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.