Discussion: The Temporomandibular Joint Examination

YOu need to answer the questions 1-3. I have written under each question what you should write and copied an dpastes some stuff from my book. All you need to do is write it in your own words.
1. Discuss the steps of your TMJ evaluation.
(In order to check the TMJ evaluation we do that when we do the extra oral examination. We make sure the tmj doestn make any clicking sounds or moves any where that it shouldnt.
2. Find a family member or friend who has issues with TMD. What has their DDS or RDH recommended to help treat the symptoms they experience. Do you think these recommendations are appropriate? Would you make any additional recommendations to this family member or friend? (If you cannot find someone with TMD, discuss the treatment options associated with this condition)
( You can write that one of my family members has Inflammatory: rheumatoid arthritis)
( From the book-Arthritis is defined as inflammation of a joint and is classified as either osteoarthritis or rheumatoid arthritis. Osteoarthritis, also referred to as degenerative joint disease, is the most common disease affecting the TMJ. Dysfunctional articular remodeling, due to either decreased adaptive capacity of the articulating structures or excessive or sustained physical stress that exceeds the normal adaptive capacity, leads to degenerative changes. Although it may be associated with disk displacement or disk perforation, the precise relationship is unclear. It may be clinically silent, and progression cannot be reliably determined. Patients may have pain symptoms that are worse in the evening, as well as limited opening, muscle splinting, and crepitus of the TMJ. Rheumatoid arthritis is an inflammatory autoimmune disorder of the joints. Approximately 50% to 75% of patients with rheumatoid arthritis have involvement of the TMJ during the course of the disease. In rheumatoid arthritis, patients may complain of pain that is worse in the morning, limited opening, occlusal changes, and preauricular edema and tenderness. Intraarticular corticosteroid injections have been reported to improve pain and other symptoms for children with juvenile idiopathic arthritis.
3. Pick one of the pain disorders discussed in chapter 10 (other than TMD) and discuss the etiology, signs, symptoms, and dental hygiene management considerations.
( you can talk about - Neoplasia
Tumors arising in the TMJ are rare. The most common benign tumors that arise in the condyle include the osteochondroma (Fig. 10.9), osteoblastoma, chondroblastoma, and osteoma. Synovial chondromatosis is the most common benign neoplasm of the synovium and is characterized by the development of metaplastic, highly cellular, cartilaginous foci in the synovial membrane that results in degenerative changes consistent with osteoarthritis, and by swelling, pain, and limitation of movement. Radiographic findings are variable and may include loose radiopaque bodies in the TMJ, degenerative changes of the articular surfaces, and variable widening or loss of joint space. Osteosarcoma (see Chapter 7) is one of the most frequently occurring malignant bone tumors. Approximately 6% to 8% of all osteosarcomas occur in the jaws. It is unusual for osteosarcoma to originate in the TMJ.)