Temporomandibular disorder (TMD) is a diagnosis that is characterized by pain, clicking and/or crepitations in the temporomandibular joints that may or may not include limited mandibular mobility and tenderness of the preauricular and/or muscles of mastication. (5 p. 54) The cause of TMD can be attributed to a myriad of factors that fall within the realm of physiological or psychosocial etiologies. Often times, patients will experience symptoms of TMD due to “malocclusion and occlusional interference, alterations in the masticatory muscles, direct trauma to the jaw or [temporomandibular joint], microtrauma caused by continuous parafunctional habits or alterations secondary to stress.” (1 p. 15) Though TMD was mostly attributed to physiological …show more content…
‘A Collaborative Approach Between Chiropractic and Dentistry to Address Temporomandibular Dysfunction’ by Rubis, Rubis and Winchester found in the Journal of Chiropractic Medicine is a case report that discusses the comanagement of a patient with TMD. In this case, a patient presented with typical symptomology of TMD: headaches; jaw, neck and shoulder pain along with clicking in the TMJ. Treatment by the chiropractor included: pelvic adjustments to correct their pelvic unleveling, thoracic and cervical spine adjustments to address the patient’s shoulder and neck pain. The patient also received manual therapy of their left TMJ where the chiropractor gapped the joint then proceeded to adjust the mandible to reposition the disc as well as myofascial release of the lateral pterygoid muscle. Comanagement by the dentist included a repositioning and night time splint for anterior repositioning of the mandible. After being treated three times per week for six weeks, the patient reported they no longer experience pain or clicking of their TMJ as well as no headaches or neck pain. This case report illustrated that dental and chiropractic comanagement was beneficial for short term treatment and pain resolution for this …show more content…
Anti-depressants may also be an alternative for those suffering from tension headaches or depression. The psychosocial aspect of TMD should be addressed with patients as their lifestyle may contribute to stress that can cause them to clench or grind their teeth. Bruxism is a cause of tension type headaches and reducing stress by means of counseling or anti-depressants may reduce stress and in turn they may no longer clenching and grinding contributing to their TMD. Treating anxiety and depression does not necessarily need to involve pharmaceuticals but perhaps cognitive behavioral therapy can help the patient address the main causes of stress and learn how to manage their lifestyle. Romeo-Reyes and Uyanik state that “patients have reported feeling less pain immediately after their initial patient education/counseling visit, perhaps as a consequence of an immediate reduction in stress/tension-related parafunctional activity.” (8 p.
Tics are the most common symptom of Tourette syndrome. A tic is an involuntary, repetitive movement of muscles usually in the face, neck, shoulders, trunk and hands (Diane, 2011, p.662). Symptoms of Tourette syndrome is often first noticed during childhood, between ages 7 and 10. Most children with Tourette syndrome also have other medical problems such as ADHD and OCD Tourette syndrome exhibit multiple behavioral symptoms including ADHD and OCD, which, like Tourette syndrome, are clinically diagnosed without testing (Chiu, 2013, p.406). According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, motor and vocal tics are classified as simple or complex (Diane, 2011, p.663). Simple motor tics include eye blinking, neck jerking, shoulder shrugging, head banging, head turning, tongue protrusion, nail biting, hair pulling, and facial grimacing (Diane, 2011, p.663). Some examples of complex motor tics are facial gestures, grooming behaviors, hitting or biting oneself, jumping, hopping, touching, squatting, retracing steps, smelling an object, and imitating the movements of ...
Dental assistants can also end up with tension neck syndrome also known as (TNS). It results in pain stiffness and tenderness in the neck. With this the symptoms may not always be in the neck. It can occur between the shoulder blades down the arms or up to the base of the skull. Headaches are one of the main symptoms with TNS. The occupation with dentistry, where forward head and shoulders postures are common, predispose workers to a muscle imbalance that contributes to TNS. The imbalances develop between the neck and shoulder muscles that stabilize, and the ones that move.
Journal of chiropractic medicine. Volume 11, Issue 1:58-63. Papa J. 2012. The. Conservative management of lumbar compression fracture in an osteoporotic patient: a case report.
Some FM patients use pharmacologic and non-pharmacologic methods to help reduce symptoms, but the most used strategies out of 31 were resting, distraction,
“The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease” by Thomas A. Edison. Chiropractors use hands-on spinal manipulation and other alternative treatments on the spine which will enable the body to heal itself without surgery or medication. Chiropractic care began in 1895 when its founder, Daniel David Palmer, claimed any and all diseases could be healed by nothing more than just his hands. Dr. Palmer examined a janitor who was deaf for 17 years after the janitor felt his back was out of place, so Dr. Palmer gave an adjustment to what was felt to be a misplaced vertebra in the upper back. The janitor then observed that his hearing improved thanks to Dr. Palmer. Chiropractors use manipulation to restore mobility to joints restricted by tissue injury caused by sitting without proper back support. Chiropractic is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons. About 22 million Americans visit chiropractors annually
The word “chiropractor” has two word origins, the Greek words cheir and praxis; meanwhile, cheir means “hand” and praxis means “practice.” Also, most of the work that chiropractors do is done by hand (Pike para. 5). In 2002, going to a chiropractor was found to be the most commonly used program for therapy. Seventy-four percent, about 4 million, of people that had back pain went to a chiropractor to get treated. Among that 74 percent of people, 66 percent of them stated that they got “a great benefit” (Pike para. 9). Many chiropractors work full time but 1 out of 3 chiropractors work part time. Chiropractors work whenever their patients need them, even on w...
Zhang Y, Wang X. (1994). 56 cases of disturbance in small articulations of the lumbar vertebrae treated by puncturing the effective points- a new system of acupunctue.Journal of Traditional Chinese Medicine, 14(2), 115-20.
(Tacoma, WA) According to the National Institute of Dental and Craniofacial Research, between five and 12 percent of the population suffers from a condition known as TMJD or temporomandibular joint and muscle disease. Young children are more likely to be affected as are women. Pain is often reported with TMJD as is popping noises when the joint is moved. Patients also frequently report they have trouble chewing and sensitive teeth tend to be an issue. Thankfully, a Tacoma dentist can be of
Balta, D. M. D. (2009). The TMJ: How can Such a Small Joint Cause so Much Trouble?, [Online]. Available: http://www.drbalta.com/tmj.htm [11/12/14].
To diagnose the main cause of TJ pain, history, physical examination, laboratory tests, and imaging studies must be
Tourette's syndrome is a hereditary movement disorder. Its symptoms are by multiple motor and vocal tics (repeated muscle contractions). It is during the childhood and adolescence in which Tourette’s syndrome and its symptoms develop, usually between the ages...
Kaldahl WB, Kalkwarf KL, Patil KD, Molvar MP, Dyer JK (February 1996). "Long-term evaluation of periodontal therapy: II. Incidence of sites breaking down". J. Periodontol. 67 (2): 103–8. doi:10.1902/jop.1996.67.2.103. PMID 8667129
through the Eyes of a Participant Observer." Chiropractic & Manual Therapies. Vol. 20, No. 1, 19 Jan. 2012, p. 1. EBSCOhost. 2017 October 25.
Temporomandibular disorders (TMD) are a group of clinical conditions that commonly present with the following symptoms: pain in or about jaw joint, with, or without the relating masticatory muscle pain; and/or limited jaw movements with, or without the accompanying joint sounds. Literature review has revealed that TMD is the most prevalent chronic pain condition in the orofacial region, with estimated 5% to 10% of the general population seeking orofacial pain relief. Given TMD can negatively impact one’s work, family life, and social engagement, as well as nutritional deficiencies secondary to the compromised masticatory function, understanding of its etiology and pathophysiology is paramount in formulating effective pain management and functional
Is to improve and design the chin or lower jaw. This surgery is often performed to repair abnormal bone abnormalities, asymmetry in the jaw structure, speech or chewing problems due to osteoarthritis of the TMJ (the joint responsible for closing the jaws and chewing), or as part of cosmetic repair For the chin due to the lack of consistency between it and the face shape and others.