PHTY301 Lecture Notes - Lecture 10: Auriculotemporal Nerve, Myalgia, Digastric Muscle
Document Summary
May indicate muscle spasm: any headaches, has the patient had any recent dental work, does the patient wear a dental plate, prosthesis, have they been prescribed a splint or oral appliance, any x-rays ?? (orthopantogram-opg, lateral head, c-spine) Physical examination: observation: posture (poke chin, head tilted) Posture of head and neck (poke chin) Vertical should be in thirds : hair line to bipupitalline, bipupitalline to nose, nose to chin. Class 1 occlusion = normal antero-posterior alignmemt of maxillary teeth to mandibular teeth. Class 2 malocclusion overbite of mandibular on maxillary. Class 3 malocclusion underbite of mandibular relative to maxillary. Any mal-occlusion -a major cause tmj disc problems: active rom (add op) Tmj check cervical arom should have full rom while keeping mouth closed. Flexion mandible moves up / anterior; posterior neck structures tight. Extension -mandible down and back; anterior neck structures tight. Tmj arom (move to pain or move to limit)
