A quick, systematic and logical approach to diagnosing and treating temporomandibular disorders (TMD), this latest book in the Dental Update series is an essential clinical companion for dental students and practising dentists. Starting with an overview of the basic principles of TMD, such as the anatomy of the temporomandibular joint and its physiology and pathology in relation to clinical treatment, the book goes on to present the realities of managing patients, using a case-based approach to help readers understand and engage with the information. Each later chapter presents a different problem in the form of a case study, and each study features a systematic approach to aid learning. Temporomandibular Disorders: A Problem-Based Approach promotes learning as a dynamic process of active involvement. It encourages valuation by self-assessment with questions at the end of the book, and a unique link to an online interactive quiz where readers can test their knowledge of TMD. The final chapters include practical guides of how to make splints and samples of patient information sheets that can be used as templates. The book is illustrated in full colour, with helpful clinical images and diagrams. KEY FEATURES Uses a case-based approach to promote effective management of TMD Covers basic scientific background as well as clinical scenarios Addresses not only ‘why’ but also ‘how’ with a highly practical focus Includes a unique link to an online interactive quiz (visit www.wiley.com/go/gray) Contains many full colour clinical images and diagrams

Table of Contents:
Preface ix Acknowledgements x 1 About the Book 1 About temporomandibular disorders: what is a ‘TMD’? 1 2 Clinical Aspects of Anatomy, Function, Pathology and Classification 6 The joint anatomy, histology, structure, capsule, synovial membrane and fluid, ligaments 6 The intra-articular disc (meniscus) 10 The bones of the temporomandibular joint 13 Mandibular (jaw/masticatory) muscles 14 Classification and Pathology 24 Further reading 28 3 Articulatory System Examination 29 Examination of the temporomandibular joints 29 Mandibular (masticatory) muscle tenderness 35 Signs of bruxism 39 Further reading 46 4 I’ve Got ‘TMJ’! 47 History 47 Examination 48 Special tests 50 Differential diagnosis 50 Management 51 Further reading 56 5 I’ve Got a Clicking Joint 57 History 57 Examination 58 Other special tests 60 Treatment 66 The patient journey 71 Further reading 72 6 I’ve Got a Locking Joint 74 History 74 Examination 75 Diagnosis 76 Treatment 77 TMJ locking 78 Further reading 80 7 I’ve Got a Grating Joint 81 Examination 81 Diagnosis 82 Treatment 82 Final treatment plan 85 Further reading 88 8 You’ve Changed My Bite 89 History 89 Examination 92 Treatment 92 Discussion 93 Further reading 97 9 I’ve Got Pain in My Face 98 History 98 Examination 99 Differential diagnosis 100 Treatment 103 Questions to ask patients regarding pain in general 104 Further reading 105 10 I’ve Got a Dislocated Jaw 106 Examination 107 Likely diagnoses 107 Management 108 Further reading 110 11 My Teeth Are Worn 111 History 111 Examination 112 Diagnosis 114 Treatment 114 Important considerations in tooth surface loss 116 Further reading 123 12 I’ve Got a Headache 125 Examination 126 Radiographs 126 Articulatory system exam 126 Likely diagnosis 128 Management 129 Patient journey 131 Further reading 131 13 I’ve Got Whiplash 132 Examination 133 Record keeping 134 Are TMD and whiplash related? 134 Likely diagnosis 136 Management 136 Further reading 137 14 What’s of Use to Me in Practice? 138 Counselling and reassurance 138 Drug therapy 139 Physiotherapy 139 Splint therapy 139 Mouth prop 141 Occlusal adjustments 143 Radiographs 145 Further referral 145 Further reading 146 15 You and the Lawyer 148 Case scenario 1: note and record keeping 149 Case scenario 2: a medical report request 151 Case scenario 3: a disgruntled patient 154 Further reading 157 16 The Referral Letter 158 Details 158 History 158 Request 159 Further reading 160 17 How to Make a Splint 161 How do you make a stabilisation splint? 161 Fitting a stabilisation splint 172 How do you make an anterior repositioning splint? 177 Further reading 182 18 Patient Information 183 Stabilisation splint 183 Anterior repositioning splint 183 General advice for patients with a TMD 185 Exercise programme for patients with TMD 185 19 Glossary of Terms 187 Further reading 206 20 Short Answer Questions 207 Index 209