Manual of Temporomandibular Disorders, Third Edition is a handbook of information on temporomandibular disorders and an array of medical and dental conditions that affect the temporomandibular joint (TMJ), masticatory muscles, and contiguous structures. The book provides evidence–based, clinically practical information that allows dentists to diagnose TMD accurately, rule out disorders that mimic TMD (that is, make a differential diagnosis), and provide effective therapy for most patients. This book offers comprehensive coverage in a compact package. In a conversational tone, Dr. Wright focuses on solving TMD problems at chairside. The author s crisp, engaging writing style allows the clinician to find precise answers quickly, without wading through a morass of detail.
Changes to this third edition include: integration of sleep apnea with TMD (including graphs from studies about TMD aggravation and occlusal changes from oral sleep apnea appliances); expansion of the Topical Medications section including new topical medications (including efficacy graphs); expansion of the Nutritional Supplements section (including efficacy graphs); techniques for preventing TMD aggravation from dental treatment; more tables summarizing material; updated patient handouts; revised terminology to correspond with the newly recommended terminology; and completely updated references.
Features include:
- Frequently Asked Questions
- Quick Consults, Technical Tips, and Focal Points
- Disorders that mimic TMD and factors that warrant referral
- Extensive color photographs and line drawings
- A CD accompanying the book contains:
- Recommended patient questionnaire and educational handouts (editable with Microsoft Word)
- A 635–slide TMD course presentation (editable with PowerPoint) and accompanying student manual (editable with Microsoft Word)
Table of Contents
Preface xv
Introduction 1
Part I Initial Evaluation 5
Chapter 1 Patient Interview 11
Chapter 2 Review of the Initial Patient Questionnaire 31
Chapter 3 Clinical Examination 39
Chapter 4 Imaging 71
Chapter 5 TMD Diagnostic Categories 81
Chapter 6 Contributing Factors 97
Part II Common Acute TMD Conditions and Treatments 103
Chapter 7 TMD Secondary to Trauma 105
Chapter 8 TMD Secondary to Dental Treatment 109
Chapter 9 Lateral Pterygoid Spasm 125
Chapter 10 Intermittent and Continuous Forms of TMJ Disc Displacement without Reduction with Limited Opening 131
Chapter 11 TMJ Subluxation and Luxation 145
Part III Occlusal Appliance Therapy 149
Chapter 12 Stabilization Appliance 153
Chapter 13 Anterior Positioning Appliance 213
Part IV Multidisciplinary Treatment Approach 223
Chapter 14 Self–Management Th erapy 229
Chapter 15 Physical Medicine 247
Chapter 16 Cognitive–Behavioral Intervention 261
Chapter 17 Pharmacological Management 275
Chapter 18 Other Dental Procedures 295
Chapter 19 Integrating Multidisciplinary Therapies 313
Part V Case Scenarios 331
Case 1: Pulpal Pathosis Mimicking TMD Symptoms 333
Case 2: Tooth Pain: No TMD Pain 335
Case 3: Chronic Sinusitis 336
Case 4: Chronic Forehead Pain Referred from the Neck 337
Case 5: Myalgia Secondary to Nocturnal Parafunctional Habits 339
Case 6: Tooth Attrition: No Pain 340
Case 7: Myalgia Secondary to Daytime Parafunctional Habits 341
Case 8: Medial Pterygoid Spasm 342
Case 9: Tension, Depression, and Poor Sleep as Contributing Factors 343
Case 10: Fibromyalgia as a Contributing Factor 344
Case 11: TMJ Disc Displacements and When to Treat Th em: No Pain 345
Case 12: TMJ Arthralgia 346
Case 13: TMJ Disc Displacement with Reduction with Intermittent Locking 347
Case 14: TMJ Disc Displacement without Reduction with Limited Opening: Unlocked 349
Case 15: TMJ Disc Displacement without Reduction with Limited Opening: Not Unlocked 350
Case 16: Osteitis Causing Inability to Open Wide 353
Case 17: Lateral Pterygoid Spasm 354
Case 18: Acute Exacerbation of TMD 357
Case 19: Multiple Forms of Head and Neck Pain after Crown Insertion 359
Case 20: Appliance Th at Positioned Condyles into Th eir Proper Position 360
References 362
Part VI Fundamentals of Clinical Studies 365
Appendices 385
Glossary 419
Index 423
