QUESTION: Best way for soft tissue ( disc of TMJ ) : MRI QUESTION: Mri is best way to look at condyle/tmj QUESTION: best diagnostic eval for TMJ disc? MRI, CT, PA radiograph QUESTION: Which radiograph will give you a direct view of the TMJ? (TMJ Tomography?) QUESTION: Scanning disk tmj- mri best view Gardnermultiple osteomas and intestinal polyps In which syndrome Pt has ? Gardner's syndrome and esophageal stenosis syndrome Colon polyps and some kind of oral lesion? Gardners syndrome gardners syndrome with multiple osteoma and intesbtinal polyps What do Gardners and Peutz-Jeghers syndrome have in common? GI polyps? What has polyps...Gardners , Peutz-Jegher, and Crohn’s What do Gardners and Peutz-Jeghers syndrome have in common? GI polyps? In Gardners Syndrome there may be cancerous transform of what?- polyps in intestine. 91 QUESTION: Part of the TMJ that purely rotates : Articular eminence of condyle QUESTION: Rotation involves what structures? condyle, glenoid fossa, disc, TMJ Condyle and articular fossa QUESTION: Which anatomical components are responsible for rotation of the mandible? Condyle and articulating disk QUESTION: When TMJ is in rotational movement, rotation is in lower compartment
QUESTION: Lower compartment of TMJ is for? Rotation, upper compartment – translation QUESTION: what causes tmj ankylosis? Trauma?? Rheumatoid arthritis QUESTION: Patient can’t speak English well, she doesn’t work, she has TMJ problems, she is on meds. Which one will not affect her oral hygiene prognosis? - TMJ problems. (Rationale here is; she may not be able to afford hygiene procedure, she might not understand doctor’s recommendations, and her meds can contribute to hygiene issues. TMJ problem was not serious enough, as in she can open her mouth to clean her teeth) QUESTION: Man comes in after years of tmjd with reduction and is now only able to open 25mm and that’s it with muscle pain. Whats his disorder?- Myofacial pain syndrome. QUESTION: Pt is clicking in the jaw suddenly cannot open 25 mm: myofacial pain syndrome (can cause clicking, limited opening, pain), internal derangement without reduction has no noises or clicking but limited opening to <30mm QUESTION: Patient always had internal derangement with clicking all of a sudden no noise and open max 30 mm what happened? Myofascial pain QUESTION: Football player with mouthguard, crepitation of left TMJ, trigger zone tenderness L temporalis, stiffness upon wakening: Myofacial pain syndrome QUESTION: Highschool football player wears a mouthguard, very tender to palpation of temporal area, muscle soreness..? question never said about noises: Myofacial pain disorder (possibly osteoarthritis) QUESTION: Football player with a mouthguard tenderness to temporalis and hard to open mouth in morning * myofacial pain * tmj dislodgement QUESTION: Most immediate sign after high occlusion bridge? Myofacial pain QUESTION: symptoms of pain and tenderness upon palpation of the TMJ are usually associated with which of the following a. impacted mandibular third molars b. flaccid paralysis of the painful side of the face
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