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TMD Screening for Dental Professionals

The document is a TMD (Temporomandibular Disorder) screening form that collects information on the patient's pain disorders, functional TMD, occlusal disorders, and risk factors. It includes sections for assessing range of motion, imaging results, muscle pain, and joint pain, as well as a checklist for various symptoms and conditions. The form is designed to help healthcare professionals evaluate and diagnose TMD in patients.

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dentysta.praca2020
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23 views1 page

TMD Screening for Dental Professionals

The document is a TMD (Temporomandibular Disorder) screening form that collects information on the patient's pain disorders, functional TMD, occlusal disorders, and risk factors. It includes sections for assessing range of motion, imaging results, muscle pain, and joint pain, as well as a checklist for various symptoms and conditions. The form is designed to help healthcare professionals evaluate and diagnose TMD in patients.

Uploaded by

dentysta.praca2020
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TMD SCREENING

Full name: Date of birth:

Acceptable function 2. Functional TMD: 3. Functional occlusal disorders: 4. TMD risk factors:
Protective co-contraction/Spasm: Friction History of unsuccessful procedures
1. Pain disorders: ________________________ Constricted Chewing Pattern Chronic stress/PTSD
Local myalgia Hypermobility of the condyles Dysfunction Occlusal dysesthesia
Centrally Mediated myalgia Disc displacement: Parafunction
Myofascial pain with reduction Depression / Bulimia / Anorexia
Fibromyalgia with catching Drugs
Arthralgia (Joint pain) without reduction with limitation Neurologic disorders / Migraines
Headaches without reduction without limitation Low pain threshold / Chronic pain
Degenerative TMJ disease: Sleep apnea / GERD
Arthritis (acute) Hyperdivergent profile with small condyles
Arthrosis (chronic) Contact sports
Autoimmune diseases
Otolaryngologic disorders
Postural disorders
Female, 20-40 yr old

Range of motion* Imaging Apnea


Right Vertical Left Panoramic X-ray
________ _______ _______ Morphological TMJ disorder
pain / no pain pain / no pain pain / no pain
CBCT of TMJ
Erosion of cortical bone
Narrowing of the joint space
Right joint Left joint Big deviation from central position
Cliking Cliking MRI
early / late early / late Disc pathology class 1 class 2 class 3 class 4
crepitus crepitus _____________________________________
subluxation subluxation Effusion
Erosion of cortical bone STOP-BANG _ _ _ _ _ _ PNT

Protrusion Cephalometry
_______ 2 3 Skeletal disorder _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Narrow arches
pain / no pain Airway constriction Tongue scalloping
Systemic Hypermobility Cervical spine curvature disorder Confirmed sleep apnea
Yes No *draw deflection / deviation Cervical vertebae compression

Muscle pain Occlusal disorders Joint pain


Masseter
Temporalis:
• Right
Anterior Middle Posterior
• Left
Anterior Middle Posterior 1 2 3
Suboccipital Occlusal trauma: Acidic erosion:
Trapezius Primary GERD
Sternocleidomastoid Secondary Bulimia
Suprahyoid Diet
Lateral prerygoid area [intraoral] Linea alba Drugs No pain / Doubtful pain
Tendon of temporales [intraoral]
(+) Load test Atrittion: Right: 1 2 3
(+) Immobilization test In enamel In enamel and dentine
anterior / posterior anterior / posterior
Circle muscle causing referred pain Orthodontic disorders Left: 1 2 3
Is any pain familiar? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____________________________________

• TMD screening 1

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