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Management of Temporomandibular Disorders and Occlusion - E-Book

Management of Temporomandibular Disorders and Occlusion - E-Book

Jeffrey P. Okeson

(2014)

Additional Information

Book Details

Abstract

Covering both new and proven techniques in this rapidly changing field, this classic text helps you provide solutions to many common occlusal and TMD problems. Clear descriptions and a new full-color design promote a complete understanding of normal, abnormal, and dysfunctional occlusal relationships and masticatory function and dysfunction. With its conservative, cost-effective approach, this book shows you how to achieve treatment goals while keeping your patients' best interests in mind.

  • Solid foundation of the anatomical, physiological, and biomechanical aspects of the masticatory system gives you the basic foundation for clinical use.
  • Detailed how-to information on clinical examination, data gathering, and differential diagnosis for temporomandibular disorders helps you learn to correctly plan treatment.
  • Clinical Comment boxes give you critical thinking points and instructions on how to apply these to everyday clinical practice.
  • NEW! Robust Q-website features an image library, case studies, and NBDE-style questions.
  • NEW! Full-color design offers more vivid clinical photos, illustrations, and information.
  • NEW! Major revisions to Part II with specific detail to Etiology provides more up-to-date information on this critical area.
  • NEW! Patient education sheets include the most common TMDs.
  • NEW! Updated treatment algorithms are included for each TMD.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC
Management of Temporomandibular Disorders and Occlusion\r i
Copyright\r ii
Dedication\r iii
About the Author\r iv
Preface v
Table of Contents\r vii
New to this Edition \r viii
Part I - FUNCTIONAL ANATOMY 1
Chapter 1 - Functional Anatomy and Biomechanics of the Masticatory System\r 2
Functional Anatomy 2
Biomechanics of the Temporomandibular Joint 15
REFERENCES 19
Chapter 2 - Functional Neuroanatomy and Physiology of the Masticatory System\r 21
Anatomy and Function of the Neuromuscular System 21
Major Functions of the Masticatory System 30
Considerations of Orofacial Pain 36
SUGGESTED READINGS 43
REFERENCES 43
Chapter\r3 - Alignment and Occlusion of the Dentition 46
Factors and Forces Determining Tooth Position 46
Intra-Arch Tooth Alignment 47
Interarch Tooth Alignment 50
SUGGESTED READING\r 61
REFERENCES 61
Chapter\r4 - Mechanics of Mandibular Movement 62
Types of Movements 62
Single-Plane Border Movements 62
Envelope of Motion 71
SUGGESTED READING 71
REFERENCES 72
Chapter\r5 - Criteria for Optimum Functional Occlusion 73
History of the Study of Occlusion 73
Criteria for the Optimal Functional Occlusion 73
REFERENCES 84
Chapter\r6 - Determinants of Occlusal Morphology 86
Posterior Controlling Factors (Condylar Guidance) 86
Anterior Controlling Factors (Anterior Guidance) 86
Understanding the Controlling Factors 86
Vertical Determinants of Occlusal Morphology 88
Horizontal Determinants of Occlusal Morphology 94
Relationship between Anterior and Posterior Controlling Factors 97
REFERENCES 99
Part II - ETIOLOGY AND IDENTIFICATION OF FUNCTIONAL DISTURBANCES IN THE MASTICATORY SYSTEM 101
Chapter\r7 - Etiology of Functional Disturbances in the Masticatory System 102
Terminology 102
History of Temporomandibular Disorders 102
Epidemiologic Studies of Temporomandibular Disorders 103
Etiologic Considerations in Temporomandibular Disorders 107
Summary 122
REFERENCES 122
Chapter\r8 - Signs and Symptoms of Temporomandibular Disorders 129
Functional Disorders of the Muscles 129
A Clinical Model of Masticatory Muscle Pain 130
Functional Disorders of the Temporomandibular Joints 136
Functional Disorders of the Dentition 155
Other Signs and Symptoms Associated with Temporomandibular Disorders 158
REFERENCES 160
Chapter\r9 - History of and Examination for Temporomandibular Disorders 170
Screening History and Examination 170
History Taking for Temporomandibular Disorders 171
Clinical Examination 174
Examination of the Temporomandibular Joint 185
References 217
Chapter 10 - Diagnosis of Temporomandibular Disorders\r 222
Diagnosing Pain Disorders 222
Diagnostic Analgesic Blocking 225
Keys to Making a Differential Diagnosis 229
Classification of Temporomandibular Disorders 233
Summary 253
REFERENCES 253
Part III - TREATMENT OF FUNCTIONAL DISTURBANCES OF THE MASTICATORY SYSTEM 257
Chapter\r11 - General Considerations in the Treatment of Temporomandibular Disorders 258
Interrelationships of Various Temporomandibular Disorders 258
Treatment of Temporomandibular Disorders 258
The Concept of Physical Self-Regulation 279
REFERENCES 281
Chapter\r12 - Treatment of Masticatory Muscle Disorders 291
Protective Co-contraction (Muscle Splinting) 291
Local Muscle Soreness (Noninflammatory Myalgia) 292
Myospasms (Tonic Contraction Myalgia) 296
Myofascial Pain (Trigger-Point Myalgia) 297
Centrally Mediated Myalgia (Chronic Myositis) 300
Fibromyalgia (Fibrositis) 303
Centrally Generated Motor Disorders 305
REFERENCES 311
Chapter\r13 - Treatment of Temporomandibular Joint Disorders 317
Derangements of the Condyle-Disc Complex 317
Structural Incompatibility of the Articular Surfaces 329
Inflammatory Disorders of the Temporomandibular Joint 336
General Considerations in Treating Acute Trauma to the Temporomandibular Joint 348
REFERENCES 354
Chapter 14 - Treatment of Chronic Mandibular Hypomobility and Growth Disorders\r 362
Chronic Mandibular Hypomobility 362
Growth Disorders 367
REFERENCES 373
Chapter\r15 - Occlusal Appliance Therapy 375
General Considerations 375
Types of Occlusal Appliances 375
Common Treatment Considerations of Appliance Therapy 395
REFERENCES 396
Chapter\r16 - Treatment Sequencing 399
Part IV - OCCLUSAL THERAPY 421
Chapter\r17 - General Considerations in Occlusal Therapy 422
Treatment of Temporomandibular Disorders 422
Treatment Goals for Occlusal Therapy 423
Treatment Planning for Occlusal Therapy 424
Factors That Influence Treatment Planning 427
Prioritizing the Factors 429
REFERENCES 429
Chapter\r18 - Use of Articulators in Occlusal Therapy 430
Uses of the Articulator 430
General Types of Articulators 433
Selection of an Articulator 442
Chapter\r19 - Selective Grinding 443
Indications 443
Predicting the Outcome of Selective Grinding 443
Important Considerations in Selective Grinding 445
Treatment Goals of Selective Grinding 445
Partial Selective Grinding 455
REFERENCE 456
Chapter 20 - Restorative Considerations in Occlusal Therapy\r 457
Operative Considerations in Occlusal Therapy 457
Fixed Prosthodontic Considerations in Occlusal Therapy 459
REFERENCE 468
Index\r 469