pains in the jaw.pptx

8/19/2019 Pains in the Jaw.pptx

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American College of

Prosthodontists


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National Prosthodontics Awareness

Perfect Your Smile: Esthetics

Boost Your Condence: Dental Implants

Change Your ife: Dentures

Pain in the !aw: "#!$"#D

"he %idden &is': (ral Cancer

A Bright )uture: A Career in Prosthodontics "op * &easons "o &efer "o A Prosthodontist

+, &easons to !oin the ACP

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"#! Disorders


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"#! Disorders "emporomandi-ular .oint and muscle

disorders/ commonl0 called 1"#!2 or "#D area group of conditions that cause pain andd0sfunction in the .aw .oint and the musclesthat control .aw mo3ement4


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"#! Disorders)or most people/ pain in the area of the .aw .oint or muscles does not signal a seriouspro-lem4 5enerall0/ discomfort from theseconditions is occasional and temporar0/ oftenoccurring in c0cles4 "he pain e3entuall0 goesawa0 with little or no treatment4 Some people/howe3er/ de3elop signicant/ longterms0mptoms4


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6hat are the signs and

s0mptoms7radiating pain in the face/ .aw or

nec'

.aw muscle sti8nesslimited mo3ement or loc'ing of the .aw

painful clic'ing/ popping or grating inthe .aw .oint when opening or closingthe mouth

a change in the wa0 the upper and


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6hat is the "emporomandi-ular

!oint7 "he temporomandi-ular .oint connects the lower

.aw the mandi-le; with its cond0le/ to the -one

at the side of the headi-le/ the .aw can

mo3e smoothl0 up and down and side to side/ena-ling us to tal'/ chew and 0awn4 #uscles

attached to and surrounding the .aw .oint control

its position and mo3ement4


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6hat is the "emporomandi-ular

!oint7 "o 'eep this

motion smooth/ asoft disc lies-etween themandi-ularcond0le and thetemporal -one4

"his disc a-sor-sshoc's to the .aw

.oint from chewingand othermo3ements4


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6hat are "#!

Disorders7 "#! disorders fall into three main categories:Myofascial pain/ the most common temporo?

mandi-ular disorder/ in3ol3es discomfort or pain in themuscles that control .aw function4

Internal derangement of the .oint in3ol3es a

displaced disc/ dislocated .aw/ or in.ur0 to the cond0le4

Arthritis refers to a group of degenerati3e orin=ammator0 .oint disorders that can a8ect thetemporomandi-ular .oint


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6hat are "#! Disorders7A person ma0 ha3e one or more of these

conditions at the same time4 Some peopleha3e other health pro-lems that coe>ist with

"#! disorders/ such as chronic fatigues0ndrome/ sleep distur-ances or -rom0algia/a painful condition that a8ects muscles andother soft tissues throughout the -od04


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6hat are "#! Disorders7

%ow .aw .oint and muscle disorders progressis not clear4 S0mptoms worsen and ease o3ertime/ -ut what causes these changes is not'nown4

#ost people ha3e relati3el0 mild forms of thedisorder4 "heir s0mptoms impro3esignicantl0/ or disappear spontaneousl0/within wee's or months4

)or others/ the condition causes longterm/

persistent and de-ilitating pain4 "he conditionis more common in women than in men4


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6hat are "#! Disorders7Prosthodontic treatment/ in order to sta-ili@e

the occlusion as a result of a "#D articulardiagnosis such as locali@ed osteoarthritis ordegenerati3e .oint disease D!D;/ ma0 -ereuired once the condition has -eensuccessfull0 sta-ili@ed4

"he degenerati3e process creates a smallercond0le which often alters the .aw posturecausing an une3en -ite4 "hus/ it ma0 -ecomenecessar0 to re?esta-lish a more sta-leocclusion as a result of changes within the

.oint4


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6hat causes "#!

Disorders7 "rauma to the .aw or temporomandi-ular .oint

pla0s a role in some "#! disorders4 But formost .aw .oint and muscle pro-lems/ scientistsand clinicians dont 'now the causes4

"here is no scientic e3idence that clic'ingsounds in the .aw .oint lead to serious pro-lems4 !aw noises alone/ without pain or limited

.aw mo3ement/ do not indicate a "#! disorderand do not alwa0s indicate that treatment isneeded4


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6hat causes "#!

Disorders7 "he roles of stress and tooth grinding as ma.or

causes of "#! disorders are also unclear4 #an0people with these disorders do not grind their teeth/

and man0 longtime tooth grinders do not ha3epainful .oint s0mptoms4

Scientists and clinicians note that people with sore/tender chewing muscles are less li'el0 than others togrind their teeth -ecause it causes pain4

Stress ma0 pla0 a role in man0 persons with .aw .ointand muscle disorders that is more li'el0 the result ofdealing with chronic .aw pain or d0sfunction than thecause of the condition4


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%ow are "#! Disorders "reated7Because more studies are needed on the

safet0 and e8ecti3eness of most treatmentsfor .aw .oint and muscle disorders/ e>pertsrecommend using the most conser3ati3e andre3ersi-le treatments when possi-le4

&e3ersi-le treatments do not causepermanent changes in the structure or position of the .aw or teeth4 E3en when "#! disorders ha3e -ecome persistent/ most patientsstill do not need aggressi3e t0pes oftreatment4


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%ow are "#! Disorders "reated7 "reatment -0 a Prosthodontist ma0 -e needed

for other reasons such as to restore se3erel0worn/ damaged/ or diseased teeth or to replace

teeth for the purpose of impro3ing chewing/pro3iding enhanced support for 0our lips orchee's/ or impro3ing the appearance of 0oursmile4

E>tensi3e prosthodontic treatment should onl0-e pro3ided after the "#! disorder has -eenadeuatel0 diagnosed and its pain successfull0managed4


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Conser3ati3e "reatments#ost .aw .oint and muscle pro-lems

are temporar0 and do not get worse4

"reatment is -ased on a properdiagnosis which should -econser3ati3e and re3ersi-le4

Self?Care PracticesPain #edications

Sta-ili@ation Splints

Prosthodontic "reatment


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Pain #edications)or man0 people with "#! disorders/

short?term use of o3er?the?counterpain medicines or nonsteroidal anti?in=ammator0 drugs NSAIDS;/ suchas i-uprofen/ ma0 pro3ide temporar0relief from .aw discomfort4

6hen necessar0/ 0our dentist or

doctor can prescri-e stronger pain orantiin=ammator0 medications/muscle rela>ants/ or antidepressantsto help ease s0mptoms4


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Sta-ili@ation Splints Your Prosthodontist ma0 recommend

an oral appliance/ also called asta-ili@ation splint or -ite guard/which is a plastic guard that ts o3erthe upper or lower teeth4 Sta-ili@ationsplints are the most widel0 usedtreatments for "#! disorders4

If a sta-ili@ation splint isrecommended/ it should -e used onl0for a short time and should not causepermanent changes in the wa0 0ourteeth -ite together when the splint isremo3ed from 0our mouth4


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Prosthodontic "reatment(cclusal splints

ma0 also -e used toreesta-lish the -iteprior toprosthodontictreatment4

It is used when the-ite is notcontacting e3enl0due to missing orworn teeth and ma0rela> the muscles4


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Prosthodontic "reatment


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Additional Information7Portions of this American College of

Prosthodontists TMJ Disorders presentationwere deri3ed from "he National Institute of

Dental and Craniofacial &esearch NIDC&;/ ofthe National Institutes of %ealth NI%; "#!DIS(&DE&S Document ?FGH4

Additional information ma0 -e found at:www.prosthodontics.org andwww.nidcr.nih.gov


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)ind a Prosthodontist

"oda0 "he American College of Prosthodontists o8ers the

No4 , referral director0 for locating aprosthodontist in 0our area4 Search -0 geograph0or procedure4 "he ACPs mission is to impro3e the ualit0 of life

through the ad3ancement of prosthodontics4 "he American College of Prosthodontists

+,, E4 Chicago A3enue/ Suite ,

Chicago/ I ,,

F,+4*F4,+ H4FH4,+ www4prosthodontics4org