第7章_ 颞下颌关节紊乱病（英文）课件.ppt

TEMPOROMANDIBULAR DISORDERS; American Dental Association, 1983 defined TMD as a group of orofacial disorders characterized by: Pain in the preauricular area, TMJ, or muscles of mastication Limitations/deviations in mandibular range of motion TMJ sounds during jaw function 1990Y Craniomandibular Disorders(CMD);Epidemiology of TMD;Anatomy of TMJ;Multi-axis multi-direction ?;Coronal plane view: the relationship of disc condyle node in COP;Etiology of TMD;Occlusal factor:;Lateral occlusal interfere;;Occlusal factor;Occlusal factor;Anterior teeth lingual tipping deep overbite;Occlusal factor ;Occlusal factor;More higher vertical distance with more tenser muscles;More lower in interarch distance－－serious teeth wear;Occlusal factors;Predisposing factors Initiation factors Perpetuating factor;Pain TMJ sounds Limitations in mandibular range Others; Muscle derived pain Articular derived pain;Displacement of disc Recoverablity disc dislocation Unrecoverability disc dislocation;Antiorer diplacement of disc;Antiorer diplacement of disc;TMJ sounds;TMJ sounds;Hyperosteogeny disc perforation Synovium lesions;Opening limitation Abnormal opening;Tension type headache Migraine Others;Clinical examination of TMD;Opening patterns Straight Deviation (right left) Corrected deviation Others;Opening patten Straight Deviation (right left) Corrected deviation Others;Clinical examination of TMD;Clinical examination of TMD;Clinical examination of TMD;;患者自身条件评价（patient assessment of condition)：chief complaints; treatment history expectation 行为状态评价(behavioral status)：jaw disability; parafunctional behaviors; general health behaviors 心理评价(psychological status)：depression; anxiety; somatization（精神状态的躯体表现） 社会心理评价(psychosocial status) ：pain-related interference with daily life, pain intensity and persistence, social support;Treatment of TMD;Relaxation splint; Stabilization splint;Repositioning splint ;;Treatment of TMD;Thanks ;下颌运动轴心 ?; ┌─→ CNS ←─┐ │