Temporomandibular disorder - Revision history

Elcatracho: /* ManagementTsai V et al. Temporomandibular Joint Syndrome Treatment & Management. Jan 2018. https://emedicine.medscape.com/article/809598-treatment. */

2021-01-15T20:05:48Z

ManagementTsai V et al. Temporomandibular Joint Syndrome Treatment & Management. Jan 2018. https://emedicine.medscape.com/article/809598-treatment.

← Older revision		Revision as of 20:05, 15 January 2021
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	*[[Analgesia]]		*[[Analgesia]]
	**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled		**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled
	*Muscle relaxers		*Muscle relaxers - [[metaxalone]] and [[cyclobenzaprine]]<ref>Herman CR, Schiffman EL, Look JO, Rindal DB. The effectiveness of adding pharmacologic treatment with clonazepam or cyclobenzaprine to patient education and self-care for the treatment of jaw pain upon awakening: a randomized clinical trial. J Orofac Pain. 2002;16(1):64-70.</ref>
	*Small studies show treatment with [[amitriptyline]] to be effective compared to placebo<ref>Rizzatti-Barbosa CM, Nogueira MT, de Andrade ED, Ambrosano GM, de Barbosa JR. Clinical evaluation of amitriptyline for the control of chronic pain caused by temporomandibular joint disorders. Cranio. 2003;21(3):221-225. doi:10.1080/08869634.2003.11746254</ref>		*Small studies show treatment with [[amitriptyline]] to be effective compared to placebo<ref>Rizzatti-Barbosa CM, Nogueira MT, de Andrade ED, Ambrosano GM, de Barbosa JR. Clinical evaluation of amitriptyline for the control of chronic pain caused by temporomandibular joint disorders. Cranio. 2003;21(3):221-225. doi:10.1080/08869634.2003.11746254</ref>
	**Dose used was 25mg/day for 14 days		**Dose used was 25mg/day for 14 days

2021-01-15T20:04:17Z

ManagementTsai V et al. Temporomandibular Joint Syndrome Treatment & Management. Jan 2018. https://emedicine.medscape.com/article/809598-treatment.

← Older revision		Revision as of 20:04, 15 January 2021
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	**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled		**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled
	*Muscle relaxers		*Muscle relaxers
			*Small studies show treatment with [[amitriptyline]] to be effective compared to placebo<ref>Rizzatti-Barbosa CM, Nogueira MT, de Andrade ED, Ambrosano GM, de Barbosa JR. Clinical evaluation of amitriptyline for the control of chronic pain caused by temporomandibular joint disorders. Cranio. 2003;21(3):221-225. doi:10.1080/08869634.2003.11746254</ref>
			**Dose used was 25mg/day for 14 days
	*Soft-food diet during acute episodes		*Soft-food diet during acute episodes
	*Moist heat, massage of masticatory muscles		*Moist heat, massage of masticatory muscles

2019-09-24T17:46:42Z

← Older revision		Revision as of 17:46, 24 September 2019
Line 6:		Line 6:
	*Jaw pain		*Jaw pain
	*Popping/clicking of jaw		*Popping/clicking of jaw
	*Ear pain/popping		*[[Earache\|Ear pain]]/popping
	*[[Headache]]		*[[Headache]]
	*Intermittent locking of the jaw		*Intermittent locking of the jaw
Line 23:		Line 23:

	==Management<ref>Tsai V et al. Temporomandibular Joint Syndrome Treatment & Management. Jan 2018. https://emedicine.medscape.com/article/809598-treatment.</ref>==		==Management<ref>Tsai V et al. Temporomandibular Joint Syndrome Treatment & Management. Jan 2018. https://emedicine.medscape.com/article/809598-treatment.</ref>==
	*Analgesia		*[[Analgesia]]
	**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled		**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled
	*Muscle relaxers		*Muscle relaxers

2019-02-24T11:42:32Z

← Older revision	Revision as of 11:42, 24 February 2019
(No difference)

2018-10-17T04:20:54Z

Management

← Older revision		Revision as of 04:20, 17 October 2018
Line 22:		Line 22:
	*Consider imaging if history of trauma/facial trauma		*Consider imaging if history of trauma/facial trauma

	==Management==		==Management<ref>Tsai V et al. Temporomandibular Joint Syndrome Treatment & Management. Jan 2018. https://emedicine.medscape.com/article/809598-treatment.</ref>==
	*Analgesia		*Analgesia
	**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled		**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled
	*Muscle relaxers		*Muscle relaxers
	*Soft-food diet during acute episodes		*Soft-food diet during acute episodes
			*Moist heat, massage of masticatory muscles
	*Occlusal splints/bite blocks at night for bruxism		*Occlusal splints/bite blocks at night for bruxism

2018-10-17T04:19:36Z

Management

← Older revision		Revision as of 04:19, 17 October 2018
Line 24:		Line 24:
	==Management==		==Management==
	*Analgesia		*Analgesia
	**[[NSAIDs]] are first line, consider [[opioids]] if not well controlled		**[[NSAIDs]] are first line, consider very short term [[opioids]] if not well controlled
	*Muscle relaxers		*Muscle relaxers
	*Soft-food diet during acute episodes		*Soft-food diet during acute episodes

2018-10-17T04:19:08Z

Disposition

← Older revision		Revision as of 04:19, 17 October 2018
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	*Discharge		*Discharge
	*Follow up with dentist/primary care provider		*Follow up with dentist/primary care provider
			*50% of patients have improvement in 1 year, 85% in 3 years<ref>Guidelines for diagnosis and management of disorders involving the temporomandibular joint and related musculoskeletal structures. Cranio. 2003; 21(1):68-76.</ref>

	==See Also==		==See Also==

2018-10-17T04:17:44Z

Management

← Older revision		Revision as of 04:17, 17 October 2018
Line 25:		Line 25:
	*Analgesia		*Analgesia
	**[[NSAIDs]] are first line, consider [[opioids]] if not well controlled		**[[NSAIDs]] are first line, consider [[opioids]] if not well controlled
			*Muscle relaxers
			*Soft-food diet during acute episodes
	*Occlusal splints/bite blocks at night for bruxism		*Occlusal splints/bite blocks at night for bruxism

2018-10-15T17:20:04Z

Clinical Features

← Older revision		Revision as of 17:20, 15 October 2018
Line 8:		Line 8:
	*Ear pain/popping		*Ear pain/popping
	*[[Headache]]		*[[Headache]]
	*~~intermittent~~ locking of the jaw		*Intermittent locking of the jaw

	==Differential Diagnosis==		==Differential Diagnosis==

2016-12-11T02:30:37Z

Clinical Features

← Older revision		Revision as of 02:30, 11 December 2016
Line 6:		Line 6:
	*Jaw pain		*Jaw pain
	*Popping/clicking of jaw		*Popping/clicking of jaw
	*[[Ear pain]]/popping		*Ear pain/popping
	*[[Headache]]		*[[Headache]]
	*intermittent locking of the jaw		*intermittent locking of the jaw