Diagnosing and treating the patient with restricted mandibular opening: a new approach.
Patients with a restricted mandibular opening and related pain require a systematic process for differential diagnosis and treatment planning. This article considers the differential diagnostic process, treatment planning, and treatment delivery for a patient seeking a second opinion before surgery for a closed lock. A closed lock occurs when the disc in the joint has been pulled off the head of the condyle and forward, blocking the condyle from translating forward.
Simon
Jerry
J
D000328:Adult; D003937:Diagnosis, Differential; D005157:Facial Pain / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000628:therapy; D008335:Mandibular Condyle / Q000503:physiopathology; D008336:Mandibular Diseases / Q000175:diagnosis* / Q000628:therapy; D008410:Masticatory Muscles / Q000503:physiopathology; D019558:Occlusal Adjustment; D017090:Occlusal Splints; D010347:Patient Care Planning; D016059:Range of Motion, Articular / Q000502:physiology; D013035:Spasm / Q000175:diagnosis / Q000628:therapy; D019224:Temporomandibular Joint Disc / Q000503:physiopathology; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000628:therapy; D014313:Trismus / Q000175:diagnosis / Q000628:therapy