Manual of Temporomandibular Disorders with CD-ROM

Manual of Temporomandibular Disorders, Second Edition is a four-color, softcover handbook of information on temporomandibular disorders, an array of medical and dental conditions that affect the temporomandibular joint (TMJ), masticatory muscles, and contiguous structures. The book provides evidence-based, clinically practical information that allows dentists to diagnose TMD accurately, rule out disorders that mimic TMD (that is, make a differential diagnosis), and provide effective therapy for most patients. This book offers comprehensive coverage in a compact package. The book's tone is conversational, with a focus on solving TMD problems at chairside. The author's crisp, engaging writing style allows the clinician to find precise answers quickly, without wading through a morass of detail.
Features include:
Includes Frequently Asked Questions
Features Quick Consults, Technical Tips and Focal Points
Covers disorders that mimic TMD and identifies factors which warrant referral
Extensive color photographs and line drawings
A CD accompanying the book contains
Recommended patient questionnaire and educational handouts (editable with Microsoft Word)
A 635-slide TMD course presentation (editable with PowerPoint) and accompanying student manual (editable with Microsoft Word)

Edward F. Wright, DDS, MS, MAGD, is an associate professor at the University of Texas Health Science Center-San Antonio (UTHSCSA). He completed a one-year general dentistry residency and the University of Minnesota's two-year TMJ and Craniofacial Pain Fellowship. He taught TMD diagnosis and treatment to more than 100 U.S. Air Force residents in general dentistry, orthodontics, periodontics, and prosthodontics. Upon retiring from the Armed Forces, he completed a two-year research fellowship in TMD diagnosis and treatment at the South Texas Veterans Health Care System and taught TMD diagnosis and treatment to their general dentistry residents. He is now UTHSCSA's Course Director for their predoctoral dental students' TMD Course and Dental Anatomy and Occlusion Course, and Module Director for their stabilization appliance rotation. Dr. Wright is the primary author of over 25 journal articles.

"This updated text is essential for any GDP or hospital practitioner. . . it contains insightful coverage, with both text and figures easily absorbed and at incredible value for money". (British Dental Journal, 25 September 2010)
"The strength of this book is in the clinical detail presented in its discussion of differential diagnosis, occlusal appliance therapy and the multidisciplinary treatment approach. The personal way in which this book was written gives the interested clinician a bird's eye view of the thinking of an experienced orofacial pain practitioner in making diagnoses and constructing reasonable treatment plans. The review of the many different types of appliances including configurations, materials, techniques and lab instructions is as comprehensive a clinical discussion as I have seen in one place. Part 4, the discussion of multidisciplinary treatment also provides lots of practical information for the clinician and really frames the discussion in an easy to understand clinical way without getting lost in the description of clinical trials and research. Dr. Wright's use of case reports in section 5 helps cement the points he makes in earlier chapters. His inclusion of appendices with diagrams, forms, and instructions and the editable files on the CD gives the clinician a windfall of material from which to draw from to create printed documents and PowerPoint presentations for patient education and for potential referring doctors. To my knowledge, it is unprecedented for an author to provide his personal lecture slides (in an editable format no less) with the purchase of the book."
(AAOP E-News, Summer 2010)
"Dr. Wright's Manual of Temporomandiblar Disorders will be a valuable addition to the library of those who treat TMD patients and institutional libraries as well." (Oral Surg Oral Med Oral Pathol Oral Radiol Endod, August 2010)

Preface
Introduction
Part I. Initial Evaluation
Chapter 1. Patient Interview
Chapter 2. Review of the “Initial Patient Questionnaire”
Chapter 3. Clinical Examination
Range of Motion
TMJ Noise
TMD Palpations
Intraoral Examination
Occlusal Changes
TMD Pain Caused by a Tooth
Tooth Pain without Local Pathology
Additional Evaluations
Chapter 4. Imaging
Plain Radiographs
Panoramic Radiograph
Axially Corrected Sagittal Tomography
Computed Tomography
Cone Beam Computed Tomography
Magnetic Resonance Imaging
Arthrography
High-Resolution Ultrasound
Imaging Strategies
Imaging Recommendations
Chapter 5. TMD Diagnostic Categories
TMJ Articular Disorders
Disc Displacement Disorders
Dislocation (Also Known as Subluxation)
Inflammatory Disorders
Osteoarthritis
Ankylosis
Fracture
Congenital or Developmental Disorders
Masticatory Muscle Disorders
Myofascial Pain
Myositis
Myospasm
Myofibrotic Contracture
Centrally Mediated Myalgia
Local Myalgia
Neoplasia
Chapter 6. Contributing Factors
Part II. Common Acute TMD Conditions and Treatments
Chapter 7. TMD Secondary to Trauma
Chapter 8. TMD Secondary to Dental Treatment
Preventing Aggravation from Dental Treatment
Medial Pterygoid Muscle Pain
Inability to Close into Maximum Intercuspation
Occlusal Interference Sequelae
Obstructive Sleep Apnea Appliances
Chapter 9. Lateral Pterygoid Myospasm
Chapter 10. Acute TMJ Disc Displacement without Reduction
Chapter 11. TMJ Dislocation
Part III. Occlusal Appliance Therapy
Chapter 12. Stabilization Appliance
Mandibular Positions and Interocclusal Record
Physical Variables
Full or Partial Coverage
Maxillary or Mandibular
Hard, Intermediate, or Soft Material
Thick or Thin
Appliance or Wire Retention
Summary of Physical Variables
Appliance Adjustments
Internal Adjustments
Internal Reline
External Adjustments
External Reline
Appliance Repair
Appliance Examples
Pressure-Cured Mandibular Acrylic Stabilization Appliance
Maxillary Acrylic Stabilization Appliance
Hard Thermoplastic Stabilization Appliance
Impak Stabilization Appliance
Dual Laminate Thermoplastic Stabilization Appliance
Soft Thermoplastic Stabilization Appliance
Appliance Management
Chapter 13. Anterior Positioning Appliance
Mandibular Position and Interocclusal Record
Design and Adjustments
Appliance Management
Part IV. Multidisciplinary Treatment Approach
Chapter 14. Self-Management Therapy
Self-Management Instructions
Closure Muscle-Stretching Exercise
Lateral Pterygoid Muscle-Stretching Exercise
Posture Exercises
Breaking Daytime Habits
Chapter 15. Physical Medicine
Muscle Massage
Yoga
Trigger-Point Compression
Trigger-Point Injection
Physical Therapy
Acupuncture
Chiropractics
Magnetic Therapy
Chapter 16. Cognitive-Behavioral Intervention
Breaking Daytime Habits
Relaxation
Hypnotherapy
Biofeedback
Stress Management
Chapter 17. Pharmacological Management
Analgesics
Anti-inflammatory Medications
Nonsteroidal Anti-inflammatory Drugs (Ingested Form)
Steroidal Anti-inflammatory Drugs
Muscle Relaxants
Tricyclic Antidepressants
Topical Medications
Nutritional Supplements
Chapter 18. Other Dental Procedures
Occlusal Equilibration
Orthodontic-Orthognathic Therapy
Prosthodontic Therapy
TMJ Surgery and TMJ Implants
Chapter 19. Integrating Multidisciplinary Therapies
Treatment Summaries and Clinical Implications
Occlusal Appliances
Self-Management Therapy
Lateral Pterygoid Muscle-Stretching Exercise
Closure Muscle-Stretching Exercise
Posture Exercises
Massage and Trigger-Point Compression
Yoga
Trigger-Point Injections
Physical Therapy
Acupuncture
Chiropractics
Magnetic Therapy
Breaking Daytime Parafunctional, Muscle-Tightening, or Fatiguing Habits
Relaxation
Hypnotherapy
Biofeedback with Relaxation
Stress Management
Pharmacological Management
Occlusal Therapy
TMJ Surgery
Integrating Conservative Therapies
TMD Refractory to Initial Therapy
Long-Term Management
Part V. Case Scenarios
Case 1: Pulpal Pathosis Mimicking TMD Symptoms
Case 2: Chronic Sinusitis
Case 3: Chronic Forehead Pain Referred from the Neck
Case 4: Myofascial Pain Secondary to Nocturnal Parafunctional Habits
Case 5: Tooth Attrition—No Pain
Case 6: Myofascial Pain Secondary to Daytime Parafunctional Habits
Case 7: Medial Pterygoid Myospasm
Case 8: Tense, Depressed, and Poor Sleep as Contributing Factors
Case 9: Fibromyalgia as a Contributing Factor
Case 10: TMJ Disc Displacements and When to Treat It—No Pain
Case 11: TMJ Inflammation
Case 12: Intermittent Acute TMJ Disc Displacement without Reduction
Case 13: Acute TMJ Disc Displacement without Reduction—Unlocked
Case 14: Acute TMJ Disc Displacement without Reduction—Not Unlocked
Case 15: Osteitis Causing Inability to Open Wide
Case 16: Lateral Pterygoid Myospasm
Case 17: Acute Exacerbation of TMD
Case 18: Multiple Forms of Head and Neck Pain after Crown Insertion
Case 19: Appliance that Positioned Condyles into Their “Proper Position,”
Part VI. Fundamentals of Clinical Studies
Designs of and Advice for Performing Clinical Studies
Literature Review
Study Population
Institutional Review Board (IRB) Approval
Developing Study’s Parameters
Strengthening Study
Writing and Submitting Manuscript
Practice-Based Research
Prominent Clinical Study Designs
Case Report
Case Series Study
Cross-Sectional Study
Case-Control Study
Cohort Study
Nonrandomized Clinical Trial
Randomized Controlled Trial
Parallel-Group Randomized Clinical Trials
Cross-Over Randomized Clinical Trials
Other Types of Publications You May Want to Consider
Literature Reviews
Meta-analyses
Systematic Reviews
Considerations in Assessing Clinical Trials
Conclusions
Appendices
1. Referral Criteria for Hygienists
2. Initial Patient Questionnaire
3. TMJ Disc Displacements
4. TMD Self-Management Therapies
5. Occlusal Appliance Care Instructions
6. Closure Muscle-Stretching Exercise
7. Posture Improvement Exercises
8. Laboratory Occlusal Appliance Instructions
9. Example of Dental Record Entries
10. Examples of Physical Therapy Consultations
11. Examples of Psychology Consultations
12. Working with Insurance Companies
13. Sources for Additional TMD Information
Glossary
Index
Files on Accompanying CD
Appendices
Referral Criteria for Hygienists.doc
Initial Patient Questionnaire.doc
TMJ Disc Displacements.doc
TMD Self-Management Therapies.doc
Occlusal Appliance Care Instructions.doc
Closure Muscle-Stretching Exercise.doc
Posture Improvement Exercises.doc
Laboratory Occlusal Appliance Instructions.doc
Example of Dental Record Entries.doc
Examples of Physical Therapy Consultations.doc
Examples of Psychology Consultations.doc
Working with Insurance Companies.doc
Sources for Additional TMD Information.doc
Appendices in Spanish
Appendix 2 in Spanish.doc (Initial Patient Questionnaire)
Appendix 4 in Spanish.doc (TMD Self-Management Therapies)
Appendix 5 in Spanish.doc (Occlusal Appliance Care Instructions)
Appendix 6 in Spanish.doc (Closure Muscle-Stretching Exercise)
TMD Course Material
Part I.ppt
Part II.ppt
Part III.ppt
Part IV.ppt
Part V.ppt
TMD Course Manual.doc