TMD Disease: Treatment

~ Exam ~

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This test has 24 questions.

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1. Occlusal Splint Therapy is the least important aspect of TMD treatment.

  a. True

  b. False

2. All TMD patients must undergo permanent dental treatment in order to be cured.

  a. True

  b. False

3. Dentists no longer need to use study models in order to treat TMD.

  a. True

  b. False

4. Before occlusal equilibration is accomplished on the patient, this procedure should first be accomplished on mounted study models.

  a. True

  b. False

5. TMD is not considered mainly an inflammatory disease.

  a. True

  b. False

6. The patient exhibits trigger points upon palpation at the initial examination. What should the clinician do next?

  a. immediately inject the site

  b. conclude the diagnosis of MPD

  c. utilize TENS and Hydrocollator Therapy

  d. continue to question the patient to ascertain if they have MPD or Fibromyalgia

7. After the diagnosis of MPD has been made and trigger points have been located the following are methods of treatment:

  a. injection of trigger points with Xylocaine and epinephrine

  b. splint therapy

  c. injection of trigger points with Marcaine and corticosteroid

  d. hydrocollator and TENS Therapy

  e. B & D

8. All Disc Displacements will need a permanent change in vertical dimension.

  a. True

  b. False

9. After the diagnosis of a closed lock is made, the following should be part of treatment:

  a. hydrocollator and TENS Therapy

  b. physical Reduction of the Disc

  c. pull forward splint

  d. all of the above

10. After the diagnosis of a late click has been made the following can be expected:

  a. The patient will respond to a pull forward splint.

  b. The patient must undergo Phase III or a permanent change in vertical dimension.

  c. The joint may undergo arthritic changes.

  d. The patient may respond to Phase I treatment modalities.

  e. C & D only

11. The Philosophy of Treatment changes depending on the physical condition presented by each patient.

  a. True

  b. False

12. When Trigger Points are found and other modalities have been tried the drug of choice for injection is:

  a. Marcaine

  b. Procaine

  c. Xylocaine

13. Trigger Points should always be injected without epinephrine because:

  a. local anesthetics with epinephrine cost more.

  b. epinephrine causes vasoconstriction.

  c. the patient will not wish to be numb for a long period of time.

  d. vasodilation is caused by epinephrine.

14. Spastic musculature always need:

  a. oxygen

  b. vasodilation

  c. vapo-coolant

  d. A & B only

15. Spastic musculature may be helped by the following:

  a. hydrocollator, TENS, and NSAIDS

  b. hydrocollator, TENS, and NSAIDS

  c. occlusal equilibration

  d. all of the above

16. Temporal tendonitis causes severe headaches.

  a. True

  b. False

17. Temporal tendonitis can be injected at the site of insertion on the:

  a. pterygoid process

  b. angle of the mandible

  c. coronoid process

  d. all of the above

18. Stylomandibular ligamentitis should be treated by injecting the following:

  a. Xylocaine, Marcaine, and corticosteroid (anesthetics with epinephrine)

  b. Xylocaine, Procaine, and corticosteroids (anesthetics without epinephrine)

  c. Marcaine, Procaine and corticosteroids (anesthetics with epinephrine)

  d. none of the above

19. When the clinician inquires about nutrition, his/her main goal is to encourage the patient to lose weight.

  a. True

  b. False

20. Oral Medications may include the following:

  a. analgesics and muscle relaxants

  b. dose pack of corticosteroids and analgesics

  c. controlled substances and muscle relaxants

  d. all of the above

21. The Goal of Phase III Treatment is to return the patient to their original condylar position.

  a. True

  b. False

22. A patient who is still in need of a night guard after one year should enter Phase III Treatment and have their dentition changed to that of the night guard.

  a. True

  b. False

23. Permanent change in the vertical dimension of the patient is undertaken only after:

  a. one month

  b. one week

  c. one year

24. The Phase of Treatment associated with increase in vertical dimension is:

  a. Phase I

  b. Phase II

  c. Phase III

25. The best method to record the new vertical dimension is:

  a. utilizing an accurate liquid impression material and the splint.

  b. pushing the mandible back and having the patient close gently into wax.

  c. protruding the mandible and having the patient close gently into silicone.

  d. using a Lucia Jig.