Useful features, such as frequently asked questions, quick consults, technical tips, and focal points are integrated to help the clinician find precise answers with ease. Case scenarios provide the reader with a way to enhance their clinical reasoning skills, with a focus on solving TMD problems at chairside.

Offering comprehensive coverage in a highly-illustrated, compact package, Manual of Temporomandibular Disorders is the ideal source for dentists dealing patients suffering from TMD.

Author Information

Edward F. Wright, DDS, MS, MAGD is a professor at the University of Texas Health Science Center-San Antonio (UTHSCSA). He completed a one-year general dentistry residency and the University of Minnesota’s two-year TMJ and Craniofacial Pain Fellowship. He taught TMD diagnosis and treatment to more than 100 U.S. Air Force residents in general dentistry, orthodontics, periodontics, and prosthodontics. Upon retiring from the Armed Forces, he completed a two-year research fellowship in TMD diagnosis and treatment at the South Texas Veterans Health Care System and taught TMD diagnosis and treatment to their general dentistry residents. He is now UTHSCSA’s Course Director for their predoctoral dental students’ TMD Course and Dental Anatomy and Occlusion Course, and teaches TMD to the school’s general dentistry, orthodontics, periodontics, and prosthodontics residents. Dr. Wright is the primary author of more than 30 journal articles.

Table of Contents

• Preface xv
• Introduction 1

Part I Initial Evaluation 5

1. Patient Interview 11
2. Review of the “Initial Patient Questionnaire” 31
3. Clinical Examination 39
4. Imaging 71
5. TMD Diagnostic Categories 81
6. Contributing Factors 97

Part II Common Acute TMD Conditions and Treatments 103

7. TMD Secondary to Trauma 105
8. TMD Secondary to Dental Treatment 109
9. Lateral Pterygoid Spasm 125
10. Intermittent and Continuous Forms of TMJ Disc Displacement without Reduction with Limited Opening 131
11. TMJ Subluxation and Luxation 145

Part III Occlusal Appliance Therapy 149

12. Stabilization Appliance 153
13. Anterior Positioning Appliance 213

Part IV Multidisciplinary Treatment Approach 223

14. Self-Management Th erapy 229
15. Physical Medicine 247
16. Cognitive-Behavioral Intervention 261
17. Pharmacological Management 275
18. Other Dental Procedures 295
19. Integrating Multidisciplinary Therapies 313

Part V Case Scenarios 331

• Case 1: Pulpal Pathosis Mimicking TMD Symptoms 333
• Case 2: Tooth Pain: No TMD Pain 335
• Case 3: Chronic Sinusitis 336
• Case 4: Chronic Forehead Pain Referred from the Neck 337
• Case 5: Myalgia Secondary to Nocturnal Parafunctional Habits 339
• Case 6: Tooth Attrition: No Pain 340
• Case 7: Myalgia Secondary to Daytime Parafunctional Habits 341
• Case 8: Medial Pterygoid Spasm 342
• Case 9: Tension, Depression, and Poor Sleep as Contributing Factors 343
• Case 10: Fibromyalgia as a Contributing Factor 344
• Case 11: TMJ Disc Displacements and When to Treat Th em: No Pain 345
• Case 12: TMJ Arthralgia 346
• Case 13: TMJ Disc Displacement with Reduction with Intermittent Locking 347
• Case 14: TMJ Disc Displacement without Reduction with Limited Opening: Unlocked 349
• Case 15: TMJ Disc Displacement without Reduction with Limited Opening: Not Unlocked 350
• Case 16: Osteitis Causing Inability to Open Wide 353
• Case 17: Lateral Pterygoid Spasm 354
• Case 18: Acute Exacerbation of TMD 357
• Case 19: Multiple Forms of Head and Neck Pain after Crown Insertion 359
• Case 20: Appliance That Positioned Condyles into Their “Proper Position” 360
• References 362

Part VI Fundamentals of Clinical Studies 365

• Appendices 385
• Glossary 419
• Index 423