Monthly Archives: March 2017

Tmj And Orofacial Pain Treatment Centers Of Wi

Welcome to the stanford health library. Thank you for coming here tonight. My name is Michele Jehenson and I work at the orofacial pain at the Stanford Pain Center in Redwood City. So today’s topic is TMJ disorders. TMD, I’m going to speak about the nature of the disorder.

What a tmj disorder really is. I’m going to also talk about who is at risk for TMD. And finally, I will touch on the common treatments that are recognized as evidencebased treatment for TMJ disorders. So, I guess it’s customary to.

Talk about disclosures as to if i’m affiliated with any kind of pharmaceutical company or anything like that. I have no disclosures to be done. So, I wanted to first show you the anatomy of a TMJ. It’s a joint that is very unique in the body. It’s one of a kind.

There is a one disc, and you can picture it as a donut. So, it’s a circular, biconcave, just a donut, just doesn’t have the actual hole in the middle. So it’s kind of like a donut shape, and it separates the jawbone, which you see as the rounded bone in the picture, from the skull.

And particularly, the fossa, the articular fossa, and the eminence that you see to the right of the fossa. So the disc is flexible. It’s fiber cartilage, and it offers a perfect interface between the skull and the jaw. It allows for smoother motion.

The joint is also particular in a sense that not only it allows rotation of the joint, but it allows for forward motion of the jaw. So, if you put your hand like slightly over your, in front of your ear and you open your jaw wide and slow, you can see that initially, it just starts rotating and.

Then you can feel it actually advance forward. And for some people, you can actually feel it coming out slightly, because even though the jaw is seemingly fixed, the suture that is in the front, it allows for certain flexibility in and out of the joint itself. So, what is a TMJ disorder?.

So, a tmj disorder is defined by pain, either at rest or upon function. It is defined by something that is a painful noise. It can also be just a dysfunction, like a limited range of motion, or a jaw deviation such as this, like when you open you go to one side or.

PostOperative Instructions in Charlotte Pineville NC Greater Charlotte Oral Facial Surgery

If you received sedation upon arriving home, lie down with your head elevated until the effects of the anesthetic are diminished. On the way home your driver can get you something cold and soft to eat, like a milkshake. Just remove gauze and spoon in. No straws for the whole week following your procedure. Anesthetic effects vary by individual. Drowsiness may last for a short period of time or for several hours. Plan to rest for the remainder of the day.

Do not drive or operate mechanical equipment for 24 hours following surgery. BLEEDING Bite down firmly on the gauze packs for 30 minutes to ensure that any postoperative bleeding stops. Change it out every 30 minutes as needed. Intermittent bleeding, oozing, or pink saliva is often present for several days depending on activity. Repeated gauze pack placement is not required for this. Bleeding should never be severe. If it is,.

Reposition the gauze packs to ensure they are exerting pressure over the surgical areas. Try biting on a tea bag for 30 minutes. Moisten the tea bag, squeeze dampdry, wrap with moist gauze, and insert over site. If the bleeding remains uncontrolled, please call our office. SWELLING Swelling is usually noticeable the morning after surgery, maximizes over the first 72 hours, and may last over a week. Cold compresses (ice pack) help to minimize.

The amount of swelling over the first 48 hours. warm compresses (heating pad or warm washcloth) help to soothe tenderness and resolve swelling that has accumulated after the first 48 hours. First 48 hours: Apply a cold compress to the face over the surgical area while awake. Alternate applications 30 minutes on, then 30 minutes off. After 48 hours: Apply a warm compress to the swollen areas. Alternate applications 30 minutes on, then.

30 minutes off. hot showers, cheek massage, and jaw stretching exercises will help resolve swelling and limited jaw opening. DISCOMFORT Prescription pain medication is usually provided to ensure adequate relief of postoperative discomfort. Eat something 1520 minutes prior to taking the medication to reduce the chance of nausea or stomach discomfort.

If not contraindicated or allergic to, try taking ibuprofen 600 mg every 46 hours in addition to the prescribed medication if you continue to have discomfort. If you are experiencing any abnormal side effects, or having difficulty staying comfortable, please call our office. ORAL HYGIENE AND CARE Leave the surgical area undisturbed. Do not rinse vigorously or probe the area with any objects. Do not smoke (for at least 72 hours). Smoking is very detrimental to healing and.

Commonly causes a dry socket. gently brush your teeth as usual. however, steer clear of the surgical sites. Rinse your mouth 23 times daily (after every meal) with warm salt water (1/4 teaspoon of salt dissolved in an 8 ounce glass of warm water). Do not use Listerine, Scope or any other mouthwash containing high levels of alcohol. DIET HEALING The first two days are generally the most.

Uncomfortable, followed by gradual steady improvement. if you dont see continued improvement or feel like you are getting worse please call our office. Sutures typically dissolve on their own over the first week. Bruising may occur. It is usually limited to the cheek and neck near the surgical site and may take over a week to completely disappear. POSTOPERATIVE NAUSEA Can occasionally occur after receiving anesthetic medications.

What Causes Jaw Pain Right Side

The temporomandibular joint the tmj is the joint between the lower jawbone the mandible and the temporal bone of the skull. The TMJ is responsible for jaw movement and enables chewing, talking and yawning. Temporomandibular disorders, or TMD, refer to a group of conditions characterized by pain in the jaw area and limited movement of the mandible. TMD may be caused by problems in the joint itself or in the muscles surrounding the joint. Problems in the joint include: arthritis, inflammation and internal derangements. When the problem.

Is in the muscles, the condition is called myofascial pain syndrome. Myofascial pain syndrome is very common and can occur in patients with a normal temporomandibular joint. The syndrome is characterized by presence of hyperirritable spots located in skeletal muscles called trigger points. A trigger point can be felt as a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different location. This is called referred pain. Trigger points are developed as a result of.

Muscle overuse. commonly, the muscles of chewing, or mastication, are overworked when patients excessively clench or grind their teeth unconsciously during sleep. The medical term for this condition is nocturnal bruxism. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. The sustained contraction of muscle sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows.

A specific nerve passage. the pain patterns are therefore consistent and are well documented for various muscles. Trigger points in the masseter refer pain to the cheeks, lower jaw, upper and lower molar teeth, eyebrow, inside the ear and around the TMJ area. Trigger points in the temporalis are also associated with headache and toothache from upper teeth. The main culprits of myofascial pain in the TMJ area are the pterygoid muscles. Trigger points in medial pterygoid refer pain to the TMJ region in front of the ear, inside.

The mouth and upper outside of the neck. they may also manifest as sore throat and difficulty swallowing. Pain from lateral pterygoid trigger points can be felt in front of the ear and on the upper jaw. Treatments aim to address bruxism, to relieve muscle spasm and release trigger points. Treatment options include: Therapies: stress management, behavior therapy, biofeedback to encourage relaxation. Dental night guards: Splints and mouth guards to protect the teeth from damage.

Swollen Glands the signs and symptoms

One of the most common reasons that i see people in my consulting room is because they’re worried about swollen gland, and usually they’re talking about swollen glands in their necks. I suspect the reason so many people worry about swollen glands is that they know that they can be a symptom of cancer. Well here’s the good news:.

They almost always mean something much less scary. So let’s think a little bit about what they are so we can understand why you get them, and what you need to look out for basically your glands, or lymph glands or lymph nodes are kind of like stations on a complicated railway network.

And the railway lines are your lymph channels. now those lymph channels are filled with a fluid called lymph, and they carry the white blood cells which help your body to fight off infection around your body if you get an infection in one part or if your body spots an invader it activates your body’s immune system,.

Your defense mechanisms, and they send white cells rushing to the spot. They’ll congregate at that Station, that lymph node, and that’s why glands swell. If your slim you may be able to feel normal size glands actually they’re about the size of a pea or a bit smaller and some of them are just underneath the skin whereas others.

Are buried deep inside the inside of your tummy and inside your chest but those ones that you can feel, are mostly in the armpits in the groin and round the head and neck now, you have title tracks of lymph glands which go behind there and a little group in front of your ears you have more underneath the chin and yet more.

Just above your collar bone here. we also have a chain which goes round the back of your scalp, right at the bottom there. so there are lots and lots of glands, and actually if you feel one, it may not be enlarged at all however by far the most common reason for lymph glands to get swollen is infection, and that does cause enlargement. Kids who have a lot.

Of tonsillitis or sore throats, their glands will be going up and down like that all the time. If you have an infection it’ll often make your glance well very quickly because your body is rushing very quickly to the spot those glands will not only be large, but then also be tender now which glands will be swollen will depend on where the infection is.

So for instance your whole leg cranes to the limp glands in your groin, so an infection in your toe could cause swollen glands in your groin. Very much less likely, breast cancer, or an infection in your breast, drains to the lymph glands in your armpit so it could cause inflammation if those ones there.

Bruxism Effects

The temporomandibular joint the tmj is the joint between the lower jawbone the mandible and the temporal bone of the skull. The TMJ is responsible for jaw movement and enables chewing, talking and yawning. Temporomandibular disorders, or TMD, refer to a group of conditions characterized by pain in the jaw area and limited movement of the mandible. TMD may be caused by problems in the joint itself or in the muscles surrounding the joint. Problems in the joint include: arthritis, inflammation and internal derangements. When the problem.

Is in the muscles, the condition is called myofascial pain syndrome. Myofascial pain syndrome is very common and can occur in patients with a normal temporomandibular joint. The syndrome is characterized by presence of hyperirritable spots located in skeletal muscles called trigger points. A trigger point can be felt as a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different location. This is called referred pain. Trigger points are developed as a result of.

Muscle overuse. commonly, the muscles of chewing, or mastication, are overworked when patients excessively clench or grind their teeth unconsciously during sleep. The medical term for this condition is nocturnal bruxism. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. The sustained contraction of muscle sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows.

A specific nerve passage. the pain patterns are therefore consistent and are well documented for various muscles. Trigger points in the masseter refer pain to the cheeks, lower jaw, upper and lower molar teeth, eyebrow, inside the ear and around the TMJ area. Trigger points in the temporalis are also associated with headache and toothache from upper teeth. The main culprits of myofascial pain in the TMJ area are the pterygoid muscles. Trigger points in medial pterygoid refer pain to the TMJ region in front of the ear, inside.

The mouth and upper outside of the neck. they may also manifest as sore throat and difficulty swallowing. Pain from lateral pterygoid trigger points can be felt in front of the ear and on the upper jaw. Treatments aim to address bruxism, to relieve muscle spasm and release trigger points. Treatment options include: Therapies: stress management, behavior therapy, biofeedback to encourage relaxation. Dental night guards: Splints and mouth guards to protect the teeth from damage.

Reasons For Clenching Jaw In Sleep

Hey everybody, it’s jo. i got an email from barry and he was having some tmj pain. TMJ stands for temporomandibular joint which is your jaw joint right there. And I’m gonna show you today just some simple stretches and strengthening exercises to get that TMJ feeling better. So we’re just gonna start off, you want to start off gently with these exercises, you don’t want to push very hard because this joint is small and it can get irritated very quickly. The first one you wanna do is you’re gonna use the palm of your.

Hand so you’re not pushing with your fingers, but you’re using just your palm. you’re gonna put your palm on one side, doesn’t matter because we’re gonna do both. And you gonna keep your mouth and teeth aligned. So the jaw stays in one spot, your teeth stay aligned so they’re not going back and forth like that. You’re gonna keep it nice and still and you’re gonna push your palm in that way. And just hold it in place. A nice little 5 second push. Good. See how my jaw’s not actually moving but I’m just putting gentle pressure on one.

Side. then after your do that maybe 35 times, 5 seconds a piece, then you’re gonna switch and do the same thing on the other side. So make sure you don’t just do one side and not the other side cause you wanna keep it even. The next one really simply, you’re gonna open your mouth just a little bit and put your fingers inside but make sure you don’t bite your fingers. You’re not biting, your keeping again your jaw still and pushing pressure down this time. So you’re gonna put your fingers in your mouth on your bottom teeth, and just.

Push down. see again my jaw’s not moving. i’m not stretching it open, i’m keeping it in one spot. Again just start off with about 5 seconds of gentle pushing and do that about 5 times. The last one is to stretch out the join back here. You’re going to put your palm on your chin and just push straight back. Again you wanna make sure that your teeth are in alignment. If your teeth are over here or over here and your moving it, you’re going to irritate that joint. So just palm on the chin. And relax your jaw. And push straight.

Back. so those are the exercises to strengthen and stretch out your tmj joint if you’re having some pain in your jaw. Just start off with about 5 seconds and then build your way up, but make sure your not pushing too hard. These are gentle stretches for that small joint in your jaw. If you have any questions, please leave them in the comments section. And if you’d like to check out some more tutorials go to AskJo . Be safe. Have fun. And I hope you feel better soon!.

Temporomandibular Joint Dysfunction Headaches

The temporomandibular joint the tmj is the joint between the lower jawbone the mandible and the temporal bone of the skull. The TMJ is responsible for jaw movement and enables chewing, talking and yawning. Temporomandibular disorders, or TMD, refer to a group of conditions characterized by pain in the jaw area and limited movement of the mandible. TMD may be caused by problems in the joint itself or in the muscles surrounding the joint. Problems in the joint include: arthritis, inflammation and internal derangements. When the problem.

Is in the muscles, the condition is called myofascial pain syndrome. Myofascial pain syndrome is very common and can occur in patients with a normal temporomandibular joint. The syndrome is characterized by presence of hyperirritable spots located in skeletal muscles called trigger points. A trigger point can be felt as a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different location. This is called referred pain. Trigger points are developed as a result of.

Muscle overuse. commonly, the muscles of chewing, or mastication, are overworked when patients excessively clench or grind their teeth unconsciously during sleep. The medical term for this condition is nocturnal bruxism. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. The sustained contraction of muscle sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows.

A specific nerve passage. the pain patterns are therefore consistent and are well documented for various muscles. Trigger points in the masseter refer pain to the cheeks, lower jaw, upper and lower molar teeth, eyebrow, inside the ear and around the TMJ area. Trigger points in the temporalis are also associated with headache and toothache from upper teeth. The main culprits of myofascial pain in the TMJ area are the pterygoid muscles. Trigger points in medial pterygoid refer pain to the TMJ region in front of the ear, inside.

The mouth and upper outside of the neck. they may also manifest as sore throat and difficulty swallowing. Pain from lateral pterygoid trigger points can be felt in front of the ear and on the upper jaw. Treatments aim to address bruxism, to relieve muscle spasm and release trigger points. Treatment options include: Therapies: stress management, behavior therapy, biofeedback to encourage relaxation. Dental night guards: Splints and mouth guards to protect the teeth from damage.

Massage Tutorial Myofascial release for TMJjaw pain

I’m ian harvey, massage therapist. today we’re going to talk about jaw pain, TMJ dysfunction, all this stuff that can go on with the clicking and discomfort. This is actually very common problem. If you ask any of your clients that have neck or headache or shoulder pain, hey, do you also have jaw pain? a lot more than you think are going to say, oh yeah, I do have that. We’re going to start with an anatomy review, we’ll talk about.

This very complex joint right here, and all the muscles that surround it. then we’ll get a client on the table and I’ll show you some easy myofascial techniques that are very effective at reducing this pain and the dysfunction, without a lot of digging or discomfort. If you’d like to skip ahead to any section, please click on the timecodes down in the description. So, first of all, what is this temporomandibular joint, this TMJ? Well, let’s start by talking about the.

Mandible. the mandible is your jaw right here, and it goes up in this broad flat surface of bone called the ramus, and the ramus has tw upward projections. The more anterior projection slides under this zygomatic arch here, this cheekbone, so it goes up under here and it makes contact with the temporalis muscle. We’ll talk about that more in a second. You can feel this projection if you open your jaw wide, which I don’t recommend.

If you’ve got jaw dysfunction yourself. there it is. and that’s called the coronoid process. Posterior to that we’ve got another projection upward of the ramus, this is called the condyle of the mandible, and this is the one that makes contact with the temporal bone forming that temporomandibular joint. Now this is both a hinging and gliding joint, it’s a very mobile joint, and that’s one reason why it can get into trouble. And, one reason why it’s so.

Mobile is because it’s got an articular disc in here. it’s this little disc of fibrocartilage that’s embedded within the joint space, and it allows this joint to do all sorts of fun tricks, like protrusion and sliding from side to side. And this disc actually interfaces with of your muscles of mastication, the lateral pterygoid muscle, and it can get pulled out of place, just during normal movements of mastication (otherwise known.

As chewing), or while you are unconsciously clenching your teeth or grinding your teeth, known as bruxism. Now, our mission isn’t to fix this disc, it isn’t to shove this disc back where it belongs. It’s to reduce this high tension situation that’s happening across this joint. And by doing that, that disc will start resuming its normal function. I find that getting this high tension situation to calm down will do the work for us. There’s nothing specific that we.

Need to do to change this joint. the two main muscles that we’re going to be worrying about today are the masseter, the masseter is actually a twoheaded muscle, we’re not going to worry about the individual heads. It originates from this zygomatic arch, and it goes down onto the entire ramus, and down to the angle of the mandible. So it’s a very broad insertion. And it’s a very interesting and convoluted muscle. If you feel lumps and bumps and taut bands across here,.

Don’t assume that you found a trigger point, this is just a very lumpy bumpy muscle. And we’ve also got the temporalis muscle. The temporals has a very broad origin up here on the lateral skull, it covers the temporal bone, and it’s in this temporal fossa. And the big broad fan of this muscle, it narrows narrows narrows down into a tendon that passes under that zygomatic arch and makes contact with that coronoid process. We’ve also got pterygoid muscles which are.

Sore Jaw With Fever

One of the most common reasons that i see people in my consulting room is because they’re worried about swollen gland, and usually they’re talking about swollen glands in their necks. I suspect the reason so many people worry about swollen glands is that they know that they can be a symptom of cancer. Well here’s the good news:.

They almost always mean something much less scary. So let’s think a little bit about what they are so we can understand why you get them, and what you need to look out for basically your glands, or lymph glands or lymph nodes are kind of like stations on a complicated railway network.

And the railway lines are your lymph channels. now those lymph channels are filled with a fluid called lymph, and they carry the white blood cells which help your body to fight off infection around your body if you get an infection in one part or if your body spots an invader it activates your body’s immune system,.

Your defense mechanisms, and they send white cells rushing to the spot. They’ll congregate at that Station, that lymph node, and that’s why glands swell. If your slim you may be able to feel normal size glands actually they’re about the size of a pea or a bit smaller and some of them are just underneath the skin whereas others.

Are buried deep inside the inside of your tummy and inside your chest but those ones that you can feel, are mostly in the armpits in the groin and round the head and neck now, you have title tracks of lymph glands which go behind there and a little group in front of your ears you have more underneath the chin and yet more.

Just above your collar bone here. we also have a chain which goes round the back of your scalp, right at the bottom there. so there are lots and lots of glands, and actually if you feel one, it may not be enlarged at all however by far the most common reason for lymph glands to get swollen is infection, and that does cause enlargement. Kids who have a lot.

Of tonsillitis or sore throats, their glands will be going up and down like that all the time. If you have an infection it’ll often make your glance well very quickly because your body is rushing very quickly to the spot those glands will not only be large, but then also be tender now which glands will be swollen will depend on where the infection is.

So for instance your whole leg cranes to the limp glands in your groin, so an infection in your toe could cause swollen glands in your groin. Very much less likely, breast cancer, or an infection in your breast, drains to the lymph glands in your armpit so it could cause inflammation if those ones there.

TONSILLITIS HOME TREATMENTS How To Get Rid Of Swollen Tonsils

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Dental Implants Zirconia Vs Titanium

Hi, my name is holly austgen from southeast family dental. and today we’re going to talk about dental implants vs. dental bridges. So what is a dental implant? A dental implant is a titanium rod that is placed into the bone where the missing tooth used to be. Placing the implant in the bone prevents future bone loss because the bone and the titanium rod actually begin to bond together. The bone does not know the difference between the root of the natural tooth and the titanium.

Rod. then you go and have a crown placed on top of that rod. this dental crown replicates the natural crown of the tooth that was there prior. A dental implant requires several procedures and series for this to be placed. So let’s move on to brides. What is a dental bridge? A bridge is a nonremovable prothesis that is used to replace a missing tooth. A bridge literally bridges the gap between the two natural teeth replacing the tooth that’s missing between them. Bridges used to be the.

Best option in tooth replacement because they were nonremovable and they were pretty pleasing to look at. So let’s look at the pros and cons of implants vs. bridges. The pro of the dental implant is the fact that it is most like a natural tooth. It’s easy to clean around, you can floss in between it and it doesn’t require any type of drilling of filing of the tooth next to it. If something goes wrong with the dental implant, the teeth next to the space.

Are not affected. it also allows for the bone to stay in place because that bone thinks that titanium rod is actually the root of the natural tooth. The downside to a dental implant for some people is that not everybody is a surgical candidate. It does take longer for this prosthesis to be completed and the initial cost is more expensive. A dental bridge. The pros and cons of a dental bridge are that you can not clean around is.

As easily as you can a dental implant. the bridge itself requires filing down of the teeth next to the space. Because it’s attached to that natural tooth you can’t floss in between it. This can potentially can lead to decay and periodontal disease. If you do get decay on the teeth anchoring that tooth, it will cause you to lose the entire bridge itself. Initially the cost of a dental bridge is less expensive than an implant and it does not require surgery or take as long to replace.

MetalFree Implants All Ceramic

Hi. i’m ali farahani. i have something very exciting i’d like to share with you. As part of our continued commitment to provide our patients with cutting edge uptodate treatments using the best technology and training, we are delighted to offer all ceramic metal free dental implants.

These implants are an alternative to the conventional titanium dental implants which have stood the test of time and that we still use. However the all ceramic dental implant offers us the following distinct advantages: First of all they’re ultra biocompatible; meaning it is material that is most like our own tooth. The surrounding gums just love this material.

And they wrap around it like they do a real tooth. Secondly, due to its design, and ultra biocompatibility most times we were able to remove the tooth in question and replace it with the implant the same day. This saves our patients additional surgery saves time and energy. Last but not least,.

These all ceramic, metalfree implants are shaped much like real teeth, and they are larger than conventional implants so they occupy and preserve more gum and jaw bone than titanium dental implants. We’ve been working with these all ceramic implants since February 2013, which means that we are one of the first 10 dental offices in all of Canada.

Jaw Pain Before Heart Attack

In the movies, when people have heart attacks, they often clutch their chest in pain and collapse on the floor. But in real life, that’s often not the way it happens. We bring you the bottom line on secret symptoms of a heart attack. Hi, I’m Pilar Gerasimo, with a Bottom Line Expert report on heart attacks. I’m here today with Suzanne Steinbaum, director of Women’s Heart Health at Lenox Hill in New York City.

steinbaum, i notice that in the movies, there are these incredibly dramatic eventsyou know, people have heart attacks and they clutch their chest, they fall to the floor, they die instantly. But in real life, I understand that that’s not actually the way it happens. Can you tell us a little bit about what does it actually look and feel like to have a heart attack? It’s not always that Hollywood heart attack. There are often more subtle signs. Definitely.

Chest pain or pressure is the most common symptom people have, but it could also be shortness of breath, fatigue, nausea, back pain, jaw pain, vomiting, even flulike symptoms, so don’t exactly expect that Hollywood heart attack. You just described a whole bunch of symptoms, many of which could be everyday ailments. It might be indigestionI ate something too spicy. or I’m coming down with the flu. How do I differentiate between these every day things and something that could be much.

More dramatic? When you think about what a heart attack iswhich is actually lack of oxygen to the heart musclethat’s when you get the symptoms. So if it is happening with exertion and with really exercising and then if it is relieved with rest, think about your heart. If you have indigestion, you take something for your stomach and it goes away, so it’s probably not your heart. If you have pain, you take an antiinflammatory and it goes away, again, probably not your heart.

But if the symptoms come back, you really should not dismiss it. and think heart first! It is better to be wrong than to be sorry. So I know that there’s sometimes confusion about the difference between a heart attack and cardiac arrest. Could you explain the difference to us? Cardiac arrest is truly sudden death, and there’s nothing we can do about it. When someone has a heart attack, it’s damage to the heart muscle. We can intervene.we can open blood.

Flow of that artery to the muscle.and we can actually prevent people from having heart damage. So it’s a very important distinction. One there is nothing we can do about, unless maybe if it is witnessed and we can do CPR. But for people having a heart attack, it’s about intervention, getting to the , getting to the as soon as possible. The bottom line on heart attack symptoms is that they often disguise themselves as other ailments, but if you’re dealing with symptoms that are being made worse by exertion and.

BODY WARNS ONE MONTH BEFORE A HEART ATTACK WARNING SIGNS YOU MUST KNOW

Warning signs before a heart attack a heart attack occurs when the heart does not receive enough oxygen because blood flow is suddenly interrupted. The heart muscle cannot pump properly, and the tissue begins to die quickly. About 735,000 Americans have a heart attack each year. However, only about 27% of people know all the symptoms of the urgency of a heart attack. Recognizing the signs of a heart attack and get to the immediately can mean the.

Difference between survival, irreversible tissue damage, and death. if you have any doubt about whether the pain you are experiencing a heart attack, seek medical help immediately. Signs before a heart attack 1 Pay attention to chest pain A chest pain, whether acute or dull, is the most common sign of a heart attack. People who have heart attacks often say they feel squeezing, fullness, pressure, stress or a strong feeling in the center or left side of the chest. This feeling may last a few.

Minutes or more, or go away and come back later. 2 Check that the discomfort in the upper body Sometimes the pain of a heart attack radiates from the chest area outward, causing discomfort in the neck, jaw, abdomen, upper back, and left arm. The pain in these areas is usually a dull ache. If you have not recently worked out or do anything that may cause upper body pain, this pain could be a sign youre having a heart attack.

The weakness of the body One of the main symptoms to be aware of is the weakness of the body. Your body feels weak because the arteries narrowing is experiencing, which means less blood flow and circulation. This leads to weakened muscles that could cause it to fall more easily. This symptom is a big red flag, so be careful if you are experiencing bodily weakness. 4 dizziness and cold sweats.

Dizziness and cold sweats are another sign that something is terribly wrong, such as poor blood circulation in the body part of blood flow to the brain are cut off. This restriction of blood flow is something to consider, as your body will feel sticky and discomfort. Your brain needs adequate blood flow to function properly and feels healthy. These symptoms indicate that a heart attack could be just around the corner. 5 Monitor your breathing.

Shortness of breath is a subtle symptom of heart attack should not be taken lightly. It is distinct from the lack of air in relation to other diseases because it seems to come from nowhere. People who have suffered from the lack of air in relation to a heart attack describe the feeling as if they had been doing much exercise despite everything they’ve been doing is sitting and relaxing. 6 Watch signs of nausea.

Nausea can also lead to breaking into a cold sweat, and even vomiting. if you experience these symptoms, especially in combination with other symptoms, you may be having a heart attack. 7 cold or flu If the symptoms of colds and flu are similar to what you are experiencing, there is a good chance that a heart attack is underway. Many people who have had heart attacks described.

Suffering from symptoms of a cold or flulike just before suffering a heart attack. Chest tightness 8 If you have chest pressure, you will want to get checked immediately, such as chest pain or discomfort is an important key to a heart attack could hit. Pain or pressure in the chest you are may be experiencing only increase as the potential heart attack is coming.

Bruxism Ms

When people are stressed, they sometimes clench their jaw and grind their teeth, which is called bruxism, and this can happen day or night, sometimes lasting a few days, and other times going on for months, and its usually that longterm grinding that can really cause problems. Grinding the top and bottom teeth together can lead to something called dental abfractiona loss of tooth structure, and dental attrition, which is when the biting surfaces of teeth.

Get flattened out. Eventually this can wearaway the protective outer surface of the tooththe enamel, to reveal the much more sensitive dentin below, resulting in tooth hypersensitivity and an increased risk of cavities. When its severe, bruxism can even cause a tooth fracture, tooth loosening, and even the loss of teeth, as well as damage any existing dental work like crowns and fillings.

Occasionally, people with bruxism bite their tongue as well, which can lead to crenated or scalloped tonguetooth shaped indentations on the tongue, and they sometimes they have canker sores from chewing their lips and inner cheeks. Bruxism can also lead to temporomandibular joint disorder, or TMJ, which involves the muscles that help with chewingthe temporalis, masseter, and pterygoid muscles. All three of these work together to move the mandible, or the jawbone.

Clenching these muscles over and over can be tiring and painful especially in the preauricular area, which is right in front of the ear and cause headaches around the temples of the head. Bruxism can also lead to inflammation of the periodontal ligaments, which are the tiny ligaments that attach each tooth to the bony socket that they are nestled in, making chewing quite painful.

Finally, over time, from the repeated clenching, chewing muscles can hypertrophy or grow, which only worsens the grinding action by making it more powerful and therefore more painful. Bruxism is an unconscious behavior, and when it happens at night, its called sleep bruxism or nocturnal bruxism. Typically, sleep bruxism is noticed by family or friends, who hear the clicking and grinding sounds that the person makes as they grind their teeth and move their jaw while sleeping.

Night bruxism can leave a person feeling a dull, persistent headache and sore jaws when they wake up, both of which might slowly improve throughout the day. For awake or diurnal bruxism, there are a couple key differences. First, people dont feel jaw pain upon waking, but instead their pain worsens throughout the day. Second, they dont usually make grinding and clicking noises like in sleep bruxism.

And third, awake bruxism is more strongly associated with stress, and is often accompanied by other behaviors like biting the inner cheeks and nails. Bruxism is caused by a variety of things. First, some evidence points to it being caused by improperly aligned teeth, which results in irregular contact between the upper and lower teeth. Other clues point to other cause like stress, dehydration, medication side effects, and.

Use of recreational drugs like such as mdma, commonly known as ecstasy. Treatment for bruxism can take a lot of forms. For awake bruxism, one therapy involves behavior modification to help someone gain conscious control over the behavior. For example, someone might learn to notice when they are clenching their jaw, and then intervene by placing the tip of their tongue between their top and bottom teeth as a reminder.

Muscles of Mastication Anatomy Tutorial

This is a tutorial on the muscles of mastication. so the muscles of mastication are innervated by the trigeminal nerve. They’re innervated by the mandibular branch of the trigeminal nerve. So that’s V3. When you’re testing the trigeminal nerve, you’re testing muscles of mastication and facial sensation. So the muscles of mastication are innervated by the mandibular branch of the trigeminal nerve. Most of the muscles of facial expression are innervated by the.

Facial nerve, cranial nerve seven. so the trigeminal nerve is cranial nerve no. 5 and the muscles of mastication are innervated by V3, so the mandibular branch. There are four muscles that you need to know which are involved in mastication the temporalis, the masseter, the medial pterygoid and the lateral pterygoid. I’ll begin by showing you the temporalis muscle, which is this muscle here, this big muscle which sits in the temple fossa of the skull. So if I just show you the temple fossa, you.

Can see this indentation on the lateral aspect of the skull. this is where the temporalis sits. This muscle inserts all the muscles of mastication inserts onto the mandible because the mandible is the bone that moves to cause mastication. It’s the bone which is involved in chewing. So the temporalis inserts onto the coronoid process of the mandible. That’s this anterior.

Process here. if we just have a look at that, it just inserts here. if i just show you the other side, you can see that it inserts just there, the coronoid process of the mandible. Just looking at the points of insertion and its origin, you can see that if the muscles were to contract, it would cause the mandible to elevate and it can pull it back in a posterior direction. If you just look at the direction of the fibers so it also causes the mandible to retract.

So there’s four important movements to know with regard to the mandible. you’ve got retraction (that’s movement posteriorly), you’ve got protrusion (that’s movement in this direction anteriorly) and you’ve got elevation (so bringing the mandible upwards in a superior direction) and you’ve got depression (which brings the mandible inferior). So four movements of the mandible. So looking at the origin and the insertion of the temporalis muscle, you can see that.

It elevates it and it can also retract it looking at the direction of the fibers. So if you put your fingers in the temple region on your face and you clench your muscles as if you’re chewing, you can actually feel this muscle working. When you’re testing the trigeminal nerves, this is what you do to your patients. You put your fingers in the temple region and ask them to chew, grind their teeth, so you can feel this muscle working. So if I just bring back the muscles that I got rid of, this muscle here is the masseter.

This is another muscle involved in mastication. this muscle actually has two parts. it’s got a superficial part and a deep part, which isn’t actually very clear on this model, but the deep part inserts a bit more posteriorly in the zygomatic arch and the superficial part inserts more anteriorly on the zygomatic arch. So if you remember my tutorial on the skull, you’ve got this arch here, which is referred to as the zygomatic arch and it’s comprised of the zygomatic process of the maxilla and.

The zygomatic bone. So the masseter has two parts the deep and superficial part which originates on the zygomatic arch. It inserts onto the lateral aspect of the lateral surface of the ramus of the mandible. So again, this is a muscle you can feel on yourself. If you put your fingers over the angle of your mandible and clench your teeth together, you can feel this muscle working.

Painful Right Jaw Bone

The temporomandibular joint the tmj is the joint between the lower jawbone the mandible and the temporal bone of the skull. The TMJ is responsible for jaw movement and enables chewing, talking and yawning. Temporomandibular disorders, or TMD, refer to a group of conditions characterized by pain in the jaw area and limited movement of the mandible. TMD may be caused by problems in the joint itself or in the muscles surrounding the joint. Problems in the joint include: arthritis, inflammation and internal derangements. When the problem.

Is in the muscles, the condition is called myofascial pain syndrome. Myofascial pain syndrome is very common and can occur in patients with a normal temporomandibular joint. The syndrome is characterized by presence of hyperirritable spots located in skeletal muscles called trigger points. A trigger point can be felt as a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different location. This is called referred pain. Trigger points are developed as a result of.

Muscle overuse. commonly, the muscles of chewing, or mastication, are overworked when patients excessively clench or grind their teeth unconsciously during sleep. The medical term for this condition is nocturnal bruxism. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. The sustained contraction of muscle sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows.

A specific nerve passage. the pain patterns are therefore consistent and are well documented for various muscles. Trigger points in the masseter refer pain to the cheeks, lower jaw, upper and lower molar teeth, eyebrow, inside the ear and around the TMJ area. Trigger points in the temporalis are also associated with headache and toothache from upper teeth. The main culprits of myofascial pain in the TMJ area are the pterygoid muscles. Trigger points in medial pterygoid refer pain to the TMJ region in front of the ear, inside.

The mouth and upper outside of the neck. they may also manifest as sore throat and difficulty swallowing. Pain from lateral pterygoid trigger points can be felt in front of the ear and on the upper jaw. Treatments aim to address bruxism, to relieve muscle spasm and release trigger points. Treatment options include: Therapies: stress management, behavior therapy, biofeedback to encourage relaxation. Dental night guards: Splints and mouth guards to protect the teeth from damage.

Temporomandibular Joint TMJ Anatomy and Disc Displacement Animation

Het temporomandibulaire gewricht (de tmj) is het gewricht tussen het lagere kaakbeen de manfibula en het temporale been van de schedel. De TMJ is verantwoordelijk voor kaakbeweging en is het meest gebruikte gewricht van het lichaam. De TMJ is de articulatie tussen de condylus mandibularis en de fossa mandibulatis, een pocket in het os temporale. De unieke eigenschap van de TMJ is de discus articulatie een flexiebel en elastisch kraakbeen dat dient als een kussen tussen de 2 bosoppervlakken. De discus bevat geen zenuwuiteinden en bloedvezels.

In zijn centrum en is daarom ongevoelig voor pijn. vooraan hangt het vast aan de laterale m.pterygoideus een kauwspier. Achteraan gaat het verder als een retrodiscaal weefsel voorzien met bloedvezels en zenuwen. De manfibula is het einde bot dat beweegt wanneer de mond opent. De eerste 20mm opening bevat enkel een rationele beweging van de condylus in de socket. Om de mond ruimer te openen, moeten de discus en condylus uit de pocket bewegen, voorwaarts en naar beneden.

Deze beweging noemt met translatie. De meest voorkomende aandoening van de TMJ is de discus verplaatsing en in de meeste gevallen, wordt de discus naar voor verplaatst. Wanneer de discus naar voor beweegt, wordt het retrodiscale weefsel tussen de 2 botten getrokken. Dit kan pijnlijk zijn omdat het weefsel gevasculariseerd en bezenuwd is, in tegenstelling tot de discus. De voorwaarts verplaatste discus vormt een obstakel.

Voor de condylus beweging wanneer de mond opent.om de mond volledig te kunnen openen moet de condylus over het uiteinde van de discus springen en naar zijn centrum. Dit produceert een klikken of poppend geluid.Tijdens sluiten, glijdt de condylus terug uit de discus dus een andere ‘klik’ of ‘pop’. Deze conditie wordt discus verplaatsing met reductie genoemd. In een later stadium van discus dislocatie, blijft de condylus de hele tijd achter de discus, niet in staat terug op de discus te geraken, het klikkende geluid verdween maar de mondopening is gelimiteerd.

Dit is gewoonlijk de meest symptomatische fase de kaak is geblokkeerd en kan niet wijd openen. In deze fase wordt de conditie discus verplaatsing zonder reductie genoemd. Gelukkig, in de meerderheid van de gevallen, lost het probleem zichzelf op na een tijdje. Dit dankzij een proces genaamd, natuurlijke adaptatie van het retrodiscale weefsel, wat na een tijdje een littekenweefsel wordt en de discus functioneel kan vervangen. In feiten, wordt het zo gelijkaardig aan de discus dat het een pseudo discus wordt genoemd.