Manual of Temporomandibular Disorders - Edward F. Wright, Gary D. Klasser - 4th Edition (2019) 416 pp., ISBN: 978-1-119-54881-2

Fully updated with the latest information in the field, this comprehensive book provides a practical guide to diagnosing and managing temporomandibular disorders in the dental practice. Written in an accessible, user-friendly style, it offers a simplified approach to the basic concepts and management decision points for the most commonly observed temporomandibular conditions, integrating the latest advances and advice throughout. Quick Consult, Focal Point, and Technical Tip boxes provide quick access to relevant information, and study results are summarized in graphs for ease of comprehension. Manual of Temporomandibular Disorders, Fourth Edition examines an array of medical and dental conditions that affect the temporomandibular joint (TMJ), masticatory muscles, and contiguous structures. It presents evidence-based, clinically practical information to help dentists diagnose TMD accurately, rule out disorders that mimic TMD, and provide effective therapy for most patients. Special features include: Frequently Asked Questions Quick Consults, Technical Tips, and Focal Points Information on disorders that mimic TMD and factors that warrant referral Extensive color photographs and line drawings A companion website providing helpful examples and patient handouts Manual of Temporomandibular Disorders, Fourth Edition is a must-have how-to manual for general dentists, dental students, and residents involved in this area of practice. Cover Half Title Page Title Page Copyright Dedication Contents Preface About the Companion Website Introduction References Part I Initial Evaluation References Chapter 1 Patient Interview Summary References Chapter 2 Review of the “Initial Patient Questionnaire” Chapter 3 Clinical Examination 3.1 Range of Motion 3.2 TMJ Noise 3.3 TMD Palpations 3.4 Intraoral Examination 3.4.1 Occlusal Changes 3.4.2 Temporomandibular Disorder Pain Caused by a Tooth 3.4.3 Tooth Pain Without Local Pathology 3.5 Additional Evaluations References Chapter 4 Imaging 4.1 Plain Radiographs 4.2 Panoramic Radiograph 4.3 Axially Corrected Sagittal Tomography 4.4 CT 4.5 CBCT 4.6 MRI 4.7 Arthrography 4.8 Ultrasound 4.9 Imaging Strategies 4.10 Imaging Recommendations References Chapter 5 TMD Diagnostic Categories 5.1 TMJ Disorders 5.1.1 Joint Pain 5.1.1.1 Arthralgia 5.1.1.2 Arthritis 5.1.2 Joint Disorders 5.1.2.1 Disc-Condyle Complex Disorders 5.1.2.1.1 Disc Displacement with Reduction 5.1.2.1.2 Disc Displacement with Reduction with Intermittent Locking 5.1.2.1.3 Disc Displacement Without Reduction With Limited Opening (Closed Lock) 5.1.2.1.4 Disc Displacement Without Reduction Without Limited Opening 5.1.2.2 Other Hypomobility Disorders 5.1.2.2.1 Adhesions/Adherence 5.1.2.2.2 Ankylosis 5.1.2.2.3 Fibrous Ankylosis 5.1.2.2.4 Osseous Ankylosis 5.1.2.3 Hypermobility Disorders 5.1.2.3.1 Subluxation 5.1.2.3.2 Luxation 5.1.3 Joint Diseases 5.1.3.1 Degenerative Joint Disease 5.1.3.1.1 Osteoarthrosis 5.1.3.1.2 Osteoarthritis 5.1.3.2 Condylysis/Idiopathic Condylar Resorption 5.1.3.3 Osteochondritis Dissecans 5.1.3.4 Osteonecrosis 5.1.3.5 Systemic Arthritides 5.1.3.6 Neoplasm 5.1.3.7 Synovial Chondromatosis 5.1.4 Fractures 5.1.5 Congenital/Developmental Disorders 5.1.5.1 Aplasia 5.1.5.2 Hypoplasia 5.1.5.3 Hyperplasia 5.2 Masticatory Muscle Disorders 5.2.1 Muscle Pain Limited to the Orofacial Region 5.2.1.1 Myalgia 5.2.1.1.1 Local Myalgia 5.2.1.1.2 Myofascial Pain with Spreading 5.2.1.1.3 Myofascial Pain with Referral 5.2.1.2 Tendonitis 5.2.1.3 Myositis 5.2.1.4 Spasm 5.2.2 Contracture 5.2.3 Hypertrophy 5.2.4 Neoplasm 5.2.5 Movement Disorders 5.2.5.1 Orofacial Dyskinesia 5.2.5.2 Oromandibular Dystonia 5.2.6 Masticatory Muscle Pain Attributed to Systemic/Central Disorders 5.3 Headache Disorders 5.3.1 Headache Attributed to TMD 5.4 Associated Structures 5.4.1 Coronoid Hyperplasia References Chapter 6 Contributing Factors References Part II Common Acute TMD Conditions and Therapies Chapter 7 TMD Secondary to Trauma References Chapter 8 TMD Secondary to Dental Treatment 8.1 Preventing Aggravation from Dental Treatment 8.2 Medial Pterygoid Muscle Pain 8.3 Inability to Close into MI 8.4 Occlusal Interference Sequelae 8.5 OSA Appliances References Chapter 9 Lateral Pterygoid Spasm References Chapter 10 Intermittent and Continuous Forms of TMJ Disc Displacement Without Reduction with Limited Opening 10.1 Intermittent Disorder (Disc Displacement with Reduction with Intermittent Locking) 10.2 Continuous Disorder (Disc Displacement Without Reduction with Limited Opening, Also Known as Closed Lock) References Chapter 11 TMJ Subluxation and Luxation References Part III Occlusal Appliance Therapy References Chapter 12 Stabilization Appliance 12.1 Mandibular Positions and Interocclusal Record 12.2 Physical Variables 12.2.1 Full or Partial Coverage 12.2.2 Maxillary or Mandibular 12.2.3 Hard, Intermediate, or Soft Material 12.2.4 Thick or Thin 12.2.5 Appliance or Clasp Retention 12.2.6 Summary of Physical Variables 12.3 Appliance Adjustments Focal Point 12.3.1 Internal Adjustments 12.3.2 Internal Reline 12.3.3 External Adjustments 12.3.4 External Reline 12.3.5 Appliance Repair 12.4 Appliance Examples 12.4.1 Pressure-Cured Mandibular Acrylic Stabilization Appliance 12.4.2 Maxillary Acrylic Stabilization Appliance 12.4.3 Hard Thermomolded Stabilization Appliance 12.4.4 Impak Stabilization Appliance 12.4.5 Dual Laminate Thermomolded Stabilization Appliance 12.4.6 Soft Thermomolded Stabilization Appliance 12.5 Appliance Management References Chapter 13 Anterior Positioning Appliance 13.1 Mandibular Position and Interocclusal Record 13.2 Design and Adjustments 13.3 Appliance Management References Part IV Multidisciplinary Management Approach References Chapter 14 Self-Management Therapy 14.1 Self-Management Instructions 14.2 Closure Muscle-Stretching Exercise 14.3 Lateral Pterygoid Muscle-Stretching Exercise 14.4 Posture Exercises 14.5 Controlling Awake Behaviors References Chapter 15 Physical Medicine 15.1 Muscle Massage 15.2 Yoga 15.3 Trigger-Point Compression 15.4 Trigger-Point Injection 15.5 Botulinum Toxin Injections 15.6 Physical Therapy 15.7 Acupuncture 15.8 Chiropractics References Chapter 16 Cognitive-Behavioral Intervention 16.1 Controlling Awake Behaviors 16.2 Relaxation 16.3 Hypnotherapy (Hypnosis) 16.4 Biofeedback-Assisted Relaxation 16.5 Stress Management References Chapter 17 Pharmacological Management 17.1 Analgesics 17.2 Anti-inflammatory Medications 17.2.1 Nonsteroidal Anti-inflammatory Drugs (Ingested Form) 17.2.2 Steroidal Anti-inflammatory Drugs 17.3 Muscle Relaxants 17.4 Anticonvulsant 17.5 Tricyclic Antidepressants 17.6 Topical Medications 17.6.1 OTC Topical Medications 17.6.2 Prescription Topical Medications 17.7 Nutritional Supplements References Chapter 18 Other Dental Procedures 18.1 Occlusal Equilibration 18.2 Orthodontic–Orthognathic Therapy 18.3 Prosthodontic Therapy 18.4 TMJ Surgery and Implants References Chapter 19 Integrating Multidisciplinary Therapies 19.1 Management Summaries and Clinical Implications 19.1.1 Self-Management Therapy 19.1.2 Massage and Trigger‐Point Compression 19.1.3 Lateral Pterygoid Muscle-Stretching Exercise 19.1.4 Closure Muscle-Stretching Exercise 19.1.5 Posture Exercises 19.1.6 Occlusal Appliances 19.1.7 Physical Therapy 19.1.8 Yoga 19.1.9 Trigger-Point Injections 19.1.10 Acupuncture 19.1.11 Chiropractics 19.1.12 Controlling Awake Parafunctional, Muscle-Tightening, or Fatiguing Behaviors 19.1.13 Relaxation 19.1.14 Hypnotherapy (Hypnosis) 19.1.15 Biofeedback-Assisted Relaxation 19.1.16 Stress Management 19.1.17 Pharmacological Management 19.1.18 Occlusal Therapy 19.1.19 TMJ Surgery 19.2 Integrating Conservative Therapies 19.3 TMD Refractory to Initial Therapy 19.4 Long-Term Management References Part V Case Scenarios FAQs V.1 Case 1: Symptomatic Irreversible Pulpitis Mimicking TMD Symptoms V.2 Case 2: Tooth Pain: No TMD Pain V.3 Case 3: Chronic Sinusitis V.4 Case 4: Chronic Forehead Pain Referred from the Neck V.5 Case 5: Myalgia Secondary to Sleep Parafunctional Behaviors V.6 Case 6: Tooth Attrition: No Pain V.7 Case 7: Myalgia Secondary to Awake Parafunctional Behaviors V.8 Case 8: Medial Pterygoid Spasm V.9 Case 9: Personal Stressors and Sleep Disturbances as Contributing Factors V.10 Case 10: Fibromyalgia as a Contributing Factor V.11 Case 11: TMJ Disc–Condyle Complex Disorders and When to Provide Therapy: no Pain V.12 Case 12: TMJ Arthralgia V.13 Case 13: TMJ Disc Displacement with Reduction with Intermittent Locking V.14 Case 14: TMJ Disc Displacement Without Reduction with Limited Opening: Unlocked V.15 Case 15: TMJ Disc Displacement Without Reduction with Limited Opening: Not Unlocked V.16 Case 16: Osteitis Causing Inability to Open Wide V.17 Case 17: Lateral Pterygoid Spasm V.18 Case 18: Acute Exacerbation of TMD V.19 Case 19: Multiple Forms of Head and Neck Pain After Crown Insertion V.20 Case 20: Appliance That Positioned Condyles into Their “Proper Position” References Part VI Fundamentals of Clinical Studies VI.1 Prominent Clinical Study Designs VI.1.1 Case Report VI.1.2 Case Series Study VI.1.3 Cross-Sectional Study VI.1.4 Case-Control Study VI.1.5 Cohort Study VI.1.6 Nonrandomized Clinical Trial VI.1.7 Randomized Controlled Trial (RCT) VI.2 Other Types of Publications VI.2.1 Literature Reviews VI.2.2 Systematic Reviews VI.2.3 Meta-Analyses VI.2.4 Clinical Practice Guidelines VI.3 Considerations in Assessing Clinical Trials VI.4 Conclusions References Glossary Index EULA

Fully updated with the latest information in the field, this comprehensive book provides a practical guide to diagnosing and managing temporomandibular disorders in the dental practice. Written in an accessible, user-friendly style, it offers a simplified approach to the basic concepts and management decision points for the most commonly observed temporomandibular conditions, integrating the latest advances and advice throughout. Quick Consult, Focal Point, and Technical Tip boxes provide quick access to relevant information, and study results are summarized in graphs for ease of comprehension. 

Manual of Temporomandibular Disorders, Fourth Edition examines an array of medical and dental conditions that affect the temporomandibular joint (TMJ), masticatory muscles, and contiguous structures. It presents evidence-based, clinically practical information to help dentists diagnose TMD accurately, rule out disorders that mimic TMD, and provide effective therapy for most patients. 

Special features include:

• Frequently Asked Questions
• Quick Consults, Technical Tips, and Focal Points
• Information on disorders that mimic TMD and factors that warrant referral
• Extensive color photographs and line drawings
• A companion website providing helpful examples and patient handouts

Manual of Temporomandibular Disorders, Fourth Edition is a must-have how-to manual for general dentists, dental students, and residents involved in this area of practice.

"Manual of Temporomandibular Disorders, Fourth Edition provides a fully updated practical guide to diagnosing and treating temporomandibular disease in dental practice. Written with a user-friendly, accessible style, the book is grounded in the scientific literature but designed ease of use, with clinically oriented information. The book offers a simplified approach to the basic concepts and treatment decision points for temporomandibular conditions. This revised edition integrates the latest advances and advice for treating temporomandibular disorders in general practice. Quick Consult, Focal Point, and Technical Tip boxes provide fast access to relevant information, and study results are summarized in graphs for ease of comprehension. Targeted at general dentists, dental students, and residents, Manual of Temporomandibular Disorders, Fourth Edition is a must-have how-to manual for these common conditions"-- Provided by publisher "Manual of Temporomandibular Disorders, Fourth Edition provides a fully updated practical guide to diagnosing and treating temporomandibular disease in dental practice. Written with a user-friendly, accessible style, the book is grounded in the scientific literature but designed ease of use, with clinically oriented information. The book offers a simplified approach to the basic concepts and treatment decision points for temporomandibular conditions. This revised edition integrates the latest advances and advice for treating temporomandibular disorders in general practice. Quick Consult, Focal Point, and Technical Tip boxes provide fast access to relevant information, and study results are summarized in graphs for ease of comprehension. Targeted at general dentists, dental students, and residents, Manual of Temporomandibular Disorders, Fourth Edition is a must-have how-to manual for these common conditions" -- Prové de l'editor