NEET PG DENTAL EXAM

HEAD NECK

TEMPOROMANDIBULAR JOINT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A pt can only open her mouth to 30mm and has painful clicking and popping around that point. What does pt most likely have?
A
Disc displacement without reduction
B
Disc displacement with reduction
C
Either A or B
D
None of the above
Explanation: 

Detailed explanation-1: -Disc displacement with reduction (DDWR) is one of the most common intra-articular disorders of the temporomandibular joint (TMJ). Factors related to the etiology, progression and treatment of such condition is still a subject of discussion.

Detailed explanation-2: -Disk displacement with reduction typically manifests with clicking/popping and pain with jaw use (such as chewing). Disk displacement without reduction does not manifest with clicking/popping, but maximum jaw opening is limited to ≤ 30 mm. Surrounding tissues may become painfully inflamed (capsulitis).

Detailed explanation-3: -The anterior disc displacement without reduction is a benign and self-limiting condition. The first line of treatment is mandibular manipulation to recapture the displaced disc. If mandibular manipulation is successful, the patient should be provided with an occlusal appliance.

There is 1 question to complete.