree possible, it provides a systematic guide for how to most effectively diagnose and treat the various types of TMD patients. The book directs how the information obtained from the patient interview and clinical exam can be used to select the most cost - effective, evidence - based therapies that have the greatest potential to provide long - term symptom relief.

TMD “ specialists ” must not only consider the musculoskeletal factors but also the psychosocial and neurophysiology issues related to management of the TMD patient. Since most readers of this text are not training to be TMD “ specialists, ” the most easily understandable mechanisms that still correlate to the recommended treatment approaches have been chosen. Occasionally when simplified mechanisms will not sufficiently explain the phenomenon, psychosocial and CNS involvement are discussed. Similarly, since this is not a comprehensive textbook on TMD, it periodically warns that certain characteristics are suggestive of an uncommon disorder beyond the book ’ s scope and recommends the practitioner consider referring the patient.

To speed the reader's synthesis of this material, questions that students frequently ask are placed at the beginning of the applicable chapters, and important concepts are highlighted throughout the book. Important terms are in bold, with many listed in the glossary.

Key Features

• Written on the level for the average dentist or dental student.
• Focused on evidence - based diagnosis and multidisciplinary treatment for the majority of TMD patients.
• That included guidelines for how to rule out disorders that mimic TMD and identify medical contributing
• factors for which patients may need to be referred.
• Detailed how to identify patients with complex TMD who are beyond the scope of most dentists.

Contents

• Introduction

Part I. Initial Evaluation

• Chapter 1. Patient Interview
• Chapter 2. Review of the "Initial Patient Questionnaire"
• Chapter 3. Clinical Examination
• Chapter 4. Imaging
• Chapter 5. TMD Diagnostic Categories
• Chapter 6. Contributing Factors

Part II. Common Acute TMD Conditions and Treatments

• Chapter 7. TMD Secondary to Trauma
• Chapter 8. TMD Secondary to Dental Treatment
• Chapter 9. Lateral Pterygoid Myospasm
• Chapter 10. Acute TMJ Disc Displacement without Reduction
• Chapter 11. TMJ Dislocation

Part III. Occlusal Appliance Therapy

• Chapter 12. Stabilization Appliance
• Chapter 13. Anterior Positioning Appliance

Part IV. Multidisciplinary Treatment Approach

• Chapter 14. Self-Management Therapy
• Chapter 15. Physical Medicine
• Chapter 16. Cognitive-Behavioral Intervention
• Chapter 17. Pharmacological Management
• Chapter 18. Other Dental Procedures
• Chapter 19. Integrating Multidisciplinary Therapies

Part V. Case Scenarios

• Case 1: Pulpal Pathosis Mimicking TMD Symptoms
• Case 2: Chronic Sinusitis
• Case 3: Chronic Forehead Pain Referred from the Neck
• Case 4: Myofascial Pain Secondary to Nocturnal Parafunctional Habits
• Case 5: Tooth Attrition—No Pain
• Case 6: Myofascial Pain Secondary to Daytime Parafunctional Habits
• Case 7: Medial Pterygoid Myospasm
• Case 8: Tense, Depressed, and Poor Sleep as Contributing Factors
• Case 9: Fibromyalgia as a Contributing Factor
• Case 10: TMJ Disc Displacements and When to Treat It—No Pain
• Case 11: TMJ Infl ammation
• Case 12: Intermittent Acute TMJ Disc Displacement without Reduction
• Case 13: Acute TMJ Disc Displacement without Reduction—Unlocked
• Case 14: Acute TMJ Disc Displacement without Reduction—Not Unlocked
• Case 15: Osteitis Causing Inability to Open Wide
• Case 16: Lateral Pterygoid Myospasm
• Case 17: Acute Exacerbation of TMD
• Case 18: Multiple Forms of Head and Neck Pain after Crown Insertion
• Case 19: Appliance that Positioned Condyles into Their "Proper Position"

Part VI. Fundamentals of Clinical Studies

• Designs of and Advice for Performing Clinical Studies
• Considerations in Assessing Clinical Trials
• Conclusions

Appendices

• 1. Referral Criteria for Hygienists
• 2. Initial Patient Questionnaire
• 3. TMJ Disc Displacements
• 4. TMD Self-Management Therapies
• 5. Occlusal Appliance Care Instructions
• 6. Closure Muscle-Stretching Exercise
• 7. Posture Improvement Exercises
• 8. Laboratory Occlusal Appliance Instructions
• 9. Example of Dental Record Entries
• 10. Examples of Physical Therapy Consultations
• 11. Examples of Psychology Consultations
• 12. Working with Insurance Companies
• 13. Sources for Additional TMD Information

Glossary

Index

Product Details

• Paperback: 432 pages
• Publisher: Wiley; 2 edition (November 10, 2010)
• Language: English
• ISBN-10: 0813813247
• ISBN-13: 978-0813813240
• Product Dimensions: 7.5 x 0.9 x 9.7 inches

List Price: $119.99